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CTRI Number  CTRI/2026/04/108076 [Registered on: 09/04/2026] Trial Registered Prospectively
Last Modified On: 10/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Randomized Control Trial]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of Three Root Canal Filling Materials in Children’s Lower Back Milk Teeth Based on X-ray Quality 
Scientific Title of Study   Radiographic Evaluation of Obturation Quality in Mandibular Second Primary Molar Using Kedo Z-Plus, Metapex and Endoflas- An In-Vivo Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Somya Seth 
Designation  Postgraduate Student 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic-28, Department of Pediatric and Preventive Dentistry 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu

Thiruvallur
TAMIL NADU
600077
India 
Phone  7597698819  
Fax    
Email  sdc.ssomya@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ganesh J 
Designation  Professor, Head of Dept 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic-28, Department of Pediatric and Preventive Dentistry 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu

Thiruvallur
TAMIL NADU
600077
India 
Phone  9884293869  
Fax    
Email  helloganz@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Somya Seth 
Designation  Postgraduate Student 
Affiliation  Saveetha Dental College and Hospitals 
Address  Clinic-28, Department of Pediatric and Preventive Dentistry 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu

Thiruvallur
TAMIL NADU
600077
India 
Phone  7597698819  
Fax    
Email  sdc.ssomya@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Somya Seth 
Address  Saveetha Dental College And Hospitals 162, Poonamallee High Rd, Velappanchavadi, Chennai, Tamil Nadu, India Pin code-600077  
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Somya Seth  Saveetha Dental College And Hospitals  Clinic-28,Department of Pediatric and Preventive Dentistry 162, Poonamallee High Rd, Velappanchavadi Thiruvallur TAMIL NADU
Thiruvallur
TAMIL NADU 
7597698819

sdc.ssomya@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Dental College and Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K049||Other and unspecified diseases ofpulp and periapical tissues,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Endoflas  Root canal obturation performed using endoflas obturating paste placed according to manufacturer’s instructions following standardized canal preparation. 
Intervention  Kedo Z-Plus.  Root canal obturation performed using Kedo Z-Plus paste delivered through a syringe system following standardized canal preparation. 
Comparator Agent  Metapex  Root canal obturation performed using metapex paste delivered through a syringe system following standardized canal preparation. 
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  7.00 Year(s)
Gender  Both 
Details  1.Children aged 4 to 7 years.
2.Children requiring pulpectomy in at least one mandibular second primary molar.
3.Teeth diagnosed with irreversible pulpitis or necrotic pulp, indicated for pulpectomy.
4.Mandibular second primary molars with at least two-thirds of root length remaining and without advanced physiologic root resorption.
5.Teeth with restorable crowns and adequate remaining tooth structure.
6.Children with no known systemic diseases affecting healing or dental treatment.
7.Children whose parents/guardians provide written informed consent. 
 
ExclusionCriteria 
Details  1.Children younger than 4 years or older than 7 years.
2.Mandibular second primary molars with advanced physiologic or pathologic root resorption (more than one-third of root length).
3.Teeth with internal or external pathological resorption.
4.Teeth with non-restorable crowns, vertical root fractures, or extensive structural damage.
5.Teeth with periapical pathology involving the permanent successor tooth germ.
6.Teeth with severe root canal calcification, obliteration, or abnormal morphology preventing proper instrumentation.
7.Children with systemic illnesses, immunocompromised status, or conditions affecting wound healing.
8.Children with known allergy or hypersensitivity to any components of the obturating materials.
9.Children who are uncooperative or unable to tolerate treatment under routine clinical conditions.
10.Children who have received antibiotic therapy within the previous two weeks. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Radiographic assessment of the quality of root canal obturation in treated mandibular second primary molars.  Immediately after obturation 
 
Secondary Outcome  
Outcome  TimePoints 
1.Presence or absence of voids in the obturated root canals on immediate postoperative radiograph.
2.Extent of obturating material beyond the apex, if present, on immediate postoperative radiograph. 
Immediately after obturation 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 4 
Date of First Enrollment (India)   20/04/2026 
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="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - NO
Brief Summary  

This randomized controlled clinical trial aims to compare the radiographic quality of root canal obturation in mandibular second primary molars using three different obturating materials in children aged 4 to 7years. Eligible children requiring pulpectomy will be randomly allocated into three groups. Each group will receive root canal obturation with one of the study materials following standardized clinical procedures. The primary outcome will be the radiographic assessment of obturation quality immediately after treatment. The findings of this study are expected to provide evidence on the relative effectiveness of different obturating materials in pediatric endodontic treatment.

 
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