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Could a blood clot replace root canal fillings? new study tests regenerative approach
NCT ID NCT07679152
First seen Jul 01, 2026 · Last updated Jul 02, 2026 · Updated 1 time
Summary
This study tests whether leaving a tooth's root canal unfilled and using a blood clot to trigger natural healing works as well as the standard root canal filling. The trial involves 48 men with infected but still living upper premolars. One group gets the standard gutta-percha filling, another gets a seal but no filling, and a third gets a blood clot induced inside the canal before sealing. The goal is to see which method best resolves pain and infection signs.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Regenerative endodontic procedure (blood clot scaffold)
- What this could lead to
- If successful, this approach could offer a simpler, more natural way to heal infected teeth without the need for permanent root canal fillings.
- What could go wrong
- This is a small, early-stage study with only 48 participants, so results may not apply to everyone. The regenerative method may not work as well as standard treatment, and there is a risk of infection or incomplete healing.
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
-
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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48 people
The number who actually took part.
- Started
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Oct 2024
- Finished
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May 2026
- 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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18 to 50 years
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Males. * Age: 18-50 years. * Medically free. * Vital, mature upper first premolars with irreversible pulpitis. * Adequate coronal tooth structure. * Compliant patients. Exclusion Criteria: * Generalized periodontitis. * Females. * Vertical root fracture. * Immature teeth. * Necrotic teeth. * Systemic diseases that affect healing process. * Non restorable teeth.
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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
-
Faculty of Dentistry, Ain Shams University
Cairo, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a Flat-Sided dental file mean less pain after a root canal?
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- Could a new filling material save baby teeth when adult teeth are missing?
- Can a simpler procedure save children's aching baby teeth?