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This study will compare the effect of piezo Vs bur on quality of life and healing after endodontic surgery.
The goal of endodontic surgery has changed from mere reduction of periapical pathosis and preservation of periodontium to successful postoperative management of patient regarding function and esthetics, improving the quality of life of patient and their overall acceptance. Piezoelectric bone surgery is a recent and innovative technology, permitting selective cutting of mineralized tissues sparing soft tissues.In this study after thorough clinical & radiographic examination patients will be given informed consent after explaining the treatment procedure and its associated risks and benefits. Patients are allocated into 2 groups, group 1(piezo group) in which after flap reflection bone cutting and root end cutting are performed with US6 piezoelectric insert and in group 2(control) bone and root end cutting are performed with conventional bur. Each patient will be given a questionnaire to fill out for each day starting from the day of surgery for 7 days postoperatively to assess the quality of life. They will be also requested to note down the details of analgesic intake. Hemorrhage control during surgery will be assesed. Clinical and radiographic examinations will be performed every 3, 6 and 12 months to evaluate any evidence of signs and/or symptoms and after 12 month follow up post operative CBCT taken to evaluate volume reduction of lesion postoperatively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| periapical surgery with piezo. | Experimental | After flap reflection bone and root end cutting are done with US6 piezoelectric surgical insert |
|
| Periapical surgery with bur. | Active Comparator | After flap reflection bone and root end cutting are done with surgical bur. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| piezoelectric surgery | Procedure | after flap reflection bone and root end cutting are done with piezoelectric surgical insert |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life assessment | By quality of life questionnaire(Igor Tsesis et al) | Till 1 week after surgery |
| Postoperative healing | 2D radiographic healing by Rud et al and Molven et al criteria and 3D healing by modified PENN 3D criteria | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| hemorrhage control | assessed by scores used by Vy et al | during surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| JAYA BHARATHI | POST GRADUATE INSTITUTE OF DENTAL SCIENCES, ROHTAK | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Post graduate institute of dental sciences | Rohtak | Haryana | 124001 | India |
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| ID | Term |
|---|---|
| D010483 | Periapical Diseases |
| ID | Term |
|---|---|
| D007571 | Jaw Diseases |
| D009057 | Stomatognathic Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
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| conventional bur | Procedure | after flap reflection bone and root end cutting are done with surgical bur |
|