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This study evaluates the effect of leucocyte and platelet rich fibrin Block (L-PRF Block) during endodontic microsurgery (EMS) on patient's post-operative comfort and periapical bone healing in large peri-apical lesions.
This study evaluates the effect of leucocyte and platelet rich fibrin Block (L-PRF Block) during endodontic microsurgery (EMS) on patient's post-operative comfort and periapical bone healing in large peri-apical lesions. The trial design is an open randomized controlled clinical trial with two groups. Half of the participants will receive EMS with L-PRF Block (experimental group), the other half without (control group).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| With L-PRF Block | Experimental |
| |
| No L-PRF Block | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Endodontic Microsurgery | Procedure | Surgical removal of 3 millimeters of the root-end, removal of the apical pathology, Root-end preparation and retrograde filling. The entire procedure is done under magnification. |
| Measure | Description | Time Frame |
|---|---|---|
| Amount of peri-apical bone healing | Amount of periapical bone healing in time: measured with Cone Beam Computed Tomography (CBCT). | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Patient related outcomes | Pain assessed with a Visual Analogue Scale ranging from 0 to 10 each day during the first 7 days post-op. | 7 days |
| Patient related outcomes | Pain assessed with a questionnaire asking about analgesics usage each day during 7 days post-op. |
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Inclusion Criteria
Exclusion Criteria
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nastaran Meschi, PhD | Contact | 0032476313889 | +32 | Nastaran.meschi@kuleuven.be |
| Joëy d'Hoop, DDS | Contact | 0032477362532 | Joey.dhoop@uzleuven.be |
| Name | Affiliation | Role |
|---|---|---|
| Nastaran Meschi, DDS | UZ Leuven | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UZ Leuven | Recruiting | Leuven | Vlaams-Brabant | 3000 | Belgium |
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| ID | Term |
|---|---|
| D010485 | Periapical Periodontitis |
| D011842 | Radicular Cyst |
| ID | Term |
|---|---|
| D010483 | Periapical Diseases |
| D007571 | Jaw Diseases |
| D009057 | Stomatognathic Diseases |
| D010510 | Periodontal Diseases |
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| 7 days |
| Patient related outcomes | Discomfort assessed with a Visual Analogue Scale ranging from 1 to 5 each day during the first 7 days post-op. | 7 days |
| Bone or scar tissue healing | Bone or scar tissue healing: Volumetric analysis using Cone-Beam Computed Tomography. Pre-operative CBCT data will be matched with the post-op CBCT scans in order to assess the volumetric changes during 1 year. | 1 year |
| Success & survival rate | Success & survival rate | 1 year |
| Dentinal defects | Dentinal defects: in the apical root before and after resection. Potential cracks and fractures that occur during the follow-up period will be assessed on CBCT en reported. | 1 year |
| D009059 |
| Mouth Diseases |
| D010518 | Periodontitis |
| D010509 | Periodontal Cyst |
| D009807 | Odontogenic Cysts |
| D007570 | Jaw Cysts |
| D001845 | Bone Cysts |
| D003560 | Cysts |
| D009369 | Neoplasms |
| D009140 | Musculoskeletal Diseases |