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.
Studieöversikt
Status
Betingelser
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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Alexandria, Egypten
- Faculty of Dentistry
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
- Barn
Tar emot friska volontärer
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Aktiv komparator: 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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Experimentell: 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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Experimentell: 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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Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
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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.
Tidsram: 12 months
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12 months
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Sekundära resultatmått
Resultatmått |
Tidsram |
|---|---|
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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).
Tidsram: 12 months
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12 months
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Samarbetspartners och utredare
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
- Aminosyror, peptider och proteiner
- Heterocykliska föreningar
- Heterocykliska föreningar, 2-ring
- Heterocykliska föreningar, smältring
- Undersökningstekniker
- Epidemiologisk forskningsdesign
- Epidemiologiska metoder
- Forskningsdesign
- Metoder
- Utrustning och förnödenheter
- Lasers
- Optiska enheter
- Strålningsutrustning och förnödenheter
- Guanin
- Hypoxantiner
- Purinoner
- Puriner
- Glutamater
- Aminosyror, sur
- Aminosyror
- Aminosyror, dikarboxyl
- Pemetrexed
- Kontrollgrupper
- Lasrar, halvledare
Andra studie-ID-nummer
- 0834-01/2024
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