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Pulpitis - ReversibleNCT06809478

Clinical and Radiographic Evaluation of Chitosan Versus Formocresol After Vital Pulpotomy of Primary Molars

A study testing Pulpotomy using Chitosan liquid and Pulpotomy using Formocresol in people with Pulpitis - Reversible and Pulpotomy, run by Cairo University at 1 site in Egypt.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to evaluate whether Chitosan liquid will show similar clinical and radiographical success rate compared to Formocresol when used in vital pulp therapy in primary molars. Read more about this study

Who is it for?
Ages 4 to 8 yearsHealthy volunteers can take part
Conditions the study is for
Pulpitis - Reversible, Pulpotomy
What is being tested?
Pulpotomy using Chitosan liquid and Pulpotomy using Formocresol
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteEgypt
Study dates
Apr 2025to Jul 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 4 to 8 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Healthy cooperative children with at least one deep carious mandibular primary molar indicated for vital pulpotomy.
  • In age range from 4 to 8 years old.
  • Both sexes will be included.
  • Patients with provoked pain.
  • Restorable teeth.

Who cannot join

  • Excessive haemorrhage that cannot be stopped by a damp cotton pellet after several minutes.
  • With congenital anomalies in teeth e.g., taurodontism, concrescence or fusion.
  • Patients who show allergic reaction to any material will be used in this trial.
  • Will not be able to stick to follow up protocol in the trial and refuse to give communication data.
  • Patient's guardians refuse to sign up an informed consent before participating in this trial.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Egypt1 site
  • Faculty of Dentistry, Cairo University

    Cairo

Other trials in Egypt

About this study

Official title: Clinical and Radiographic Evaluation of Chitosan Versus Formocresol After Vital Pulpotomy of Primary Molars: a Randomized Clinical Study

The goal of this clinical trial is to evaluate whether Chitosan liquid will show similar clinical and radiographical success rate compared to Formocresol when used in vital pulp therapy in primary molars.

The main question it aims to answer is:

Read more
  • Will Chitosan liquid, in comparison to Formocresol, show similar clinical outcomes in relation to presence/absence of post-operative pain, swelling, sinus and/or fistula formation when used in vital pulpotomy in primary molars?
  • Will Chitosan liquid, in comparison to Formocresol, show similar radiographical outcomes in relation to presence/absence of furcal involvement, periapical lesion, pathological root resorption and/or widening of periodontal membrane space when used in vital pulpotomy in primary molars?

Following conventional pulpotomy procedure, the primary investigator will evaluate the effect of placing a cotton pellet damp with Chitosan liquid directly on radicular vital pulp compared to that of placing a cotton pellet damp with Formocresol on radicular vital pulp.

Primary teeth included in both arms of the study will be restored by zinc oxide and eugenol and covered by a stainless steel crown as final restoration.

The clinical trail will be followed up for 1 year. Clinical outcomes will be evaluated every 3 months. Radiographic outcomes will be evaluated every 6 months.

Read the detailed description

The main goal of pulp therapy is to maintain the integrity and health of the teeth and their supporting tissues while ensuring the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes.

Formocresol is a favored medicament for pulp therapy due to its proven success as a fixative, disinfectant, and devitalizing agent. For the past 70 years, it has been the most popular agent for vital pulpotomy in deciduous teeth with a success rate between 70-98%. However, concerns were issued about the potential toxic, mutagenic and cytotoxic effects of formocresol use.

Chitosan is a polysaccharide obtained by alkaline de-acetylation of chitin which is a very common natural biopolymer that can be found in the exoskeleton of crustacea. Chitosan is extensively studied in medical and pharmaceutical fields due to its competitive biological properties like biocompatibility, nontoxicity, analgesic, antitumor, hemostatic, antimicrobial, and antioxidant effects that makes it very interesting to develop for application in dentistry

The aim of the study is to evaluate the clinical and radiographical efficacy of chitosan liquid as pulp medicament compared to formocresol in vital pulpotomy of lower deciduous molars.

In this clinical trial, the principal investigator will carry out all treatment procedures, and the patients will be randomly assigned to any of the intervention groups. For both interventions, informed consent will be obtained from parents/guardians of the participating children.

For both interventions (1 experimental arm group and 1 active comparator arm group):

  • Diagnosis of the cases will be performed according to guidelines by the American Academy of Pediatric Dentistry for treatment of vital pulp therapy in primary teeth and a diagnostic chart with personal, medical and dental history will be filled.
  • Clinical examination will be done in the dental clinic using mirror and probe to assess the clinical inclusion criteria.
  • Preoperative periapical radiographs will be taken to assess the inclusion criteria. Preoperative radiograph will serve as a reference for the follow-up radiographs.
  • Baseline records (personal data collection, photographs, percussion test and preoperative periapical radiographs) will be taken.
  • An individual Extension Cone Paralleling index will be prepared for each patient by registering the bite through alginate impression and fabricating an acrylic radiographic stent from the patient's cast to allow consistent comparisons of the radiographs.
  • Before starting intra-operative procedures, the tooth is allocated randomly (concealed by withdrawing a sealed opaque envelope containing four-folded numbered papers containing the type of dressing material that will be used then writing the patient's name and I.D. on it and will be opened after performing the access cavity).
  • Apply topical anesthesia.
  • Local anesthesia administration.
  • Rubber dam application and access cavity preparation will be established using a sterile bur.
  • The envelope marked by the patient's name and I.D. will be opened and the tooth will be allocated into either one of the groups alternatively depending on the pulpotomy medicament used either into Group I (Experimental group) or Group II (Control group)

Group I (Experimental group) pulpotomy using chitosan liquid:

  1. After complete hemostasis, a cotton pellet damp with chitosan liquid will be applied and gently placed over the pulp stumps for 5 minutes and removed. Then, a thick mix of zinc oxide and eugenol will be placed and gently condensed into the pulp chamber by a moistened cotton pellet.
  2. Tooth will be restored with stainless steel crown.

Group II (Control group) pulpotomy using formocresol:

  1. After complete hemostasis, a cotton pellet damp with formocresol will be applied and gently placed over the pulp stumps for 5 minutes and removed. Then, a thick mix of zinc oxide and eugenol will be placed and gently condensed into the pulp chamber by a moistened cotton pellet.
  2. Tooth will be restored with stainless steel crown.

The participants are recalled for clinical evaluation at the interval of 3, 6, 9, 12 months, and recalled for radiographic evaluation at 6 and 12 months.

Being tested
Pulpotomy using Chitosan liquid, Pulpotomy using Formocresol
Keywords
pulpotomy, formocresol, chitosan, primary molars

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pulpotomy using Chitosan liquidProcedure or surgery

    Also called Chitosan Pulpotomy

    1. After complete hemostasis, a cotton pellet damp with chitosan liquid will be applied and gently placed over the pulp stumps for 5 minutes and removed. Then, a thick mix of zinc oxide and eugenol will be placed and gently condensed into the pulp chamber by a moistened cotton pellet.
    2. Tooth will be restored with stainless steel crown.
  • Pulpotomy using FormocresolProcedure or surgery

    Also called Formocresol Pulpotomy

    1. After complete hemostasis, a cotton pellet damp with formocresol will be applied and gently placed over the pulp stumps for 5 minutes and removed. Then, a thick mix of zinc oxide and eugenol will be placed and gently condensed into the pulp chamber by a moistened cotton pellet.
    2. Tooth will be restored with stainless steel crown.
Study groups in NCT06809478
Study groupRoleWhat they receive
Pulpotomy using ChitosanExperimentalChitosan is a natural cationic polysaccharide polymer obtained from chitin deacetylation. It is a linear biopolymer consisting of 2-amino-2-deoxy-β-D-glucose (60-100%) and 2-acetamino -2-deoxy-β-D-glucoside (0-50%) bound together by ß (1→4) bonds. It is biocompatible and has antibacterial, anti-inflammatory and hemostatic properties.
Receives: Procedure: Pulpotomy using Chitosan liquid
Pulpotomy using FormocresolActive comparatorBuckley's formocresol is composed of 31% water base, 15% glycerin to prevent formaldehyde from polymerizing to paraformaldehyde, 19% formaldehyde as an alkylating agent, and 35% tricresol as a protein-coagulating phenolic substance. A 1:5 concentration of Buckley's formocresol is used in this trial.
Receives: Procedure: Pulpotomy using Formocresol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in regards to post-operative pain (spontaneous or on biting) at 3 months

    Asking the patient and/or guardian to report any pain history at that time frame and/or complaint of discomfort and pain clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 3 months

  2. Change from Baseline in regards to post-operative pain (spontaneous or on biting) at 6 months

    Asking the patient and/or guardian to report any pain history at that time frame and/or complaint of discomfort and pain clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 6 months

  3. Change from Baseline in regards to post-operative pain (spontaneous or on biting) at 9 months

    Asking the patient and/or guardian to report any pain history at that time frame and/or complaint of discomfort and pain clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 9 months

  4. Change from Baseline in regards to post-operative pain (spontaneous or on biting) at 12 months

    Asking the patient and/or guardian to report any pain history at that time frame and/or complaint of discomfort and pain clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 12 months

Secondary outcomes (16)
  1. Change from Baseline in regards to swelling at 3 months

    Visual examination for any sign of redness or swelling of the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 3 months

  2. Change from Baseline in regards to swelling at 6 months

    Visual examination for any sign of redness or swelling of the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 6 months

  3. Change from Baseline in regards to swelling at 9 months

    Visual examination for any sign of redness or swelling of the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 9 months

  4. Change from Baseline in regards to swelling at 12 months

    Visual examination for any sign of redness or swelling of the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 12 months

  5. Change from Baseline in regards to sinus or fistula at 3 months

    Visual examination for any sign of a sinus or fistula in the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 3 months

  6. Change from Baseline in regards to sinus or fistula at 6 months

    Visual examination for any sign of a sinus or fistula in the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 6 months

  7. Change from Baseline in regards to sinus or fistula at 9 months

    Visual examination for any sign of a sinus or fistula in the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 9 months

  8. Change from Baseline in regards to sinus or fistula at 12 months

    Visual examination for any sign of a sinus or fistula in the gingiva at that time frame and clinically. Outcome measuring unit: Binary (present/absent)

    Measured: Baseline and 12 months

  9. Change from Baseline in regards to furcal lesion at 6 months using Furcation Involvement Scores

    Radiographic evaluation by visual interpretation of DIGORA software for any furcal lesion using Furcation Involvement Scores. Possible scores range from 0 (no radiolucency) ; 1 (radiolucency between ¼ of furcation to periapical areas); 2 (radiolucency between ¼ to ½ of furcation to periapical areas); 3 (radiolucency more than ½ of furcation to periapical areas).

    Measured: Baseline and 6 months

  10. Change from Baseline in regards to furcal lesion at 12 months using Furcation Involvement Scores

    Radiographic evaluation by visual interpretation of DIGORA software for any furcal lesion using Furcation Involvement Scores. Possible scores range from 0 (no radiolucency) ; 1 (radiolucency between ¼ of furcation to periapical areas); 2 (radiolucency between ¼ to ½ of furcation to periapical areas); 3 (radiolucency more than ½ of furcation to periapical areas).

    Measured: Baseline and 12 months

  11. Change from Baseline in regards to periapical lesion at 6 months

    Radiographic evaluation by visual interpretation of DIGORA software for any periapical lesion, cyst formation or obliteration.

    Measured: Baseline and 6 months

  12. Change from Baseline in regards to periapical lesion at 12 months

    Radiographic evaluation by visual interpretation of DIGORA software for any periapical lesion, cyst formation or obliteration.

    Measured: Baseline and 12 months

  13. Change from Baseline in regards to pathologic root resorption at 6 months

    Radiographic evaluation by visual interpretation of DIGORA software for any internal, external, early or pathologic root resorption from periapical radiographs.

    Measured: Baseline and 6 months

  14. Change from Baseline in regards to pathologic root resorption at 12 months

    Radiographic evaluation by visual interpretation of DIGORA software for any internal, external, early or pathologic root resorption from periapical radiographs.

    Measured: Baseline and 12 months

  15. Change from Baseline in regards to width of periodontal membrane space at 6 months

    Radiographic evaluation by visual interpretation of DIGORA software for any widening in periodontal membrane space from periapical radiographs.

    Measured: Baseline and 6 months

  16. Change from Baseline in regards to width of periodontal membrane space at 12 months

    Radiographic evaluation by visual interpretation of DIGORA software for any widening in periodontal membrane space from periapical radiographs.

    Measured: Baseline and 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Feb 2025
  2. Study startApr 2025 (estimated)
  3. Primary completionJul 2025 (estimated)
  4. Study completionJul 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06809478
Sponsor's protocol ID
CS Pulpotomy
Status last verified
Feb 2025
First submitted
16 Jan 2025
Last updated
5 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Pulpotomy using Chitosan liquid and Pulpotomy using Formocresol in people with Pulpitis - Reversible and Pulpotomy, run by Cairo University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 5 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Reem I Helmi ((+20) 1151806686, reem.helmi@dentistry.cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in regards to post-operative pain (spontaneous or on biting) at 3 months (time frame: Baseline and 3 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2025.

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