Healing Outcome of Root Canal Therapy in Maxillary Molars With DOM

Postgraduate Institute of Dental Sciences Rohtak

Status: Completed

Conditions: Periapical Periodontitis

Treatments: Device: Dental operating microscope; Procedure: Nonsurgical Root canal therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04358861

Neelam

Details and patient eligibility

About

The aim of study was to evaluate the effect of dental operating microscope use on the healing outcome of non surgical endodontic treatment of maxillary molars.

Full description

Prior to treatment a thorough clinical and radiological examination was carried out. A thorough history was taken from each patient and written informed consent was taken after explaining the procedure, risks and benefits. Mature maxillary first permanent molar with diagnosis of periapical periodontitis (as confirmed clinically & by periapical radiograph) was chosen for the study. Fifty participants were randomly assigned to either the dental operating microscope group or to control group (without using dental operating microscope) for the treatment.

After administration of local anesthesia and rubber dam isolation of the involved tooth ; access cavity was prepared using carbide bur and refined using ultrasonic tip in both groups. In both the groups similar protocol for irrigation, obturation and post operative restorations was followed. Immediate post-operative radiograph was taken using preset exposure parameters and follow up clinical and radiographic examination was carried at 12th month.

Enrollment: 67 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient willing to participate in the study
• Age > 18 years
• Maxillary permanent first molar having apical periodontitis requiring primary endodontic treatment
• Radiographic evidence of periapical radiolucency (minimum size 2 mmx 2 mm) and a diagnosis of pulpal necrosis as confirmed by negative response to cold and electrical tests and absence of bleeding on entering the pulp chamber

Exclusion criteria

• Unwillingness of patient.
• Retreatment cases
• Presence of internal or external resorption ,root canal perforations during endodontic treatment and immature teeth.
• Periodontally compromised teeth
• Immunocompromised, diabetic, pregnant and hypertensive patients
• Vertical root fractures
• Teeth those are not suitable for rubber dam application

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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67 participants in 2 patient groups

Experimental group

Experimental group

Description:

Nonsurgical Root canal therapy was performed using dental operating microscope in the experimental group.

Treatment:

Procedure: Nonsurgical Root canal therapy

Device: Dental operating microscope

Control group

Active Comparator group

Description:

Nonsurgical Root canal therapy was performed without any magnification aid in control group.

Treatment:

Procedure: Nonsurgical Root canal therapy