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N/A N=70 Randomized Single-blind Treatment

Effect of Irrigation-Activation Techniques on Healing in Large Periapical Lesions

Effect of Irrigation Activation on Periapical Healing

Enrolled (actual)
70
Serious AEs
Results posted
May 2025
Primary outcome: Primary: Percentage Change in Lesion Volume at 12-months Follow-up — 80.429; 85.429; 86.929; 74.571 percent change — p=<0.05

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Manual dynamic activation (Procedure); Passive ultrasonic activation (Procedure); Laser activation (Procedure)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Recep Tayyip Erdogan University
Primary completion
Feb 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage Change in Lesion Volume at 12-months Follow-up
80.429; 85.429; 86.929; 74.571 <0.05 sig
PRIMARY
Distribution of Lesion Status in Different Irrigation Groups at 12-year Follow-up
3; 1; 4; 3; 9; 13

Summary

The aim of this study was to highlight the healing rates of large periapical lesions after different irrigation activation treatments as manual dynamic activation (MDA), passive ultrasonic irrigation (PUI), shock wave-enhanced emission photoacoustic streaming (SWEEPS) using CBCT scans based on volumetric change analysis during 1-year follow-up.

Eligibility Criteria

Inclusion Criteria

  • Patients having single root mandibular teeth
  • Patients the diagnosis of chronic apical periodontitis,
  • Periapical index score of 3 and above,
  • Patients having good oral hygiene

Exclusion Criteria

  • Patients with systemic diseases (diabetes, hypertension, chronic liver disease, coagulation disorders),
  • Patients with bone metabolism disease and/or
  • Patients using drugs that affect bone metabolism (such as steroids, bisphosphonates)
  • Patients with a history of radiotherapy
  • Pregnant patients
  • Teeth with mobility of 2 or more, periodontal pocket depth of 5 mm or more, generalized chronic periodontitis, internal and external resorption, and/or vertical and horizontal root fractures
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT06204887). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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