Premixed Bioceramic Putty as an Apical Plug in Immature Anterior Permanent Teeth

Tanta University

Status: Completed

Conditions: Periapical Periodontitis

Treatments: Procedure: Mineral trioxide aggregate; Procedure: Premixed Bioceramic Putty

Study type: Interventional

Funder types: Other

Identifiers

NCT06322979

# R-PED-11-23-3074

Details and patient eligibility

About

Following the randomization procedure, children will be divided into 2 groups (25 immature anterior permanent incisors in each group): Group I will be treated with MTA as apical plug while group II will be treated with Premixed Bioceramic Putty as apical plug. After working length determination, instrumentation, and irrigation of the root canals, apical plug will be done. in MTA Group, MTA will be placed into the apical 4 mm of root canals, then a moist cotton pellet will be placed and the access cavity will be restored with glass-ionomer-based restoration. Next day, glass-ionomer-based restoration and the cotton pellet will be removed, then the coronal restoration will be completed with GIC, composite. In the Premixed Bioceramic Putty group, Well-Root™ PT will be placed into the apical 4 mm of the canals. After 12 min, the coronal and middle third of the root canal will be filled with gutta-percha. The coronal restoration will be completed with GIC, composite.

children will be recalled for clinical and radiographical follow-up after 6 and12 months after treatment.

Enrollment: 50 patients

Sex: All

Ages: 8 to 11 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• nonvital immature permanent teeth as a consequence of trauma or dental caries
• nonvital permanent teeth with radiographic evidence of immature root end development
• clinically restorable teeth

Exclusion criteria

• immature nonvital permanent teeth presenting with signs/symptoms of internal/external resorption, moderate to severe mobility, periodontal bone loss
• Immature nonvital permanent teeth associated with developmental abnormalities.
• Patients with a history of systemically debilitating diseases
• unrestorable remaining crown structure

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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50 participants in 2 patient groups

MTA group

Active Comparator group

Description:

After the endodontic procedure, MTA will be placed into the apical 4 mm of the root canals. then a moist cotton pellet will be placed and the access cavity will be restored with GIC. Next day, GIC and the cotton pellet will be removed the coronal and middle third of the root canal will be filled with gutta-percha. The coronal restoration will be completed with GIC, composite.

Treatment:

Procedure: Mineral trioxide aggregate

Premixed Bioceramic Putty group

Experimental group

Description:

After the endodontic procedure, Premixed Bioceramic Putty (Well-Root™ PT) will be placed into the apical 4mm of the canals. After 12 min, the coronal and middle third of the root canal will be filled with gutta-percha. The coronal restoration will be completed with GIC, composite.

Treatment:

Procedure: Premixed Bioceramic Putty