Deep Caries
Conditions
Brief summary
The aim of this study is to compare the effect of new bioactive dentine substitute (Biodentine) versus glass ionomer cement in very deep carious lesions clinically and radiographically using digital radiography in the terms of postoperative pain and biocompatibility to the pulp.
Detailed description
Roles and responsibilities: * Omnia Magdy Moustafa (O.M.) Operator, data entry & corresponding author; Assistant lecturer , * Mohmed Riad Farid (M.R.) Main supervisor, data monitoring & auditing; Professor, Conservative Dentistry * Rasha Raffat (R.R.) Co-supervisor, data entry & auditing; Lecturer, Conservative Dentistry Department * Amir Hafez Ibrahim (A.H.), \*Mohamed Refaat El-Bialy (M.E.) (A.H) Lecturer, Conservative Dentistry Department, Faculty of Oral & Dental Medicine Cairo University,(M.E.) Assistant lecturer , Conservative Dentistry Department, Faculty of Oral & Dental Medicine Cairo University outcome assessors and data collection. * Omar Shalaan (O.S.) Demonstrator, Conservative Dentistry Department, Faculty of Oral & Dental Medicine Cairo University, for baseline data collection, recruitment, sequence generation, allocation concealment, patient retention and taking participants consents. Interventions: * Pre-operative clinical assessment : 1. Thermal testing using Refrigerant spray 2. percussion test 3. Palpation and clinical examination 4. peri-apical radiographs using digital radiograph * Caries removal procedure: Local anesthesia will be given to the patient then complete isolation to the tooth using rubber dame the operator O.M. will open the enamel Then in caries removal from the walls carbon-steel rose-head bur. Finally the deeper caries will be removed using spoon excavator * Intervention : Biodentine™ (Septodont, St. Maur-des-Fossés, France) The material will be applied according to manufacturer instructions * Comparator: GC Fuji IX GP (GC America Inc, Alsip, IL, USA) The material will be applied according to manufacturer instructions * Final restoration application: Filtek™ Z250 Universal Restorative (3M Canada, London, Ontario Canada) -Adhesive system: Scotchbond Universal Etchant (3M ESPE, St. Paul MN, USA) & Single Bond Universal adhesive (3M ESPE, St. Paul MN, USA). * The material will be applied according to manufacturer instruction
Interventions
DRUGbiodentine
tricalcium silicate cement used to replace the carious dentin
high viscosity glass ionomer used as a base material
DEVICEDigoraH optium
digital Xray for follow up
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Patients male or female older than 18 y in good general health 2. A minimum of 1 deep carious lesion penetrating three-quarters or more into the dentine as identified with the periapical (PA) radiograph; Clinically according to International Caries Detection and Assessment System (ICDAS II) score 4 3. Clinical symptoms of reversible pulpitis 4. Positive pulp response to electric pulp test or thermal stimulation 5. No PA changes viewed on PA radiograph
Exclusion criteria
1. Clinical symptoms of irreversible pulpitis requiring endodontic treatment 2. Presence of fistulas or swelling 3. Mobile teeth or tenderness to percussion 4. Anterior teeth with aesthetic concerns 5. Pregnant women, in view of requirements for radiographs 6. Patients younger than 18 y 7. Patients unable to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative hypersensitivity using yes or no questionnaire | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Biocompatibility of biodentine using digital X-ray | 6 months |
Countries
Egypt
Outcome results
None listed