Root canal alternative? new procedure aims to save infected teeth
NCT ID NCT07768852
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
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, 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.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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8 to 30 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * • Non -contributory medical history (SAI, II). * Posterior permanent tooth (premolar, molar). * Age range 8-30 years * Deep caries extending into the inner quarter of dentin or exposing the pulp on the periapical radiograph * The tooth should give positive response to cold sensibility testing * Clinical diagnosis of symptomatic/asymptomatic irreversible pulpitis based on the symptoms, radiographic findings and results of cold testing * The tooth is restorable, probing pocket depth and mobility are within normal limits * Periapical radiograph demonstrates the presence of periapical lesion. Exclusion Criteria: * Non-restorable tooth. * Signs of pulpal necrosis including sinus tract or swelling. * Evidence of necrotic tissue in one or all canals. * Profuse pulpal bleeding and inability to achieve hemostasis.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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