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The purpose of this study is to Assess the effect of MTA and hard setting Calcium Hydroxide (Dycal) on the clinical and radiographic outcome of direct pulp capping in primary molars and evaluate overall success rate of direct pulp capping in primary molars.
After informed consent, baseline clinical and radiographic assessment will be obtained and recorded in patient examination sheet.
Participants who met the inclusion criteria were randomly allocated to two groups (n = 26/group, N = 52 in total) according to the capping martials using the envelope randomization method.
2 study groups according to capping material that will be used (Dycal or MTA) and each group will be divided to 2 subgroups according to site of exposure axial or pulpal.
All patients were recalled and their treated molars were evaluated clinically and radiographically at 3months, 6months, 9months ,12months follow up periods.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mineral trioxide aggregate (MTA) | Active Comparator |
|
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| Hard setting Calcium Hydroxide (Dycal) | Active Comparator |
|
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mineral trioxide aggregate (MTA) | Other | Materials for Vital Pulp Capping |
|
| Measure | Description | Time Frame |
|---|---|---|
| clinical success of direct pulp capping treatment after 3 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. | 3 months |
| clinical success of direct pulp capping treatment after 6 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. | 6 months follow up |
| clinical success of direct pulp capping treatment after 9 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. | 9 months follow up |
| clinical success of direct pulp capping treatment after 12 months follow up | Presence of any of these clinical findings will be considered failure: pain on mastication or spontaneous pain, as reported by the patient, without clinical evidence of plaque retention around the crown margin denoting bad oral hygiene. pain on percussion on clinical examination . non-physiologic mobility. fistula or sinus tract. | 12 months follow up |
| radiographic success of direct pulp capping treatment after 3 months follow up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| S M Awad, PhD/Prof | Head of Pediatric Dentistry and Dental Public Health, Mansoura University | Study Chair |
| A Y El Hosainy, PhD | Lecturer of Pediatric Dentistry, Faculty of Dentistry, Mansoura University | Study Director |
| N T El Saied, MSc | PhD researcher at Faculty of Dentistry, Mansoura University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Outpatient clinic of the Department of Pediatric Dentistry, Faculty of Dentistry- Mansoura University | Al Mansurah | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17256303 | Result | Caicedo R, Abbott PV, Alongi DJ, Alarcon MY. Clinical, radiographic and histological analysis of the effects of mineral trioxide aggregate used in direct pulp capping and pulpotomies of primary teeth. Aust Dent J. 2006 Dec;51(4):297-305. doi: 10.1111/j.1834-7819.2006.tb00447.x. | |
| 11585142 | Result | Faraco IM Jr, Holland R. Response of the pulp of dogs to capping with mineral trioxide aggregate or a calcium hydroxide cement. Dent Traumatol. 2001 Aug;17(4):163-6. doi: 10.1034/j.1600-9657.2001.170405.x. |
| Label | URL |
|---|---|
| © European Academy of Paediatric Dentistry 2018 | View source |
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| ID | Term |
|---|---|
| C086631 | mineral trioxide aggregate |
| C525641 | MTA Bio |
| C025702 | Dycal |
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After informed consent, baseline clinical and radiographic assessment will be obtained and recorded in patient examination sheet. Participants who met the inclusion criteria were randomly allocated to two groups (n = 26/group, N = 52 in total) according to the capping martials using the envelope randomization method. All patients were recalled and their treated molars were evaluated clinically and radiographically at 3months, 6months, 9months ,12months follow up periods.
2 study groups according to capping material that will be used (Dycal or MTA) and each group will be divided to 2 subgroups according to site of exposure axial or pulpal
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capping material used
| Hard setting Calcium Hydroxide (Dycal) | Other | Materials for Vital Pulp Capping |
|
|
the absence of the following radiographic findings indicate the success of capping material in pulp therapy:
| 3 months follow up |
| radiographic success of direct pulp capping treatment after 6 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy:
| 6 months follow up |
| radiographic success of direct pulp capping treatment after 9 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy:
| 9 months follow up |
| radiographic success of direct pulp capping treatment after 12 months follow up | the absence of the following radiographic findings indicate the success of capping material in pulp therapy:
| 12 months follow up |
| 16536148 | Result | de Lourdes Rodrigues Accorinte M, Reis A, Dourado Loguercio A, Cavalcanti de Araujo V, Muench A. Influence of rubber dam isolation on human pulp responses after capping with calcium hydroxide and an adhesive system. Quintessence Int. 2006 Mar;37(3):205-12. |