Comparison Between RCT in Single and Two Visits, With and Without Intracanal Dressing, in Apical Repair
Teeth, Endodontically-Treated, Tooth, Nonvital, Periapical Periodontitis, Chronic Nonsuppurative
About this trial
This is an interventional treatment trial for Teeth, Endodontically-Treated focused on measuring tooth, nonvital
Eligibility Criteria
Inclusion criteria:
- Patients diagnosed with apical periodontitis in lower molar teeth (first or second molars), the periradicular lesion with a diameter between 1 and 5mm analyzed through the real 1:1 tomographic scale
- Asymptomatic patients
- Patients who spontaneously agree and sign the informed consent form
- Patients in good health
- Patients who are not taking antibiotics and anti-inflammatory drugs
Exclusion criteria:
- Patients with systemic diseases (diabetes, transplants, heart disease, liver failure and kidney failure)
- Immunodepressed patients
- Teeth with extensive coronary destruction that makes direct restoration with composite resin unfeasible
- Calcified teeth
- Teeth with incomplete root formation
- Teeth with persistent exudation
- Teeth with anatomical complexities that prevent endodontic treatment in a single visit
- Teeth recommended for endodontic retreatment
- Teeth with advanced periodontal pocket
- Teeth in which foraminal patency is not obtained
Sites / Locations
- Moderne OdontolgiaRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Other
Other
Other
Root canal treatment in single visit - RCT-SV
Root canal treatment in two visits with intracanal dressing - RCT-TVWD
Root canal treatment in two visits without intracanal dressing - RCT-TVWOD
Group 1- RCT-SV: Endodontic treatment in a single visit using chemomechanical preparation (rotary NiTi instruments, 5.25% NaOCl, 17% EDTA) and passive ultrasonic irrigation (PUI), followed by obturation (gutta-percha and epoxy resin-based sealer) and final restoration (composite resin).
Group 2- RCT-TVWD: Endodontic treatment in two visits using chemomechanical preparation (rotary NiTi instruments, 5.25% NaOCl, 17% EDTA) and passive ultrasonic irrigation (PUI), followed by intracanal dressing (calcium hydroxide powder, CPMC, glycerine) and temporary restoration (glass ionomer cement) for 7 days. After 7 days, an identical chemomechanical preparation on visit 2 will be performed, followed by obturation (gutta-percha and epoxy resin-based sealer) and final restoration (composite resin).
Group 3- RCT-TVWOD: Endodontic treatment in two visits using chemomechanical preparation (rotary NiTi instruments, 5.25% NaOCl, 17% EDTA) and passive ultrasonic irrigation (PUI), followed by temporary restoration (glass ionomer cement) for 2 days, without intracanal dressing. After 2 days, an identical chemomechanical preparation on visit 2 will be performed performed, followed by obturation (gutta-percha and epoxy resin-based sealer) and final restoration (composite resin).