Evaluation of Endodontic Status on Periodontal Healing of Concomitant Endodontic Periodontal Lesions
Periodontal Pocket
About this trial
This is an interventional treatment trial for Periodontal Pocket focused on measuring endodontic treatment, scaling, root planning
Eligibility Criteria
Inclusion Criteria:
- Patients older than or equal to18 years with more than 20 remaining teeth.
- Generalized chronic periodontitis was considered when ≥30% of sites were involved with clinical attachment loss (CAL) slight =1 or 2 mm, Moderate =3 or 4 mm, and Severe ≥5 mm41.
- Non vital tooth and contralateral vital tooth with PD ≥ 5 mm on at least one site.
- Non vital tooth confirmed by electric pulp test and cold test.
- Contralateral tooth with normal periapical conditions in the radiograph and with no evidence of root canal treatment and was vital as confirmed by electric pulp test and cold test.
Exclusion Criteria:
- Patients younger than 18 years
- Non vital tooth and contralateral vital tooth with mean PD>8 and<4.
- Endodontically treated teeth
- Smokers
- Unrestorable teeth
- Contralateral tooth having proximal carious lesions or was non vital.
- Inflammatory root resorption
- Fractured / Perforated roots
- Serious medical illness; Patients with uncontrolled or poorly controlled diabetes, unstable or life threatening conditions or requiring antibiotic prophylaxis (including infective endocarditis or prosthetic joint prophylaxis and immune compromising disorder)
- Pregnant mothers
- A history of recent periodontal therapy (with in previous 6 months)
- Teeth with established endodontic-periodontal lesion exhibiting less than 2 mm radiopaque bone between the periapical lesion and periodontal destruction, in which the periodontal probe reached the apex.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Non vital teeth with apical radiolucency
Vital teeth
Endodontic treatment was performed in non vital teeth with periapical radiolucency. Local anesthesia was provided (2% Novocaine with 1:80,000 epinephrine), isolation with rubber dam and standard access cavity preparation was done.Using 3 % sodium hypochlorite, canal negotiation was done & apical patency was achieved with #10 or #15K-files. Coronal flaring with # 2 and #3 Gates-Glidden drills was done.Calcium hydroxide was filled in the canals with the help of a lentulo spiral.At the second appointment,calcium hydroxide paste was removed and copious irrigation with 3% sodium hypochlorite was followed by 5.0 mL 17% ethylenediaminetetraacetic acid with a final rinse of 5.0 mL of 3% sodium hypochlorite. The canals were obturated with gutta-percha and ZOE sealer.
Only scaling and root planing will be done in contralateral vital tooth with pocket depth >5mm .Non surgical periodontal treatment in the form of scaling and root planing was provided in minimum of two sessions using ultrasonic scaler (Satelec P5 Booster Suprasson) and hand instruments (Hu-friedy scalers and curettes).