Extraction of the Compromised First Permanent Molars

N/AActive Not RecruitingNCT06231823

Ain Shams University37 enrolled

Overview

Compromised first permanent molars (FPM), whether diagnosed with severe molar incisor hypomineralization (MIH), irreversible pulpities, or necrosis, require frequent re-treatment consequently entering the restorative cycle, which leads to their inevitable extraction and implant placement. Extraction of compromised first permanent molars in 8-10-year-old children allows the mesial migration of the second permanent molars during their eruption, thereby favoring spontaneous space closure as a permanent solution.

Extraction of compromised first permanent molars in children decreases the burden of repeated restorative procedures for theses molars, which will eventually need frequent repair. This will end in their inevitable extraction with its consequences. The extraction of the FPM will be delivered by Nour Wahba, Dina Darwish, and Basma Nagi, lecturers in Pediatric Dentistry and Dental Public Health Department, faculty of Dentistry, Ain Shams University.All patients will be recalled for follow-up yearly for three-years. The first follow-up will be done after 6months to perform the Quality of life questionnaires. The position of the second permanent molar will be checked clinically and radiographically to evaluate the space between second premolar and the second molar.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Caries Caries,Dental

Interventions

ExtractionOTHER

Simple / surgical dental extraction for necrotic. irreversible pulpitis, unrestorable, and first permanent molars with sever molar incisor hypomineralization.

Eligibility

Sex: ALLMin age: 8 YearsMax age: 10 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Healthy patients\' class I according to the American Society of Anesthesiologists (ASA class I) * Age: 8-10 years * Angle class I occlusion * The radiographic presence of the second premolar * The radiographic stages of development E or F for formation the second permanent molar. * First permanent molar that is severely affected by MIH, signs of necrosis, signs of irreversible pulpitis or non-restorability. Exclusion Criteria: * Refusal of the parents to sign the informed consent. * Signs of reversible pulpitis of first permanent molar. * Patients with severe malocclusion.

Locations (1)

Ain Shams University

Cairo, El-Willi, Egypt

Outcomes

Primary Outcomes

clinical spontaneous space closure

Clinically, using periodontal probe measure the amount of space between the distal surface of second premolar and mesial surface of second permanent molar.

Time frame: 3 years

radiographic spontaneous space closure

radiographically, using panoramic radiograph

Time frame: 3 years

Secondary Outcomes

assessment of the Quality of life

Measure the quality of life of the children before extraction and at 6 months follow-up using parent perception questionnaire and family impact scale (P-CPQ and FIS) and child perception questionnaire 8- 10 or 11-14 (CPQ 8-10; CPQ 11-14) according to the child's age.

Time frame: 6 months

Midline shift

Investigate the midline shift by clinical examination.

Time frame: 3 years

Data from ClinicalTrials.gov

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