Clinical and Radiographic Evaluation of Laser Assisted Pulpotomy in Immature Permanent Molars With Symptoms Indicative of Irreversible Pulpitis (A Randomized Controlled Clinical Trial )
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 57
- 试验地点
- 1
- 主要终点
- to assess the clinical and radiographic success rate of Laser pulpotomy procedure done in immature permanent molars with symptoms indicative of irreversible pulpitis.
研究概览
简要总结
The goal of this clinical trial is to assess the clinical and radiographic success rate of Laser pulpotomy procedure done in immature permanent molars with symptoms indicative of irreversible pulpitis.. The main question it aims to answer is:
whether the combined use of Laser pulpotomy with MTA capping material will provide faster healing with acceleration of complete root formation in immature permanent molars compared to MTA pulpotomy alone?
Participants will:
The coronal inflammed pulp will be carefully amputated to the level of the canal orifices.
Hemostasis will be achieved by gentle placement of a saline-moistened cotton pellet and Placement of capping material will be performed in the study groups.
The post-operative clinical follow up will be done after one week for patient reassurance. Then the postoperative clinical and radiographic follow-up will be scheduled up to twelve months.
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)
入排标准
- 年龄范围
- 6 Years 至 14 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children with an age ranging between 6 to 14 years old with no gender predilection.
- •Children free of any systemic disease or special health care needs.
- •Patients complaining from intermittent or spontaneous, sharp, localized, diffuse, or referred pain.
- •Selected teeth should give long lasting positive responses to cold testing.
- •Soft tissues around the tooth are normal.
- •Periapical radiographs show deep carious lesions.
- •Patients with immature permanent molars (stages 8 and 9) according to Nolla's classification for tooth developmental stage.
- •Periapical index score 1 or
- •Following pulpal amputation, hemostasis could be easily achievable within 5 to 10 minutes with a sterile moist cotton pellet.
排除标准
- •Child with bad experience of dental treatment (uncooperative patient).
- •Non-restorable teeth.
- •Negative response to cold testing.
- •Bleeding could not be controlled.
- •Absence of bleeding from any of the canals.
- •Pus discharge through an associated sinus tract.
- •Pulpal calcifications
- •Radiographic signs of internal or external resorption.
结局指标
主要结局
to assess the clinical and radiographic success rate of Laser pulpotomy procedure done in immature permanent molars with symptoms indicative of irreversible pulpitis.
时间窗: 12 months
次要结局
- 1. Evaluation of laser effect on decreasing immediate postoperative pain using Numerical Rating Pain Scale with min (0) No pain - max (10) severe pain. 2. Evaluation of laser effect on dentin bridge formation (if it is radiographically present or not).(12 months)