Evaluation of Partial Versus Complete Pulpotomy in Carious Immature Molars Permanent Teeth Using Bioceramic Material
NCT ID: NCT06101550
Last Updated: 2024-07-29
Study Results
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Basic Information
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NOT_YET_RECRUITING
NA
60 participants
INTERVENTIONAL
2024-09-30
2025-12-31
Brief Summary
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Diagnosis and treatment of carious immature permanent molars are considered a challenging aspect of daily clinical routine, where constant irritation of the pulp without treatment leads to irreversible pulpitis and necrosis, which impedes the natural root development and its complete formation ; leading at the end to a decision of extracting the tooth .Therefore; when treating immature permanent teeth, the main goal is to preserve the vitality of the pulp to guarantee natural root development.
Pulpotomy is a commonly employed treatment for this procedure involving either the removal of only the outer layer of damaged and hyperemic tissue in exposed pulps (partial pulpotomy or Cvek pulpotomy); which is a procedure staged between pulp capping and complete pulpotomy.
Complete pulpotomy is the total removal of coronal pulp tissue and the placement of a wound dressing on the canal orifice. Followed by the placement of a biocompatible material to promote healing and regeneration of the remaining vital pulp tissue.
In many studies, MTA showed high success rates in treatment of carious immature permanent molars. However, MTA is expensive and has poor handling characteristics, a long setting time and no predictable antimicrobial activity.
Recently, new bioceramics have emerged as promising materials, showing good potential for vital pulp therapy in immature permanent teeth due to their biocompatibility and favorable clinical outcomes.
Both MTA and bioceramics have almost similar compositions, but bioceramics materials contain titanium oxide and calcium phosphate, in addition to the absence of aluminum in its composition. Besides, bioceramics can release a high percentage of calcium ions early while maintaining this high percentage for 28 days, in contrast to the mineral trioxide, which showed a lower ability to release calcium ions more slowly.
Therefore, this study will be conducted to compare the effectiveness bioceramic material in partial and complete pulpotomy of immature permanent molars.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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partial pulpotomy in immature permanent teeth
partial removal of coronal pulp tissue
partial pulpotomy
Partial removal of pulp tissue in young permanent teeth
complete pulpotomy in immature permanent teeth
complete removal of pulp in pulp chamber
Complete pulpotomy
Complete removal of pulp tissue in young permanent teeth
Interventions
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partial pulpotomy
Partial removal of pulp tissue in young permanent teeth
Complete pulpotomy
Complete removal of pulp tissue in young permanent teeth
Eligibility Criteria
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Inclusion Criteria
2. Age ranges from 6-10 years.
3. No history of spontaneous pain.
4. Absence of sinus tract, sinus swelling.
5. The posterior teeth could be restored.
Exclusion Criteria
\-
6 Years
10 Years
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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Heba Ahmed Abdel Azim
Assistant Lecturer
Central Contacts
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Other Identifiers
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14422023560059
Identifier Type: -
Identifier Source: org_study_id
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