The Impact of Root End Filling Material Type and the Application of Bone Graft on Healing of Periapical Tissues After Endodontic Microsurgery (A Clinical Randomized Controlled Trial)
Periapical Diseases, Periapical Cyst
About this trial
This is an interventional treatment trial for Periapical Diseases focused on measuring Apicoectomy, Bone graft, Endodontic surgery, MTA, TotalFill, Apical lesions
Eligibility Criteria
Inclusion Criteria: All patients must be medically free from any systemic disease that can affect bone healing. Age range of the patient should be between 20 - 45 years old. All patients must have good oral hygiene. The size of the radiolucent area is of small-moderate size (up to 3 cm in highest diameter at any axis in CBCT), related to a single rooted maxillary tooth. Periradicular disease in a root-filled tooth where orthograde root canal treatment options has failed, Exclusion Criteria: Patient with systemic disease that may affect bone healing. Patients above 45 years or patients below 20 years. Patients with very poor oral hygiene. Teeth presenting with apico-marginal defects or teeth with periodontal disease (periodontal pockets and/or mobility). Surgery after previous endodontic surgery (re-surgery cases), root resections and amputations, cases presenting with root fractures. Patients with history of allergies to any of the medications to be used during or after the surgery.
Sites / Locations
- Ain Shams univetsity
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
MTA
TotalFill
MTA & bone
TotalFill & bone
Root end filling material is MTA without bone graft in the defect.
Root end filling material is TotalFill without bone graft in the defect.
Root end filling material is MTA with the addition of composite bone graft in the defect.
Root end filling material is TotalFill with the addition of composite bone graft in the defect.