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CTRI Number  CTRI/2025/11/098093 [Registered on: 26/11/2025] Trial Registered Prospectively
Last Modified On: 25/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing two pulpotomy treatment methods for painful permanent teeth. 
Scientific Title of Study   Comparative Outcome Study of Tampon Pulpotomy Technique with Conventional Pulpotomy in Permanent Molars Diagnosed as Moderate to Severe Symptomatic Pulpitis-A Randomized Controlled Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Debjyoti Karmakar 
Designation  Associate Professor 
Affiliation  North Bengal Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics,North Bengal Dental College and Hospital,Darjeeling

Darjiling
WEST BENGAL
734012
India 
Phone  9733048062  
Fax    
Email  drdebjyoti@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Debjyoti Karmakar 
Designation  Associate Professor 
Affiliation  North Bengal Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics,North Bengal Dental College and Hospital,Darjeeling


WEST BENGAL
734012
India 
Phone  9733048062  
Fax    
Email  drdebjyoti@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Debjyoti Karmakar 
Designation  Associate Professor 
Affiliation  North Bengal Dental College and Hospital 
Address  Department of Conservative Dentistry and Endodontics,North Bengal Dental College and Hospital,Darjeeling


WEST BENGAL
734012
India 
Phone  9733048062  
Fax    
Email  drdebjyoti@yahoo.com  
 
Source of Monetary or Material Support  
Department of Conservative Dentistry and Endodontics, North Bengal Dental College and Hospital, Sushrutnagar, District:Darjeeling,Pincode-734012,State:West Bengal,Country:India  
 
Primary Sponsor  
Name  DrDebjyoti Karmakar 
Address  Dr.Debjyoti Karmakar Associate professor,Department of Conservative Dentistry and Endodontics, North Bengal Dental College and Hospital, Sushrutnagar, District-Darjeeling,Pincode-734012,State-West Bengal,Country-India  
Type of Sponsor  Other [Government Dental College] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Debjyoti Karmakar  North Bengal Dental College and Hospital  Department of Conservative Dentistry and Endodontics, North Bengal Dental College and Hospital, Sushrutnagar, District:Darjeeling,Pincode-734012,State:West Bengal,Country:India WEST BENGAL
Darjiling
WEST BENGAL 
9733048062

drdebjyoti@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of North Bengal Medical College and Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional Pulpotomy  pulpotomy procedure will be performed using a high speed air-rotor handpiece and the coronal pulp tissue will be removed to orifice level. Associated bleeding indicative of radicular pulp vitality will be judged under magnified view. Hemostasis will be achieved with 2.5% sodium hypochlorite soaked small cotton pellets with gentle application of pellets for up to five minutes. After hemostasis, over the vital radicular pulp, 3mm thickness Biodentine will be placed, and then all teeth will be restored with restorative glass-ionomer cement.Review will be done at 1,3,and 6 months 
Intervention  Tampon Pulpotomy  Pulpotomy procedure will be performed as par the protocol of the inventors Dr Asgari et. al. using a high speed air-rotor hand piece and the coronal pulp tissue will be removed to orifice level. Associated bleeding indicative of radicular pulp vitality will be judged under magnified view. Hemostasis will be achieved by placing tampon of Biodentine over the vital radicular pulp over it another 3mm thickness Biodentine will be placed, and then all teeth will be restored with restorative glass-ionomer cement.Review will be done at 1,3,6 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  (1) Permanent mature molar teeth with a probing pocket depth and mobility within normal limits;
(2) With a carious lesion reaching the middle or inner third of dentine.
(3) With a pre-operative diagnose of moderate to severe symptomatic pulpitis as par Indian Endodontic Society (IES) Pulpal Diagnostic Classification.
(4) No signs of sinus tract or swelling.
(5) Periapical radiograph indicated a normal periapical status (PAI score 1).
 
 
ExclusionCriteria 
Details  (1) Pulpal exposure of traumatic origin.
(2) Patients with systemic disease that could affect the outcome of treatment.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Clinical success of pulpotomy based on cold test and clinical findings. Outcome classified as:
(1) Success: Positive cold response and no symptoms;
(2) Uncertain: No cold response but no symptoms;
(3) Failure: No cold response with symptoms. 
Baseline (pre-treatment)
1 month follow-up,3 month follow-up,6 month follow-up 
 
Secondary Outcome  
Outcome  TimePoints 
Radiographic Success-Radiographic success based on absence of periapical/pathologic changes. Categorized as:
(1) Success: No radiolucency or resorption;
(2) Uncertain: Minimal changes not indicative of disease;
(3) Failure: Radiolucency, resorption, or signs of pathology. 
Assessed at Baseline(pre-operative),1,3 & 6 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This randomized controlled trial aims to compare two pulpotomy techniques used for treating painful deep caries in permanent molars. One group will receive the newer tampon pulpotomy technique, where the material is placed directly to help stop bleeding and seal the pulp immediately. The other group will receive the conventional pulpotomy method, where bleeding is first controlled before the sealing material is placed. Eligible adult participants with moderate to severe symptomatic pulpitis will be randomly assigned to one of the two treatment groups. All procedures will be performed under local anesthesia, and follow-up clinical examinations and X-rays will be conducted at 1, 3, 6, and 12 months to assess healing and treatment success. The results may help determine whether tampon pulpotomy can serve as an effective and simpler alternative to conventional pulpotomy in permanent teeth. 
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