Three Dimensional Evaluation of Apexogenesis of Immature Young Permanent Teeth With Different Endodontic Material

Al-Azhar University

Status: Enrolling

Conditions: Deep Carious Young 1st Permanent Molar With Open Apex

Treatments: Procedure: endo-sequence putty; Procedure: neo-MTA putty

Study type: Interventional

Funder types: Other

Identifiers

NCT05790629

P-PD-22-26

Details and patient eligibility

About

Randomized Clinical Trial using Three Dimensional Evaluation of Apexogensis of immature young permanent teeth with Different Endodontic Tri-calcium Silicate-Based Putties

Full description

Treatment of immature permanent teeth has always been challenging in endodontics, not only because of their wide-open root apices but also because of the thin underdeveloped dentinal walls.Apexogenesis falls under the category of vital pulp therapy (VPT) procedure to maintain pulp vitality, induce dentin bridge formation and encourage continued root maturation.

To overcome the drawbacks of tricalcium silicate-based cements, a range of bioactive endodontic cements have been developed.

EndoSequence BC RRM-Fast Set Putty and NeoPutty (NuSmile, Houston, TX, USA) are the two materials evaluated in this study.

Enrollment: 48 estimated patients

Sex: All

Ages: 6 to 9 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• First permanent molar with pulpitis.
• Sufficient tooth structure for placing rubber dam.
• Presence of open apex.
• Short root length.

Exclusion criteria

• Insufficient tooth structure that need post and core.
• Presence of swelling.
• Presence of sinus tract.
• Presence of root fracture.
• Presence of root crack.
• Presence of external or internal root resorption.
• Presence of periapical pathosis.
• Presence of root calcification.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Group (I) control

Active Comparator group

Description:

young permanent pulpy exposed carious tooth of the selected participants will be treated with specific technique called apexogenesis using bio-compatible material (endo-sequence putty ). This material is administrated to the tooth by placing about 2-4 mm bulk of material in the pulp champers at the cervical line then sealing the capping material with glass ionomer and stainless steel crown.

Treatment:

Procedure: endo-sequence putty

Group (II)

Experimental group

Description:

young permanent pulpy exposed carious tooth of the selected participants will be treated with specific technique called apexogenesis using bio-compatible material (neo-MTA putty). This material is administrated to the tooth by placing about 2-4 mm bulk of material in the pulp champers at the cervical line then sealing the capping material with glass ionomer and stainless steel crown.

Treatment:

Procedure: neo-MTA putty