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The effectiveness of an internet based computer database for data collection in a randomised controlled trial to evaluate immediate extirpation of necrotic pulp tissue and placement of Ledermix® in avulsed and replanted teeth in comparison to the current recommendations
ISRCTN ISRCTN58467151
ClinicalTrials.gov identifier
Public title The effectiveness of an internet based computer database for data collection in a randomised controlled trial to evaluate immediate extirpation of necrotic pulp tissue and placement of Ledermix® in avulsed and replanted teeth in comparison to the current recommendations
Scientific title
Acronym N/A
Serial number at source Version 2, 9-12-04
Study hypothesis This is a multi-centre randomised controlled trial to compare the effectiveness of Ledermix® and Ultracal XS® on the type of healing (favourable or unfavourable) following tooth avulsion and replantation.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Tooth avulsion and replantation
Participants - inclusion criteria There are two ways to be accepted onto the trial; acute and delayed presentation to the specialist unit.

Inclusion criteria for acute presentation are:
1. Patients who have avulsed a tooth that has been replanted and are under the age of 16 years
2. The tooth has completed root development with or without an open apex (as these teeth have no chance of pulpal regeneration)
3. With no more than 20 minutes dry extra-alveolar time
4. A maximum total time of one hour has elapsed with the tooth being kept outside the mouth in milk or other storage media and a maximum of 20 minutes being kept in dry conditions
5. With no previous endodontic treatment carried out
6. The patient presents to the specialist unit within ten days following the injury (this ensures that the patient has a chance of randomly being entered into one or other treatment group)

Inclusion criteria for delayed presentation:
1. Where replantation has been carried out away from a specialist centre and is performed within the guidelines of the International Association of Dental Traumatology (2003)
2. Details can be obtained from the dentist who provided this treatment (e.g. extra alveolar time, extra alveolar medium, dry time, surface contamination, antibiotics, etc.)
3. Meets the same inclusion criteria as listed above for acute presentation
Participants - exclusion criteria Not fulfilling the inclusion criteria
Anticipated start date 20/07/2005
Anticipated end date 30/09/2008
Status of trial Completed
Patient information material
Target number of participants 200
Interventions Pulp extirpation as early as possible (Day 0–10) following tooth avulsion and placement of Ledermix® versus pulp extirpation at Day 7–10 and placement of Ultracal XS® (non setting calcium hydroxide).
Primary outcome measure(s) To compare the effect of these two root canal pastes on the periodontal healing and consequent tooth survival.
Secondary outcome measure(s) To evaluate the effectiveness of a web based computer database for data collection in a multi-centred randomised controlled trial for two types of treatment for avulsion injuries.
Sources of funding Blackwell Supplies (purchase of equipment and free materials)
Optident (free materials)
Medartis (free materials)
Trial website
Publications 1. 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21763893
Contact name Dr  Peter  Day
  Address Department of Paediatric Dentistry
Level 6
Leeds Dental Institute
Clarendon Way
  City/town Leeds
  Zip/Postcode LS2 9LU
  Country United Kingdom
  Tel +44 (0)113 343 6138/9
  Fax +44 (0)113 3436140
  Email p.f.day@leeds.ac.uk
Sponsor University of Leeds (UK)
  Address Senior Research Manager
School of Medicine
24 Hyde Terrace
University of Leeds
  City/town Leeds
  Zip/Postcode LS2 9LN
  Country United Kingdom
  Tel +44 (0)113 343 3264
  Fax +44 (0)113 343 4217
  Email j.gower@leeds.ac.uk
Date applied 30/08/2005
Last edited 21/12/2011
Date ISRCTN assigned 12/10/2005
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