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Compare the clinical performance and patient satisfaction of Egyptian MTA, Biodentine versus Calcium Hydroxide as indirect pulp capping materials in permanent teeth
Vital pulp treatments (VPTs) represent a group of minimally invasive treatments intended to preserve the health of all or part of the dental pulp. These treatments include a spectrum of modalities including indirect pulp capping as first option, direct pulp capping and pulpotomy (partial or complete).
Indirect pulp capping (IPC) has been proposed as a conservative pulp therapy for several decades. It is a technique for deep caries management without any features of pulp degeneration.This stimulates tertiary dentin formation, avoiding pulp exposure and maintaining pulp vitality. Cases of indirect pulp capping in deep cavities are those where the residual dentin thickness is equal or less than 0.5 mm, the number and size of the "open" dentinal tubules are such that communication with the pulp parenchyma is comparable to that of a true exposure.
Ideal pulp capping material should maintain pulpal vitality and stimulate reparative dentin formation. These materials should possess certain properties such as biocompatibility, bioactivity, radiopacity, insolubility, dimensional stability, and adequate adhesive ability to both the dentin and to the restorative materials. It should also release remineralizing ions, provide bacterial seal, prevent secondary caries, should have bactericidal or bacteriostatic activity against the causative pathogens, and promote the formation of mineralized tissue
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Egyptian MTA | Experimental |
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| Biodentine | Experimental |
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| Calcium Hydroxide | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Egyptian MTA | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Clinical assessment of treatment success | Pulp response to different stimuli by thermal and electrical pulp tests. When tooth normally responds to thermal and electrical pulp tests = success When tooth doesn't respond to thermal and electrical pulp tests = failure | T( Time) T0( base line)= one week after , T2= 3 months , T3= 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical assessment of pain | Patient reported outcome measures by visual analogue scale visual analogue scale is used to describe the pain by patients themselves in scores as ( 0: no pain ) & (7-10 : Severe pain) | T( time) T0( baseline )= 1 week after, T1= 3 months, T2= 6 months |
| Patient satisfaction with the treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alaa T Elsorogy, Master's candidate | Contact | 0020201010009938 | alaa.elsorogy@dentistry.cu.edu.eg | |
| Rawda H AbdElAziz | Contact | 0020201001097200 | rawda.hesham@dentistry.cu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| El Monira General Hospital | Recruiting | Cairo | Egypt |
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| Biodentine | Drug |
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| Calcium Hydroxide (Ca(OH)2) | Drug |
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Patient reported outcome measure by 4- point likert scale 4- point likert scale used to describe patient satisfaction with the treatment as " (a) yes, very satisfied" & " (d) not all satisfied" |
| T( time) T0= 1 week after, T1= 3 months , T2= 6 months |
| ID | Term |
|---|---|
| C506393 | tricalcium silicate |
| D002126 | Calcium Hydroxide |
| ID | Term |
|---|---|
| D006878 | Hydroxides |
| D000468 | Alkalies |
| D007287 | Inorganic Chemicals |
| D017610 | Calcium Compounds |
| D000838 | Anions |
| D007477 | Ions |
| D004573 | Electrolytes |
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