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RecruitingNCT07108738Updated Oct 6, 2026

Pomegranate Peel Extract for Primary Molar Pulpotomy

An interventional study of Pulpotomy and Radiation in Pulpitis Reversible and Pulp Exposure, Dental, sponsored by Tanta University. Recruiting at 1 site in Egypt. Open to participants aged 4 Years to 7 Years. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by Tanta University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 1 month later.
Updated Oct 6, 2026Now RecruitingSite recruiting status changed+3 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
4 Years to 7 Years
Sex
All
01

Study summary

Pomegranate peel extract has demonstrated a range of potential uses in the biomedical industry in recent years because of its numerous benefits, which include anti-inflammatory, antibacterial, anti-apoptotic, antioxidant, and cell-regeneration-promoting qualities. Therefore, the purpose of this study will be to evaluate the clinical and radiographic efficacy of Pomegranate peel extract as a pulpotomy agent in primary teeth.

Read the detailed description

A total of sixty primary molars in thirty children aged between 4 and 8 years will be randomly divided into two groups: Group I, the Pomegranate peel extract group, and Group II, the MTA group. After pulpotomy treatment, all molars will be restored with stainless steel crowns. Follow-up will be done after 3, 6, and 9 months for clinical and radiographic assessment.

02

Conditions studied

  • Pulpitis Reversible
  • Pulp Exposure, Dental

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Keywords

  • Pulpotomy
  • Primary molars
  • Pomegranate Peel Extract
  • Mineral Trioxide Aggregate
03

In context

Dental Pulp Exposure

28 studies on the registry are indexed under Dental Pulp Exposure; 5 are open to participants now.

This study's planned enrollment of 30 is below the median of 55 across 26 interventional studies indexed under Dental Pulp Exposure.

Browse Dental Pulp Exposure studies →

Lead sponsor

Tanta University is the lead sponsor of 963 studies on the registry; 304 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Years to 7 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Restorable primary molars with deep carious lesions.
  • Absence of gingival swelling or sinus tract.
  • Absence of spontaneous pain
  • Absence of pain on percussion.
  • Absence of discontinuity of lamina dura
  • Absence of internal root resorption.
  • Absence of external root resorption.
  • Absence of inter-radicular or periapical bone destruction (radiolucency).

Exclusion criteria

Exclusion Criteria:

  • presence of spontaneous pain
  • presence of gingival swelling or sinus tract
  • presence of internal or external root resorption
  • pain on percussion.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    group 1: zinc oxide-pomegranate peel extract paste

    30 primary molars will be treated with pomegranate peel extract freshly mixed with zinc oxide powder till it reaches a suitable consistency (1:1 ratio by volume) to cover pulp stumps

    Procedure: Pulpotomy · Procedure: Radiation

  • Active comparator
    group 2: MTA

    30 primary molars will be treated with MTA to cover pulp stumps

    Procedure: Pulpotomy · Procedure: Radiation

Interventions

  • ProcedurePulpotomy

    Teeth will be anesthetized then Rubber dam and high suction will be used in pulpotomy procedure. Cavity outline will be performed by sterile #330 high speed bur using water spray. Caries will be removed by large spoon excavator. When pulpal exposure occurred, the roof of pulp chamber will be removed by low speed round bur. Haemostasis will be obtained by applying pressure with a moist cotton pellet with saline. Then the test materials will be applied. after that, pulp stumps of all molars in each group will be dressed using Intermediate restorative material, then the tooth will be restored with a preformed stainless steel crown

  • ProcedureRadiation

    Radiographic evaluation will be performed immediately after teeth restoration (baseline radiograph), then after three, six, and twelve months for the furcation radiolucency area and bone radiodensity. A photo-simulated phosphorus plate sensor was used to take direct standardized digital radiographs. The parallel periapical technique was obtained by Rinn, which is attached to the X-ray tube with its arm fastened to the film holder that contained a coated PSP (photo-stimulated phosphorus plate). To ensure standardization during radiographic film retakes, condensation rubber base impression material will be positioned on the outside of the film holder, and the child is told to bite on it while the material is set. The sensor wil exposed to an X-ray machine (Planmeca ProX, Helsinki, Finland) with a central ray perpendicular to the sensor at 70 kVp, 6 mA, and 0.8 s. Radio-densitometric and radiometric analysis of the radiographs will be performed by RadiAnt software.

06

What researchers measure

Primary outcomes

  1. absence of pain

    Measuring Method: Verbal Question to Patient /Parents Measuring Unite: score 0 for absence of pain and score 1 for presence of pain

    Time frame: up to 9 months

  2. absence of fistula

    Measuring Method: Visual examination by operator Measuring Unit: score 0 for absence of swelling and score 1 for presence of swelling

    Time frame: up to 9 months]

  3. Tenderness to percussion

    Measuring Method: Percussion test Measuring Unite: Binary (+/-)

    Time frame: up to 9 months

  4. Furcation radiolucency

    Measuring Method: periapical x-ray for assessment of radio-density of bone at the furcation area, Measuring Unit: mean value of gray level (which measures density scale between 0 to 256, with zero being the lowest value and 256 the highest dense value)

    Time frame: 3 months

  5. furcation radiolucency

    Measuring Method: periapical x-ray for assessment of radio-density of bone at the furcation area, Measuring Unit: mean value of gray level (which measures density scale between 0 to 256, with zero being the lowest value and 256 the highest dense value)

    Time frame: 6 months

  6. furcation radiolucency

    Description: Measuring Method: periapical x-ray for assessment of radio-density of bone at the furcation area, Measuring Unit: mean value of gray level (which measures density scale between 0 to 256, with zero being the lowest value and 256 the highest dense value)

    Time frame: 9 months

07

Study locations

1 of 1 sites recruiting
  • Tanta University
    Tanta, Egypt
    • shaimaa eldesouky, assistant professor · Contact · shaimaaeldesouky@dent.tanta.edu.eg · 01008994242
    • Shimaa Hadwa, assistant professor · Principal investigator
    • Nora Abo Shanady, lecturer · Sub investigator
    Recruiting
08

References and documents

Publications

  • Mushtaq A, Nangia T, Goswami M. Comparative Evaluation of the Treatment Outcomes of Pulpotomy in Primary Molars Using Mineral Trioxide Aggregate and 3Mixtatin: A Randomized Clinical Trial. Int J Clin Pediatr Dent. 2023 Nov-Dec;16(6):810-815. doi: 10.5005/jp-journals-10005-2720. PubMed 38344366 ↗
  • Farsi N, Alamoudi N, Balto K, Mushayt A. Success of mineral trioxide aggregate in pulpotomized primary molars. J Clin Pediatr Dent. 2005 Summer;29(4):307-11. doi: 10.17796/jcpd.29.4.n80t77w625118k73. PubMed 16161395 ↗
09

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 6, 2026
Sites
Tanta University is now Recruiting
Oct 6, 2026
Start date
Aug 2025→Sep 1, 2025 (actual)
Oct 6, 2026
Primary completion
Mar 2026→Oct 2026
Oct 6, 2026
Study completion
Apr 2026→Dec 2026
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    Not yet recruiting→Recruiting
    Tanta University is now Recruiting
    Start date Aug 2025→Sep 1, 2025 (now actual)
    Primary completion Mar 2026→Oct 2026
    Study completion Apr 2026→Dec 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07108738
Lead sponsor
Tanta University
Responsible party
Shaimaa Shaban Mohamed El-desouky (associate professor of pediatric dentistry, faculty of dentistry, Tanta university, Tanta University) — Principal investigator
First posted
Aug 7, 2025
Start date
Sep 1, 2025
Primary completion
Oct 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Oct 6, 2026

Study contacts

shaimaa eldesouky, assistant professor
Contact
shaimaaeldesouky@dent.tanta.edu.eg
+201008994242

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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