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Periapical Healing After One or Two-visits to Endodontic Treatment in Adolescents Patients

Not Applicable
Completed
Conditions
Periapical Periodontitis
Interventions
Procedure: Root canal therapy in one visit
Procedure: Root Canal Therapy in two-vist
Registration Number
NCT01312194
Lead Sponsor
Universidade Federal do Rio de Janeiro
Brief Summary

The main objective of this study is the prevention and repair of apical periodontitis in lower molars with pulp necrosis after the execution of endodontic treatment in one or two visits in adolescent patients. Moreover, it is also observed the frequency of postoperative pain in endodontic treatment.

Detailed Description

This project is developed in adolescent patients who have need of endodontic treatment in necrotic molars. The patients were randomly divided into two groups of treatment: one and two visits. The treatment protocol is the same for both groups, except the number of visits and the use of intra canal medication in the group treated in two visits. Patients will be followed clinically and radiographically for a minimum period of two years. The data was collected by the evaluation of postoperative pain and to determine the healing of periapical lesions, characterizing the success of the treatment.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
120
Inclusion Criteria
  1. Patients healthy
  2. Not have taken analgesic, anti-inflammatory or antibiotic drugs during the 10 days prior to the beginning of treatment
  3. Lower first or second permanent molars with complete root formation and dental pulp necrosis with or without symptoms
Exclusion Criteria
  1. Presence of periodontal diseases
  2. Pulp calcification
  3. Acute dent-alveolar abscesses
  4. Hemorrhage in the canal after access

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
One vist groupRoot canal therapy in one visitAll patients included in this treatment group will receive the complete endodontic treatment in a single visit.
Two-vist groupRoot Canal Therapy in two-vistAll patients included in this treatment group will receive treatment in two visits. The first will be done chemo mechanical root canal preparation, the placement of the intracanal medication the basis of calcium hydroxide and coronal sealing. Ten to twelve days later, this medication is removed and the root canal will be permanently filled.
Primary Outcome Measures
NameTimeMethod
Healing Rate of one- versus two-visit endodontic treatmentTwo years

After completion of endodontic treatment in one or two visits, patients will be followed clinically and radiographically every 06 months for a minimum of two years to assess the prevention and repair of apical periodontitis.

Secondary Outcome Measures
NameTimeMethod
Postoperative pain of endodontic treatment60 days

Following the completion of endodontic treatment in one or two visits, patients receive a clinical record for home monitoring of postoperative pain and return to clinic to conduct a follow-up clinical and radiographic. Pain is assessed using a numerical scale for pain.

Trial Locations

Locations (1)

Federal University of Rio de Janeiro

🇧🇷

Rio de Janeiro, Brazil

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