The Outcome of Healing Intraoral Sinus Tract With a Single or Multi-visit With Bioceramic Sealer

Overview

The aim of clinical trial is to see is there any difference in the outcome of healing of the intraoral sinus tract when treat in single or multi-visit root canal treatment by an endodontist.

Methods and material : Inclusion criteria as follows: Tooth with a sinus tract and radiographic evidence of periradicular bone destruction, Tooth with a necrotic pulp confirmed by pulp tests or with previous root canal treatment, Tooth that was restorable and had an indication for root canal treatment or retreatment, Tooth with a mobility score \<3 Absence of periodontal pockets \>4 mm deep Patients without significant systemic disease. Two groups will be divided into: Group A: will treat in a single visit. The treatment protocol will be: cleaning and shaping by NITI file ( pro taper gold ) with Naocl 5.25%, EDTA 17% and saline then the canal will be obturate by single cone technique with bioceramic sealer. Group B: will treat in a multi-visit. The treatment protocol will : cleaning and shaping by NITI file ( pro taper gold ) with Naocl 5.25%, EDTA 17% and saline then ca(oh)2 use as Intracanal medication the after disappear the sinus tract the canal will obturate by single cone technique with bioceramic sealer. Follow-up examinations were performed at 7, 14, and 30 days postoperatively. According to the clinical, the outcome was classified as: 1. Healed: the sinus tract disappeared completely. 2. Healing: the sinus tract getting smaller and can't be traced with small gutta-percha ( we need to mention GP size) 3. failed: the sinus tract persisted more than 30 days after treatment

Conditions

Interventions

Eligibility

Outcomes