Clinical and Radiographic Evaluation of Silver Diamine Fluoride Versus Mineral Trioxide Aggregate as Indirect Pulp Capping Agents in Deeply Carious Young Permanent Molars Randomized Controlled Clinical Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 主要终点
- Dentin bridge formation
研究概览
简要总结
Aim of the study:
To evaluate clinical and radiographic success rates of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious young first permanent molars.
详细描述
Indirect pulp treatment has become a common maneuver in vital pulp therapy in recent years and is a procedure performed in teeth with deep carious lesions approximating the pulp but without any signs or symptoms of irreversible pulpal changes.
Silver Diamine Fluoride is used to arrest caries lesions in primary teeth but according to the AAPD,2021 more research is needed on the use of SDF to arrest caries lesions in permanent teeth.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Two blinded (patient, radiographic assessor of results)
入排标准
- 年龄范围
- 9 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient and parent showing cooperation and compliance.
- •Children 9-14 years old
- •Vital deeply carious young first permanent molar(s) with complete root formation
- •Asymptomatic teeth or without clinical symptoms of spontaneous pain
- •Both genders will be included.
排除标准
- •Children unable to return for recall visits.
- •Any clinical signs of irreversible pulpitis or pulp necrosis (spontaneous pain, pain on percussion, abscess, sinus).
- •Any radiographic sign of irreversible pulp pathologies or pulp necrosis (periapical radiolucency, internal or external root resorption)
研究组 & 干预措施
silver diamine fluoride group
partial caries removal will be carried out then Silver Diamine Fluoride will be applied as indirect pulp capping agent and rubbed for 1 minute followed by Glass ionomer filling
干预措施: Silver diamine fluoride (Drug)
mineral trioxide aggregate group
partial caries removal will be carried out then mineral trioxide aggregate will be placed as indirect pulp capping agent followed by glass ionomer filling
干预措施: Mineral trioxide aggregate (Drug)
结局指标
主要结局
Dentin bridge formation
时间窗: 6 months
Dentin bridge formation will be measured in millimeters on standardized digital radiographs taken by Digital Radiographic examination
次要结局
- Postoperative pain(1 week)
- Absence of sinus or fistula(6 months)
- radiographic success(6 months)
研究者
Marwa Ahmed Ahmed Zaghloul
Principal Investigator
Cairo University