Endodontic Disease, Endodontic Re-treatment Failure
Conditions
Keywords
Endodontic surgery, Guided surgery, 3D guide
Brief summary
This study is to compare the clinical and radiographic outcomes after guided periapical endodontic surgery versus conventional endodontic surgery.
Detailed description
The aim of this study is to compare the clinical and radiographic outcomes after guided periapical endodontic surgery versus conventional endodontic surgery. Patients having mandibular posterior teeth indicated for endodontic surgery will be selected. Full medical and dental history will be obtained from all patients. Patients will be randomly assigned to either guided endodontic surgery or conventional endodontic surgery. Surgical procedures will be done under magnification. Root-end cavities will be filled using MTA.Post surgical instrucions will be given to patients. Surgical time will be recorded. Clinical and radiographic success will be asses at 6 and 12 month.
Interventions
Use of a 3D guide in endodontic surgery
Use of a mock guide in endodontic surgery
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients in good general health. 2. Patients with age ranging between 18-50 years with no sex predilection. 3. Posterior teeth with an indication for endodontic surgery. 4. Patients' acceptance to participate in the study.
Exclusion criteria
1. Patients with allergy to materials or medications used in the trial. 2. Pregnant female patients. 3. Teeth with pathoses associated with vertical root fracture. 4. Severe periodontal bone loss detected with a periodontal probe (5 mm probing depth).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical success | 1 year | Clinical assessment using a scale by friedman et al 2005 (healed, healing and persisting disease) which healed mean absence of clinical signs and symptoms, persisting disease mean presence of clinical signs and symptoms |
| Radio graphic Success | 1 year | Radiograhic assessment using a scale by friedman et al 2005 (healed, healing and persisting disease) which healed mean radiographic classification of complete healing or incomplete healing, persisting disease mean radiographic classification of unsatisfactory healing. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time of surgery | During surgery | Recording the surgical time in minutes. |