Revascularization of Immature Anterior Necrotic Teeth

NCT ID: NCT03504332

Last Updated: 2018-04-20

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-30

Study Completion Date

2020-09-30

Brief Summary

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The object of this study is to compare the effect of Calcium Hydroxide and Di-antibiotic paste as intracanal disinfectants in the 1st visit of revascularization of necrotic immature permanent anterior teeth.

Detailed Description

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Dental trauma is common in children and it is the main cause of loss of pulp vitality in immature permanent anterior teeth with prevalence rate of 11% and about of 27% of traumatized anterior teeth are left untreated.

Dentists face many challenges during the treatment of infected immature permanent teeth. This is mainly due to the thin dentinal walls of the root and blunderbuss apices that make these teeth susceptible to fracture during and after treatment.

Traditionally, Calcium Hydroxide apexification has been the only method for managing these cases.. however, it was found that this technique caused additional reduction in root strength due to the long-term application of Calcium Hydroxide which may end in fracture of the tooth. The time needed for complete apexification using Calcium Hydroxide was reported to be variable ranging from 5 to 20 months, with failure rate 0f 30% . Therefore, this technique is no longer recommended for the treatment of such cases.

A recently proposed technique for the treatment of immature necrotic permanent teeth is revascularization regenerative endodontic therapy (RET). It is a biologically based technique that allow the continuation of root development and thickening of dentinal walls. This is achieved through proper disinfection o the root canal system, creation of scaffold and perfect coronal seal.

For proper disinfection of the root canal system, antibiotic paste was applied as intracanal dressing for 2-3 weeks. However, the recent recommendations by the European society of Endodontology advices the use of Calcium Hydroxide as intracanal medication instead of intracanal antibiotics. This is because of some concerns regarding the use of antibiotics which include: cytotoxicity to stem cells needed for the revascularization process, risk of antibiotic resistance and the risk of sensitization. Calcium Hydroxide on the other hand is widely used as intracanal disinfectant and some studies were found supporting its use in the revascularization technique, \[9, 10\]. However, the data available is not sufficient regarding the effectiveness of Calcium Hydroxide in revascularization of necrotic pulp.

Besides, more trials are needed to evaluate the clinical effectiveness of RET in management of immature necrotic permanent teeth as the evidence of using this technique is still weak.

Conditions

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Pulp Necroses

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Calcium Hydroxide in revascularization

Revascularization of necrotic anterior teeth: canals disinfection step. Pure Calcium Hydroxide powder mixed with saline will be placed as intra-canal medication in the 1st visit of dental pulp revascularization.

Group Type EXPERIMENTAL

intracanal disinfection in revascularization

Intervention Type PROCEDURE

a procedure to create vital cells in the pulp space of immature teeth which enables thickening of the dentinal walls of the root.

Di-antibiotic paste in revascularization

Revascularization of necrotic anterior teeth: canals disinfection step. Mix 1:1 ciprofloxacin: metronidazole to a final concentration of 0.1 mg/ml, placed as intra-canal medication in the 1st visit of dental pulp revascularization.

Group Type ACTIVE_COMPARATOR

intracanal disinfection in revascularization

Intervention Type PROCEDURE

a procedure to create vital cells in the pulp space of immature teeth which enables thickening of the dentinal walls of the root.

Interventions

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intracanal disinfection in revascularization

a procedure to create vital cells in the pulp space of immature teeth which enables thickening of the dentinal walls of the root.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Immature anterior teeth with open apices.
* Necrotic teeth (regardless the cause of pulpal involvement: Caries, trauma or congenital anomalies).
* Children free from any systemic diseases that may interfere with the normal healing process.

Exclusion Criteria

* Children Allergic to antibiotics to be used in the study.
* unooperative children.
* Laxative injuries.
* Compromised remaining tooth structure.
* internal or external root resorption
Minimum Eligible Age

7 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Reem Mohamed Fouad Wahby

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Reem Wahby, MD

Role: CONTACT

0020112652778

Other Identifiers

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regenerative endodontics

Identifier Type: -

Identifier Source: org_study_id

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