Three Dimensional Evaluation of Apexogenesis of Immature Young Permanent Teeth With Different Endodontic Tri-calcium Silicate-Based Putties: Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- asymptomatic
研究概览
简要总结
Randomized Clinical Trial using Three Dimensional Evaluation of Apexogensis of immature young permanent teeth with Different Endodontic Tri-calcium Silicate-Based Putties
详细描述
Treatment of immature permanent teeth has always been challenging in endodontics, not only because of their wide-open root apices but also because of the thin underdeveloped dentinal walls.Apexogenesis falls under the category of vital pulp therapy (VPT) procedure to maintain pulp vitality, induce dentin bridge formation and encourage continued root maturation.
To overcome the drawbacks of tricalcium silicate-based cements, a range of bioactive endodontic cements have been developed.
EndoSequence BC RRM-Fast Set Putty and NeoPutty (NuSmile, Houston, TX, USA) are the two materials evaluated in this study.
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
- Single (Participant)
盲法说明
children do not know which material used
入排标准
- 年龄范围
- 6 Years 至 9 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •First permanent molar with pulpitis.
- •Sufficient tooth structure for placing rubber dam.
- •Presence of open apex.
- •Short root length.
排除标准
- •Insufficient tooth structure that need post and core.
- •Presence of swelling.
- •Presence of sinus tract.
- •Presence of root fracture.
- •Presence of root crack.
- •Presence of external or internal root resorption.
- •Presence of periapical pathosis.
- •Presence of root calcification.
研究组 & 干预措施
Group (I) control
young permanent pulpy exposed carious tooth of the selected participants will be treated with specific technique called apexogenesis using bio-compatible material (endo-sequence putty ). This material is administrated to the tooth by placing about 2-4 mm bulk of material in the pulp champers at the cervical line then sealing the capping material with glass ionomer and stainless steel crown.
干预措施: endo-sequence putty (Procedure)
Group (II)
young permanent pulpy exposed carious tooth of the selected participants will be treated with specific technique called apexogenesis using bio-compatible material (neo-MTA putty). This material is administrated to the tooth by placing about 2-4 mm bulk of material in the pulp champers at the cervical line then sealing the capping material with glass ionomer and stainless steel crown.
干预措施: neo-MTA putty (Procedure)
结局指标
主要结局
asymptomatic
时间窗: one year
pain relief after procedure by Numeric rating scales on follow up visits.Most pain scales use numbers from 0 to 10. A score of 0 means no pain, and 10 means the worst pain you have ever felt.
次要结局
- complete root maturation(one year)
研究者
Alaa M Eldehna
lecturer of Pediatric dentistry
Al-Azhar University
