Apical Periodontites
Conditions
Interventions
Comparator: Single Visit Endodontic treatment performed through manual instrumentation technique (Crow-down) and and root canal filling through lateral condensation. 57 patients
Intervention: Single
Procedure/surgery
E06.397.778
Sponsors
Universidade Federal de Sergipe
Universidade Estadual de Montes Claros - UNIMONTES
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Volunteers with anterior teeth presenting pulpal necrosis and radiographic evidence of apical periodontites whose diameter is higher than 2mm; that agree to paticipate and sign the informed consent sheet.
Exclusion criteria
Exclusion criteria: volunteers with teeth that will need crow placement due to advanced destruction; volunteers with a pre-existing health or oral condition that puts him at risk during the trial; pregnant or breast feeding; volunteers with generalized periodontal desease or periodontal desease affecting the tooth to be included; volunteers allergic to any of the substances used during endodontic treatment; volunteers whose elegeble teeth has not completed its root formation, and , therefore, has an open apex; volunteers whose elegeble teeth presents radiogtaphic evidence of internal or external root resorption; volunteers whose elegible teeth has a calcified root canal space or has allready been submitted to root canal treatment; voluntters with a history of antibiotic, anti-inflamatory or analgesic use 15 days before endodontic treatment is to be performed; volunteers who have to have antibiotics prophylaxis due to bacterial endocarditis; volunteers whose elegible tooth has vital pulp tissue, even in the presence of a radiographic lesion; whose elegible teeth shows signs of root fracture during endodontic procedure; when accidents occur during endodontic procedure such as root perforation and file separation; teeth whose procedure can not be completed in a single visit due to incapacity to dry the canal (inflammatory exudate or heavy bleeding); patients that do not return to follow-up evaluations.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in Periapical index (PAI) scores 12 months after root canal treatment; verified through PAI scores attributed to each teeth´s periapical radiography at each of the evaluation times; by the comparison of mean PAI scores values between the evaluation times. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patients perception of root canal treatment regarding level of disconfort and time of procedure, chewing capacity after procedure and general satisfaction with treatment; verified through a visual analogue scale for each aspect; by calculation of mean scores for eacho one of these aspects.;Incidence and severity of post-operative pain in the first 24 hours; 24 and 72 hours and 7 days after endodontic procedure; verified through verbal scale (incidence) and visual analogue scale (severity). Incidence will be determined by the proportion of patientes who indicate to have felt any pain after treatment and its severity by calculation of mean values indicated in the visual analogue scale.;Changes in Periapical index (PAI) scores 06 months after root canal treatment; verified through PAI scores attributed to each teeth´s periapical radiography at each of the evaluation times; by the comparison of mean PAI scores values between the evaluation times.;Changes in quality of life 06 months after endodontic procedure, measured through a simplified version of the Oral health impact profile questionnaire (OHIP -14); by the comparison of mean score of each domain between baseline and the other follow-up moments. ;Radiographic quality of root fillings; measured through inspection of post-treatment periapical radiographies using apical extension, homogeneity and taper as parameters; determined by the proportion of root fillings classified as "perfect", "satisfactiry" or "deficient". | — |
Countries
Brazil
Contacts
Public ContactAndré Luis e Silva
Universidade Federal de Sergipe
Outcome results
None listed