The Effect of Clinical Experience on the Quality of Obturation and Periapical Changes of Teeth Treated With Matched Cones in Combination With Bioceramic Sealer

Obturation Clinical Trial

Official title:

The Effect of Clinical Experience on the Quality of Obturation and Periapical Changes of Teeth Treated With Matched Cones in Combination With Bioceramic Sealer

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06260423
• Other study ID #: 18/1/2024
• Status: Recruiting
• Phase: N/A
• Start date: January 1, 2023
• Est. completion date: April 1, 2025

Study information

• Verified date: February 2024
• Source: Al-Azhar University
• Contact: Mohamed Badr, Master
• Phone: 0201111777739
• Email: badrabueida[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Evaluation of the impact of clinical experience on the quality of obturation and periapical changes of clinical cases using lateral compaction with bioceramic sealers and matched cone obturation with bioceramic sealers both clinically and radiographically.

Description:

The idea of using single cone obturation is not novel historically, silver points were used in conjunction with various sealers. It has the advantages of being simple, is easy to learn, quick and does not require any complicated armamentarium or devices. Furthermore, unlike lateral or vertical compaction no force is used, therefore minimizing the risks of dentinal cracks. Recently single cone obturation in combination with bioceramic sealers has been advocated as an alternative obturation technique and is rapidly gaining popularity among dentists. Some studies have demonstrated that the amount of the overall porosity of the single cone fillings is comparable to other techniques.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 54
• Est. completion date: April 1, 2025
• Est. primary completion date: February 1, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 40 Years

Eligibility

Inclusion Criteria:

patients with symptoms of irreversible pulpitis without apical periodontitis related to the maxillary first premolar ranging from 20 to 40 years old and with separate roots were selected from patients referred to the diagnosis clinic, Faculty of dental medicine Al-Azhar University, Cairo, Boys branch.

Exclusion Criteria:

1. Patients with any systemic disorders.

2. Pregnancy.

3. teeth with positive response to palpation test

4. Non vital teeth.

5. Teeth with positive response to percussion test.

6. Teeth with mobility of grade II or III.

7. teeth with probing depth more than 3 mm.

8. Teeth with abnormal morphology.

9. Teeth with root curvatures more than 20 degree (according to Schneider's method).

10. Teeth with internal or external root resorption.

11. Teeth with vertical root fracture.

12. Teeth with open apices.

13. Teeth with any root canal type other than type I.

14. Patients with (VDS) test with score 4 or less. 15- teeth with fused roots or single root.

Related Conditions & MeSH terms

• Obturation

Intervention

Procedure:
• Experienced dentist using lateral compaction with bioceramic sealer.
Root canal treatment using bioceramic sealers.
• Unexperienced dentist using lateral compaction with bioceramic sealer.
Root canal treatment using bioceramic sealers.
• Experienced dentist using Single cone with bioceramic sealer.
Root canal treatment using bioceramic sealers.
• Unexperienced dentist using Single cone with bioceramic sealer.
Root canal treatment using bioceramic sealers.

Locations

Country	Name	City	State
Egypt	Al-Azhar university	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Al-Azhar University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postoperative pain assessment	The postoperative pain assessment was done using the modified verbal descriptor scale as follows: None (Score0), Mild(Score1), Moderate (Score2), and severe (Score3).	24 hours
Primary	Postoperative pain assessment	The postoperative pain assessment was done using the modified verbal descriptor scale as follows: None (Score0), Mild(Score1), Moderate (Score2), and severe (Score3).	48 hours
Primary	Postoperative pain assessment	The postoperative pain assessment was done using the modified verbal descriptor scale as follows: None (Score0), Mild(Score1), Moderate (Score2), and severe (Score3).	72 hours
Primary	Postoperative pain assessment	The postoperative pain assessment was done using the modified verbal descriptor scale as follows: None (Score0), Mild(Score1), Moderate (Score2), and severe (Score3).	96 hours
Primary	Postoperative pain assessment	The postoperative pain assessment was done using the modified verbal descriptor scale as follows: None (Score0), Mild(Score1), Moderate (Score2), and severe (Score3).	120 hours
Secondary	The quality of obturation and the voids within the root canal filling	the quality of obturation and the voids within the root canal filling were evaluated using Modified Coll and Sadrian criteria.	24 hours