Vital Root Amputation in Molars With Advanced Periodontal Furcation Involvement: a Preliminary Study

Not Applicable

Not yet recruiting

• Conditions: Periodontal Diseases; Furcation Defects
• Interventions: Procedure: root resection

• Registration Number: NCT05721313
• Lead Sponsor: Azienda Ospedaliera, Universitaria Policlinico Vittorio Emanuele

Brief Summary

The goal of this clinical trial is to test in 10 patients with advanced furcation involvement on molars. The main question\[s\] it aims to answer are:

• Is it possible to carry out root resection without endodontic treatment on molars? Tooth vitality will be checked (positive response to cold test). Root resection will be carried out under local anestesia.

Following visits will be carried out for re-evaluation/maintenance according to clinical care every 3 mounths until 3 years follow-up.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-01-25
• Study First Submitted QC: 2023-02-08
• Study First Posted: 2023-02-10
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-18
• Last Update Posted: 2023-07-19
• Study Start: 2023-09-01
• Primary Completion: 2024-01-01
• Study Completion: 2025-01-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 10

Inclusion Criteria

• Patient diagnosed with stage III-IV periodontitis
• Compliantpatient, as shown by full mouth plaque score<30%
• Previous non-surgical periodontal therapy within 6 mounths
• Maxillary or mandibular molar affected by periodontal furcation involvement and scheduled for root resection
• Positive to sensibility testing (cold/electric pulp tests)
• No prosthesis or large restorations
• Sufficiently divergent roots to make root resection feasible
• Root trunk lenght at 3 mm as measured in periapical radiograph

Exclusion Criteria

• Systemic contraindications to perform periodontal surgery/root resection
• Fused roots
• Presence of periapical radiolucency
• Furcation class III affecting all roots of maxillary molar

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Patients with advanced periodontal furcation involvement	root resection	-

Primary Outcome Measures

Name	Time	Method
No periapical lesion	3-year follow-up	following the 3rd visit will be make a re-evaluation of the periapical heath condition, by a periapical rx, every year
Tooth vitality (positive response to cold test)	3-year follow-up	following the 3rd visit will be make a re-evaluation of the tooth vitality, by a positive response to cold test, every 3 month.

Trial Locations

Locations (1)

Centro Odontoiatrico Mediterraneo; 🇮🇹 Catania, CT, Italy