this trial is conducted on mature first maxillary molars with the diagnosis of carious involvement of the pulp, with apical periodontitis, that show periapical change (radiographic PDL space widening, radiolucency) with/without Schneiderian membrane epithelium thickening on preoperative CBCT scan. Age range of patients to be included in the study is (18-65) years. CBCT, Operating Microscope, maxillary first molars, second mesiobuccal canal, Schneider membrane epithelium .
Conditions
Interventions
root canal treatment in this group will be performed with the aid of magnification using operating microscope,root canal treatment in this group will be performed conventionally (without microscope)
Active Comparator Device,Active Comparator Procedure/Surgery
microscopic endodontic treatment,conventional endodontic treatment
Sponsors
researcher funding
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: mature first maxillary molars with the diagnosis of carious involvement of the pulp, with acute or chronic apical periodontitis, that show periapical change (radiographic PDL space widening, radiolucency) with without Schneiderian membrane epithelium thickening on preoperative CBCT scan. Age range of patients to be included in the study is (18-65) years.
Exclusion criteria
Exclusion criteria: Exclusion criteria: pregnancy, immunosuppression, patients received radiotherapy, uncontrolled diabetic patients, use of corticosteroids, patients taking bisphosphonates , unrestorable teeth , teeth with periodontal probing depths greater than 3 mm, uncontrolled periodontal disease, teeth with severely curved roots according to Shneider's classification, use of corticosteroids, root canal perforations if occur during endodontic treatment, separated instruments, vertical root fractures, signs of root resorption.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| periapical change (lesion size, periodental ligament space widening) at 12 months after the end of intervention linear measurements in millimeter on coronal and sagittal section of cone beam computed tomography | — |
Secondary
| Measure | Time frame |
|---|---|
| thickness of Schneiderian membrane epithelium associated with periapical pathology following endodontic treatment. at 12 months after the end of intervention linear measurements in millimeter on coronal and sagittal section of cone beam computed tomography | — |
Countries
Iraq
Contacts
Public ContactRaghad AlHashimi
University of Baghdad/ College of Dentistry
Outcome results
None listed