The Effect of Two Different Contemporary Chelating Agents on Vital Pulp Therapy in Mature Permanent Teeth With Irreversible Pulpitis Using Bioceramic Material
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Success rate of vital pulp therapy of mature permanent teeth with irreversible pulpitis using bioceramic material.
研究概览
简要总结
This clinical trial is designed to study and compare the effect of two different types of chelating agents on the vital pulp therapy of mature permanent teeth with irreversible pulpitis using bioceramic material.
详细描述
- The vital pulps exposed by caries process is treated by complete caries removal followed by full pulpotomy.
- After hemostasis, application of apple vinegar and EDTA 17% will be used followed by MTA application. finally teeth will be restored with resin composite restoration.
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
double ( participant, outcome assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Presence of at least one tooth with carious pulp exposure and irreversible pulpitis.
- •Cooperative behavior with no medical problem.
- •Absence of tooth mobility , tenderness on percussion.
- •History of pain with cold and sweets.
- •Radiographically, no internal or external resorption, no periapical or furcation radiolucency and no widening of the periodontal membrane space.
排除标准
- •Teeth with pulp necrosis.
- •Presence of sinus tract.
- •Teeth with open apices.
- •Pregnant women.
- •History of intolerance of non- steroidal anti inflammatory drugs.
- •Tenderness to palpation of adjacent soft tissues
研究组 & 干预措施
Apple vinegar group
After hemostasis of the exposed pulp is achieved, Apple vinegar will be used for dentin conditioning for 5 mins then 1-2 mm thickness of MTA placed on the exposed pulp chamber.
干预措施: Apple vinegar or EDTA 17% (Other)
EDTA 17% group
After hemostasis of the exposed pulp is achieved, EDTA 17 % will be used for dentin conditioning then 1-2 mm thickness of MTA placed on the exposed pulp chamber.
干预措施: Apple vinegar or EDTA 17% (Other)
结局指标
主要结局
Success rate of vital pulp therapy of mature permanent teeth with irreversible pulpitis using bioceramic material.
时间窗: one year
1. Through post operative pain assessment using Visual analogue scale (0-3) scores as 0 represents no pain, 1= mild pain, 2= moderate pain and 3= sever pain. VAS scores marked at intervals of 2,6,24,48 and 72 hours. 2. Clinical success criteria: Clinical parameters indicating successful treatment include the following criteria: * Absence of pain except for the first 24 hours. * Normal soft tissue around the tooth ( no swelling, no sinus tract).
The Pulp vitality
时间窗: one year
Pulp vitality will be assessed through pulpal response to thermal and electrical pulp tests. at 3,6,12 months
次要结局
- Radiographic success(one year)
研究者
Mona Rizk Abo El Wafa Ahmed
principal investigator
Sinai University