Necrotic Pulp
Conditions
Brief summary
Regenerative endodontic procedures (REPs) are the most recent proposal to manage immature permanent teeth with necrotic pulps. So in this study, the investigator will evaluate the clinical and radiographical revitalization success in necrotic young permanent anterior teeth of participants by using Concentrated Growth Factor versus Platelet-Rich Fibrin
Detailed description
has been entered
Interventions
modified platelet concentrate
Sponsors
Study design
Masking description
double (participant,outcomes Assessor)
Intervention model description
parallel assignment
Eligibility
Inclusion criteria
* Healthy patients with immature permanent incisors * Presence of clinical signs and symptoms of necrosis or chronic apical periodontitis. The chronic apical periodontitis signs and symptoms include little discomfort with intermittent episodes of pus discharge through the sinus tract.
Exclusion criteria
1\. Abnormal tooth mobility. * Positive history of allergic reaction, systemic diseases, severe emotional or behavioral problems. * Unrestorable teeth * Abnormal tooth mobility * Children with systemic, severe behavioral, or emotional problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success rate | one year | Regaining tooth vitality with electric pulp testing Clinical examination includes pain absence, normal tooth mobility, and no sensitivity to percussion |
| Radiographic success using Periapical index (PAI) | one year | Criteria of PAI scores: score 1 normal periapical structure score 2 small changes in bone structures score 3 changes in bone structure with some mineral loss score 4 periodontitis with well-defined radiolucent area score 5 severe periodontitis with exacerbating features |