Endocrowns as Permanent Restorations for Endodontically Treated Permanent Molars in Young Age: Two-Year Follow up
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10
- 试验地点
- 1
- 主要终点
- Change in marginal adaptation, discoloration and surface of the restoration.
研究概览
简要总结
Background: A real challenge faces practitioners in dealing with permanent molars in young patients starting from proper selection of endodontic treatment system till the type of final coronal restoration. For permanent molars in young age patients, which system should be followed to guarantee better performance and enhance the integrity of such weakened teeth? The question most commonly asked.
Purpose: To evaluate two-year clinical performance of endocrowns as permanent restorations for endodontically treated molars in young age.
详细描述
Endodontic treatment will be done for all patients using ProTaper Next rotary files and iRoot SP sealer. Then patients were randomly divided into two groups;
Gr 1: Conventional group (CG), the coronal cavity will be restored directly with bulk-fill nanohybrid composite restorations.
Gr 2: Endocrown group (EG), the coronal cavity will be restored with IPS e.max CAD endocrown restorations.
- First step: Endodontic treatment protocol will be used as the following:
- Biomechanical preparation using; 2.6% NaOCl for irrigation, ProTaper Next rotary files for instrumentation and 17% EDTA gel for lubrication.
- Obturation of root canal using; ProTaper gutta-percha and iRoot SP sealer.
- Second step: Endocrown restoration protocol will be used as the following:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 9 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients were systemic free.
- •Mature lower permanent first molar needs conventional endodontic treatment.
- •The remaining coronal tooth structure after endodontic treatment is not less than 50%.
- •Presence of teeth in opposite arch with normal occlusion.
- •Absence of para-functional habits.
- •Supra-gingival margin after preparation.
- •No known allergies.
- •Complaint patient (parent/ guardians)
排除标准
- •Immature lower permanent first molar.
- •Presence of teeth, whose coronal anatomy does not allow use of rubber dam for optimum bonding.
- •Lack of cooperation of the patients to perform a postoperative radiograph and use a rubber dam for bonding.
结局指标
主要结局
Change in marginal adaptation, discoloration and surface of the restoration.
时间窗: At 6 months, 12 months, 18 months, and 24 months following application.
Alpha: No lack of continuity along the margin as observed with the explorer. No pigmentation anywhere on the margin.The surface of the restoration is unaltered. Bravo: Evidence of a crevice along the margin, but the explorer cannot penetrate.Pigmentation present but does not penetrate along the margin toward the pulp. The surface of the restoration shows wear, and must be controlled. Charlie: Evidence of a crevice along the margin, into which an explorer can penetrate. Requires control, repair or retreatment. Severe pigmentation. The restoration must be removed. The surface of the restoration shows perforations, fractures or significant tear. It must be polished, repaired or retreated.
次要结局
- Change in the Retention Status.(At 6 months, 12 months, 18 months, and 24 months following application.)
研究者
Roqaia Mohammad Alassar
Principal Investigator
Al-Azhar University