Vital Pulp Therapy With Different Materials for Young Permanent Teeth

Study Overview
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Brief Summary
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This study will be conducted to: Evaluate clinically and radiographically apexogenesis in immature permanent molars using: Calcium Hydroxide. MTA. Laser. Laser combined with MTA.

Detailed Description
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Calcium Hydroxide has been the most commonly utilized pulpotomy agent for vital pulp therapy. It is the earliest medicament employed in pulpotomy that possesses the ability to stimulate tertiary dentinogenesis. This is attributed to its high alkalinity after mixing with water. Calcium hydroxide has a high pH, and its dental use relates chiefly to its ability to stimulate mineralization and also to its antibacterial property. Biocompatibility and sealing ability are the most important properties, which account for optimal healing response in vital pulp therapy. Unlike conventional materials, MTA has low solubility and maintains its physical integrity after placement. It has several desirable characteristics in terms of biocompatibility, bioactivity, hydrophilicity, radiopacity, sealing ability and low solubility. Diode laser in a young permanent tooth with traumatically exposed pulp has proved to be an effective technique for Pulpotomy in an immature tooth. Therefore, the use of soft-tissue diode lasers can influence the treatment outcome and should be seen as a predicable tool for vital pulp therapy.

Official Title
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Clinical Evaluation of Different Treatment Modalities for Vital Pulp of Immature Permanent Molars

Conditions
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Vital Pulp Therapy

Intervention / Treatment
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* Other: calcium hydroxide
* Other: MTA
* Device: Diode Laser


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Medically free Vital teeth Exclusion Criteria: Medically compromised Chronic abscess Non-vital teeth

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 9 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Examiner<br>Examiner | Other: calcium hydroxide<br>* Dental pulp medicament material<br>Other: MTA<br>* Dental pulp medicament material<br>Device: Diode Laser<br>* Device used in pulp therapy<br>|
| No Intervention: Patient<br>Patient | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Root completion | Closure of radiographic apex using Scanora 5.2.6 digital software | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Root lengthening and thickening | Measuring the increase in length and width of the root canals using Scanora 5.2.6 digital software | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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MTA, Alpexogenesis, Calcium hydroxide, Diode Laser