Clinical and Radiographic Evaluation of Laser Assisted Pulpotomy in Immature Permanent Molars With Symptoms Indicative of Irreversible Pulpitis
Clinical and Radiographic Evaluation of Laser Assisted Pulpotomy in Immature Permanent Molars With Symptoms Indicative of Irreversible Pulpitis (A Randomized Controlled Clinical Trial )
The goal of this clinical trial is to assess the clinical and radiographic success rate of Laser pulpotomy procedure done in immature permanent molars with symptoms indicative of irreversible pulpitis.. The main question it aims to answer is:
whether the combined use of Laser pulpotomy with MTA capping material will provide faster healing with acceleration of complete root formation in immature permanent molars compared to MTA pulpotomy alone?
Participants will:
The coronal inflammed pulp will be carefully amputated to the level of the canal orifices.
Hemostasis will be achieved by gentle placement of a saline-moistened cotton pellet and Placement of capping material will be performed in the study groups.
The post-operative clinical follow up will be done after one week for patient reassurance. Then the postoperative clinical and radiographic follow-up will be scheduled up to twelve months.
調査の概要
状態
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Alexandria、エジプト
- Faculty of Dentistry
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参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
説明
Inclusion Criteria:
Children with an age ranging between 6 to 14 years old with no gender predilection.
- Children free of any systemic disease or special health care needs.
- Patients complaining from intermittent or spontaneous, sharp, localized, diffuse, or referred pain.
- Selected teeth should give long lasting positive responses to cold testing.
- Soft tissues around the tooth are normal.
- Periapical radiographs show deep carious lesions.
- Patients with immature permanent molars (stages 8 and 9) according to Nolla's classification for tooth developmental stage.
- Periapical index score 1 or 2.
- Following pulpal amputation, hemostasis could be easily achievable within 5 to 10 minutes with a sterile moist cotton pellet.
Exclusion Criteria:
Child with bad experience of dental treatment (uncooperative patient).
- Non-restorable teeth.
- Negative response to cold testing.
- Bleeding could not be controlled.
- Absence of bleeding from any of the canals.
- Pus discharge through an associated sinus tract.
- Pulpal calcifications
- Radiographic signs of internal or external resorption.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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アクティブコンパレータ：Control group MTA pulpotomy
The remaining pulp will be capped with MTA.
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The remaining pulp will be capped with MTA after final rinsing with saline
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実験的：Test group 660 nm laser + MTA pulpotomy
Application of 660 nm diode laser and the remaining pulp will be capped with MTA.
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photobiomodulation (PBM) uses low-power irradiation from lasers or light-emitting diode (LED) devices to irradiate human tissues to stimulate dental pulp cells
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実験的：Test group 970 nm laser +MTA pulpotomy
Application of 970 nm diode laser and the remaining pulp will be capped with MTA.
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Laser application with 970 nm wavelength to penetrate and affect pulpal cells
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
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to assess the clinical and radiographic success rate of Laser pulpotomy procedure done in immature permanent molars with symptoms indicative of irreversible pulpitis.
時間枠：12 months
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12 months
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二次結果の測定
結果測定 |
時間枠 |
|---|---|
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1. Evaluation of laser effect on decreasing immediate postoperative pain using Numerical Rating Pain Scale with min (0) No pain - max (10) severe pain. 2. Evaluation of laser effect on dentin bridge formation (if it is radiographically present or not).
時間枠：12 months
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12 months
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協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- 0834-01/2024
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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