Status:
UNKNOWN
Vital Root-resective Therapy in Furcation-involved Maxillary Molars
Lead Sponsor:
University of Santiago de Compostela
Conditions:
Periodontitis
Furcation Defects
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The primary aim of this study is to evaluate 1-year survival of maxillary molars with subclass C vertical furcation involvement after vital root resective therapy
Detailed Description
Schedule of Treatment for each visit: Visit 1 - Baseline (day 0) * Informed Consent, medical/dental history and demographics * Record concomitant medications * Periodontal assessment with recording ...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- Minimum of 12 teeth present
- Diagnosis of Severe Periodontitis stage III or IV (Tonetti et al., 2018)
- At least one maxillary molar with: i) degree II-III horizontal furcation involvement (Eickholz and Walter, 2018), ii) class C vertical furcation involvement (bone loss up to the apical third of root cones) (Tarnow and Fletcher, 1984, Tonetti et al., 2017), iii) residual probing pocket depths \> 5 mm, iv) maximum mobility degree I (Hamp et al., 1975) and v) not already accessible for self-performed oral hygiene
- Received a course of non-surgical periodontal therapy within the past six months
- Positive response to electric and cold testing
- Exclusion Criteria
- Patient:
- Full mouth plaque score \> 30%
- A course of antibiotics within the past 3 months
- Pregnant/lactating women
- Relevant medical history as evaluated by the examining clinician which may have the potential to affect periodontal surgical treatment (such as disease affecting clotting ability)
- Individuals on long-standing (2 or above years) supportive periodontal therapy (SPT) management plans
- Molar affected by FI:
- Ongoing endodontic pathology affecting the furcation-involved molar, as judged by the examining clinician
- Teeth associated with signs or symptoms indicative of pulpal or periapical pathology
- Evidence of coronal cracks upon root resection
- Previous periodontal surgical treatment to the furcation-affected molar within the previous 5 years
- Endodontically treated tooth
- Restorations affecting more than 2 walls or 1 cusp
- Molar tooth acting as a bridge abutment
- Planned for extraction (for strategic/restorative reasons)
- Root trunk exceeding ½ of the total root length
- Fused roots
- Remaining furcation not accessible for self-performed oral hygiene
- The presence of occlusal dysfunction as assessed by the examining clinician
- Sinus floor anatomy limiting possible osseous resective surgery
- Tooth mobility causing discomfort to the patient
Exclusion
Key Trial Info
Start Date :
March 4 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2024
Estimated Enrollment :
10 Patients enrolled
Trial Details
Trial ID
NCT05259982
Start Date
March 4 2022
End Date
December 31 2024
Last Update
October 24 2023
Active Locations (1)
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1
Facultad de Odontologia
Santiago de Compostela, Coruña, Spain, 15782