Clinical and Radiographic Evaluation of Calcium Hypochlorite Versus Saline As Root Canal Irrigants in Pulpectomy of Primary Molars: a Randomized Clinical Trial

Launched by CAIRO UNIVERSITY · Dec 19, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at two different solutions used during a dental procedure called pulpectomy, which is often necessary for young children with severely decayed primary molars (the back teeth). The researchers want to find out if using Calcium Hypochlorite, a disinfecting solution, is more effective than using saline, which is a simple saltwater solution, in treating these teeth. The goal is to see which solution helps achieve better results when it comes to healing and health of the tooth.

To participate in the trial, children must be between 4 and 7 years old and have specific dental issues, such as deep cavities affecting the pulp (the innermost part of the tooth) and signs of irreversible pulpitis, which means the pulp is damaged and cannot heal on its own. The trial aims to include children who are healthy, cooperative, and can attend follow-up visits. Parents will need to give consent for their child to participate. This study is important as it could help dentists choose the best treatment option for children with severe tooth decay.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• 1. Clinical Criteria:
• • Children aged between 4 years and 7 years.
• • Mandibular primary molars with deep caries lesion involving pulp.
• • Mandibular primary molars that exhibit symptoms of irreversible pulpitis.
• • Normal gingival and periodontal condition, with no sensitivity to vestibular palpation, and no pain on percussion test.
• • No history of swelling, fistula or sinus tract related to the offending molar.
• 2. Radiographic criteria:
• • No sign of radiolucency in periapical or furcation area.
• • No widening of PDL space or loss of lamina dura continuity.
• • No evidence of internal/external pathologic root resorption.
• Exclusion Criteria:
• • Uncooperative children to avoid time waste and attrition bias.
• • Children with systemic disease as some systemic diseases may have effect on the outcome (Segura-Egea et al., 2023).
• • Lack of informed consent by the child patient's parent to be approved ethically.
• • Unable to attend follow-up visits to avoid attrition bias by decreasing number of drop off cases.
• • Refusal of participation as the parent of child has the authority of participation.
• • Teeth near exfoliation time showing root resorption.