A clinical trial to compare the effectiveness of different irrigation methods in endodontic treatment in patients with infection beyond the root apex.

Recruiting

Brief Summary: the study is a randomized, parallel group, multiple arm trial comparing the efficacy of ultrasonic irrigation and laser activated irrigation in endodontic treatment in patients with Chronic apical periodontitis. the study will be conducted in the department of Conservative Dentistry and Endodontics, King George Medical University , FODS, Lucknow.The primary outcome will be healing of bony radiolucency in periapical area which will be evaluated after 6 months and 12 months post operatively with CBCT.

Recruitment & Eligibility

Inclusion Criteria

1.Patients who will be willing to participate in study with a informed signed consent.
2.Tooth indicated for root canal treatment.
3.Patients with chronic apical peridontitis with PAI score 4-5 4.
Chronic apical periodontitis is generally a non-painful condition in which the apical portion (i.e. the part around the tip) of a toothâ€™s root is chronically inflamed.
The term chronic means the condition has been present for a significant length of time (at least several weeks, and sometimes much longer).
There may be drainage through the gums from around the toothâ€™s root.
Drainage into a major nerve canal can lead to numbness, which is generally temporary and resolves following successful treatment of the condition.

Exclusion Criteria

Previously attempted pulpotomy or pulpectomy 2.
Immunocompromised patient (ie, AIDS, Hepatitis B, Hepatitis C, Tuberculosis, Cancer patients).
Tooth with a mobility score >2.
Tooth with periodontal pocket depth >6mm.
Tooth with incompletely formed root apices.
Tooth with vertical or horizontal fracture extending.

Primary Outcome Measures

Name	Time	Method
The primary outcome will be bony healing of the periapical area which will be evaluated after 6 months and 12 months postoperatively with CBCT	The primary outcome will be bony healing of the periapical area which will be evaluated after 6 months and 12 months postoperatively with CBCT

Secondary Outcome Measures

Name	Time	Method
Resolution of preoperative subjective and objective symptoms like pain, swelling , discharge.	1 week

Locations (1): King George Medical University, Faculty of Dental Sciences
🇮🇳
Lucknow, UTTAR PRADESH, India
King George Medical University, Faculty of Dental Sciences
🇮🇳Lucknow, UTTAR PRADESH, India
Dr Akansha Verma
Principal investigator
9717877391
akansha291@gmail.com