Vital Pulp Therapy to Treat Irreversible Pulpitis (VPT)
Pulpotomy Versus Root Canal Therapy to Treat Irreversible Pulpitis in Human Permanent Molars: A Multicenter Randomized Non-inferiority Trial.
연구 개요
상세 설명
In one visit RCT (Arm 1): The teeth were anesthetized, isolated and endodontic access and instrumentation of all canals was done. Canal preparation was conducted using a step-back technique. The working lengths were determined and confirmed by radiography. Sterile normal saline solution was used for intra-canal irrigation. Root canals were obturated with gutta-percha and sealer using lateral condensation technique. After placing a cotton pellet in the pulp chamber, the access cavity was closed with Cavit.
In pulpotomy treatment with CEM/MTA (Arm 2): The teeth were anesthetized. Pulpotomy procedure of removing inflamed pulp tissue to the stump level was done. Homeostasis was achieved by irrigating the cavity with sterile normal saline and application of small pieces of sterile cotton pellets. The pulpal wound was covered with an approximately 2-mm-thick layer of MTA/CEM cement. Pulp chambers were then covered with a wet cotton pellet and sealed with Cavit.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Tehran, 이란, 이슬람 공화국, 19839
- Iranian Center for Endodontic research
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
Diagnostic criteria:
- Patient reports pain of endodontic origin
- Diagnosis of irreversible pulpitis
Eligibility criteria:
- Molar tooth
- Patient chooses to have tooth extraction for pain relief
- Age 9-65 years
- Both gender
- The patient had read and thoroughly understood the questionnaires; and
- Written informed consent
Exclusion Criteria:
- Moderate or severe periodontitis
- None restorable tooth
- Internal or external root resorption
- Root canal calcification
- No bleeding after access cavity preparation
- Analgesic taken within the last 4 h
- Active systemic disease
- The patient was pregnant or nursing
- History of opioid addiction or abuse
- Temporary residency
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: 1
ORCT
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Teeth were isolated, caries was removed and access cavities were prepared.
Canal preparation was conducted using step-back technique.
The working lengths were determined and confirmed by radiographs.
The minimum size file for preparing the working length was size ISO #25 K-file to within 0.5-2 mm of the radiographic apex of the root.
During hand instrumentation, canals were frequently irrigated with adequate amount of sterile normal saline solution.
The root canals were filled with multiple gutta-percha cones and sealer using lateral condensation technique.
Placing a cotton pellet in the pulp chamber, the access cavity was temporarily filled.
The treatments of all samples were performed one-visit.
다른 이름들:
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실험적: 2
PCEM/PMTA
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Pulpotomy was performed with a large round bur in a high-speed handpiece with copious irrigation; removing inflamed pulp tissue to stump level.
Hemostasis was achieved by irrigation of the cavity with sterile normal saline and application of small pieces of sterile cotton pellets.
The blood clot-free pulpal wound was covered with approximately 2 mm layer of endodontic bio-materials, a sterile wet cotton pellet was then placed over the MTA/CEM cement and the cavity sealed with Cavit.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
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Clinical and radiographical success of pulpotomy with CEM cement
기간: 5 year
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5 year
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2차 결과 측정
결과 측정 |
기간 |
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Patient Assessment of Pain - Visual Analogue Scale
기간: 7 day
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7 day
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공동 작업자 및 조사자
수사관
- 연구 책임자: Mohammad Jafar Eghbal, Prof., Shahid Beheshti University of Medical Sciences
- 수석 연구원: Jamileh Ghoddusi, Prof., Mashhad University of Medical Sciences
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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