Viewing Study NCT06524921



Ignite Creation Date: 2024-10-26 @ 3:36 PM
Last Modification Date: 2024-10-26 @ 3:36 PM
Study NCT ID: NCT06524921
Status: NOT_YET_RECRUITING
Last Update Posted: None
First Post: 2024-07-24

Brief Title: Biodentine Pulpotomy vs Metapex Pulpectomy in Primary Molars Clinical Radiographic Comparison of Outcomes in Irreversible Pulpitis Cases
Sponsor: None
Organization: None

Study Overview

Official Title: Clinical and Radiographic Evaluation of Calcium Silicate Cement Biodentine Used As A Pulpotomy Agent In Primary Molars With Irreversible Pulpitis Versus Pulpectomy Using Calcium Hydroxide Iodoform Paste Metapex
Status: NOT_YET_RECRUITING
Status Verified Date: 2024-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Irreversible pulpitis is defined as a clinical diagnostic based on subjective and objective findings suggesting that the vital inflamed pulp is incapable of healing in the American Association of Endodontists AAE Consensus Conference Recommended Diagnostic Terminology Other characteristics include persistent heat discomfort transferred pain spontaneous pain or no clinical symptoms but caries-induced inflammation caries excavation and trauma

Dental caries is one of the most frequently occurring diseases affecting human beings that becomes a challenge for dentists as the disease progresses The ultimate goal of operative and endodontic treatment is to preserve and maintain the vitality of pulp to allow continued development of odontogenic apparatus
Detailed Description: Pulp interventions combine a medication with a pulp treatment technique Preserving the health of the tooth and its supporting tissues is the aim of these procedures Three pulp therapy options are available depending on the severity of the disease pulpectomy pulpotomy and direct pulp capping Direct pulp capping includes applying a medicinal material directly to the exposed pulp pulpotomy and pulpectomy require removing parts of the pulp or the entire pulp in the pulp chamber and root canal of the tooth In these procedures the caries and part of pulp tissue are removed and then medications are applied This method aids in preserving the tooths transient integrity

When more advanced caries lesions approach the pulp-dentin complex and produce pulp necrosis endodontic therapy is one way to save primary teeth until exfoliation Maintaining the childs primary teeth in their oral cavity while getting rid of any symptoms or indicators is the ultimate goal of endodontic therapy in pediatric dentistry Afroz et al 2019

zinc oxide eugenol ZOE was Introduced in 1930 and has been the conventional and widely approved root canal filling material for primary teeth With over 90 of cases successfully reported studies using ZOE paste have shown moderate to high success rates But it has some drawbacks as well such as the slower rate of resorption than the root the possibility of the developing successor teeth becoming misaligned particularly in overfilled cases and worries about the materials potential for reduced antibacterial activity after the material is set in place

Because zinc oxide eugenol has some disadvantages biodentine-which may be utilized in direct contact with pulpal tissue-has strong mechanical properties a good capacity to seal with dentine and a biocompatibility that is comparable to that of MTA It fulfilled every requirement of the perfect restorative material including patient acceptance good mechanical and physical properties technical elements from the dentists perspective and other clinical characteristics that enhanced the materials efficacy If only a portion of the odontoblastic layer is damaged biodentine may accelerate pulp repair and regeneration

For primary teeth pulpectomy Metapex Metapex Meta Dental New York USA is an easy-to-apply option that combines iodoform and calcium hydroxide According to studies this material has a good rate of resorption less void formation and excellent clinical and radiographic results

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None