Antimicrobial Pastes and Clinical Cases of Apexogenesis

Adriana Kelly de Sousa Santiago Barbosa14 enrolled

Overview

The aim of this study was to perform a clinical and microbiological evaluation of teeth with incomplete apexogenesis and traumatic necrosis that were treated with a revascularization technique, evaluating the microbial reduction after the use a double antibiotic paste. Furthermore, the investigation also aims to identify the presence of Enterococcus faecalis and Porphyromomas gingivalis within the root canal system.

This investigation is a longitudinal prospective interventional study of a series of cases. Patients who sought treatment at the Faculty of Dentistry from June 2011 to September 2015 were selected. They should have one permanent tooth with traumatic necrosis.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Apexification Root Canal Therapy Dental Trauma

Interventions

ApexificationPROCEDURE

Apexification forms a calcified barrier in teeth with open apexes and pulp necrosis. It is used to treat immature teeth, but it does not promote the continuity of root formation.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * They should have one permanent tooth with traumatic necrosis, which in turns should show color alteration, fistulae, periapical lesion, and/or internal or external root resorption, pain, or absence of pulp response to sensitivity tests at a clinical examination to be considered necrotic. Male and female patients who had not undergone antibiotic therapy 3 months before the treatment were included and clinical and radiographic examinations confirmed pulp necrosis. Exclusion Criteria: * Patients who did use antibiotics * Patients who did loss of temporary coronary sealing between treatment sessions * Patients who give up the research

Locations (1)

Adriana Kelly de Sousa Santiago Barbosa

Fortaleza, Ceará, Brazil

Outcomes

Primary Outcomes

Number of teeth with apex closed according to nolle stages.

The apical closure of the teeth was evaluated by radiography /computed tomography every 3 months according to the nolla stages, in which a tooth is considered to be a closed apex in stage 9 of nolla

Time frame: 24 months

Secondary Outcomes

Number of patients with clinically and radiographically observed fistulas

The occurrence of fistulas through clinical signs and symptoms was observed for a period of 6 months in which it was recorded in medical records

Time frame: 6 months

Data from ClinicalTrials.gov

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