Endocrown Restoring First Permanent Molar in Children
- Conditions
- Comparing Different Types of Restorations for Restoring Endodontically Treated Permanent First Molar in Children
- Interventions
- Other: restoration for endodontically treated molar
- Registration Number
- NCT06432049
- Lead Sponsor
- Kafrelsheikh University
- Brief Summary
Clinical and radiographic evaluation of endodontically treated first permanent molars in thirty children restored with three different restorations over 12 months
- Detailed Description
This study comprised 30 children, with age range of (10-13) years old, with endodontically treated first permanent molars. Participants were classified into three groups according to type and material of the final restoration. All selected children were assigned to either PMC group (n=10) restored with performed metal crowns (Stainless-steel Molar Crowns) , EMX group (n=10) endocrown fabricated from CAD-CAM lithium disilicate glass ceramic , COP group (n=10) endocrown fabricated from CAD-CAM reinforced composite. After cementation, all children were evaluated over one year; at one week post-operative, 6 and 12 months for the following criteria: radiographic findings, plaque index, periodontal index, parent satisfaction.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- Patient age ranging from 10-13 years old with closed apex.
- Normal occlusion without any para-functional habits.
- Decayed lower first molar.
- Supra-gingival margin was required after preparation.
- Absence of root fractures or cracks.
- Difficulty to apply rubber dam for proper endocrown bonding.
- Lack of patient cooperation for post-operative recall and follow up.
- Bad oral hygiene
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description EMX restoration for endodontically treated molar endodontically treated molar restored with endocrown fabricated from CAD-CAM lithium disillicate PMC restoration for endodontically treated molar endodontically treated molar restored with Stainless steel crown COP restoration for endodontically treated molar endodontically treated molar restored with endocrown fabricated from CAD-CAM composite
- Primary Outcome Measures
Name Time Method effect of different restoration on surrounding gingiva 6 months gingival index was used to evaluate the gingival health surrounding restorationsThis index involves a scale from 0 to 3 for the buccal, lingual, mesial and distal surfaces that is scored as follows: 0 indicates healthy gums; 1 indicates slight color changes, light edema and no presence of bleeding on probing; 2 indicates edema with slight redness and bleeding on probing; and 3 indicates severe edema, redness, the presence of ulceration and a tendency for spontaneous bleeding.
number of participants with pathological changes in radiographs 6 months periodical radiograph was used to evaluate all 30 participants for recurrent caries or periapical pathologic findings
rate of plaque accumulation on different type of restorations 6 months plaque index evaluate the plaque accumulation around different type of restorations. this index involves:
* Plaque index 0: No plaque is in the area adjacent to the gingiva.
* Plaque index 1: There is a plaque in the form of a thin film on the gingival margin.
* Plaque index 2: There is a visible plaque in the gingival pocket and gingival margin.
* Plaque index 3: There is a dense plaque in the gingival pocket and on the gingival margin.degree of parent satisfaction with different restorations 6 month evaluation of the extent of parent satisfaction with different type of restorations using a special scale; Each reponse was scored as follows; (5) strongly agree, (4) agree (3) neutral, (2) disagree and (1) strongly disagree.
- Secondary Outcome Measures
Name Time Method degree of parent satisfaction with different restorations 1 year using a special scale; Each reponse was scored as follows; (5) strongly agree, (4) agree (3) neutral, (2) disagree and (1) strongly disagree.
number of participants with pathological changes in radiographs 1 year periodical radiograph was used to evaluate all 30 participants for recurrent caries or periapical pathologic findings
rate of plaque accumulation on different type of restorations 1 year plaque index evaluate the plaque accumulation around different type of restorations. this index involves:
* Plaque index 0: No plaque is in the area adjacent to the gingiva.
* Plaque index 1: There is a plaque in the form of a thin film on the gingival margin.
* Plaque index 2: There is a visible plaque in the gingival pocket and gingival margin.
* Plaque index 3: There is a dense plaque in the gingival pocket and on the gingival margin.effect of different restoration on surrounding gingiva 1 year gingival index was used to evaluate the gingival health surrounding restorationsThis index involves a scale from 0 to 3 for the buccal, lingual, mesial and distal surfaces that is scored as follows: 0 indicates healthy gums; 1 indicates slight color changes, light edema and no presence of bleeding on probing; 2 indicates edema with slight redness and bleeding on probing; and 3 indicates severe edema, redness, the presence of ulceration and a tendency for spontaneous bleeding.
Trial Locations
- Locations (1)
Kafr El Shaikh University
🇪🇬Kafr Ash Shaykh, Egypt