Restorations and Furcation Involvement on Molars

Furcation Defects Clinical Trial

Official title:

Relationship Between Molar Restoration and Furcation Involvement

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05481580
• Other study ID #: Perio2
• Status: Not yet recruiting
• Start date: September 1, 2022
• Est. completion date: June 30, 2023

Study information

• Verified date: July 2022
• Source: University of Cagliari
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The aim of this study will be to analyze the relationship between the presence of second class restorations (interproximal fillings) or prostheses (crowns, bridges) on molar teeth and the presence of bone resorption between the roots of the latter. Patients with this type of restorations will be identified and a non-interventional clinical and radiographic analysis will be conducted.

Description:

Patients who have a molar tooth reconstructed with a second class filling according to Black, or a with crown or that is abutment of a prosthetic bridge will be included in the study provided they have at least one other intact molar. The molars included in the study do not have to be wisdom teeth. In these patients, in addition to the presence of furcations (bone resorption in the space between the roots), the probing depth (PD), the loss of clinical attachment (CAL), bleeding on probing ( BOP), mobility, width of the keratinized tissue, the length of the root trunk (measured radiographically), the presence or absence of endodontic treatments (evaluated on the radiography), the anatomy of the roots (widely separated, fused, separated but fused) and the presence of enamel projections will be recorded. Data will be analyzed with utilizing Pearson chi-square and the pair-wise t test. The analysis of these data will provide us with evidence on the influence that interproximal restorations and fixed prostheses, in the presence of other co-factors, have on the presence of furcations in molars.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 200
• Est. completion date: June 30, 2023
• Est. primary completion date: June 30, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patients who have molars both with and without restorations
• Restorations presents for at least 5 years

Exclusion Criteria:

• Patients who do not want to undergo evaluation
• Patients who cannot undergo radiation (pregnant women)
• Patients who do not have at least one other unrestored molar

Related Conditions & MeSH terms

• Furcation Defects

Intervention

Diagnostic Test:
• Periodontal probing
The teeth involved will be probed to assess probing depth, presence of furcation, bleeding. A radiograph will be taken to assess the length of the root trunk and the presence of root canal treatment

Locations

Country	Name	City	State
Italy	Policlinico Duilio Casula, AOU Cagliari	Monserrato	CA

Sponsors (1)

Lead Sponsor	Collaborator
University of Cagliari

Country where clinical trial is conducted

Italy, 

References & Publications (4)

Brunsvold MA, Lane JJ. The prevalence of overhanging dental restorations and their relationship to periodontal disease. J Clin Periodontol. 1990 Feb;17(2):67-72. Review. — View Citation

Hou GL, Tsai CC. Relationship between periodontal furcation involvement and molar cervical enamel projections. J Periodontol. 1987 Oct;58(10):715-21. — View Citation

Nibali L, Zavattini A, Nagata K, Di Iorio A, Lin GH, Needleman I, Donos N. Tooth loss in molars with and without furcation involvement - a systematic review and meta-analysis. J Clin Periodontol. 2016 Feb;43(2):156-66. doi: 10.1111/jcpe.12497. Epub 2016 Feb 12. Review. — View Citation

Wang HL, Burgett FG, Shyr Y. The relationship between restoration and furcation involvement on molar teeth. J Periodontol. 1993 Apr;64(4):302-5. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Presence of furcation	The presence of bone resorption between the roots of the molar	At the time of evaluation, the first time the patients is seen (time 0)