Periapical Lesion
Conditions
Brief summary
Effect of high magnification on quality of life and success after endodontic surgery: a randomized controlled trial
Detailed description
: Residual infection in untreated canal space is one of the most common cause of post treatment apical periodontitis. The prevalence of post treatment apical periodontitis has been reported to be 60% to 80%. Endodontic microsurgery and root resection removes the inaccessible apical ramifications and ensures adequate sealing of apical communication. Magnification has been recommended for better visualization of apical terminus. Various case reports and retrospective studies have reported higher success of apical surgery when magnification devices have been used as an adjunct to periapical surgery (setzer 2010, tsesis 2006, bud 2020). However, there are very few prospective studies and there is heterogeneity in data in terms of type of magnification used and there are very few studies comparing different magnification devices. To the best of our knowledge no randomized controlled trial has been done on the periapical surgery of maxillary anterior teeth which compares the effect of magnification by microscope versus loupes, hence the aim of this study is to assess the quality of life and success after endodontic surgery using with or without magnification.
Interventions
PROCEDURESurgery under loupes
surgery performed under loupes
PROCEDUREsurgery performed under microscope
surgery performed under microscope
Sponsors
Postgraduate Institute of Dental Sciences Rohtak
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Sham piezoelectric setup for patients undergoing conventional surgery.
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients between age of 18-55 with the diagnosis of persistent symptomatic apical periodontitis in previously treated teeth with radiographic evidence of periapical radiolucency (≥ 5 mm). (Bharathi et al 2021) Tooth with a peri radicular lesion of strictly endodontic origin and unrestorable by nonsurgical retreatment. ASA-1 patients according to the classification of the American Society of Anesthesiologists).
Exclusion criteria
Patients with systemic diseases (diabetes mellitus, uncontrolled hypertension grade III, hepatic/renal disease, or systemic bleeding disorders) Combined endodontic-periodontic lesions Pregnancy \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life assessment | till 7 days after surgery | To determine the quality of life after endodontic microsurgery with high and low magnification using modified version of sugars et al and OHIP by tsesis et al. assessed by 5-point Likert scale till 1 week. |
| Healing assessment | After 6 months and 12 months | 2D radiographic healing was assessed by the criteria followed by RUD et al and MOLVEN et al , 3D CBCT healing was assessed by modified PENN'S criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment | till 7 postoperative days | Pain assessment by VAS (0 - 100), where 0 is no pain and 100 is worst possible pain. |
Countries
India
Contacts
Primary ContactDR. Sanjay Tewari, MDS, MDS
Backup ContactJyoti Nadekar, PG student
Outcome results
None listed