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.
研究概览
地位
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
-
-
-
Alexandria、埃及
- Faculty of Dentistry
-
-
参与标准
资格标准
适合学习的年龄
- 孩子
接受健康志愿者
描述
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.
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器：Control group MTA pulpotomy
The remaining pulp will be capped with MTA.
|
The remaining pulp will be capped with MTA after final rinsing with saline
|
|
实验性的：Test group 660 nm laser + MTA pulpotomy
Application of 660 nm diode laser and the remaining pulp will be capped with MTA.
|
photobiomodulation (PBM) uses low-power irradiation from lasers or light-emitting diode (LED) devices to irradiate human tissues to stimulate dental pulp cells
|
|
实验性的：Test group 970 nm laser +MTA pulpotomy
Application of 970 nm diode laser and the remaining pulp will be capped with MTA.
|
Laser application with 970 nm wavelength to penetrate and affect pulpal cells
|
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
to assess the clinical and radiographic success rate of Laser pulpotomy procedure done in immature permanent molars with symptoms indicative of irreversible pulpitis.
大体时间：12 months
|
12 months
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
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).
大体时间：12 months
|
12 months
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.