Dental Pulp Regeneration, Primary Teeth
Conditions
Keywords
triple antibiotic paste
Brief summary
Necrotic primary molars in preschool children will be treated with the regeneration concept to provide a healthy biological environment within the root canal system and regression in clinical signs and symptoms which are the primary outcomes of regeneration treatment.
Detailed description
A convenient sample of preschool children have a necrotic primary second molar randomly allocated to one of the 3 study groups which are: group A (control) treated by the conventional treatment ( pulpectomy followed by stainless steel crown SSC), group B: treated by regeneration using triple antibiotic paste followed by SSC), group 3:(treated by regeneration using calcium hydroxide with iodoform(metapex) followed by SSC. the 3 groups were evaluated at baseline, 6 months and 12 months for clinical and radiographic success.
Interventions
a pulp regeneration procedure will be applied for necrotic primary teeth with different intracanal medication compared to conventional pulpectomy used in treatment for necrotic primary teeth
Sponsors
Study design
Masking description
participant and outcomes assessor will be blind to which group they belong or assess respectively
Eligibility
Inclusion criteria
* A child with one or more necrotic primary teeth * Presence of abscess/fistula * Sensitivity to percussion * Presence of maximum grade 2 mobility ( Not more than 1 mm) * Increases of the dental lamina dura * cooperative patients
Exclusion criteria
* Medically compromised children * Patient allergic to any of the used materials * Presence of pathologic root resorption (internal-external) or more than 1/3 of the apical root. * Presence of vitality in the canals * Presence of grade 3 mobility * Non-restorable teeth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of patients treated in the 3 groups and have a clinical success according to the checklist absence of pain, pain on percussion, mobility, clinical abscess or fistula | 12 months | the blind outcome assessor will evaluate the clinical success at 6 and 12 years |
| number of patients treated in the 3 groups and have a radio graphic success according to the checklist absence of radiolucency, internal or external root resorption | 12 months | the blind outcome assessor will evaluate the radio graphic success at 6 and 12 years |
Countries
Egypt