Risk Factors on the Long-Term Success of Mineral Trioxide Aggregate Pulpotomy

NCT ID: NCT07312539

Last Updated: 2025-12-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

96 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-01

Study Completion Date

2025-02-01

Brief Summary

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The goal of this observational study is to learn about the long-term results of Mineral Trioxide Aggregate (MTA) pulpotomy in primary molars and the factors that may affect treatment success.

The main question it aims to answer is:

Do clinical, operator and restoration-related factors influence the long-term success of MTA pulpotomy in primary molars?

In this study, children who received MTA pulpotomy treatment were examined at the 24-month follow-up visit, scheduled at the beginning of the study. Two examiners checked the clinical condition of the teeth, and two other examiners reviewed the radiographs without knowing the clinical results.

Detailed Description

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This cross-sectional observational study was conducted to evaluate the 24-month clinical and radiographic outcomes of Mineral Trioxide Aggregate (MTA) pulpotomy in primary molars and to identify potential risk factors associated with treatment failure. The study included 175 primary molars from 96 children who met the inclusion criteria and were invited to the 24-month follow-up visit scheduled at the beginning of the study. At this visit, two clinical examiners assessed the clinical condition of the teeth, and two radiographic examiners, blinded to the clinical data, evaluated the radiographic outcomes.

Clinical and radiographic findings were scored based on criteria originally established by Zurn and Seale, subsequently adapted by Rajasekharan et al., and recently by Cordell et al. The risk factors that could have influenced treatment failure were also documented, including arch type (maxillary or mandibular), tooth type (first or second primary molar), side (right or left), number of restored surfaces, and restoration quality. Restoration quality was assessed using the modified FDI criteria assessing esthetic, functional, and biological properties.

Conditions

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Tooth, Deciduous Pulpotomy Risk Factors Mineral Trioxide Aggregate (MTA)

Keywords

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Pediatric dentistry Pulpotomy in primary teeth Restoration quality Regression analysis Mineral Trioxide Aggregate

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Eligibility Criteria

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Inclusion Criteria

* Systemically healthy children
* Complete preoperative clinical and radiographic records available
* No additional treatment performed on the treated tooth after the initial MTA pulpotomy
* Attendance at the 24-month follow-up appointment
* Willingness to participate in the study
* Positive or definitely positive behavior during the clinical examination at the 24-month follow-up visit (Frankl Behavior Rating Scale: + or ++)

Exclusion Criteria

* Teeth that had exfoliated or received treatment at another center during the follow-up period
Minimum Eligible Age

3 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Sümeyra Akkoç

OTHER

Sponsor Role lead

Responsible Party

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Sümeyra Akkoç

Assistant Professor, DDS

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Şevval Çakıcı, Assistant Professor, DDS

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatric Dentistry, Faculty of Dentistry, Kütahya Health Sciences University

Beyza Ecem Alkaç Ekici, Assistant Professor, DDS

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatric Dentistry, Faculty of Dentistry, Kütahya Health Sciences University

Merve Uluakay, Assistant Professor, DDS

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatric Dentistry, Faculty of Dentistry, Kütahya Health Sciences University

Locations

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Department of Pediatric Dentistry, Faculty of Dentistry, Kütahya Health Sciences University

Kütahya, Center, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Zurn D, Seale NS. Light-cured calcium hydroxide vs formocresol in human primary molar pulpotomies: a randomized controlled trial. Pediatr Dent. 2008 Jan-Feb;30(1):34-41.

Reference Type RESULT
PMID: 18402097 (View on PubMed)

Hickel R, Peschke A, Tyas M, Mjor I, Bayne S, Peters M, Hiller KA, Randall R, Vanherle G, Heintze SD. FDI World Dental Federation: clinical criteria for the evaluation of direct and indirect restorations-update and clinical examples. Clin Oral Investig. 2010 Aug;14(4):349-66. doi: 10.1007/s00784-010-0432-8. Epub 2010 Jul 14.

Reference Type RESULT
PMID: 20628774 (View on PubMed)

Kim CH, Bae JS, Kim IH, Song JS, Choi HJ, Kang CM. Prognostic factors for the survival of primary molars following pulpotomy with mineral trioxide aggregate: a retrospective cohort study. Clin Oral Investig. 2021 Apr;25(4):1797-1804. doi: 10.1007/s00784-020-03482-3. Epub 2020 Aug 4.

Reference Type RESULT
PMID: 32754786 (View on PubMed)

Yu Y, Hao S, Jin Y, Zhang Q, Wang Y, Zou J. Potential factors affecting the success rate of indirect pulp therapy in primary molars with deep caries: a retrospective study. J Clin Pediatr Dent. 2024 May;48(3):46-51. doi: 10.22514/jocpd.2024.058. Epub 2024 May 3.

Reference Type RESULT
PMID: 38755981 (View on PubMed)

An Y, Ferretti M, Bresler R, Pham E, Ferretti GA. Biodentine as a pulpotomy medicament for primary molars: a retrospective chart review. J Clin Pediatr Dent. 2024 Jan;48(1):85-90. doi: 10.22514/jocpd.2024.011. Epub 2024 Jan 3.

Reference Type RESULT
PMID: 38239160 (View on PubMed)

Other Identifiers

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2024/08-27

Identifier Type: -

Identifier Source: org_study_id