Status:

RECRUITING

Healing After Endodontic Microsurgery Using a Rotary Bur Versus Piezoelectric Unit for Osteotomy and Root Resection

Lead Sponsor:

National and Kapodistrian University of Athens

Conditions:

Periapical Periodontitis

Endodontic Microsurgery

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to compare bone healing after using apical tooth microsurgery to remove root end infection, either by use of rotary burs for cutting bone and root end, or by use of ...

Detailed Description

The aim of this study is to prospectively compare postsurgical healing after the use of microsurgical technique to eliminate apical pathology, either by use of rotary burs for osteotomy and root resec...

Eligibility Criteria

Inclusion

  • Age 18 years and older consenting to the surgical procedure as well as agreeing to preoperative, postoperative and at least one follow-up CBCT evaluation after 12 months
  • Noncontributory medical history (American Society of Anesthesiologists class I and II)
  • A history of previous endodontic treatment with radiographic presence of apical periodontitis
  • A true endodontic lesion: microsurgical classification A, B, or C according to Kim and Kratchman, 2006.
  • Lesion size 10 mm or smaller in diameter measured on preoperative CBCT
  • Coronal restoration should be present at the time of follow up examination.

Exclusion

  • Nonconsenting patients and patients younger than 18 years of age
  • Medical history with American Society of Anesthesiologists class III to V
  • Insufficient coronal restoration
  • Nonrestorability or traumatized teeth
  • Teeth with microsurgical classification D, E, or F according to Kim and Kratchman, 2006.
  • Mobility I or higher
  • Radiographic presence of nonapical root resorption
  • Teeth with a vertical root fracture or coronal/ midroot perforation
  • Lesion size larger than 10 mm in diameter measured on preoperative CBCT
  • Use of bone graft material for regeneration

Key Trial Info

Start Date :

April 25 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 10 2026

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT07197658

Start Date

April 25 2023

End Date

December 10 2026

Last Update

September 29 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Private Dental Office

Athens, Attica, Greece, 11528

2

Spyros Floratos Private Dental Office

Athens, Attica, Greece, 11528

Healing After Endodontic Microsurgery Using a Rotary Bur Versus Piezoelectric Unit for Osteotomy and Root Resection | DecenTrialz