Which Root-End filling technique heals better?
NCT ID NCT07808424
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This trial tests two methods of placing a mineral trioxide aggregate (MTA) plug during apical surgery for people with persistent apical periodontitis in back teeth. One method fills the root end from the outside (retrograde), the other from the inside (orthograde). Researchers will compare healing on X-rays and 3D scans, pain levels, and quality of life over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mineral trioxide aggregate (MTA) used as a root-end filling material during endodontic micro-surgery, applied either orthograde (from within the root canal) or retrograde (from the root tip).
- What this could lead to
- If one method proves better, it could improve healing rates and reduce pain for people with persistent root infections after standard treatment.
- What could go wrong
- This is a small, early-stage trial, so results may not apply to all cases. Surgery carries risks like pain, swelling, or damage to nearby teeth.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 54 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients in which non-surgical retreatment is unfeasible (anatomical complexity, iatrogenic errors) or previously failed treatment in cases of persistent symptomatic apical periodontitis involving posteriors. * Tooth with a peri-radicular lesion of endodontic origin (chronic apical periodontitis) or endo-perio origin with the size of lesion ≥5mm. * Teeth with less than 10 degree root curvature. * Patients between 18-55 years of age. * No general medical contraindications for oral surgical procedures (ASA-1 according to the classification of the American Society of Anesthesiologists) * Tooth with adequate final restoration without clinical evidence of coronal leakage. * Good periodontal health condition at tooth level. * Able to completely understand and sign an informed consent form. Exclusion Criteria: * • Patients with systemic diseases (diabetes mellitus, uncontrolled hypertension grade III, hepatic/renal disease, or systemic bleeding disorders) (Bharathi et al 2021). * Patients on anticoagulant/ antiplatelet drugs. * Fractured/perforated teeth. * Presence of vertical root fracture. * Pregnancy.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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PGIDS
RECRUITINGRohtak, Haryana, 124001, India