Pulp Revascularization Versus MTA Apexification (RCT)

E

Enas Ebrahim Sayed

Status

Completed

Conditions

Necrotic Pulp

Treatments

Procedure: Apexification
Procedure: revascularization

Study type

Interventional

Funder types

Other

Identifiers

NCT03083015
Revas1
cebd (Other Identifier)

Details and patient eligibility

About

This study compared the efficiency of pulp revascularization and MTA apexification in the treatment of patients with necrotic immature anterior teeth.

Full description

the participants with 66 anterior necrotic immature teeth were randomly assigned into two equal groups with 33 teeth per each, according to regeneration and MTA apexification. At the first visit, all teeth were accessed and irrigated with NaOCl then a TAP was applied as intra-appointment intracanal medication. At the second visit, after removal of the medication with the irrigation, bleeding was initiated into the canal and isolated by the MTA in the orifice in the regeneration group. While in the Apexification group, the MTA was packed apically and all teeth were finally restored with resin composite restorations. The patients were recalled after 1, 3, 6, and 9 months for clinical and radiographic follow up.

Enrollment

66 patients

Sex

All

Ages

7 to 16 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Medically-free patients having immature necrotic anterior teeth (with or without apical periodontitis/abscess) even with previous intervention.

Exclusion criteria

  • History of allergy to any of the antibiotics in the tri-mix used in the study
  • Patients with systemic diseases e.g. Diabetes mellitus, bleeding disorders,…
  • Psychological disturbance
  • External / internal root resorption or cystic lesion.

Trial design

66 participants in 2 patient groups

Revascularization
Experimental group
Description:
Blood clot initiation and grey MTA ( Mineral Tri-oxide Aggregate) cervically compacted.
Treatment:
Procedure: revascularization
Apexfication
Active Comparator group
Description:
Apexification using grey MTA apically compacted without mechanical preparation.
Treatment:
Procedure: Apexification

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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