3D-Printed Resin Crowns vs Stainless Steel Crowns in Pulpotomized Primary Molars. (3DRSCVSSSC)
Clinical Evaluation of 3D Printed Resin Based Crowns Versus Stainless Steel Crowns in Pulpotomized Primary Mandibular Molars : A Randomized Controlled Clinical Trial
The goal of this clinical trial is to learn whether 3D-printed resin-based crowns are an effective alternative to stainless steel crowns for restoring pulpotomized primary mandibular molars in children. The main questions it aims to answer are:
Do 3D-printed resin-based crowns provide better gingival health than stainless steel crowns? Are there differences in plaque accumulation, crown retention, and child and parent satisfaction between the two crown types?
Participants will:
Receive either a 3D-printed resin-based crown or a stainless steel crown after pulpotomy.
Attend follow-up visits for clinical evaluation over 12 months.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Nariman Osama, BDS
- Phone Number: 01010381531
- Email: Nareman.osama@dentistry.cu.edu.eg
Study Locations
-
-
-
Cairo, Egypt
- Faculty of dentistry
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Children aged 4 to 8 years. Cooperative children who are able to accept dental treatment. Teeth diagnosed with reversible pulpitis. Children in good general health with no systemic conditions affecting oral health.
Parents/guardians willing to provide written informed consent and attend follow-up visits.
Exclusion Criteria:
Teeth deemed non-restorable (e.g., gross carious destruction or fractures beyond restoration).
Parents/guardians unwilling to participate in the study or provide informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: 3D printed resin crowns
Children will receive indirect restorations using 3D-printed resin crowns on primary molars affected by reversible pulpitis
|
1-Select an appropriately sized resin-based prefabricated crown based on the mesio-distal width of the tooth.
2-Perform occlusal reduction of approximately 1.5-2.0
mm following the natural occlusal anatomy.
3-Reduce buccal and lingual cusps, central groove, and marginal ridges to achieve adequate occlusal clearance.
4-Perform proximal reduction using a tapered fissure or diamond bur to eliminate mesial and distal contacts by approximately 1.0 mm.
5-Avoid creating ledges or damaging adjacent teeth during proximal reduction.
6-Slightly reduce buccal and lingual surfaces to eliminate undercuts and facilitate crown seating.
7-Round and smooth all sharp line angles and points of the preparation.
8-In cases with adjacent teeth, perform additional interproximal reduction if required for proper seating.9-Try-in the crown intraorally and seat it using firm pressure from lingual to buccal direction.
10-Check marginal adaptation, ensuring slight subgingival extension (approximately 0.5-1.0
mm).
|
|
Active Comparator: Stainless steel crowns
Children will receive stainless steel crowns on primary molars affected by reversible pulpitis
|
1-Select an appropriately sized stainless steel crown based on the mesiodistal width of the tooth.
2-Perform minimal occlusal reduction (approximately 1.0-1.5 mm) following the anatomical occlusal contour to create suficient space for crown placement.
3-Lightly reduce proximal contacts to allow crown seating, without creating steps or excessive taper.
4-Perform minimal buccal and lingual reduction only if required to eliminate undercuts and facilitate passive seating.
5-Round sharp line angles and smooth rough surfaces to allow proper adaptation.
5-Verify adequate occlusal clearance and passive path of insertion.
6-Try-in the crown and adjustsize if necessary to ensure proper fit.
7-Trim and contour crown margins to achieve optimal gingival adaptation (if needed).
8-Seat the crown firmly using finger pressure to confirm complete seating.
9-Cement the crown with glass ionomer cement and remove excess cement after initial setting.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Gingival index
Time Frame: baseline, 3 months, 6 months, 9 months, 12 months
|
The GI was measured by passing an explorer tip gently within the sulcus mesial, distal, buccal, and lingual surface of each crowned molar. it was scored on a scale of 0 to 3 0= no bleeding
|
baseline, 3 months, 6 months, 9 months, 12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Plaque accumulation
Time Frame: baseline, 3 months, 6 months, 9 months, 12 months
|
Silness &Löe plaque index 0: no plaque.
1: film at gingival margin.
2: moderate accumulation.
3: abundance of plaque.
|
baseline, 3 months, 6 months, 9 months, 12 months
|
|
Child and parent satisfaction
Time Frame: Immediately post operative
|
Child and parent satisfaction will be assessed using a structured questionnaire based on a Likert scale.
Participants (children and their parents/guardians) will rate their satisfaction with the treatment experience, comfort, aesthetics, and overall acceptance.
Responses will be recorded on a 5-point Likert scale ranging from "very dissatisfied" to "very satisfied."
The scores will be analyzed to compare satisfaction between study groups.
|
Immediately post operative
|
|
Crown retention
Time Frame: baseline, 3 months, 6 months, 9 months, 12 months
|
Using United States Public Health Service (USPHS) criteria Alpha : intact Bravo : chipped or loss of material Charlie : complete loss of crown
|
baseline, 3 months, 6 months, 9 months, 12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Sherine Badr, PHD, Cairo University
- Principal Investigator: Nariman Osama, BDS, Cairo University
- Study Director: Hanna Abdel Moneim, PHD, Cairo University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- FDCU-2026-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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