Periapical periodontitis
MONDO:0004508Inflammation of the periapical tissue. It includes general, unspecified, or acute nonsuppurative inflammation. Chronic nonsuppurative inflammation is periapical granuloma. Suppurative inflammation is periapical abscess.
171 clinical trials for this condition and its sub-types, 108 tagged with Periapical periodontitis itself.
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Sub-types of Periapical periodontitis
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Chronic apical periodontitis 55 trials
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Suppurative periapical periodontitis 12 trials
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Acute apical periodontitis 8 trials
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Periapical granuloma 3 trials
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Root canal battle: which medicament kills more bacteria?
Disease control Recruiting nowThis study tests two different medicines placed inside root canals to kill bacteria in teeth with chronic infection. 24 adults with infected molars will receive either a bioceramic or a calcium hydroxide paste. Researchers measure bacterial levels before and after treatment to se…
Sponsor: Medipol University • Aim: Disease control
Last updated Jul 01, 2026 00:00 UTC
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Laser vs. standard: which root canal cleaner works best?
Disease control Recruiting nowThis study compares two methods for disinfecting root canals in teeth with apical periodontitis (an infection at the tooth root). Fifty adults with infected molars will receive either a laser-based disinfection or a standard protocol. The goal is to see which method reduces bacte…
Sponsor: State University of New York at Buffalo • Aim: Disease control
Last updated Jun 27, 2026 14:02 UTC
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New root canal dressings aim to cut pain and speed healing
Disease control Recruiting nowThis study compares three different root canal dressings used between visits in retreatment cases. The goal is to see which one best reduces inflammation, shrinks infection-related lesions, and lowers pain. Sixty adults with previously treated but still infected lower first molar…
Phase 1 • Sponsor: Ain Shams University • Aim: Disease control
Last updated Jun 27, 2026 13:07 UTC
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Toothache relief: could a common painkiller beat standard root canal medicine?
Disease control Recruiting nowThis study compares two medications placed inside the tooth after a failed root canal: standard calcium hydroxide and the painkiller diclofenac sodium. Sixty patients with persistent infection around the tooth root will be randomly assigned to one of the two treatments. Healing w…
Sponsor: Mustafa Kemal University • Aim: Disease control
Last updated Jun 27, 2026 13:05 UTC
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Could vinegar and a laser beat tooth infections in diabetes?
Disease control Recruiting nowThis study tests whether a diode laser, apple cider vinegar, or the herb Gymnema Sylvestre can better disinfect root canals in people with type 2 diabetes who have a tooth infection called apical periodontitis. Ninety participants will be split into groups receiving different com…
Sponsor: Sharda University • Aim: Disease control
Last updated Jun 27, 2026 12:39 UTC
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Nanotech tooth pastes could ease pain after root canal failure
Disease control Recruiting nowThis study tests whether two nano-sized pastes—nano-calcium hydroxide and nano-chitosan—can reduce inflammation and pain in people who need a second root canal treatment. The trial will enroll 63 adults with a single-rooted tooth that has a persistent infection and no current pai…
Sponsor: Al-Azhar University • Aim: Disease control
Last updated Jun 27, 2026 12:29 UTC
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Can a Blood-Derived gel save infected teeth after failed root canals?
Disease control Recruiting nowThis study compares standard root canal retreatment with a regenerative method using injectable platelet-rich fibrin (i-PRF) in 140 adults with persistent tooth infections. Participants are randomly assigned to one of the two treatments and followed for two years to assess healin…
Sponsor: Marmara University • Aim: Disease control
Last updated Jun 27, 2026 09:11 UTC
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Laser light could boost root canal success
Disease control Recruiting nowThis study tests whether using an 810 nm diode laser during root canal retreatment helps the bone around the tooth heal better. Forty adults with a failed root canal and a visible infection will receive standard retreatment plus either laser disinfection or a calcium hydroxide pa…
Sponsor: Al-Azhar University • Aim: Disease control
Last updated Jun 27, 2026 07:52 UTC
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Could a special MRI replace dental X-Rays for jaw and tooth issues?
Diagnosis Recruiting nowThis study aims to see if a special MRI designed for teeth can diagnose jaw joint disorders, tooth infections, and help plan dental implants as well as or better than traditional X-rays. About 470 adults needing dental imaging will get both an MRI and standard X-rays, and the res…
Sponsor: University of Aarhus • Aim: Diagnosis
Last updated Jun 27, 2026 12:29 UTC
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Can a new sealer make root canals less painful?
Symptom relief Recruiting nowThis study compares two types of root canal sealers—NeoSEALER Flo and AH Plus—to see which one leads to less pain after treatment and better healing of the area around the tooth root. About 30 adults with infected tooth roots and no other health issues will take part. Pain is mea…
Sponsor: Minia University • Aim: Symptom relief
Last updated Aug 27, 2026 00:00 UTC
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Can a new file make root canal retreatments less painful?
Symptom relief Recruiting nowThis trial tests two ways of activating cleaning solutions during a repeat root canal procedure to see if one leads to less pain and better healing. Adults with a failed root canal in a single-rooted tooth will be randomly assigned to receive either Xp Finisher R file activation …
Sponsor: Minia University • Aim: Symptom relief
Last updated Aug 23, 2026 00:00 UTC
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Can a laser beam ease pain after Root-End surgery?
Symptom relief Recruiting nowThis trial tests whether photobiomodulation (PBM), a type of low-level laser therapy, can reduce pain and improve healing after endodontic microsurgery—a procedure to treat infections at the tip of a tooth root. About 90 adults needing this surgery will receive either real PBM or…
Sponsor: The University of Texas Health Science Center, Houston • Aim: Symptom relief
Last updated Aug 19, 2026 00:00 UTC
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3D-Printed dental guide aims to boost precision in Root-End surgery
Symptom relief Recruiting nowThis trial tests whether a custom 3D-printed surgical guide can improve the accuracy of apicoectomy—a procedure to remove the tip of a tooth root after a failed root canal. Participants will have the guided surgery and then report pain and swelling at 1, 3, and 7 days. At 6 month…
Sponsor: University of Medicine and Pharmacy at Ho Chi Minh City • Aim: Symptom relief
Last updated Jul 31, 2026 00:00 UTC
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Which root canal filling eases pain best? new study tests three options
Symptom relief Recruiting nowThis study tests whether placing ibuprofen, nitrofurantoin, or calcium hydroxide inside a tooth after root canal treatment can lower pain. About 111 adults with dead nerves in their back teeth will rate their pain on a 0-10 scale. The goal is to find which medication works best t…
Early phase 1 • Sponsor: Cairo University • Aim: Symptom relief
Last updated Jul 23, 2026 00:00 UTC
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Can a better rinse ease root canal pain?
Symptom relief Recruiting nowThis study compares two different irrigation techniques used during root canal retreatment to see which one leads to less pain afterward. About 100 adults with a previous root canal and ongoing infection will take part. The goal is to find a simple way to improve comfort after th…
Phase 4 • Sponsor: TC Erciyes University • Aim: Symptom relief
Last updated Jun 27, 2026 12:35 UTC
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Could a gel make root canal surgery less painful?
Symptom relief Recruiting nowThis study tests whether applying a special gel (cross-linked hyaluronic acid) during root-end surgery helps the gums heal faster and reduces pain afterward. About 46 adults with a tooth infection that didn't heal after standard root canal treatment will take part. Half will get …
Sponsor: University of Bern • Aim: Symptom relief
Last updated Jun 27, 2026 12:02 UTC
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New root canal technique could mean less pain for patients
Symptom relief Recruiting nowThis study tests a new way to do root canals that skips the manual step of scouting and widening the canal by hand. Instead, dentists use a special rotary file from the start. The goal is to see if this causes less pain after the procedure compared to the traditional method. The …
Sponsor: Alexandria University • Aim: Symptom relief
Last updated Jun 27, 2026 08:12 UTC
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Laser zaps pain after root canal failure
Symptom relief Recruiting nowThis study tests whether using a special laser to disinfect the root canal can lower inflammation and pain after a root canal has failed. Fifty-two adults with a failed root canal and a visible infection on X-ray will receive either standard cleaning plus the laser or standard cl…
Sponsor: Al-Azhar University • Aim: Symptom relief
Last updated Jun 26, 2026 14:09 UTC
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Why do french dentists pull baby teeth? a new survey aims to find out
Knowledge-focused Recruiting nowThis study surveys 100 French dentists who treat children to understand why they often choose extraction for non-vital baby teeth, even though effective alternatives like pulpectomy exist. The goal is to collect and analyze their treatment choices, reservations, and decision-maki…
Sponsor: University Hospital, Strasbourg, France • Aim: Knowledge-focused
Last updated Jun 27, 2026 09:09 UTC
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AI may help save painful teeth without root canal
Knowledge-focused Recruiting nowThis study tests whether artificial intelligence can predict if a less invasive procedure called full pulpotomy (removing only the infected pulp) will succeed in treating painful molars, compared to standard root canal treatment. Researchers will enroll 58 adults with irreversibl…
Sponsor: Misr International University • Aim: Knowledge-focused
Last updated Jun 27, 2026 08:13 UTC
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Tooth treatment may cut heart inflammation, small trial hints
Knowledge-focused Recruiting nowThis study looks at whether root canal treatment can reduce inflammation markers linked to heart disease in people with stable coronary artery disease and infected tooth roots. Eighty adults will either get immediate root canal treatment or wait three months. Researchers will mea…
Sponsor: Postgraduate Institute of Dental Sciences Rohtak • Aim: Knowledge-focused
Last updated Jun 27, 2026 08:11 UTC