New guided surgery technique could improve healing after failed root canals
NCT ID NCT07184151
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether using 3D-guided microsurgery helps bone heal better after a failed root canal compared to standard surgery. It also compared two different filling materials: a newer bioceramic putty and the standard MTA. Twenty-four adults with persistent infections after root canal treatment were randomly assigned to one of four groups. The researchers measured operating time, bone density changes, and pain levels 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
- Well root putty (bioceramic putty) and MTA (mineral trioxide aggregate) as retrograde filling materials
- What this could lead to
- If successful, this could show that guided microsurgery and newer filling materials improve bone healing and reduce pain after failed root canal treatment.
- What could go wrong
- This is a small, early-stage trial with only 24 participants, so results may not apply to everyone. The outcomes focus on short-term measures like operating time and pain, not long-term success.
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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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24 people
The number who actually took part.
- Started
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Jan 2022
- Finished
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Apr 2024
- 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 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: * Tooth is restorable pocket depth is less than 4mm and mobility in its normal limit ( less than 1mm) * Persisting or emerging disease following root-canal treatment when root canal re-treatment is inappropriate. * Tooth with acceptable endodontic treatment and have a new post and crown restoration, but have a persistent or enlarging periapical lesion ( size less than 10 mm) * Obstructed canal (the obstruction proved not to be removable, by passed and the risk of damage was too great). * Extruded material or instrument with clinical or radiological findings of apical periodontitis and/or symptoms are present. Exclusion Criteria: * Non restorable tooth * Contraindicating medical condition ( severe systemic condition and psychological condition) * Anatomical contra indication * Poor general oral status and supporting periodontal tissue.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Faculty of Dentistry, Suez Canal University
Ismailia, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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