Dental Caries in Children
Conditions
Brief summary
The study aims to compare the efficacy of using bioactive cement versus resin-cement for cementation of anterior pediatric zirconia crowns.
Detailed description
* For the bioactive cement group (Predicta® Bioactive Cement), the prepared tooth will be dried using compressed air but not desiccated. Cement will be dispensed through the auto-mixtip directly into the crown, and the crown will be properly positioned over the tooth; cement will be allowed to self-set for 20 seconds while maintaining gentle pressure on the crown. Buccal and lingual margins will be flash-cured for 10 seconds each using a light-curing unit to immediately cure the excess cement for easier removal, and buccal and lingual surfaces will then be light-cured for an extra 10 seconds each. * For the resin-cement group, the tooth will be dried with compressed air but not desiccated. The sealant will be applied with the syringe; then, the crown will be appropriately positioned over the tooth, and cement will be allowed to self-set for 2 minutes and cured while maintaining gentle pressure on the crown. Excess cement will be removed before the cement is completely set.
Interventions
DRUGZirconia crown cemented with Predicta® Bioactive Cement
• For the bioactive cement group (Predicta® Bioactive Cement), the prepared tooth will be dried using compressed air but not desiccated. Cement will be dispensed through the auto-mixtip directly into the crown, and the crown will be properly positioned over the tooth; cement will be allowed to self-set for 20 seconds while maintaining gentle pressure on the crown. Buccal and lingual margins will be flash-cured for 10 seconds each using a light-curing unit to immediately cure the excess cement for easier removal, and buccal and lingual surfaces will then be light-cured for an extra 10 seconds each.
DRUGZirconia crown cemented with resin-cement
• For the resin-cement group, the tooth will be dried with compressed air but not desiccated. The sealant will be applied with the syringe; then, the crown will be appropriately positioned over the tooth, and cement will be allowed to self-set for 2 minutes and cured while maintaining gentle pressure on the crown. Excess cement will be removed before the cement is completely set.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
3 Years to 5 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients who had no history of allergies * Children who had at least two carious primary incisors. * Teeth with multi-surface carious lesion. * Teeth with no percussion or palpation sensitivity * Teeth with no abscess and/or fistula * Teeth with no prior pulpal treatment * Teeth with no mobility or signs of periodontal disease
Exclusion criteria
* Children with congenital developmental defects (such as amelogenesis imperfecta and dentinogenesis imperfecta) * Children with a history of bruxism, trauma or infraocclusion * Children with a skeletal or dental malocclusion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Retention | 1 week, 1 month, 3 months, 6 months, 9 months, and 12 months | Retention will be assessed by visual inspection and probe to detect debonded crowns. |
| Fracture | 1 week, 1 month, 3 months, 6 months, 9 months, and 12 months | Fractures will be assessed using visual inspection to detect incomplete fracture lines or complete fractures with loss of crown material. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The gingival condition | 1 week, 1 month, 3 months, 6 months, 9 months, and 12 months | The gingival condition around cemented crowns will be assessed by calculating the gingival index for each crowned tooth. |
Outcome results
None listed