Antimicrobial Pastes and Clinical Cases of Apexogenesis

NCT ID: NCT03112291

Last Updated: 2017-04-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-25

Study Completion Date

2016-10-08

Brief Summary

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The aim of this study was to perform a clinical and microbiological evaluation of teeth with incomplete apexogenesis and traumatic necrosis that were treated with a revascularization technique, evaluating the microbial reduction after the use a double antibiotic paste. Furthermore, the investigation also aims to identify the presence of Enterococcus faecalis and Porphyromomas gingivalis within the root canal system.

Detailed Description

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This investigation is a longitudinal prospective interventional study of a series of cases. Patients who sought treatment at the Faculty of Dentistry from June 2011 to September 2015 were selected. They should have one permanent tooth with traumatic necrosis.

Conditions

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Apexification Root Canal Therapy Dental Trauma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

This investigation is a longitudinal prospective interventional study of a series of cases
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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permanent teeth apexification

They should have one permanent tooth with traumatic necrosis, which in turns should show color alteration, fistulae, periapical lesion, and/or internal or external root resorption, pain, or absence of pulp response to sensitivity tests at a clinical examination to be considered necrotic. Male and female patients who had not undergone antibiotic therapy 3 months before the treatment were included and clinical and radiographic examinations confirmed pulp necrosis. This study analyzed the clinical and microbiological results of the endodontic treatment performed on permanent teeth with necrosis caused by traumatic injury and treated using revascularization technique, double antibiotic paste, intra-canal medication, and an MTA cervical plug.

Group Type EXPERIMENTAL

Apexification

Intervention Type PROCEDURE

Apexification forms a calcified barrier in teeth with open apexes and pulp necrosis. It is used to treat immature teeth, but it does not promote the continuity of root formation.

Interventions

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Apexification

Apexification forms a calcified barrier in teeth with open apexes and pulp necrosis. It is used to treat immature teeth, but it does not promote the continuity of root formation.

Intervention Type PROCEDURE

Other Intervention Names

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Pulp Revascularization

Eligibility Criteria

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Inclusion Criteria

* They should have one permanent tooth with traumatic necrosis, which in turns should show color alteration, fistulae, periapical lesion, and/or internal or external root resorption, pain, or absence of pulp response to sensitivity tests at a clinical examination to be considered necrotic. Male and female patients who had not undergone antibiotic therapy 3 months before the treatment were included and clinical and radiographic examinations confirmed pulp necrosis.

Exclusion Criteria

* Patients who did use antibiotics
* Patients who did loss of temporary coronary sealing between treatment sessions
* Patients who give up the research
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Adriana Kelly de Sousa Santiago Barbosa

OTHER

Sponsor Role lead

Responsible Party

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Adriana Kelly de Sousa Santiago Barbosa

PhD

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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José Jeová S Moreira Neto, Dr

Role: STUDY_DIRECTOR

Universidade Federal do Ceará

Locations

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Adriana Kelly de Sousa Santiago Barbosa

Fortaleza, Ceará, Brazil

Site Status

Countries

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Brazil

References

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Pace R, Giuliani V, Nieri M, Di Nasso L, Pagavino G. Mineral trioxide aggregate as apical plug in teeth with necrotic pulp and immature apices: a 10-year case series. J Endod. 2014 Aug;40(8):1250-4. doi: 10.1016/j.joen.2013.12.007. Epub 2014 Apr 3.

Reference Type BACKGROUND
PMID: 25069943 (View on PubMed)

Nagata JY, Gomes BP, Rocha Lima TF, Murakami LS, de Faria DE, Campos GR, de Souza-Filho FJ, Soares Ade J. Traumatized immature teeth treated with 2 protocols of pulp revascularization. J Endod. 2014 May;40(5):606-12. doi: 10.1016/j.joen.2014.01.032. Epub 2014 Mar 6.

Reference Type RESULT
PMID: 24767551 (View on PubMed)

Trope M. Treatment of the immature tooth with a non-vital pulp and apical periodontitis. Dent Clin North Am. 2010 Apr;54(2):313-24. doi: 10.1016/j.cden.2009.12.006.

Reference Type RESULT
PMID: 20433980 (View on PubMed)

Other Identifiers

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Estudo Clinico - Apicificação

Identifier Type: -

Identifier Source: org_study_id

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