Tissue Characterization in Teeth Treated With a Regeneration Protocol
Information source: The University of Texas Health Science Center at San Antonio
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Pulp Necrosis
Intervention: Triple Antibiotic Paste (Drug); Triple Antibiotic Paste (Drug); Triple Antibiotic Paste (Drug)
Phase: Phase 0
Status: Completed
Sponsored by: The University of Texas Health Science Center at San Antonio Official(s) and/or principal investigator(s):
Kenneth M Hargreaves, DDS,PhD, Principal Investigator, Affiliation: University of Texas
Summary
The purpose of the investigators study is to characterize the composition of the hard and
soft tissues present in root canals of teeth previously diagnosed with necrotic pulps and
incomplete root formation and treated with a triple antibiotic regeneration protocol. The
investigators hypothesis is that treatment of teeth with necrotic pulps and immature apices
with triple antibiotic paste will stimulate continued root formation by the deposition of
dentin at the root apices. The primary outcome measure will be histological identification
of mineralized tissue and adherent cells in the apical third of these teeth.
Clinical Details
Official title: Tissue Characterization in Teeth Treated With a Regeneration Protocol
Study design: Allocation: Randomized, Endpoint Classification: Pharmacodynamics Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
Primary outcome: The primary outcome measure will be histological identification of mineralized tissue and adherent cells in the apical third of these teeth.
Secondary outcome: The secondary outcome measure will be conducted by measuring markers of stem cells prior to and after the formation of the blood clot.
Detailed description:
'Regeneration' as referred to in this protocol refers to the stimulation of continued root
formation by the deposition of apical tissues subsequent to disinfection of a necrotic root
canal and its contents and creation of a scaffold upon which cells can proliferate. While
the proposed treatment protocol is currently being used in clinical practice and has been
shown to be successful in case reports and case series, the nature of the proliferating
apical tissues remains unknown. Thus, this study is uniquely positioned to address a
critical gap in knowledge in the regeneration of a functional pulp-dentin complex. Moreover,
results obtained from pediatric cases may well provide the essential foundation of knowledge
for endodontists to apply this knowledge to the more difficult situation of regenerating the
pulp-dentin complex of the full mature permanent tooth.
Eligibility
Minimum age: 10 Years.
Maximum age: 60 Years.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- Patient Inclusion Criteria:
- Healthy volunteers ages 10-60 with a non-restorable (as determined by referring
dentist), permanent tooth with a necrotic pulp and incomplete root development.
- Persons who seem to be cooperative with dental treatment and able to indicate
willingness to obtain treatment and participate in the study and who are capable
of verbally expressing dissent.
- Parents who express understanding of study treatments and consent to treatment
for their child of the regenerative procedure.
- Healthy patients (ASA Class I or II physical status) with no systemic health
problems that may interfere with healing and cell growth.
- Tooth inclusion criteria:
- Permanent tooth with necrotic pulp and immature root development, scheduled for
extraction due to non-restorability.
- Clinically confirmed necrotic pulp that will be confirmed with common endodontic
pulp vitality tests (No response to cold or electric pulp test).
- Clinically confirmed immature root development that will be assessed
radiographically to confirm the non-restorability as diagnosed by the referring
dentist.
Exclusion Criteria:
- Patient Exclusion Criteria:
- Parents and patients unable to give consent or express dissent.
- Patients who are unwilling to undergo the dental treatment.
- Patients affected by temporomandibular joint disorders.
- Patients affected by known orofacial pain disorders.
- Patients with ASA Class III or IV physical status (Immuno-compromised patients
including patients who self-report that they are an HIV carrier, undergoing
steroid therapy or chemotherapy, or those who self-report with genetic or
systemic diseases that could result in reduced immune response).
- Tooth Exclusion Criteria:
- Teeth with vertical cracks that extend below the cemento-enamel junction.
- Teeth that cannot be isolated using a rubber dam.
- Teeth with non-odontogenic pathology.
- Teeth whose apices are fully developed, as determined radiographically and
correlated with dental age of patient.
Locations and Contacts
University of Texas Health Science Center, San Antonio, Texas 78229, United States
Additional Information
Starting date: March 2010
Last updated: March 26, 2014
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