Clinical and Radiographic Outcomes of Corrective Surgery Versus Dental Implant Treatment for Management of Compromised Permanent Maxillary Molars (An In-Vivo Study)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 28
研究概览
简要总结
This study seeks to assess the clinical, radiographic, and patient-reported outcomes of root amputation versus implant over a 12 months period, generating robust evidence to guide clinical decision-making and enhance patient care.
详细描述
This trial aims to compare periodontal stability, functional outcomes, complications, and patient-reported satisfaction of root amputation versus extraction followed by implant-supported single-tooth restoration. Twenty- eight patients (14 per arm) aged 20-50 with Maxillary first or second molars exhibiting Grade II-III furcation, adequate adjacent bone, and good oral hygiene will be enrolled; exclusions include uncontrolled systemic disease, heavy smoking. Participants will be randomized 1:1 Group A will receive endodontic therapy as indicated, surgical root amputation, while Group B will undergo extraction, and implant placement per standard protocols, and implant crowns. The primary outcome is survival at 12 months; secondary outcomes , clinical attachment level, radiographic bone level, peri-implant/peri-root and prosthetic complications, masticatory function, with clinical and standardized radiographic assessments at 1,3, 6 and 12 months. Data will be statistically analyzed using appropriate tests with significance set at p ≤ 0.05.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients will be illegible for root amputation if they one or more of the following criteria:
- •Severe vertical bone loss affecting only Mesio-buccal root of Maxillary molar.
- •Through-and-through furcation involvement
- •Vertical root fracture confined to a Mesio-buccal root of Maxillary molar.
- •Extensive root caries affecting Mesio-buccal root of Maxillary molar.
- •Endodontic failure or non- treatable perforation in Mesio-buccal root of Maxillary molar
- •Extensive internal or external non- treatable root resorption related to Mesio-buccal root of Maxillary molar.
- •Patients who do not meet the above criteria and present with Maxillary molars in more severely compromised conditions will be directed for extraction followed by dental implant placement.
排除标准
- •- Uncontrolled systemic disease, immunosuppression, recent bisphosphonate use, head and neck radiotherapy.
- •Patient non-compliance or poor oral hygiene.
- •Heavy smoking or inability to commit to maintenance.
- •Root anatomy or interradicular bone that precludes predictable root amputation; insufficient bone for implant placement that cannot be reasonably augmented.
研究者
Reem Mohamed Amr Sharaf Ali Aowad
assistant lecturer
Ain Shams University