Pulpitis or periapical periodontitis of permanent teeth with coarse root canals in which the apical foramen isn't closed
Conditions
Interventions
commercial plugger,CP:The barrier material, iRoot BP Plus, was delivered into the apical area using a carrier. Subsequently, the conventional apexification procedure was performed under a dental micro
personalized plugger,PP:A novel apexification procedure performed using personalized vertical compaction pluggers fabricated via artificial intelligence and 3D printing technology.
Sponsors
West China Hospital of Stomatology,Sichuan University
Eligibility
Sex/Gender
All
Age
7 Years to 40 Years
Inclusion criteria
Inclusion criteria: Patient Criteria: 1.Patients aged between 7 and 40 years. 2. Patients in good systemic health, categorized as ASA Class I. 3.Patients or their guardians understand and have signed the informed consent for pulp regenerative treatment. 4. Good patient compliance and willingness to follow up. Tooth Criteria: 1. Anterior teeth or premolars. 2. Immature permanent teeth (teeth with incomplete root development). 3.Diagnosis of acute or chronic pulpitis, pulp necrosis, or mild-to-moderate chronic periapical periodontitis. 4.Presence of pulp necrosis. 5.Mild-to-moderate chronic periapical periodontitis.
Exclusion criteria
Exclusion criteria: Patient Criteria: 1. Patients with systemic diseases (ASA Class II-VI). 2.Use of immunosuppressants, chemotherapy drugs, or glucocorticoids within the past 3 months. 3. History of mental illness, alcoholism, inability to quit smoking, drug addiction, or substance abuse. 4.Poor compliance or inability to attend regular follow-up visits. 5. Inability to contact the patient or their legal guardians. 6.Inability to fully understand or provide consent for pulp regenerative treatment. Tooth Criteria: 1. Non-restorable teeth. 2. Failure to achieve effective rubber dam isolation. 3. Presence of dental ankylosis or inflammatory resorption (including internal and external resorption). 4. Severe periapical periodontitis or periapical cysts. 5.Presence of root fractures or alveolar bone fractures. 6. Grade III mobility or presence of other dental anomalies such as dens invaginatus. 7.Teeth with complete root development (closed apices).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of plugging cycles;Clinical symptoms;Filling density;The periapical index;Operation time; | — |
Countries
China
Contacts
Public ContactChenglin Wang
West China Hospital of Stomatology,Sichuan University
Outcome results
None listed