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.
159 clinical trials for this condition and its sub-types.
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Broader categories
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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…
Phase: NA • 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…
Phase: NA • 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: PHASE1 • 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…
Phase: NA • 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…
Phase: NA • 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…
Phase: NA • Sponsor: Al-Azhar University • Aim: Disease control
Last updated Jun 27, 2026 12:29 UTC
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New root canal paste shows promise in healing tooth infections
Disease control Recruiting nowThis study tests two different root canal filling pastes (iRoot SP and nRoot SP) in 160 adults with chronic tooth infection. The goal is to see which paste better heals the infection and relieves symptoms like pain and swelling. Participants will be followed for up to 2 years aft…
Phase: NA • Sponsor: The Dental Hospital of Zhejiang University School of Medicine • Aim: Disease control
Last updated Jun 27, 2026 12:08 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…
Phase: NA • Sponsor: Marmara University • Aim: Disease control
Last updated Jun 27, 2026 09:11 UTC
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Baking soda toothpaste may keep gum disease at bay
Disease control Recruiting nowThis study tests whether using a toothpaste with sodium bicarbonate (baking soda) and fluoride can help maintain gum health in adults who have already had non-surgical gum treatment. One hundred participants will use either the special toothpaste or a placebo for six months, whil…
Phase: NA • Sponsor: University of Plymouth • Aim: Disease control
Last updated Jun 27, 2026 08:06 UTC
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AI vs dentist: which gives better oral hygiene tips for prediabetes?
Disease control Recruiting nowThis study compares personalized oral hygiene advice from an AI app versus a human dentist in 148 adults with prediabetes and gum disease. The goal is to see if AI can improve gum health and blood sugar levels as well as a dentist. Participants will have their gums and blood suga…
Phase: NA • Sponsor: The University of Hong Kong • Aim: Disease control
Last updated Jun 27, 2026 08:01 UTC
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Cholesterol drug could help heal infected teeth
Disease control Recruiting nowThis study tests whether simvastatin, a common cholesterol drug, can fight infection and reduce inflammation when placed inside a tooth during root canal retreatment. Fifty-four adults with a single-rooted tooth that had a failed root canal and a small area of bone loss around th…
Phase: NA • Sponsor: Hadeer Maher Mostafa Mohamed • Aim: Disease control
Last updated Jun 27, 2026 08:00 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…
Phase: NA • Sponsor: Al-Azhar University • Aim: Disease control
Last updated Jun 27, 2026 07:52 UTC
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New online tool could help you spot gum disease risk at home
Diagnosis Recruiting nowThis study is testing whether a simple online questionnaire can accurately assess a person's risk for gum disease (periodontitis or gingivitis). About 393 adults in Saudi Arabia will fill out the questionnaire and then have a dental exam to compare results. The goal is to see if …
Sponsor: Universiti Sains Malaysia • Aim: Diagnosis
Last updated Jun 27, 2026 12:29 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…
Phase: NA • Sponsor: University of Aarhus • Aim: Diagnosis
Last updated Jun 27, 2026 12:29 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…
Phase: NA • Sponsor: The University of Texas Health Science Center, Houston • Aim: Symptom relief
Last updated Aug 18, 2026 04:00 UTC
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Gum surgery showdown: which stitch heals best?
Symptom relief Recruiting nowThis study compares two types of stitches (NOVOSYN quick and MONOSYN quick) used in gum surgery to see if they heal equally well. About 84 adults having gum surgery will be randomly assigned one of the two stitches. The main goal is to check early healing signs like skin regrowth…
Phase: NA • Sponsor: Aesculap AG • Aim: Symptom relief
Last updated Aug 15, 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…
Phase: NA • 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…
Phase: EARLY_PHASE1 • Sponsor: Cairo University • Aim: Symptom relief
Last updated Jul 23, 2026 00:00 UTC
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New dental tools aim to make root canals less painful
Symptom relief Recruiting nowThis study tests whether using different nickel-titanium file systems, alone or with an XP-Endo Finisher irrigation device, can reduce pain after root canal treatment. Eighty adults with infected molars will be randomly assigned to one of four groups. Pain levels will be recorded…
Phase: NA • Sponsor: BUSRA OZTURK • Aim: Symptom relief
Last updated Jun 27, 2026 13:06 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: PHASE4 • Sponsor: TC Erciyes University • Aim: Symptom relief
Last updated Jun 27, 2026 12:35 UTC
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Which root canal filling hurts less? new study aims to find out
Symptom relief Recruiting nowThis study compares two common root canal filling techniques—cold lateral condensation and warm vertical obturation—to see which causes less pain afterward. About 80 adults with infected but pain-free teeth will be randomly assigned to one method. Researchers will measure pain le…
Phase: NA • Sponsor: University of Jordan • Aim: Symptom relief
Last updated Jun 27, 2026 12:03 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 …
Phase: NA • Sponsor: University of Bern • Aim: Symptom relief
Last updated Jun 27, 2026 12:02 UTC
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Laser-Ultrasonic duo takes on tooth pain
Symptom relief Recruiting nowThis study tests whether using a special laser along with standard ultrasonic cleaning can reduce pain and kill more bacteria after a root canal. About 120 adults with infected single-root teeth will be treated and asked to rate their pain. The goal is to find a better way to man…
Phase: NA • Sponsor: Al-Azhar University • Aim: Symptom relief
Last updated Jun 27, 2026 11:02 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 …
Phase: NA • Sponsor: Alexandria University • Aim: Symptom relief
Last updated Jun 27, 2026 08:12 UTC
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Which sealer causes less pain? new study aims to find out
Symptom relief Recruiting nowThis study looks at two types of dental sealers used during root canal treatment to see which one leads to less pain afterward. Sixty adults with a painless tooth infection around the root tip will be randomly assigned to receive either a calcium-based bioceramic sealer or a resi…
Phase: NA • Sponsor: Fatima Memorial Hospital • Aim: Symptom relief
Last updated Jun 27, 2026 08:06 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…
Phase: NA • Sponsor: Al-Azhar University • Aim: Symptom relief
Last updated Jun 26, 2026 14:09 UTC
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Could your gums be causing your neck pain? scientists investigate
Knowledge-focused Recruiting nowThis study examines a possible connection between gum disease and chronic neck pain. Researchers will compare neck pain intensity and daily disability among adults aged 30-55 with healthy gums, gingivitis, or periodontitis. Participants complete pain scales and questionnaires to …
Sponsor: Nigde Omer Halisdemir University • Aim: Knowledge-focused
Last updated Jul 19, 2026 00:00 UTC
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Gum disease and quality of life: new study seeks answers
Knowledge-focused Recruiting nowThis study looks at how oral hygiene habits and gum health affect quality of life in 160 adults. Participants will have a dental exam and fill out a questionnaire about how their mouth feels day-to-day. No treatment is given—the goal is simply to understand the connection between…
Sponsor: Abant Izzet Baysal University • Aim: Knowledge-focused
Last updated Jun 27, 2026 12:26 UTC
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Bleach strength during root canal retreatment may affect pain, study finds
Knowledge-focused Recruiting nowThis study looks at whether using different concentrations of sodium hypochlorite (a type of bleach) during root canal retreatment can change pain levels and certain nerve chemicals in the tooth. Sixty adults needing a repeat root canal will be randomly assigned to receive 1%, 2.…
Phase: NA • Sponsor: KEZBAN MELTEM ÇOLAK • Aim: Knowledge-focused
Last updated Jun 27, 2026 09:10 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…
Phase: NA • 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…
Phase: NA • Sponsor: Postgraduate Institute of Dental Sciences Rohtak • Aim: Knowledge-focused
Last updated Jun 27, 2026 08:11 UTC