About this trial
partial pulpotomy of mature molars with irrevesible pulptits using CGF in adolescents
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient-based criteria: Class ASA I or II cooperative adolescents of 11 - 17 years. Based on a 10 cm modified visual analog scale (VAS), only patients who reported a preoperative pain intensity score of ≥ 7, indicative of severe pain were included.
History of sharp, spontaneous, and lingering pain that was precipitated by thermal provocation and lasted mostly for ≥ 30 seconds.
Early prolonged, intense, and lingering response to cold thermal stimulus and positive response electric pulp test (EPT) at low thresholds.
Normal color and appearance of the tooth surrounding gingival tissues with no evidence of gingival inflammation, swelling, abnormal tooth mobility, or sinus tract or fistula formation upon visual and palpation inspections.
Disqualifiers
Emotional or behavioral problems and those receiving antidepressant drugs.
Under treatment with antibacterial or anti-inflammatory medicaments for the last four weeks (Akbal Dincer et al., 2020).
Localized or generalized gingivitis and/or periodontitis with loss of epithelial attachment ≥ 3mm upon probing.
Poor oral hygiene with dense accumulation of calculus or dental plaque.
Trial design
Parallel
Treatments tested in this trial
Other treatment
Procedure/Surgerypartial pulpotomy using CGF in irreversibly inflamed mature molars in adolescents
Other treatment
Procedure/Surgeryendodontic treatment using guttapercha in irreversibly inflamed molars in adolescents
Treatment groups
Trial outcomes
Primary outcomes
The primary outcome was to compare the cumulative pain responses using modified VAS scores.
The primary outcome was to compare the cumulative pain responses using modified VAS scores which has a scale from 0 -10 after partial pulpotomy using CGF versus Endodontic treatment throughout one week of follow-up period.
Pulpal blood biomarkers
Measuring Biomarker levels via quantifying NKA, SP, IL-8, and MMP-8 in pg/ml blood after partial pulpotomy using CGF versus Endodontic treatment throughout one week of follow-up period
Secondary outcomes
clinical follow up
Assess the absence of pain using VAS pain scale from 0-10
clinical follow up
assess absence or presence of sensitivity to percussion using gentile taping with the back of a metal dental mirror handle.
Radiographic follow up
assess the presence or absence of any signs of periapical radiolucency using parallel periapical radiographic dental x-rays using woodpecker digital sensor and its software with the Periapical Index (PAI) which has 5 scores ranging from 1-5 assessing the size of the periapical lesion after 1-, 3-, and 6-month 1 year and 2 years of follow-up
Sponsors and contacts
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