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Endodontic Disease clinical trials

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NCT ID: NCT03451435 Recruiting - Endodontic Disease Clinical Trials

N-Acetyl Cysteine Protects Pulpal Stem Cells in Endodontic Revascularization

NAC
Start date: June 15, 2018
Phase: Early Phase 1
Study type: Interventional

Pulp re-vascularization/regeneration is a procedure performed to allow pulpal stem cells to survive and/or differentiate to allow immature tooth root structures to grow to full maturity. Currently, the procedure includes disinfection of the necrotic root canal space and induction of bleeding to potentiate pulpal stem cell differentiation to allow root growth on an immature root. A number of studies conducted previously demonstrate that N-acetyl cysteine (NAC) potentiates differentiation of pulpal stem/stromal cells and protects pulpal cells from apoptosis. 14-18 human subjects will be recruited forming two groups where pulp re-vascularization/regeneration procedures will be performed with or without the use of NAC treatment prior to induction of bleeding. Recall follow-up appointments will be done at 6 months and 1 year post treatment with subsequent yearly appointments until full root growth has been achieved.

NCT ID: NCT03215225 Completed - Endodontic Disease Clinical Trials

Endodontic Root-canal Treatments Evaluated After Long-term Time

ENDOBO20
Start date: December 1, 1989
Phase: N/A
Study type: Observational

The aim of the study was to evaluate the root canal treatments performed from 1989 to 1995. Type of complication, success, new endodontic diseases and number of success were reported. Mean clinical parameters were clinical symptoms and presence/absence of apical radiolucency.

NCT ID: NCT03042377 Completed - Postoperative Pain Clinical Trials

Postoperative Pain in Single-visit and Multiple-visit Retreatment Cases

Start date: March 1, 2015
Phase: Phase 4
Study type: Interventional

The purpose of this randomized clinical trial was to evaluate the incidence of postoperative pain after retreatment using different techniques. Patients whom need retreatment were included. The presence of postoperative pain was assessed after retreatment cases at 1, 6, 12, 24 and 48 hrs.

NCT ID: NCT02824601 Completed - Endodontic Disease Clinical Trials

Photodynamic Therapy in Endodontic Treatment

Start date: February 2015
Phase: Phase 2
Study type: Interventional

This randomized clinical trial evaluated the effectiveness of supplemental photodynamic therapy (PDT) in optimizing the removal of bacteria and endotoxins from primarily infected root canals after one-visit and two-visit treatments.Twenty-four primarily infected root canals with apical periodontitis were selected and randomly divided into one-visit (n=12) and two-visit treatments (n=12). Chemo-mechanical preparation (CMP) was performed by using the single-file reciprocating technique + 2.5% NaOCL and a final rinse with 17% Ethylenediamine tetraacetic acid (EDTA). The photosensitizer agent (methylene blue 10 mg/mL) was applied to root canals for 60 seconds and submitted to laser with a potency of 60 milliwatts (mW) and energy density of 129 J/cm2 for 120 seconds after CMP in the one-visit treatment and after 14-day inter-appointment medication with Ca(OH)2 + saline solution (SSL) in the two-visit treatment. Samples were collected before and after root canal procedures. Endotoxins were quantified by chromogenic limulus amebocyte lysate assay. Culture techniques were used to determine bacterial colony-forming unit counts.