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Effect of Targeted Endodontic Microsurgery on Quality of Life and Healing on Mandibular Molars
Sponsor: Postgraduate Institute of Dental Sciences Rohtak
Summary
Targeted endodontic microsurgery represents precise and advanced approach to resolving persisting chronic periapical periodontitis after non- surgical root canal treatment. This specialised procedure involves accessing the root tip of the tooth under high magnification using dental operating microscopes and employing microsurgical instruments to remove infected or inflamed tissue, as well as any pathological lesions present in the periapical region. Targeted Endodontic Microsurgery is useful for osteotomy and root- end resection when exacting control of depth, diameter, and angulation of osteotomy and root end resection is necessary. Using a CBCT(cone beam computed tomography) designed 3D - printed surgical guideis a more accurate method for access to the apical portion of the root during surgical endodontics compared with a "freehand" CBCT - approximated conventional method. These guided have the potential to increase accuracy and precision and to reduce intraoperative time as well as postoperative complications. Additionally, it provides a viable treatment option for patients who may not be candidates for traditional root canal therapy or retreatment due to anatomical complexities or previous treatment failures.
Official title: Effect of Targeted Endodontic Microsurgery on Quality of Life and Healing on Mandibular Molars : A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 55 Years
Study Type
INTERVENTIONAL
Enrollment
62
Start Date
2024-07-01
Completion Date
2025-12-31
Last Updated
2026-07-28
Healthy Volunteers
Yes
Conditions
Interventions
Targeted Endodontic Microsurgery Using 3d Printed surgical guide using the patient's CBCT data
Patients with apical periodontitis with intact cortex in madibular molars receiving Targeted Endodontic surgery or Guided Endodontic Microsurgery with surgical guide fabricated using the cbct data following failure of non surgical root canal treatment
Conventional Endodontic Microsurgery with a free hand procedure using bur and CBCT analysis
A conventional endodontic microsurgery using arbitrary localisation technique using the cbct data and performing the surgery with a carbide bur.
Locations (1)
Post Graduate Institute of Dental Sciences , Rohtak
Rohtak, Haryana, India