Deep Carious Young 1st Permanent Molar With Open Apex
Conditions
Brief summary
Randomized Clinical Trial using Three Dimensional Evaluation of Apexogensis of immature young permanent teeth with Different Endodontic Tri-calcium Silicate-Based Putties
Detailed description
Treatment of immature permanent teeth has always been challenging in endodontics, not only because of their wide-open root apices but also because of the thin underdeveloped dentinal walls.Apexogenesis falls under the category of vital pulp therapy (VPT) procedure to maintain pulp vitality, induce dentin bridge formation and encourage continued root maturation. To overcome the drawbacks of tricalcium silicate-based cements, a range of bioactive endodontic cements have been developed. EndoSequence BC RRM-Fast Set Putty and NeoPutty (NuSmile, Houston, TX, USA) are the two materials evaluated in this study.
Interventions
PROCEDUREendo-sequence putty
pupal medicament which is materials used in case of vital pulp therapy (VPT) procedure after opening access in the inflamed pulp to maintain it is vitality, inducing dentin bridge formation and encourage continued root maturation.
PROCEDUREneo-MTA putty
pupal medicament which is materials used in case of vital pulp therapy (VPT) procedure after opening access in the inflamed pulp to maintain it is vitality, inducing dentin bridge formation and encourage continued root maturation.
Sponsors
Al-Azhar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
children do not know which material used
Eligibility
Sex/Gender
ALL
Age
6 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* First permanent molar with pulpitis. * Sufficient tooth structure for placing rubber dam. * Presence of open apex. * Short root length.
Exclusion criteria
* Insufficient tooth structure that need post and core. * Presence of swelling. * Presence of sinus tract. * Presence of root fracture. * Presence of root crack. * Presence of external or internal root resorption. * Presence of periapical pathosis. * Presence of root calcification.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| asymptomatic | one year | pain relief after procedure by Numeric rating scales on follow up visits.Most pain scales use numbers from 0 to 10. A score of 0 means no pain, and 10 means the worst pain you have ever felt. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complete root maturation | one year | increasing the length the root till the apex closure which is determined by cone beam analysis |
Other
| Measure | Time frame | Description |
|---|---|---|
| maintain pulp vitality | one year | Positive response to sensibility testing. it evaluates the condition of the Pulp Being Very Responsive to a hot and cold Stimulus The pulp is deemed normal when there is a response to the stimulus. Pulpitis is present when there is an exaggerated response that produces pain. The absence of responses to sensibility tests is usually associated with the likelihood of pulp necrosis, the tooth is pulpless, |
Countries
Egypt
Contacts
Primary Contactalaa M mohammed, Ph. D
Outcome results
None listed