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Evaluation of Endodontic treatment outcome for the Maxillary First Molars with and without operating microscope using Cone Beam Computed Tomography: Randomized Clinical Trial

Phase 3
Conditions
this trial is conducted on mature first maxillary molars with the diagnosis of carious involvement of the pulp, with apical periodontitis, that show periapical change (radiographic PDL space widening, radiolucency) with/without Schneiderian membrane epithelium thickening on preoperative CBCT scan. Age range of patients to be included in the study is (18-65) years.
CBCT, Operating Microscope, maxillary first molars, second mesiobuccal canal, Schneider membrane epithelium .
Registration Number
TCTR20220624003
Lead Sponsor
researcher funding
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending (Not yet recruiting)
Sex
All
Target Recruitment
90
Inclusion Criteria

mature first maxillary molars with the diagnosis of carious involvement of the pulp, with acute or chronic apical periodontitis, that show periapical change (radiographic PDL space widening, radiolucency) with without Schneiderian membrane epithelium thickening on preoperative CBCT scan. Age range of patients to be included in the study is (18-65) years.

Exclusion Criteria

pregnancy, immunosuppression, patients received radiotherapy, uncontrolled diabetic patients, use of corticosteroids, patients taking bisphosphonates , unrestorable teeth , teeth with periodontal probing depths greater than 3 mm, uncontrolled periodontal disease, teeth with severely curved roots according to Shneider's classification, use of corticosteroids, root canal perforations if occur during endodontic treatment, separated instruments, vertical root fractures, signs of root resorption.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
periapical change (lesion size, periodental ligament space widening) at 12 months after the end of intervention linear measurements in millimeter on coronal and sagittal section of cone beam computed tomography
Secondary Outcome Measures
NameTimeMethod
thickness of Schneiderian membrane epithelium associated with periapical pathology following endodontic treatment. at 12 months after the end of intervention linear measurements in millimeter on coronal and sagittal section of cone beam computed tomography
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