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To compare responses to electrical pulp test (EPT) and cold test among molar incisor hypomineralization (MIH)-effected and not MIH-effected carious teeth before and after administration of local anesthesia for caries removal.
Fifty carious permanent first molar teeth (25 MIH-effected, 25 not MIH-effected) were included. Firstly, radiographic caries depth, International Caries Detection and Assessment System (ICDAS) codes and MIH levels of teeth were recorded. Then, during the treatment, EPT and cold test were performed before and after the administration of local anesthesia. Visual Analog Scale for Pain was used to evaluate cold test and pain during treatment. When interpreting results, significancy level was stated for the values of p<0.05.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MIH-effected carious first permanent molar teeth | Active Comparator | MIH-effected carious permanent first molar teeth were well-demarcated white/yellow or brown/yellow enamel opacities which is a sign for hypomineralization and asymptomatic which meant to be without any spontaneous pain or pain during eating or drinking, percussion or palpation tenderness, formation of abcess or fistula. |
|
| not MIH-effected carious first permanent molar teeth | Active Comparator | The carious not MIH-effected teeth were only carious without any hypomineralize areas and asymptomatic which meant to be without any spontaneous pain or pain during eating or drinking, percussion or palpation tenderness, formation of abcess or fistula. |
|
| MIH-effected non-carious first permanent molar teeth | Placebo Comparator | MIH-effected teeth were carious permanent first molar teeth with well-demarcated white/yellow or brown/yellow enamel opacities which is a sign for hypomineralization and did not have any sign of caries. |
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| not MIH-effected non-carious first permanent molar teeth |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evaluation of cold test | Diagnostic Test | Cold test evaluation to describe the sensitivity level of teeth due to induce the hydrodynamic forces in dentine tubules. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cold test results | Visual Analog Scale for Pain was used to evaluate the cold tests for before and after the local anesthesia. Visual analog scale was used to rate the sensitivity level of patients with 6 different faces representing different levels of pain from "0=no pain" to "10=unbearable pain". | Time frame of cold test evaluation was aproximately 1 hour for each participant. |
| Electrical pulp test results | Electrical pulp test values at which patients felt sensitive were recorded. | Time frame of electrical pulp test evaluation was aproximately 1 hour for each participant. |
| Pain during the treatment | Visual Analog Scale for Pain was used to evaluate the pain during the treatment. Visual analog scale was used to rate the sensitivity level of patients with 6 different faces representing different levels of pain from "0=no pain" to "10=unbearable pain". | Pain during the treatment was evaluated for aproximately 1 hour for each participant. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Didem Sakaryali, Asst.Prof. | Baskent University | Principal Investigator |
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The authors decided to share the information of this study after the study will be published in a scientific journal.
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Aug 17, 2019 | |
| Reset | Sep 19, 2019 | |
| Release | Sep 29, 2019 | |
| Reset | Oct 22, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Aug 17, 2019 | Sep 19, 2019 | |||
| Sep 29, 2019 |
| ID | Term |
|---|---|
| D000094604 | Molar Hypomineralization |
| ID | Term |
|---|---|
| D000094603 | Dental Enamel Hypomineralization |
| D000094602 | Developmental Defects of Enamel |
| D014071 | Tooth Abnormalities |
| D018640 | Stomatognathic System Abnormalities |
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no need
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not any signs of being caries or hypomineralization. |
|
| Evaluation of electrical pulp test | Diagnostic Test | Electrical pulp test evaluation to describe the sensitivity level of teeth due to induce the nerve fibers in pulp tissue. |
|
| Evaluation of pain during the treatment | Diagnostic Test | Describe the sensitivity level due to induce the hydrodynamic forces during treatment procedure. |
|
| Oct 22, 2019 |
| D009057 | Stomatognathic Diseases |
| D014076 | Tooth Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |