- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05425368
Comparing Two Indirect Pulp Capping Agents for Permanent Teeth
Clinical and Radiographic Evaluation of Silver Diamine Fluoride Versus Mineral Trioxide Aggregate as Indirect Pulp Capping Agents in Deeply Carious Young Permanent Molars Randomized Controlled Clinical Trial
Aim of the study:
To evaluate clinical and radiographic success rates of silver diamine fluoride versus mineral trioxide aggregate as indirect pulp capping agents in deeply carious young first permanent molars.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Indirect pulp treatment has become a common maneuver in vital pulp therapy in recent years and is a procedure performed in teeth with deep carious lesions approximating the pulp but without any signs or symptoms of irreversible pulpal changes.
Silver Diamine Fluoride is used to arrest caries lesions in primary teeth but according to the AAPD,2021 more research is needed on the use of SDF to arrest caries lesions in permanent teeth.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Marwa Ahmed Ahmed Zaghloul
- Phone Number: +201002798304
- Email: marwa_zaghloul@dentistry.cu.edu.eg
Study Contact Backup
- Name: Randa Youssef Abd Al Gawad
- Email: randa.youssef@dentistry.cu.edu.eg
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patient and parent showing cooperation and compliance.
- Children 9-14 years old
- Vital deeply carious young first permanent molar(s) with complete root formation
- Asymptomatic teeth or without clinical symptoms of spontaneous pain
- Both genders will be included.
Exclusion Criteria:
- Children unable to return for recall visits.
- Any clinical signs of irreversible pulpitis or pulp necrosis (spontaneous pain, pain on percussion, abscess, sinus).
- Any radiographic sign of irreversible pulp pathologies or pulp necrosis (periapical radiolucency, internal or external root resorption)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: silver diamine fluoride group
partial caries removal will be carried out then Silver Diamine Fluoride will be applied as indirect pulp capping agent and rubbed for 1 minute followed by Glass ionomer filling
|
First permanent molars in this group will receive 38% silver diamine fluoride as an indirect pulp capping material.
Other Names:
|
Active Comparator: mineral trioxide aggregate group
partial caries removal will be carried out then mineral trioxide aggregate will be placed as indirect pulp capping agent followed by glass ionomer filling
|
First permanent molars in this group will receive mineral trioxide aggregate as an indirect pulp capping material.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dentin bridge formation
Time Frame: 6 months
|
Dentin bridge formation will be measured in millimeters on standardized digital radiographs taken by Digital Radiographic examination
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative pain
Time Frame: 1 week
|
Postoperative pain will be assessed by questioning the patient or the guardian whether there is postoperative pain or not, Binary (yes or no)
|
1 week
|
Absence of sinus or fistula
Time Frame: 3 months
|
Intraoral Visual examination will be carried out to assess if there is a sinus or fistula, Binary (present/absent)
|
3 months
|
Absence of sinus or fistula
Time Frame: 6 months
|
Intraoral Visual examination will be carried out to assess if there is a sinus or fistula, Binary (present/absent)
|
6 months
|
radiographic success
Time Frame: 6 months
|
Absence of any adverse radiographic findings (Periodontal membrane space widening, bone resorption, pulp stones will be assessed if present or absent by digital radiographic examination, Binary (present or absent)
|
6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Manal Ahmed El Sayed, Professor of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University
- Principal Investigator: Randa Youssef Abd Al Gawad, Professor of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Indirect pulp capping
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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