Periapical Healing After One or Two-visits to Endodontic Treatment in Adolescents Patients (PHAP)

Universidade Federal do Rio de Janeiro

Status: Completed

Conditions: Periapical Periodontitis

Treatments: Procedure: Root canal therapy in one visit; Procedure: Root Canal Therapy in two-vist

Study type: Interventional

Funder types: Other

Identifiers

NCT01312194

08176567-9

Details and patient eligibility

About

The main objective of this study is the prevention and repair of apical periodontitis in lower molars with pulp necrosis after the execution of endodontic treatment in one or two visits in adolescent patients. Moreover, it is also observed the frequency of postoperative pain in endodontic treatment.

Full description

This project is developed in adolescent patients who have need of endodontic treatment in necrotic molars. The patients were randomly divided into two groups of treatment: one and two visits. The treatment protocol is the same for both groups, except the number of visits and the use of intra canal medication in the group treated in two visits. Patients will be followed clinically and radiographically for a minimum period of two years. The data was collected by the evaluation of postoperative pain and to determine the healing of periapical lesions, characterizing the success of the treatment.

Enrollment: 120 patients

Sex: All

Ages: 11 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Patients healthy
2. Not have taken analgesic, anti-inflammatory or antibiotic drugs during the 10 days prior to the beginning of treatment
3. Lower first or second permanent molars with complete root formation and dental pulp necrosis with or without symptoms

Exclusion criteria

1. Presence of periodontal diseases
2. Pulp calcification
3. Acute dent-alveolar abscesses
4. Hemorrhage in the canal after access

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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120 participants in 2 patient groups

One vist group

Experimental group

Description:

All patients included in this treatment group will receive the complete endodontic treatment in a single visit.

Treatment:

Procedure: Root canal therapy in one visit

Two-vist group

Active Comparator group

Description:

All patients included in this treatment group will receive treatment in two visits. The first will be done chemo mechanical root canal preparation, the placement of the intracanal medication the basis of calcium hydroxide and coronal sealing. Ten to twelve days later, this medication is removed and the root canal will be permanently filled.

Treatment:

Procedure: Root Canal Therapy in two-vist