Comparing techniques for treating necrotic immature incisors

Comparison of Three Techniques in Bioceramic Apexification Procedure for Necrotic Immature Incisors: A Randomized Clinical Trial

Not applicable Interventional Damascus University · NCT06119477

This study is testing which of three different treatments works best for kids with damaged front teeth to help them heal and feel less pain.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment45 (estimated)
Ages7 Years to 11 Years
SexAll
SponsorDamascus University Academic / other
Locations1 site (Damascus)
Trial IDNCT06119477 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to identify the most effective bioceramic apexification techniques for children with necrotic maxillary incisors. Participants will undergo one of three procedures: Bioceramic Putty Apical Plugs, Single Cone Gutta-percha with Bioceramic Sealer, or a Combination of both. The study will evaluate post-operative pain, periapical healing, bioceramics extrusion, and the time required for each technique. Follow-up appointments will include clinical and radiological evaluations to assess outcomes.

Who should consider this trial

Good fit: Ideal candidates are children with necrotic maxillary incisors that have an open apex and evidence of chronic apical periodontitis.

Not a fit: Patients with systemic diseases affecting their immune status or those with unrestorable incisors may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment options for children with necrotic immature incisors, reducing pain and enhancing healing.

How similar studies have performed: While similar techniques have been explored, this specific comparison of bioceramic apexification methods is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients with one or more maxillary incisors with an open apex root (defined as root which root canal size equal or larger than #80 K-file) and presented with pulp necrosis and radiographic evidence of chronic apical periodontitis and periapical radiolucency greater than 3 mm.

Exclusion Criteria:

* Children with systemic diseases that compromised their general immune status.
* Uncooperative (definitely negative on the Frankl's behavioral scale).
* unrestorable incisors.

Where this trial is running

Damascus

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Immature TeethPeriapical Lesionpost-operative painperiapical lesion healingbioceramic apexification
Last reviewed 2026-06-09 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.