Single Rotary File Pulpectomy in Primary Molars

NCT ID: NCT06146686

Last Updated: 2024-04-05

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

RECRUITING

Clinical Phase

NA

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-02-01

Study Completion Date

2025-04-30

Brief Summary

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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

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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

Conditions

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Pulpitis - Irreversible

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
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

Study Groups

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Group I ( pulpectomy using single rotary file )

After opening the access cavity, a single rotary file (20 taper 4) will be adjusted on the desirable working length depending on a radiograph (1 mm shorter than the apex) and used in pulpectomy in a brushing motion at the rotational speed 300 rpm with torque set at the lowest level, irrigation with saline

Group Type EXPERIMENTAL

Fanta AF blue rotary files 20 taper 4

Intervention Type DEVICE

single rotary file Fanta AF blue rotary files 20 taper 4

Group II ( pulpectomy using multiple rotary files system )

After opening the access cavity, multiple rotary files system (Fanta AF baby rotary files 20 taper 4, 25 taper 4, 30 taper 4) will be adjusted on the desirable working length depending on a radiograph (1 mm shorter than the apex) and used in pulpectomy in a brushing motion at rotational speed 300 rpm with torque set at the lowest level, irrigation with saline

Group Type ACTIVE_COMPARATOR

Fanta AF baby rotary files 20 , 25 , 30 taper 4

Intervention Type DEVICE

multiple rotary files system Fanta AF baby rotary files 20 , 25 , 30 taper 4

Interventions

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Fanta AF blue rotary files 20 taper 4

single rotary file Fanta AF blue rotary files 20 taper 4

Intervention Type DEVICE

Fanta AF baby rotary files 20 , 25 , 30 taper 4

multiple rotary files system Fanta AF baby rotary files 20 , 25 , 30 taper 4

Intervention Type DEVICE

Eligibility Criteria

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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.
Minimum Eligible Age

4 Years

Maximum Eligible Age

9 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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Mennat-Allah Eid Ahmed Elsayed

doctor , internal resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cairo university

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Mennat-Allah Eid Ahmed, MAster

Role: CONTACT

0201119309905

Reem mohamed fouad, PHD

Role: CONTACT

Facility Contacts

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Menna EA Ahmed, master

Role: primary

0201119309905

reem RW, phd

Role: backup

References

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Kohli A, Chhabra J, Sharma K, Katyayan R, Bhatnagar P, Sharma A. Comparative Evaluation of Instrumentation Time and Quality of Obturation amongst Pediatric Rotary Endodontic System: An In Vivo Study. Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):338-343. doi: 10.5005/jp-journals-10005-2573.

Reference Type BACKGROUND
PMID: 37519962 (View on PubMed)

Kalita S, Agarwal N, Jabin Z, Anand A. Comparative Evaluation of Cleaning Capacity and Efficiency of Kedo-S Pediatric Rotary Files, Rotary ProTaper, and Hand K Files in Primary Molar Pulpectomy. Int J Clin Pediatr Dent. 2021 May-Jun;14(3):383-387. doi: 10.5005/jp-journals-10005-1958.

Reference Type BACKGROUND
PMID: 34720511 (View on PubMed)

Other Identifiers

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single rotary file pulpectomy

Identifier Type: -

Identifier Source: org_study_id

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