Modified Jessner's solution will be applied on the right side and glycolic acid 70% on the other side of the face.trichloroacetic acid 20% will be applied in one uniform coat to both sides

Melasma

Modified Jessner's solution will be applied on the right side until frosting

Modified Jessner's solution

Glycolic acid 70% on the other side of the face, then it will be neutralized with water after 5 minutes

Glycolic acid

Trichloroacetic acid 20% will be applied in one uniform coat to both sides of the face until frosting

Trichloroacetic acid

Modified Jessner's Solution With Trichloroacetic Acid Versus Glycolic Acid With Trichloroacetic Acid

The Efficacy of Combined Peels in Treatment of Melasma Using Modified Jessner's Solution With 20%Trichloroacetic Acid Versus 70%Glycolic Acid With 20% Trichloroacetic Acid : A Split-face Study

MASI = .3A(D+H) [forhead] + .3A(D+H)[right malar] + .3A(D+H)[left malar] + .1A(D+H)[chin]; A = area, D = darkness, and H = homogeneity. Area is based on percentage of the region covered by melasma using a 1-6 scale. Darkness is determined on a 0-3 scale. Homogeneity is based on a 0-4 scale.

Photos were evaluated using the grading of worse, no improvement, mild improvement or marked improvement comparing week 12 to baseline.

Ereny Ramsis

Principal Investigator

Assiut University

Traumatized permanent teeth obturated with ProRoot MTA after root canal treatment

Traumatized permanent teeth obturated with MTA+ Cerkamed after root canal treatment

Traumatized permanent teeth obturated with ProRoot MTA after root canal treatment
ProRoot MTA: Apical thirds of the root canals obturated with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK USA).

ProRoot MTA

Traumatized permanent teeth obturated with MTA+ Cerkamed after root canal treatment
MTA+ Cerkamed: Apical thirds of the root canals obturated with MTA + (Cerkamed, Stalowa Wola, Poland).

MTA+ Cercamed

Total

Sex: Female, Male

Region of Enrollment

Changes in the dimensions of periapical lesions will be performed according to the analysis of initial and post treatment radiographs (baseline, 3, 6, 12, and 24-months subsequent to obturation) after being photographed using a digital camera Kodak EasyShare Max (Z990) with millimetre measurer in order to obtain interpretation of sizes of periapical lesions during conversion of pixels in mm2 by digital data processing in Adobe Photoshop CS software. Sucessful radiographic assessment will include decrease in size of the periapical lesion at the recall time of 24 months.

Changes Between Initial and Post Treatment Dimensions of Periapical Lesions

Clinical examination will be used to assess the presence of spontaneous or provoked pain, discomfort during chewing, numbness or tenderness to percussion and/or palpation, altered tooth mobility, tooth crown discoloration or abscess and/or sinus tract.

Presence of Clinical Symptoms

Overall Study

Dr. Dejan Markovic, professor at Clinic for Pediatric and Preventive Dentistry

Periapical Diseases

Apical thirds of the root canals obturated with ProRoot MTA (Dentsply Tulsa Dental Specialties, Tulsa, OK USA).

Apical thirds of the root canals obturated with MTA + (Cerkamed, Stalowa Wola, Poland).

citric acid/nekrosis

Modified Jessner's Solution With Trichloroacetic Acid Versus Glycolic Acid With Trichloroacetic Acid

Use of Mineral Trioxide Aggregate in the Treatment of Traumatized Teeth

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