Furcation Defects, Periodontal Diseases
Conditions
Keywords
Periodontal disease, Furcation defects, Root resection
Brief summary
The goal of this clinical trial is to test in 10 patients with advanced furcation involvement on molars. The main question\[s\] it aims to answer are: • Is it possible to carry out root resection without endodontic treatment on molars? Tooth vitality will be checked (positive response to cold test). Root resection will be carried out under local anestesia. Following visits will be carried out for re-evaluation/maintenance according to clinical care every 3 mounths until 3 years follow-up.
Interventions
PROCEDUREroot resection
It will be carried out under local anestesia. Intra-crevicular or para-marginal gingival incision will be carried out and full-tickness mucoperiostal flaps will be raised to expose the affected roots. Whit the use (if possible) of a surgical stent an incision will be performed on the root to be removed. Biodentine will be used for retrogade obturation. The flaps will be sutured.
Sponsors
Azienda Ospedaliera, Universitaria Policlinico Vittorio Emanuele
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Pilot cohort study
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Patient diagnosed with stage III-IV periodontitis * Compliantpatient, as shown by full mouth plaque score\<30% * Previous non-surgical periodontal therapy within 6 mounths * Maxillary or mandibular molar affected by periodontal furcation involvement and scheduled for root resection * Positive to sensibility testing (cold/electric pulp tests) * No prosthesis or large restorations * Sufficiently divergent roots to make root resection feasible * Root trunk lenght at 3 mm as measured in periapical radiograph
Exclusion criteria
* Systemic contraindications to perform periodontal surgery/root resection * Fused roots * Presence of periapical radiolucency * Furcation class III affecting all roots of maxillary molar
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tooth vitality (positive response to cold test) | 3-year follow-up | following the 3rd visit will be make a re-evaluation of the tooth vitality, by a positive response to cold test, every 3 month. |
| No periapical lesion | 3-year follow-up | following the 3rd visit will be make a re-evaluation of the periapical heath condition, by a periapical rx, every year |
Countries
Italy
Outcome results
None listed