Pulpitis - Irreversible
Conditions
Keywords
single rotary file pulpectomy , primary molars
Brief summary
The aim of this study is to compare the clinical effectiveness of a single rotary file system versus a multiple rotary files system in pulpectomy of primary molars
Detailed description
In pediatric dentistry, premature loss of necrotic primary molars has been a matter of great concern over the years. In modern pedodontic practice, Pulpectomy is regarded as the choice modality of treatment for pulpally involved necrotic teeth. Hand files are used for mechanical preparation of primary tooth during pulpectomy but it has been found to be time consuming and may negatively influence the child's behavior . Much attention has been directed toward making pulpectomy a less time-consuming and a more-efficient procedure. These challenges lead to the introduction of rotary endodontics in pediatric dentistry. However, the bizarre root canal morphology and thinner root dentin limited the use of rotary endodontics in primary teeth. Various modified protocols have been introduced to overcome such barriers to prevent undesirable complications. Up to our knowledge, no clinical trials in the literature have been done to compare the clinical and radiographic success of single rotary file systems versus multiple rotary files systems when used in pulpectomy of primary molars. Thus, the present study aims to investigate the clinical effectiveness of those two techniques
Interventions
DEVICEFanta AF blue rotary files 20 taper 4
single rotary file Fanta AF blue rotary files 20 taper 4
DEVICEFanta AF baby rotary files 20 , 25 , 30 taper 4
multiple rotary files system Fanta AF baby rotary files 20 , 25 , 30 taper 4
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The blinding of the operator is not possible due to the nature of the technique used. Trial participants, outcome assessors and statistician will be blinded
Eligibility
Sex/Gender
ALL
Age
4 Years to 9 Years
Healthy volunteers
Yes
Inclusion criteria
* Children Criteria: * Medically free . * Cooperative patient. Molar criteria : • Mandibular second primary molar with clinical signs or symptoms of irreversible pulpitis Radiographic criteria: * No evidence of internal/external pathologic root resorption. * With or without periapical or furcal lesion .
Exclusion criteria
* • Uncooperative children. * Children with systemic disease. * Lack of informed consent by the child patient's parent. * Refusal of participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| instrumentation time | during the operation | instrumentation time of pulpectomy using single rotary file by stopwatch |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| child's cooperation level | baseline and during the operation | child's cooperation level using Frenkel's behaviour rating scale using Grades ( 1- Definitely negative 2- negative 3- positive 4- definitely positive ) |
| obturation quality | immediately after the operation | obturation quality measuring using periapical radiographs using Coll and Sadrian criteria ( scores) the quality of the root canal filling was defined as : 1. underfilling : all the canals were filled more than 2 mm short of the apex 2. optimal filling : one or more of the canals having the obturant ending at the radiographic apex or up to 2 mm short of the apex 3. overfilling : any canal showing obturant outside the root |
Countries
Egypt
Contacts
Primary ContactMennat-Allah Eid Ahmed, MAster
Backup ContactReem mohamed fouad, PHD
Outcome results
None listed