- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04617600
Survival Rate After TheraCal PT Pulpotomy Versus MTA Pulpotomy in Children With Vital Primary Molars.
March 2, 2022 updated by: Reem Mohamed Gaber, Cairo University
Survival Rate After TheraCal PT Pulpotomy Versus MTA Pulpotomy in Children With Vital Primary Molars: A Randomized Controlled Pilot Trial.
The aim of the study is to assess the effect of TheraCal PT pulpotomy versus MTA pulpotomy on the survival rate of cariously exposed vital primary molars.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
for both interventions ,
- Informed consent from participating parents.
- Baseline records photographs, percussion test, periapical radiograph and personal data collection.
- Allocation (concealed by withdrawing a sealed opaque envelope containing eight times folded paper containing the type of dressing material that will be used then writing patient name and I.D. on it and will be opened after performing the access cavity).
- Diagnostic chart with personal, medical and dental history will be filled.
- Clinical examination will be performed to assess the clinical inclusion criteria. (Pulpal and periapical diagnosis is established after clinical examination).
- Preoperative and Postoperative photographs will be taken.
- The radiographic examination will be performed by taking periapical x-ray using (parallel technique) through machine to assess the inclusion criteria. The preoperative radiograph will serve as a reference for the follow-up radiographs. Standardization of the technique to avoid any distortion in the vertical dimension and to provide reproducible images using x-ray holding device.
- Preoperative and postoperative radiograph will be taken by parallel technique using extension cone paralleling (XCP) film holder.
- Administration of inferior alveolar nerve block (Septodont, Scandonest® 2% L Mepivacaine hydrochloride (HCl). 2% and Levonordefrin 1:20,000 Injection, U.S.P.) at the side of the affected tooth.
- Application of rubber dam for isolation, then a standardized pulpotomy procedure will be performed using a large sterile round end bur in a high-speed handpiece with copious irrigation, a sharp spoon excavator will remove pulpal tissues to the orifice level. Hemostasis will be achieved by the application of a wet cotton pellet.
Children will then be allocated into either one of the groups alternatively depending on the pulpotomy medicament used as follows:
- Group I (Experimental group) TheraCal PT pulpotomy.
- Group II (Control group) MTA pulpotomy.
Group I (Experimental group) TheraCal PT:
- After complete hemostasis, TheraCal PT (BISCO Dental Products, Schamberg illinois (IL), U.S.A.) will be applied according to the manufacturer's instructions and gently placed over the pulp stumps to a thickness of 2mm then the rest of the pulp chamber will be filled with glass ionomer cement.
- Tooth will then be restored with stainless steel crown.
Group II (Control group) MTA pulpotomy:
- After complete hemostasis, MTA+ Curamed (ul. Kwiatkowskiego 1, 37-450 stylosa Wola, Polka) will be manipulated in the ratio of 3:1 (powder: liquid) to obtain a putty mix. This mix will be placed over the radicular pulp with the help of a suitable sterile amalgam carrier. Gentle condensation of the mix will be done in the pulp chamber with a moistened cotton pellet, followed by application of glass ionomer cement.
- Tooth will then be restored with stainless steel crown.
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Reem Mohamed Gaber, B.Sc
- Phone Number: 0020 01115578688
- Email: reem.gaber@dentistry.cu.edu.eg
Study Contact Backup
- Name: Passant Nagi, PHD
- Phone Number: 0020 01280557107
- Email: Passant.Nagi@dentistry.cu.edu.eg
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
2 years to 5 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Aged 4 to 7 years , in good general health and mentally free.
- The parents provided written informed consent.
- Cariously exposed primary molars with reversible pulpitis.
- Teeth should be vital.
- Restorable teeth.
- Hemostasis achieved after complete pulpotomy
Exclusion Criteria:
- With systemic disease.
- Physical or mental disability.
- Unable to attend follow-up visits.
- Refusal of participation.
- Previously accessed teeth.
- History of spontaneous or prolonged pain.
- Swelling, tenderness to percussion or palpation, or pathological mobility.
- Pre-operative radiographic pathology such as resorption(internal or external),per-radicular or furcation radiolucency.
- Haemorrhage control is unachievable after pulpotomy.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Mineral trioxide aggregate (MTA)
Survival rate of cariously exposed vital primary molars using MTA+ Curamed (UI, Kwiatkowskiego 1, 37-450 Staleya Wola, Polka)
|
Survival rate using MTA in cariously exposed vital primary molars
Other Names:
|
Experimental: TheraCal PT
Survival rate of cariously exposed vital primary molars using TheraCal PT (BISCO Dental Products, Schamberg IL, U.S.A.)
|
Survival rate using TheraCal PT in cariously exposed vital primary molars
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Survival rate (Absence of spontaneous pain)
Time Frame: "3 months"
|
Binary outcome measured with direct questioning to the patient
|
"3 months"
|
Survival rate (Absence of spontaneous pain)
Time Frame: "6 months"
|
Binary outcome measured with direct questioning to the patient
|
"6 months"
|
Survival rate (Absence of swelling)
Time Frame: "3 months"
|
Binary outcome measured visually by intraoral/extraoral examination
|
"3 months"
|
Survival rate (Absence of swelling)
Time Frame: "6 months"
|
Binary outcome measured visually by intraoral/extraoral examination
|
"6 months"
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Absence of periapical radiolucency or absence of internal/external root resorption
Time Frame: "6 months"
|
Binary outcome detected with periapical x-ray by parallel technique using XCP film holder (Super Bite, Hawe Neos DentalSA, Switzerland).
|
"6 months"
|
Time lapse till final restoration performed.
Time Frame: "During procedure".
|
Continuous outcome measured with a Stopwatch in minutes.
|
"During procedure".
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
March 1, 2022
Primary Completion (Anticipated)
June 1, 2022
Study Completion (Anticipated)
November 1, 2022
Study Registration Dates
First Submitted
October 22, 2020
First Submitted That Met QC Criteria
November 3, 2020
First Posted (Actual)
November 5, 2020
Study Record Updates
Last Update Posted (Actual)
March 4, 2022
Last Update Submitted That Met QC Criteria
March 2, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 14422019496708
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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