Minimally Invasive Management During Endodontic Retreatment

Teeth, Endodontically-Treated Clinical Trial

Official title:

Minimally Invasive Management of Separated Instruments in Vertucci Type ii Canals: A Radomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04737863
• Other study ID #: ASFD-ENDO-2
• Status: Completed
• Phase: N/A
• Start date: January 1, 2020
• Est. completion date: April 30, 2021

Study information

• Verified date: July 2021
• Source: Ain Shams University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study compares the prognosis of cases treated with "selective root retreatment" to the cases treated with traditional retreatment approach

Description:

Post-treatment apical periodontitis is an inflammatory disorder of peri-radicular tissues caused by either persistent or secondary intra-radicular infection .Conventionally, nonsurgical retreatment has been believed to be an ''all or none'' treatment approach in which the endodontist has to remove all restorations from the tooth and to remove the obturation materials from all the canals in order to perform thorough disinfection of the entire root canal system. Nowadays, All operations in the medical field are aimed basically at the conservation of the human body. The alternative concept allows the endodontist to formulate clinical treatment decisions with respect to the presence of periapical pathosis related to individual roots rather than the tooth as a whole. The literature is lacking the clinical outcome studies dealing with the prognosis of cases treated with "selective root retreatment" concept so the aim of this study was to compare the prognosis of such cases in comparison to the traditional retreatment approach.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: April 30, 2021
• Est. primary completion date: March 12, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

Inclusion Criteria:

• endodontically treated teeth
• multirooted teeth
• radiographic evidence of periradicular infection related to one root

Exclusion Criteria:

• medically compromised patients
• fused roots
• root resorption
• root fracture

Related Conditions & MeSH terms

• Teeth, Endodontically-Treated
• Tooth, Nonvital

Intervention

Procedure:
• Endodontic retreatment
Root canal retreatment in cases with secondary root canal infection

Locations

Country	Name	City	State
Egypt	Faculty of Dentistry, Ainshams University	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Ain Shams University

Country where clinical trial is conducted

Egypt, 

References & Publications (2)

Liang YH, Li G, Wesselink PR, Wu MK. Endodontic outcome predictors identified with periapical radiographs and cone-beam computed tomography scans. J Endod. 2011 Mar;37(3):326-31. doi: 10.1016/j.joen.2010.11.032. — View Citation

Nudera WJ. Selective Root Retreatment: A Novel Approach. J Endod. 2015 Aug;41(8):1382-8. doi: 10.1016/j.joen.2015.02.035. Epub 2015 Apr 21. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	volumetric change of periapical lesion size in CBCT	assessment of healing of periradicular infection in terms of change of the size of periapical lesion in CBCT analysis	one year