Evaluation of Corrective Surgery Versus Dental Implants in Compromised Mandibular Molars

Clinical and Radiographic Outcomes of Corrective Surgery Versus Dental Implant Treatment for Management of Compromised Permanent Mandibular Molars (An In-vivo Study)

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07633834

Enrollment

Registered

2026-06-08

Start date

2027-01-01

Completion date

2028-01-01

Last updated

2026-06-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Root Caries, Vertical Root Fracture

Brief summary

This study seeks to assess the clinical, radiographic, and patient-reported outcomes of hemisection versus implant over a 12 months period, generating robust evidence to guide clinical decision-making and enhance patient care.

Interventions

PROCEDUREhemi sectioning

one root will be extracted and the other root will be preserved

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

21 Years to 60 Years

Healthy volunteers

Yes

Inclusion criteria

* Good oral hygiene and motivation for follow-up care. * Ability to understand and sign informed consent. * Localized Root/Periodontal Disease: Severe attachment loss or bone loss (e.g., severe localized periodontitis) affecting the mesial root, while the other root remains healthy. * Furcation Involvement: Class II or III furcation involvements where the disease cannot be treated by conventional methods. * Vertical root fracture confined to the mesial root. * Non-treatable perforation in the mesial root. * Extensive sub-gingival root caries affecting the mesial root. * Extensive un-treatable internal and external root resorption related to the mesial root.

Exclusion criteria

* Uncontrolled systemic diseases (e.g., diabetes mellitus, bleeding disorders, immunosuppression). * Fused or poorly shaped roots, * Active periodontal or endodontic infection at adjacent teeth that may interfere with treatment outcomes. * Severe bruxism or occlusal parafunction. * History of radiation therapy in the head and neck region. * Pregnancy or lactation. * Poor compliance or inability to attend follow-up visits. * Smoking more than 10 cigarettes per day.

Design outcomes

Primary

Measure	Time frame	Description
• Regulation of clinical signs and symptoms	12 months	Patient-reported outcomes, including satisfaction, masticatory efficiency, and oral comfort measured by a visual analog scale (VAS).

Secondary

Measure	Time frame	Description
Assessment of radiographic bone changes	12 months	* Radiographic bone level changes around the retained root or implant. * Detection of any radiographic signs of pathology or treatment failure. Measurements will be recorded in millimeters (mm) using digital radiographic software calibration tools.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 9, 2026