Ignite Creation Date:
2024-07-17 @ 11:46 AM
Last Modification Date:
2024-10-26 @ 3:33 PM
Study NCT ID:
NCT06484218
Status:
COMPLETED
Last Update Posted:
2024-07-03
First Post:
2024-06-21
Brief Title:
Guided Endodontics Compared to Conventional Endodontic Treatment in Calcified Lower Incisors
Sponsor:
Saint-Joseph University
Organization:
Saint-Joseph University
Study Overview
Official Title:
Guided Endodontics Compared to Conventional Endodontic Treatment in Calcified Lower Incisors a Comparative in Vivo Pilot Study
Status:
COMPLETED
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The dental pulp is a vital tissue that can be prone to physiological or pathological changes Denticles pulp stones or other calcifications are frequently observed within healthy pulps However these tissue alterations can complicate the endodontic treatment According to the American Association of Endodontists teeth exhibiting pulpal obliteration fall into the moderate to high difficulty category of treatments and their failure rate ranges from 10 to 19 per cent 12 In fact pulpal calcification alone is not a reason for endodontic treatment Root canal treatment is recommended and deemed necessary only in the presence of peri-radicular pathology or if the affected tooth shows symptoms Todays techniques and materials offer higher standards resulting in better root canal treatments and allowing proper handling of procedural errors One of these materials is Cone beam computed tomography CBCT which is more reliable in detecting periapical lesions compared with digital periapical radiographs 3visual aids and ultrasonics 1 However when performed by a non-experienced dentist the risk of perforations missed canals stripping and ledges arises 2 For the treatment of these challenging instances the development of guided endodontics with a trephination guide a metal sleeve and an appropriate drill might be of interest 4 With several in vitro studies 5-7 and case reports 89 being published each year this approach is becoming more prevalent in the literature Additionally a new endodontic guide software is being used to build new shapes for guides sleeves and drills which will make it easier to attain correct access using the guiding technique However there is no information regarding the detection and negotiation of root canals the dental substance loss the treatment duration using the guided technique compared to the conventional technique for root canal treatments RCTs in clinical practice 10 This study is conducted to compare the conventional endodontic treatment to the guided approach in lower incisors with calcified root canals by focusing on the following aspects the detection and negotiation of canals the amount of substance loss and the treatment duration
Detailed Description:
Seven patients having two calcified lower incisors requiring root canal treatment were selected For each patient one incisor was treated with the CET while the other incisor was treated with the GET by a single operator a graduate endodontic resident The intracanal space of the treated teeth was volumetrically measured and compared using the indirect post core technique and Blenderfordental software version 33 lts The time was recorded from the start of the treatment until the root canal was negotiated to determine the treatment duration Various statistical tests including BM SPSS Statistics software version 250 and the Wilcoxon signed rank test were used to identify potential significant differences between the CET and the GET in terms of volume and treatment duration with a significance threshold set at p 005
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None