Root canal alternative? new procedure aims to save infected teeth

NCT ID NCT07768852

First seen Aug 17, 2026 ยท Last updated Aug 17, 2026

Summary

This study tests whether a procedure called full pulpotomy can successfully treat permanent teeth with irreversible pulpitis and apical periodontitis. Instead of removing the entire nerve like a root canal, full pulpotomy removes only the inflamed pulp from the crown, preserving healthy root tissue. Researchers will track pain relief, healing of the periapical lesion, and patient satisfaction over time to see if this less invasive approach is a viable option.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Full pulpotomy procedure with diode laser-assisted hemostasis and calcium silicate-based pulp capping
What this could lead to
If successful, full pulpotomy could offer a less invasive alternative to root canal treatment for selected teeth with periapical lesions, preserving more natural tooth structure.
What could go wrong
This is a small exploratory study (30 participants), and success depends on long-term healing. There is a risk the procedure may not fully resolve the infection, potentially requiring a root canal later.

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Conditions

The condition(s) this trial relates to.

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