Vital Root Amputation in Molars With Advanced Periodontal Furcation Involvement: a Preliminary Study

Azienda Ospedaliera, Universitaria Policlinico Vittorio Emanuele10 enrolled

Overview

The goal of this clinical trial is to test in 10 patients with advanced furcation involvement on molars. The main question\[s\] it aims to answer are: • Is it possible to carry out root resection without endodontic treatment on molars? Tooth vitality will be checked (positive response to cold test). Root resection will be carried out under local anestesia. Following visits will be carried out for re-evaluation/maintenance according to clinical care every 3 mounths until 3 years follow-up.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Periodontal Diseases Furcation Defects

Interventions

It will be carried out under local anestesia. Intra-crevicular or para-marginal gingival incision will be carried out and full-tickness mucoperiostal flaps will be raised to expose the affected roots. Whit the use (if possible) of a surgical stent an incision will be performed on the root to be removed. Biodentine will be used for retrogade obturation. The flaps will be sutured.

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patient diagnosed with stage III-IV periodontitis * Compliantpatient, as shown by full mouth plaque score\<30% * Previous non-surgical periodontal therapy within 6 mounths * Maxillary or mandibular molar affected by periodontal furcation involvement and scheduled for root resection * Positive to sensibility testing (cold/electric pulp tests) * No prosthesis or large restorations * Sufficiently divergent roots to make root resection feasible * Root trunk lenght at 3 mm as measured in periapical radiograph Exclusion Criteria: * Systemic contraindications to perform periodontal surgery/root resection * Fused roots * Presence of periapical radiolucency * Furcation class III affecting all roots of maxillary molar

Outcomes

Primary Outcomes

Tooth vitality (positive response to cold test)

following the 3rd visit will be make a re-evaluation of the tooth vitality, by a positive response to cold test, every 3 month.

Time frame: 3-year follow-up

No periapical lesion

following the 3rd visit will be make a re-evaluation of the periapical heath condition, by a periapical rx, every year