Nonvital Tooth
Conditions
Keywords
pulp revascularization, endodontic regeneration, NeoMTA
Brief summary
* To evaluate and compare the degree of tooth discoloration in tooth crowns induced by Neo MTA versus white MTA over time. * Evaluation of the effectiveness of Neo MTA as coronal plug in revascularization of immature teeth with necrotic pulp.
Detailed description
The new formulation of MTA (NeoMTA) does not contain bismuth oxide, will be used in revascularization of nonvital immature permanent anterior teeth. to evaluate the effectiveness of Neo MTA as coronal plug and compare the degree of tooth discoloration in tooth crowns induced by Neo MTA versus white MTA over time.
Interventions
A new formulation of MTA was developed in which bismuth oxide was omitted.
Revascularization with Conventional white mineral trioxide aggregate as coronal plug.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age of patients: 7-15years old. * Free from any systemic diseases that may affect the normal healing process. * Tooth with immature root apex. * Traumatically or cariously exposed non vital permanent anterior tooth. * Pulp space not needed for post and core for final restoration. * Compliant patient/parent
Exclusion criteria
* Patients having allergy to medicaments and antibiotics necessary to complete procedure. * Tooth with vital pulp or complete root formation. * Teeth with internal or external root resorption. * Un-cooperative patients. * Luxative injuries. * Teeth with a root fracture * Alveolar fracture * Subjects with chronic systemic illness. * Subjects with poor oral hygiene. * Compromised remaining tooth structure as teeth with extensive loss of coronal tissue will require restoration with a post that will occupy the space required for blood clot formation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Discoloration/ Staining potential | 9 month | Using spectrophotometer by operator |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain on biting | 9 month | Verbal questioning of the patient |
| Pain on percussion | 9 month | Using back of the mirror |
| Sinus or fistula, recurrent swelling | 9 month | Visual examination by operator |
| Root lengthening | 9 month | Radiographic Digora image analysis software i.e. Digora for windows software DFW |
Countries
Egypt