Apical Periodontitis Clinical Trial
Official title:
Effect of Coronal Extent of Obturation in Relation to Marginal Bone on Endodontic - Periodontal Lesions Without Communication: A Randomized Controlled Trial
Verified date | September 2017 |
Source | Postgraduate Institute of Dental Sciences Rohtak |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Increased incidence of apical periodontitis was reported where root filling was found coronal to the marginal bone due to communication between pulp and periodontal space. It has been suggested to place intraorifice barrier in the canal to provide coronal seal. However there exists a void in literature regarding clinical validity of the termination of obturation apical to marginal bone and placement of intraorifice barrier in resolution of periapical pathology. Therefore this randomized controlled trial intends to investigate effect of coronal level of obturation on endodontic success and marginal breakdown.
Status | Completed |
Enrollment | 60 |
Est. completion date | November 15, 2017 |
Est. primary completion date | November 15, 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years and older |
Eligibility |
Inclusion Criteria: 1. Mature permanent mandibular molars. 2. Pulpal necrosis as confirmed by negative response to pulp sensibility test (cold and electric pulp test) ; 3. Radiographic evidence of apical periodontitis in the form of periapical radiolucency (size not more than 2 × 2 mm); 4. Generalized chronic periodontitis criteria will be considered when = 30% of sites will be involved with clinical attachment loss (CAL) slight = 1or 2mm, Moderate = 3-4mm, and severe = 5mm. 5. Probing depth<4mm 6. Radiographic alveolar bone breakdown not more than one third of root length. Exclusion Criteria: 1. Younger than 18 years; 2. Pregnant, diabetic, or immunocompromised; 3. Having a positive history of antibiotic use within the past month or require antibiotic premedication for dental treatment (including infective endocarditis or prosthetic joint prophylaxis); 4. Teeth having previous root fillings, unrestorable teeth, fractured/perforated roots, grade 3 mobility, and history of recent periodontal therapy (within previous 6 months); and 5. Teeth with established endodontic-periodontal lesions exhibiting <2 mm radiopaque bone between the root apex. |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Postgraduate Institute of Dental Sciences Rohtak |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Clinical success | Success was defined as absence of signs and symptoms and reduction in pocket depth measured in millimeter. | Baseline to one year. | |
Primary | Radiographic Success | Absence of periapical alterations (radiolucency at furcal or periapical region). | Baseline to one year |
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