Evidence map›Paper›PMID 39415163›Full record

Trial reportBMC oral health2024

Full pulpotomy versus root canal therapy in mature teeth with irreversible pulpitis: a randomized controlled trial.

Lina Zhu, Wei Liu, Xuetao Deng, Zhen Chen, Jiaxin Chen, Wenhao Qian

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07375576 (Evaluation of the Outcomes of Total Pulpotomy, Radicular Pulpotomy, and Root Canal Treatment in Teeth With Extremely Deep Caries and Symptomatic Irreversible Pulpitis), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07375576 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluation of the Outcomes of Total Pulpotomy, Radicular Pulpotomy, and Root Canal Treatment in Teeth With Extremely Deep Caries and Symptomatic Irreversible Pulpitis

TypeinterventionalSponsorMustafa Kemal UniversityRan2025 to 2027Enrolled99ConditionsPost-operative Pain, Pulpitis - Irreversible, Success RateArmsTotal Pulpotomy, Radicular pulpotomy, Root canal treatment
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Analgesic Efficacy of Low-Level Laser Therapy for Postoperative Endodontic Pain: A Systematic Review and Meta-Analysis.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Comparison Between Human Amniotic Membrane and Biodentine as A Pulp Capping Agent-An In Vitro Tooth Culture Study.Australian endodontic journal : the journal of the Australian Society of Endodontology Inc · 2026
    Article
  6. Evaluation of Time-Dependent Chemical Alterations in Sodium Hypochlorite Solution Kept on the Unit Tray During an Average Root Canal Treatment Period.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lina ZhuShanghai Xuhui District Dental Center, Shanghai, 200032, China.
Wei LiuDepartment of Oral Medicine, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China.
Xuetao DengShanghai Xuhui District Dental Center, Shanghai, 200032, China.
Zhen ChenShanghai Xuhui District Dental Center, Shanghai, 200032, China.
Jiaxin ChenShanghai Xuhui District Dental Center, Shanghai, 200032, China.
Wenhao QianShanghai Xuhui District Dental Center, Shanghai, 200032, China. pingyanlaoto@163.com.

Funding

Shanghai Medical Key Subject of Xuhui District SHXHZDXK202302Shanghai Medical Research Project of Xuhui District SHXH202109
6 · The paper itself

Abstract

backgroundVital pulp therapy (VPT) is recommended as an alternative treatment to root canal therapy (RCT) for management of teeth with carious pulp exposure. This randomized clinical trial aimed to compare the outcomes and postoperative pain, and to evaluate the time and cost after full pulpotomy (FP) and RCT in mature molar teeth with irreversible pulpitis (IP).

methodsA total of 160 mature molar teeth with IP were randomly divided into two treatment groups. The FP group (test group) was treated with FP using iRoot BP Plus by an endodontist, the RCT group (control group) was treated with RCT using iRoot SP as sealer by the same endodontist. Pain was recorded preoperatively and daily until day 7 postoperatively. The treatment time and cost were recorded. Clinical and radiographic assessments were collected, and pulp sensibility tests were done by electric pulp test (EPT) at 3-, 6-, 12- month postoperatively. Data were analyzed through chi-square test, Mann-Whitney U test, Fisher exact and independent t test.

resultsFP and RCT had comparable success rates (Clinical, 97.3% vs. 98.6%; radiographic, 93.3% vs. 94.6%) (P > 0.05). Pain levels decreased over time from day 1 to day 7 postoperative in both groups, and the FP group had larger reductions in pain intensity than RCT at day 1 (P < 0.05). In the FP group, there were 5, 3 and 3 unresponsive teeth with EPT at 3-, 6- and 12- month follow-ups, respectively. The treatment time and cost in the FP group were significantly lower than in the RCT group (P < 0.05).

conclusionsFP could be an appropriate alternative treatment for management of mature teeth with IP in short follow-up.

trial registrationThe trial was registered in Chinese Clinical Trial Registry (ChiCTR2200063380 at 05/09/2022).

Indexed as

MolarPulpitisPulpotomyRoot Canal TherapyAdolescentAdultDental Pulp TestFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPostoperative PainTreatment OutcomeYoung AdultFull pulpotomyIrreversible pulpitisMature teethRoot canal therapyVital pulp therapy

Identifiers

PMID39415163
PMCPMC11484106

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.