Impact of Selective Curettage and Tissue Adhesive on the Clinical Outcomes of Endodontic Microsurgery: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 24
研究概览
简要总结
The goal of this randomized clinical trial is to determine whether selective curettage combined with cyanoacrylate tissue adhesive improves clinical outcomes in endodontic microsurgery compared with the conventional approach. The study purpose is to evaluate the postoperative healing associated with this conservative surgical protocol.
The main questions it aims to answer are:
Does selective curettage with tissue adhesive reduce postoperative pain, swelling, and complications compared to complete curettage with suturing?
How does selective curettage affect clinical and radiographic healing of persistent periapical lesions?
Researchers compared complete lesion curettage with suturing to selective curettage (40-70% lesion removal) with cyanoacrylate tissue adhesive closure to assess differences in healing and patient-related outcomes.
Participants :
Underwent endodontic microsurgery using one of the two surgical protocols Attended follow-up visits at 1, 3, and 7 days for clinical evaluation of pain, swelling ,Discomfort , Bleeding , Local reaction and Wound Dehiscence
Attended follow-up visits at 3, 6, and 12 months for clinical and radiographic evaluation of periapical healing using 2D radiographs and CBCT
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years and older consenting to the surgical procedure as well as agreeing to preoperative and at least 1 follow-up CBCT evaluation.
- •Noncontributory medical history (American Society of Anesthesiologists class I, II).
- •Teeth with periapical lesions that had been previously treated or retreated but symptoms persist or recurrent.
- •Radiographic presence of true endodontic lesion close to vital critical structure.
排除标准
- •Nonconsenting patients and patients younger than 18 years of age.
- •Medical history with the American Society of Anesthesiologists class III to V.
- •Insufficient coronal restoration.
- •Nonrestorability or traumatized teeth.
- •Mobility >
- •Vertical root fracture.
研究者
Mohamed Adel El-Dreny Mohamed
Assistant Lecturer
Mansoura University