Simpler tooth treatment may spare kids from more invasive dental procedure
NCT ID NCT06524921
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compared two treatments for severely decayed baby molars in children aged 4 to 9. One group received a pulpotomy, where only the infected part of the tooth's nerve is removed and replaced with a special cement (Biodentine). The other group had a full pulpectomy, removing all nerve tissue and filling the canals with a medicated paste (Metapex). The goal was to see if the simpler pulpotomy works as well as the more involved pulpectomy in preserving the tooth and preventing pain or infection.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Biodentine (calcium silicate cement) and Metapex (calcium hydroxide iodoform paste)
- What this could lead to
- If successful, this could show that a less invasive pulpotomy with Biodentine is a good alternative to full pulpectomy for treating infected baby teeth in children.
- What could go wrong
- This is a small, completed trial with only 28 participants, so results may not apply to all children. The study also excludes teeth with severe symptoms, limiting its scope.
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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28 people
The number who actually took part.
- Started
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Oct 2024
- Finished
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Sep 2025
- 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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4 to 9 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: * • Patient and parent showing cooperation and compliance. * Children 4-9 years old * Vital deeply carious primary(s) with complete root formation * Asymptomatic teeth or without clinical symptoms of spontaneous pain * No clinical evidence of pulp degeneration like the history of spontaneous or nocturnal pain, tenderness to percussion, pathologic tooth mobility, swelling, or fistulous tract. * Both genders will be included. * No radiographic evidence of pulp degeneration such as internal root resorption, external root resorption, or furcal radiolucency. * Presence of 2/3rd of root * Teeth that can be restored * Children with prior parental consent. Exclusion Criteria: * • soft tissue inflammation. * tooth mobility. * sinus tract. * Any radiographic sign of periapical pathologies or pulp necrosis (periapical radiolucency, internal or external root resorption) * History of any systemic disease * Teeth showing clinical or radiographic evidence of pulp degeneration * Hemostasis not achieved within 5 minutes of pulp amputation, by direct contact with a wet cotton pellet before the material placement * The remaining radicular tissue was non-vital (with suppuration or purulence necrosis)
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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.
Contacts and locations
Locations
-
Cairo University
Cairo, Egypt
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Other studies related to the condition(s) this trial covers.
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