Deep Caries
Conditions
Keywords
partial caries removal, indirect pulp capping, fluorides
Brief summary
Aim of the study: To evaluate clinical and radiographic success rates of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious young first permanent molars.
Detailed description
Indirect pulp treatment has become a common maneuver in vital pulp therapy in recent years and is a procedure performed in teeth with deep carious lesions approximating the pulp but without any signs or symptoms of irreversible pulpal changes. Silver Diamine Fluoride is used to arrest caries lesions in primary teeth but according to the AAPD,2021 more research is needed on the use of SDF to arrest caries lesions in permanent teeth.
Interventions
DRUGSilver diamine fluoride
First permanent molars in this group will receive 38% silver diamine fluoride as an indirect pulp capping material.
DRUGMineral trioxide aggregate
First permanent molars in this group will receive mineral trioxide aggregate as an indirect pulp capping material.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Two blinded (patient, radiographic assessor of results)
Eligibility
Sex/Gender
ALL
Age
9 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
* Patient and parent showing cooperation and compliance. * Children 9-14 years old * Vital deeply carious young first permanent molar(s) with complete root formation * Asymptomatic teeth or without clinical symptoms of spontaneous pain * Both genders will be included.
Exclusion criteria
* Children unable to return for recall visits. * Any clinical signs of irreversible pulpitis or pulp necrosis (spontaneous pain, pain on percussion, abscess, sinus). * Any radiographic sign of irreversible pulp pathologies or pulp necrosis (periapical radiolucency, internal or external root resorption)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dentin bridge formation | 6 months | Dentin bridge formation will be measured in millimeters on standardized digital radiographs taken by Digital Radiographic examination |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pain | 1 week | Postoperative pain will be assessed by questioning the patient or the guardian whether there is postoperative pain or not, Binary (yes or no) |
| Absence of sinus or fistula | 3 months | Intraoral Visual examination will be carried out to assess if there is a sinus or fistula, Binary (present/absent) |
| radiographic success | 6 months | Absence of any adverse radiographic findings (Periodontal membrane space widening, bone resorption, pulp stones will be assessed if present or absent by digital radiographic examination, Binary (present or absent) |
Contacts
Primary ContactMarwa Ahmed Ahmed Zaghloul
Backup ContactRanda Youssef Abd Al Gawad
Outcome results
None listed