Ignite Creation Date:
2024-05-06 @ 7:41 PM
Last Modification Date:
2024-10-26 @ 3:12 PM
Study NCT ID:
NCT06101550
Status:
NOT_YET_RECRUITING
Last Update Posted:
2023-10-26
First Post:
2023-10-18
Brief Title:
Evaluation of Partial Versus Complete Pulpotomy in Carious Immature Molars Permanent Teeth Using Bioceramic Material
Sponsor:
Cairo University
Organization:
Cairo University
Study Overview
Official Title:
A Comparative Evaluation of Partial Versus Complete Pulpotomy in Immature Young Permanent Molars Using Well-Root PT Randomized Controlled Trial
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
One of our major concerns and daily challenges is the management of carious immature permanent teeth also known as young permanent teeth while preserving the vitality of the dental Preserving radicular pulp tissue in these teeth allows continuing apical maturation and apical closure
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
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
Detailed Description:
comparing the effectiveness of bioceramic material in partial and complete pulpotomy in carious immature permanent molars
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None