Minimally Invasive Management During Endodontic Retreatment

July 24, 2021 updated by: Mohamed Mokhtar Nagy, Ain Shams University

Minimally Invasive Management of Separated Instruments in Vertucci Type ii Canals: A Radomized Clinical Trial

The study compares the prognosis of cases treated with "selective root retreatment" to the cases treated with traditional retreatment approach

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Post-treatment apical periodontitis is an inflammatory disorder of peri-radicular tissues caused by either persistent or secondary intra-radicular infection .Conventionally, nonsurgical retreatment has been believed to be an ''all or none'' treatment approach in which the endodontist has to remove all restorations from the tooth and to remove the obturation materials from all the canals in order to perform thorough disinfection of the entire root canal system. Nowadays, All operations in the medical field are aimed basically at the conservation of the human body. The alternative concept allows the endodontist to formulate clinical treatment decisions with respect to the presence of periapical pathosis related to individual roots rather than the tooth as a whole.

The literature is lacking the clinical outcome studies dealing with the prognosis of cases treated with "selective root retreatment" concept so the aim of this study was to compare the prognosis of such cases in comparison to the traditional retreatment approach.

Study Type

Interventional

Enrollment (Actual)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
      • Cairo, Egypt
        • Faculty of Dentistry, Ainshams University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years to 50 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • endodontically treated teeth
  • multirooted teeth
  • radiographic evidence of periradicular infection related to one root

Exclusion Criteria:

  • medically compromised patients
  • fused roots
  • root resorption
  • root fracture

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: selective root canal retreatment
retreatment process is performed to the affected root only
Procedure: Endodontic retreatment
Root canal retreatment in cases with secondary root canal infection
Active Comparator: traditional root canal retreatment
retreatment process is performed to all roots
Procedure: Endodontic retreatment
Root canal retreatment in cases with secondary root canal infection

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
volumetric change of periapical lesion size in CBCT
Time Frame: one year
assessment of healing of periradicular infection in terms of change of the size of periapical lesion in CBCT analysis
one year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ain Shams University

Investigators

  • Principal Investigator: Mohamed M Nagy, PhD, Associate professor of Endodontics, Ain Shams University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 1, 2020

Primary Completion (Actual)

March 12, 2021

Study Completion (Actual)

April 30, 2021

Study Registration Dates

First Submitted

January 30, 2021

First Submitted That Met QC Criteria

February 3, 2021

First Posted (Actual)

February 4, 2021

Study Record Updates

Last Update Posted (Actual)

July 27, 2021

Last Update Submitted That Met QC Criteria

July 24, 2021

Last Verified

July 1, 2021

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ASFD-ENDO-2

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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