Periapical Disease
Conditions
Keywords
piezoelectric surgery, quality of life, hemostasis
Brief summary
This study will compare the effect of piezo Vs bur on quality of life and healing after endodontic surgery.
Detailed description
The goal of endodontic surgery has changed from mere reduction of periapical pathosis and preservation of periodontium to successful postoperative management of patient regarding function and esthetics, improving the quality of life of patient and their overall acceptance. Piezoelectric bone surgery is a recent and innovative technology, permitting selective cutting of mineralized tissues sparing soft tissues.In this study after thorough clinical & radiographic examination patients will be given informed consent after explaining the treatment procedure and its associated risks and benefits. Patients are allocated into 2 groups, group 1(piezo group) in which after flap reflection bone cutting and root end cutting are performed with US6 piezoelectric insert and in group 2(control) bone and root end cutting are performed with conventional bur. Each patient will be given a questionnaire to fill out for each day starting from the day of surgery for 7 days postoperatively to assess the quality of life. They will be also requested to note down the details of analgesic intake. Hemorrhage control during surgery will be assesed. Clinical and radiographic examinations will be performed every 3, 6 and 12 months to evaluate any evidence of signs and/or symptoms and after 12 month follow up post operative CBCT taken to evaluate volume reduction of lesion postoperatively.
Interventions
PROCEDUREpiezoelectric surgery
after flap reflection bone and root end cutting are done with piezoelectric surgical insert
PROCEDUREconventional bur
after flap reflection bone and root end cutting are done with surgical bur
Sponsors
Postgraduate Institute of Dental Sciences Rohtak
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients with no general medical contra-indications for oral surgical procedures (ASA-1 or ASA-2). 2. Patients of age 16 years and above. 3. The tooth to be treated surgically should have a periradicular lesion of strictly endodontic origin (chronic apical periodontitis). 4. The nonsurgical re-treatment was judged unfeasible or had previously failed. 5. The tooth had an adequate final restoration with no clinical evidence of coronal leakage. 6. The apical area of the root canal should be devoid of the presence of a post for at least 6 mm. 7. Patients with no acute symptoms.
Exclusion criteria
1. Unrestorable tooth. 2. Fractured / perforated tooth. 3. Apicomarginal defects. 4. Through & through lesions. 5. Teeth with deep pockets. 6. Serious medical illness(uncontrolled/poorly controlled diabetes, unstable or life threatening conditions or requiring antibiotic prophylaxis).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life assessment | Till 1 week after surgery | By quality of life questionnaire(Igor Tsesis et al) |
| Postoperative healing | 12 months | 2D radiographic healing by Rud et al and Molven et al criteria and 3D healing by modified PENN 3D criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| hemorrhage control | during surgery | assessed by scores used by Vy et al |
Countries
India
Outcome results
None listed