Outcome of Bone Window Approach in Endodontic Microsurgery Using Novel Piezoelectric Device

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorPostgraduate Institute of Dental Sciences Rohtak

About this trial

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 criteria

Qualifiers

• 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.

Disqualifiers

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

Trial design

Treatments tested in this trial

  • periapical surgery
  • periapical surgery

Treatment groups

40 Participants
are divided into 2 treatment groups