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Assessment of a New Apexification Method for Patients Presenting a Non Vital Immature Tooth (APEXMTA)
This study is currently recruiting participants.
Verified by Assistance Publique - Hôpitaux de Paris, May 2007
Sponsored by: Assistance Publique - Hôpitaux de Paris
Information provided by: Assistance Publique - Hôpitaux de Paris
ClinicalTrials.gov Identifier: NCT00472173
  Purpose

Pulp necrosis is one of the main complication of dental trauma. When it happens on an immature tooth, pulp necrosis implies a lack of root maturation and apical closure. A therapy called apexification is required to induce the formation of a calcified apical barrier allowing a permanent and hermetic root filling.The aim of this study is to compare the efficacy of a new apexification method using Mineral Trioxide Aggregate (MTA®) with the reference treatment based on calcium hydroxide repeated stimulations.


Condition Intervention Phase
Dental Pulp Necrosis
Drug: Hydroxide de calcium- Mineral Trioxide Aggregate
Phase III

MedlinePlus related topics: Calcium Minerals
Drug Information available for: Calcium gluconate Calcium hydroxide
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety Study
Official Title: Assessment of a New Apexification Method for Patients Presenting a Non Vital Immature Tooth

Further study details as provided by Assistance Publique - Hôpitaux de Paris:

Primary Outcome Measures:
  • Main success criterion: presence of a calcified apical barrier or not at 3, 6 and 12 months [ Time Frame: 30 days ]

Secondary Outcome Measures:
  • Additional criterions :- presence of clinical symptoms or not- apical morphology - depth of this apical barrier At 3, 6 and 12 months [ Time Frame: 12 months ]

Estimated Enrollment: 36
Study Start Date: May 2007
Estimated Study Completion Date: May 2009
Detailed Description:

36 patients aged 6 to 18 and presenting a non vital immature tooth will be included in the study (inclusion period: 12 months). These patients will be randomly divided into two groups: one treated with MTA®, and the other one with calcium hydroxide. For each patient, the total duration of the study will be 12 months. Recalls will be performed at 15 and 21 days and then at 3, 6 and 12 months to assess by clinical and X-ray exams the main success criterion: presence of a calcified apical barrier or not. Additional criterions such as presence of clinical symptoms or not, apical morphology and depth of this apical barrier will be observed. This randomised prospective therapeutic study will allow to assess the ability of MTA® inducing apexification of a non vital immature tooth. Furthermore, it will be possible to compare for both materials the kinetics of clinical symptoms disappearance and the morphology and depth of apices.

  Eligibility

Ages Eligible for Study:   6 Years to 18 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Indication of apexification treatment of an anterior immature tooth
  • Patients aged 6 to 18
  • Enlightened agreement of the patient and his/her legal representatives
  • Prerequisite medical examination

Exclusion Criteria:

General disease

  • diabetes
  • immunosuppression of whatever origin (AIDS, drugs, …)
  • severe asthma
  • chronical disease requiring treatment
  • eating disorders (anorexia, bulimia, malnutrition, …) Oral disease
  • periodontal disease
  • Administration of corticoids in a period of 3 months preceding the inclusion
  • Patient with no social security cover
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00472173

Contacts
Contact: Jean-Jacques Lasfargues, dentist PhD 0033 1 53 11 14 30 jean-jacques.lasfargues@brt.aphp.fr

Locations
France
Hôpital Bretonneau Recruiting
Paris, France, 75018
Contact: Raphaël Serreau, MD, PhD student     0033158411180     raphael.serreau@nck.aphp.fr    
Principal Investigator: Jean-Jacques Lasfargues, Dentist , PhD            
Sponsors and Collaborators
Assistance Publique - Hôpitaux de Paris
Investigators
Principal Investigator: Jean-Jacques Lasfargues, Dentist PhD Hôpital Bretonneau - Paris
Study Director: Raphaël SERREAU, MD, PhD student URC Paris Centre
  More Information

Study ID Numbers: P06236
Study First Received: May 10, 2007
Last Updated: May 10, 2007
ClinicalTrials.gov Identifier: NCT00472173  
Health Authority: France: Ministry of Health

Keywords provided by Assistance Publique - Hôpitaux de Paris:
Apexification
Pulp necrosis
Calcium hydroxide
MTA
pulp necrosis of an anterior immature tooth

Study placed in the following topic categories:
Calcium, Dietary
Tooth Diseases
Necrosis
Dental Pulp Necrosis
Dental Pulp Diseases
Stomatognathic Diseases

Additional relevant MeSH terms:
Pathologic Processes

ClinicalTrials.gov processed this record on January 14, 2009