Outcome of Bone Window Approach in Endodontic Microsurgery Using Novel Piezoelectric Device
Outcome of Bone Window Approach in Endodontic Microsurgery Using Novel Piezoelectric Device Versus Conventional Rotary Burs in the Treatment of Periapical Lesions - a Randomized Controlled Trial
Postgraduate Institute of Dental Sciences Rohtak
40 participants
Sep 1, 2023
INTERVENTIONAL
Conditions
Summary
The Bone window technique provides excellent access to the surgical site while preserving cortical bone in cases of tooth with large periapical lesion and an intact cortical plate. Traditionally, rotary burs and a bone chisel were used to create a bone window. Piezoelectric bone surgery, on the other hand, is an innovative technique that uses thin osteotomy instrument to selectively cut hard tissue while preserving soft tissues. To the best of our knowledge, no study comparing the results of a bone lid using a piezoelectric device and a conventional bur is currently available.
Eligibility
Inclusion Criteria4
- • Consenting adults (age range: 18-60 years)
- Non-contributory medical history (ASA Class I or Class 2)
- Participants with symptomatic/persistent apical periodontitis showing clinical signs and symptoms and evidence of periapical lesion of strictly endodontic origin with minimum lesion diameter of 5mm on periapical radiography (PR).
- Radiographic evidence of an intact buccal cortical plate on cone-beam computed tomographic (CBCT) imaging with minimum thickness of 1mm.
Exclusion Criteria5
- Patients with systemic diseases (diabetes mellitus, uncontrolled hypertension, hepatic/renal disease, or systemic bleeding disorders), pregnancy, smoking
- Patients on anticoagulant/ antiplatelet drugs
- Teeth that were unrestorable, fractured/perforated teeth,
- Teeth with endodontic-periodontal communication and
- Teeth with deep pockets (probing depth \>4 mm)
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Interventions
In piezo group, the periapical surgery will be performed using piezoelectric device.
In conventional bur group, the periapical surgery will be performed using rotary burs.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06587048