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Periapical Lesions clinical trials

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NCT ID: NCT06400030 Completed - Periapical Lesions Clinical Trials

A Comparison Between Two Types of Sealers in the Healing of Periapical Lesions

Start date: June 22, 2020
Phase: N/A
Study type: Interventional

This clinical study will evaluate the effect of BioCeramic sealer with single cone compared with the control group treated with AH Plus with lateral condensation in root canal obturation on the healing of periapical lesions. The study sample will consist of 41 patients with 65 teeth with clear periapical lesions. Root canal obturation will be applied for all patients. BioCeramic sealer will be applied for the experimental group only. The changes of the dimensions of the periapical lesion will be assessed using CBCT radiographs; pre- and post- treatment changes for each group will be evaluated individually.

NCT ID: NCT05818657 Completed - Clinical trials for Chronic Kidney Diseases

Association of Apical Periodontitis With Chronic Kidney Disease

Start date: December 1, 2021
Phase:
Study type: Observational

This investigation is aimed to assess the prevalence and severity of apical periodontitis (AP) in different stages of CKD patients and its impact on the systemic (nutritional and inflammatory) markers was compared to healthy individuals.

NCT ID: NCT05609747 Active, not recruiting - PERIAPICAL LESIONS Clinical Trials

Effect of NSRCT on HbA1c and Inflammatory Markers in Healthy and Type 2 Diabetes Patients With Apical Periodontitis

Start date: December 27, 2021
Phase: N/A
Study type: Interventional

To the best of knowledge, only 2 prospective studies, and 1 cross-sectional study have been reported which have seen the periapical healing after non surgical endodontic treatment in diabetic patients and their effect on HbA1c. Because of the inconsistencies in data available from the literature and considering the limitations of cross-sectional studies, further studies, especially using a prospective design, are required. So, aim is to investigate the effects of non surgical endodontic treatment on healing and systemic inflammation in individuals with and without diabetes.

NCT ID: NCT05538104 Not yet recruiting - Periapical Lesions Clinical Trials

The Accuracy of Computer Aided Detection of Periapical Radiolucencies on Cone -Beam Computed Tomography Images Using Artificial Intelligence

Start date: September 2022
Phase:
Study type: Observational

A diagnostic accuracy study to assess the accuracy of a newly developed deep learning model in the automatic detection of periapical radiolucent lesions of upper and lower jaws by comparing it with experienced radiologists' opinion, which represents the ground truth. Hypothesis: The null hypothesis is that the results of the deep learning model are as accurate as the radiologists' opinion.

NCT ID: NCT04399512 Recruiting - Liver Cirrhosis Clinical Trials

Oral Health Status in Patients With Cirrhosis and Effect of Dental Treatment on MELD Score of Cirrhosis Patients

Start date: January 1, 2020
Phase: N/A
Study type: Interventional

It has been found that there is an association between prevalence of odontogenic infection and systemic diseases.Cirrhosis has also been associated with poor oral health status.Treating those patients accordingly can help in reducing the source of infection to some extent and may be associated with reduction in mortality.

NCT ID: NCT04355988 Completed - Periapical Lesions Clinical Trials

Glycemic Levels on Healing of Periapical Lesions in Type 2 Diabetic Patients

Start date: April 1, 2018
Phase: N/A
Study type: Interventional

Increased incidence of peri-radicular lesions have been reported in diabetic patients which has been implicated due to compromised immune response. Much research has been done on the pathogenesis and progression of this lesion in diabetic patients. Although there are few studies which focus on healing of periradicular lesions after nonsurgical root canal treatment. There is a lacunae in literature which highlights peri-radicular healing after nonsurgical root canal treatment in relation to Glycaemic control in diabetic patients measured in terms of HbA1c levels.

NCT ID: NCT03430557 Active, not recruiting - Periapical Lesions Clinical Trials

Platelet Rich Plasma in Healing of Through and Through Periradicular Lesions

Start date: November 1, 2016
Phase: N/A
Study type: Interventional

Title : Evaluation of the efficacy of Platelet Rich Plasma (PRP) in healing of through and through lesions Rationale: Bone replacement analogues have been used in the healing after periapical surgery. It has been a controversial issue to use bone grafts due to varied outcomes of different studies showing both improved outcomes and no difference. Lacunae while using bone grafts is their radiopacity which compounds the radiographic incomplete or uncertain healing. Thence we will be using platelet rich plasma as bone filling material. Aims and Objectives : To evaluate outcome of platelet rich plasma in healing after periapical surgery for through an through lesions. Setting: Department of Conservative Dentistry and Endodontics, PGIDS, Rohtak, Haryana. Study Design: Randomized controlled trial Time frame: 12-18 months Population/participant : Patients of age 16-45 years (male/female) will be enrolled in the study with diagnosis of through and through lesions. Inclusion criteria:- Patients of age 16 -45 years, -ve response to sensibility test, failed previous rct with purulent discharge, recurrent episode of purulent discharge. Exclusion Criteria:- Unrestorable tooth, fractured /perforated roots, serious medical illness, smokers, pregnant females and lactating mothers, grade 3 mobile teeth, the need for antibiotic prophylaxis prior to dental care. Sample size - a sample size of 30 patients has been calculated with n=15 in each group. Methods- Clinically and radiographically diagnosis of lesion, sensibility test by heat, cold, EPT, preoperative evaluation by bleeding on probing, clinical attachment level, gingival marginal position & pocket depth. Surgical procedures will be carried out under operating microscope with 8 × 16 magnification by following standardized treatment methods. Outcome Measures- The primary outcome variables observed for the study will be 3,6,9,12 months clinical and radiographic success rates in terms of resolution of periapical radiolucency using the same criteria as preoperatively on the radiograph and alleviation of clinical sign and symptoms. Statistical Analysis : Intergroup and intra group comparison will be done according to distribution of data. Categorical data will be analyzed using chi-square test. Regression analysis will be done to observe any association between dependent and independent variables.

NCT ID: NCT03284736 Active, not recruiting - Periapical Lesions Clinical Trials

Guided Tissue Regeneration in the Healing of Through and Through Lesions

Start date: October 2016
Phase: N/A
Study type: Interventional

Study Title: Effects of Guided Tissue Regeneration on the Healing of Through & Through Periradicular Lesions - A Randomized Controlled Study Rationale: Through and through defects found to be difficult to heal without GTR intervention. Various studies has been done either with graft or without graft but no randomized controlled trial has been done on resorbable membrane(GTR) in through and through lesion. Aim & Objectives: To evaluate the effect of resorbable collagen membrane in the healing of through & through lesion. Setting: Study was conducted in Post Graduate Institute Of Dental Sciences, Rohtak in the department of Conservative Dentistry & Endodontics. Study Design: Randomized Controlled Trial Time Frame: March 2016 to October 2017 Population / Participants: Patients of age 16 years (male/female) and above were enrolled in the study. Inclusion Criteria: Patients of age 16 years and above, -ve response to vitality test, failed previous root canal treatment with purulent discharge, failed previous surgery, recurrent episode of purulent discharge. Exclusion Criteria: Unrestorable tooth, fractured /perforated roots, serious medical illness, smokers, pregnant females and lactating mothers, grade 3 mobile teeth, the need for antibiotic prophylaxis prior to dental care. Sample size: 30 patients (15 patients in each group) Methods: Clinically and radiographically diagnosis of lesion, vitality check by EPT, preoperative evaluation by bleeding on probing, clinical attachment level, gingival marginal position & pocket depth. Surgical procedures will be carried out under operating microscope with 8 × 16 magnification by following standardized treatment methods. Outcome measures: Follow up of patients were carried out at 3, 6, 9 & 12 months and outcome measures were compared with same method done pre operatively and described as Complete healing, incomplete healing (scar tissue), uncertain healing, unsatisfactory healing (failure). Statistical method: Data will be analyzed with suitable statistics method.