General dental practices sought for caries removal and pulpotomy studies

News Published: 
11 January 2021

 

                                                                                                                             

 

General dental practitioners and general dental practices are currently being sought for two NHS-funded research projects, and the researchers are encouraging FGDP(UK) members to apply to participate.

The SCRIPT trial is comparing the clinical effectiveness and cost-effectiveness of selective caries removal with complete caries removal in permanent posterior teeth, and the research team is seeking to recruit 8-9 patients and at least one dentist from each of 65 dental practices, with follow-up over three years.

The PIP study will compare the effectiveness of full pulpotomy and root canal treatment for irreversible pulpitis in permanent pre-molar and molar teeth. The researchers are currently looking to recruit four adult patient participants from each of ten general dental practices in Scotland and England for a feasibility study to determine whether conducting a randomised controlled trial in general dental practice is achievable.

Both projects are being conducted by the Universities of Dundee, Aberdeen, Glasgow, Sheffield, King's College London and NHS Education for Scotland, and were commissioned by the NHS National Institute for Health Research Heath Technology Assessment programme.

Training, support and remuneration are provided – further details are below.

 

SCRIPT

Patient  participants in SCRIPT will need to be at least 12 years old, have one or more pre-molar or molar teeth with primary or secondary caries extending into the pulpal third of dentine, and have a lesion affecting proximal and/or occlusal surfaces to be filled with a single direct restoration. They must also be capable of informed consent and receive some or all of their treatment from the NHS, however they will not be eligible to participate if the carious tooth shows signs or symptoms of irreversible pulp pathology or loss of vitality. Accepted patients will be randomised to either selective caries removal or complete caries removal.

Participating dentists will receive face-to-face and online training, with fees and verifiable CPD provided, as well as remuneration for those who recruit participants of up to £2000 from the research grant, with other support of up to £1600 available over the 3 years. You would continue to claim NHS fees and any charges for private treatment in the usual way. Dental practice staff will also be supported by the trial office.

If you are interested in participating, please email script@dundee.ac.uk.

 

PIP

Patient participants will need to be at least 16 years old with symptoms indicative of irreversible pulpitis in a pre-molar or molar tooth with deep caries and/or a deep restoration. They must be seeking treatment at an NHS dental practice and receive a full pulpotomy.

Patients whose teeth have immature roots, clinical or radiographic signs of a necrotic pulp, insufficient tissue for a restoration or a poor prognosis (e.g. internal or external resorption) will not be eligible, likewise those with presence of a sinus, tenderness to percussion, buccal tenderness, pathological mobility or evidence off pathology on a periapical radiograph.

The feasibility study will run for 12 months, and patients will be followed up at least 7 days after treatment.

Participating dentists will receive face-to-face and online training, with fees and verifiable CPD provided, as well as remuneration of up to £1500 for recruiting four patients. You would continue to claim NHS fees and any charges for private treatment in the usual way.

If you are interested in participating, please email PIPstudy@dundee.ac.uk.

 

 

Update to a previous research notification: Professor Gail Douglas of the University of Leeds would like to thank FGDP(UK) members who completed the WHO-backed survey of GDPs on the impact of COVID-19, which we highlighted in the June 2020 issue of the monthly newsletter - an amazing 4,645 primary care dentists participated.