Vital Root Amputation in Molars With Advanced Periodontal Furcation Involvement: a Preliminary Study

Azienda Ospedaliera, Universitaria Policlinico Vittorio Emanuele

Status: Not yet enrolling

Conditions: Furcation Defects; Periodontal Diseases

Treatments: Procedure: root resection

Study type: Interventional

Funder types: Other

Identifiers

NCT05721313

COM

Details and patient eligibility

About

The goal of this clinical trial is to test in 10 patients with advanced furcation involvement on molars. The main question[s] it aims to answer are:

• Is it possible to carry out root resection without endodontic treatment on molars? Tooth vitality will be checked (positive response to cold test). Root resection will be carried out under local anestesia.

Following visits will be carried out for re-evaluation/maintenance according to clinical care every 3 mounths until 3 years follow-up.

Enrollment: 10 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patient diagnosed with stage III-IV periodontitis
• Compliantpatient, as shown by full mouth plaque score<30%
• Previous non-surgical periodontal therapy within 6 mounths
• Maxillary or mandibular molar affected by periodontal furcation involvement and scheduled for root resection
• Positive to sensibility testing (cold/electric pulp tests)
• No prosthesis or large restorations
• Sufficiently divergent roots to make root resection feasible
• Root trunk lenght at 3 mm as measured in periapical radiograph

Exclusion criteria

• Systemic contraindications to perform periodontal surgery/root resection
• Fused roots
• Presence of periapical radiolucency
• Furcation class III affecting all roots of maxillary molar

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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10 participants in 1 patient group

Patients with advanced periodontal furcation involvement

Experimental group

Treatment:

Procedure: root resection