Active — Not RecruitingNot Applicable

Extraction of the Compromised First Permanent Molars

Egypt37 participantsStarted 2024-01-01

Plain-language summary

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.

Who can participate

Age range8 Years – 10 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

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.

What they're measuring

clinical spontaneous space closure

Timeframe: 3 years

radiographic spontaneous space closure

Timeframe: 3 years

Trial details

NCT IDNCT06231823

SponsorAin Shams University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2026-03

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