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The following study will be created to evaluate how the location of caries affects the effectiveness of indirect pulp treatment in primary molars. aiding in the development of evidence-based recommendations for pediatric dentists.
A selective case study design will be employed, focusing on primary molars with either occlusal or proximal carious lesions. Children aged between 3 to 7 years meeting the inclusion criteria will be examined clinically and radiographically to assess the extent and location of the carious lesion. Two groups will be involved in the study; primary molars will be submitted to each group based on whether the lesion is proximal or occlusal. Both groups will then receive indirect pulp therapy, and a clinical and radiographic evaluation for one year will be conducted.
The purpose of this study is to examine how the location of caries, whether proximal or occlusal, affects the success rate of IPT in primary molars. Understanding this relationship is essential for developing more tailored clinical approaches in pediatric dentistry to ensure long-term treatment success.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Primary teeth with deep proximal caries | Experimental | In primary molars with deep proximal caries indirect pulp treatment will be performed by removing infected dentin while affected dentin in pulpal floor will be left in place. Teeth will be capped by a dressing material. |
|
| Primary teeth with deep occlusal caries | Active Comparator | In primary molars with deep occlusal caries also IPT will be performed. Soft infected dentin will be carefully removed until the dried, hardened affected dentin with a leathery consistency reached then teeth will be capped by a dressing material |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Indirect Pulp Treatment | Procedure | Indirect pulp treatment is considered one of the most conservative pulp therapies, which preserves the pulp's vitality in teeth with reversible pulpitis. It has been chosen to be the intervention in both groups as the aim of this study is to assess the impact of caries location (proximal vs. occlusal caries) in influencing the success rate of IPT. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical success rate of primary molars with deep occlusal or proximal caries treated by Indirect Pulp Treatment (IPT) | Clinical success rate will be assess through assessment of the following : Post-operative Pain (percentage of absence of pain), Presence or absence of clinical signs (e.g., swelling, abscess, sinus tract), and Pain on Percussion | one year follow up |
| Measure | Description | Time Frame |
|---|---|---|
| Radiographic success rate of primary molars with deep occlusal or proximal caries treated by Indirect Pulp Treatment (IPT). | Radiographic Success Rate will be assess every (6, and 12 months) through assessment of the following in the x-ray film : No radiographic evidence of periapical or inter-radicular radiolucency, No internal or external root resorption, No furcation involvement, and No widening in the periodontal membrane ligament ) |
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Inclusion Criteria:
Participant criteria:
Teeth criteria:
Exclusion Criteria:
Clinical signs or symptoms suggesting evidence of pulp degeneration or a non -vital tooth such as:
Presence of the following Radiographic criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yomna Hussein Moselhy, Phd Candidate at Cairo Uni | Contact | 01145566717 | 01090058699 | dr.yomnahussein.edu@gmail.com |
| Dr. Adel Abdel Azeem EL-Bardissy, Professor | Contact | 01271289999 | adelbardissy@dentistry.cu.edu.eg |
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a Selective Case Study ( Prospective Clinical Trial)
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|
| one year follow up |
| ID | Term |
|---|---|
| D003788 | Dental Pulp Diseases |
| D011671 | Pulpitis |
| D003731 | Dental Caries |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D017001 | Tooth Demineralization |
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