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CTRI Number  CTRI/2024/06/069219 [Registered on: 19/06/2024] Trial Registered Prospectively
Last Modified On: 15/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing How Well an Electronic Apex Locator and Special X-rays Determine Root Canal Length in Childrens Lower Molars with and without Root Damage  
Scientific Title of Study   Evaluating the Specificity and Sensitivity of Electronic Apex Locator Compared to Photostimulable Phosphor Radiographs for Establishing the Working Length in Pulpectomy of Primary Mandibular Second Molar With and Without Root Resorption – An In Vivo Study 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr B Bhanu Teja 
Designation  First Year Post graduate student 
Affiliation  JSS Dental College and Hospital 
Address  Room no-5,Department of Pediatric and Preventive Dentistry ,JSS Dental college ,Bannimantap ,mysore,570015

Mysore
KARNATAKA
570015
India 
Phone  9502337553  
Fax    
Email  bhanutejab1125@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Brinda Suhas Godhi 
Designation  Reader 
Affiliation  JSS Dental College and Hospital 
Address  Room no-5,Department of Pediatric and Preventive Dentistry ,JSS Dental college ,Bannimantap ,mysore,570015

Mysore
KARNATAKA
570015
India 
Phone  7259749417  
Fax    
Email  dr.brindasgodhi@jssuni.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr B Bhanu Teja 
Designation  First Year Post graduate student 
Affiliation  JSS Dental College and Hospital 
Address  Room no-5,Department of Pediatric and Preventive Dentistry ,JSS Dental college ,Bannimantap ,mysore,570015

Mysore
KARNATAKA
570015
India 
Phone  9502337553  
Fax    
Email  bhanutejab1125@gmail.com  
 
Source of Monetary or Material Support  
JSS Dental College and Hospital,Bannimantap,Mysuru,Karnataka 570015 
 
Primary Sponsor  
Name  JSSAHER 
Address  Room no 5,Department of Pediatric and Preventive Dentistry,JSS Dental College and Hospital, Bannimantap,Mysore,570015 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
Dr B Bhanu Teja  Room no 5,Department of Pediatric and Preventive Dentistry,JSS Dental College and Hospital, Bannimantap,Mysore,570015 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr B Bhanu Teja  JSS Dental College and Hospital  Room no 5,Department of Pediatric and Preventive Dentistry,JSS Dental College and Hospital,Bannimantap,Mysore 570015
Mysore
KARNATAKA 
09502337553

bhanutejab1125@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JSS Dental College and Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  9.00 Year(s)
Gender  Both 
Details  1.Children of age 4-9 years with primary mandibular second molars.
2.Children from both the sexes.
3.Primary mandibular second molars, with three canals and more than two third of the root length remaining radiographically.
4.Primary mandibular second molars with irreversible pulpitis, necrotic pulp indicated for pulpectomy
 
 
ExclusionCriteria 
Details  1.Children with underlying systemic conditions, immunocompromised and special health care needs.
2.Primary mandibular second molars with mobility, vertical root fracture.
3.Tooth which are non-restorable, with more than two third of root length is resorbed.
4.Children undergoing orthodontic treatment
5.Uncooperative patients (Frankl scale 1 and 2)
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1)To evaluate the accuracy of PSP radiograph in determining the working length in primary mandibular second molars with and without resorption  at baseline  
 
Secondary Outcome  
Outcome  TimePoints 
1.To evaluate the accuracy of ROOT ZX II apex locator in determining the working length in primary mandibular second molars with and without resorption
2.To compare the efficacy of ROOT ZX II with PSP radiograph in determining working length in primary mandibular second molars with and without resorption
 
Baseline 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/07/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [Bhanutejab1125@gmail.com].

  6. For how long will this data be available start date provided 20-06-2024 and end date provided 08-06-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

The working length has been determined by using convention radiograph and digital radiographs RVG. Compared to conventional radiographs RVG has certain advantages, which include an instantaneous display of the image on a viewing screen that eliminates the time and equipment required for film processing and also provides an additional ability to alter the displayed image that enhances the capability to identify details. The RVG image may be altered by varying the contrast in the grayscale, by reversal of the black and white aspects of the image (negative-to-positive conversion), and by selectively enlarging the screen image (the zoom feature)

Presently digital radiographs with photostimulable storage phosphor (PSP) plates have been widely used in clinical practice owing to their convenience and lower radiation dose compared to conventional radiographs. Among the currently used digital receptors, flexibility of PSP is considered an advantage compared to charge-coupled devices (CCD) and also image quality is very good both in low and high doses at PSP.The purpose is to assess the specificity and sensitivity of the EAL (Electronic Apex Locator, Root ZX II) compared to Digital PSP radiographs in determining the accurate length of root canals in primary mandibular second molars with and without resorption. Determining accurate root canal length is an important part of successful root canal therapy in primary teeth in order to minimize periapical injury and possible damage to succedaneous teeth. The accurate root canal length of primary teeth is difficult to predict because of the pattern of root resorption, which is either a physiological process in the lifespan of primary teeth or a pathological outcome due to periapical pathosis. The size, shape, and position of the root apices of primary teeth show continuous alteration. For this reason, it becomes difficult to accurately determine the root canal length of primary teeth. Therefore, one of the main concerns in the root canal treatment of primary teeth is to determine how far instruments should be advanced within the root canal and at what point the preparation and filling should terminate.
 
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