Can surgery save more teeth from severe gum disease?
NCT ID NCT05237401
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at two ways to treat severe gum disease that has reached the area where the roots of back teeth split. One approach uses non-surgical cleaning and maintenance, while the other involves surgery to reshape or rebuild bone. The goal is to see which method helps keep the tooth alive longer over 5 years. About 59 adults with advanced gum disease and at least one affected molar will take part.
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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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59 people
The number who actually took part.
- Started
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Apr 2022
- Expected to finish
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Jan 2029
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 85 years
- 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: * Minimum of 12 teeth present * Diagnosis of Severe Periodontitis stage III or IV * At least one maxillary/ mandibular molar with: i) degree III horizontal furcation involvement (at least between 2 roots for maxillary molars) , ii) class B vertical furcation involvement (bone loss up to the middle third of root cones), iii) residual probing pocket depths \> 5 mm in furcation area, iv) maximum mobility degree Iand v) not already accessible for self-performed oral hygiene * Received a course of non-surgical periodontal therapy within the past six months Exclusion Criteria: Patient: * Full mouth plaque score \> 30% * A course of antibiotics within the past 3 months * Pregnant/lactating women * Relevant medical history as evaluated by the examining clinician which may have the potential to affect periodontal surgical treatment * Individuals on long-standing (2 or above years) supportive periodontal therapy (SPT) management plans Molar affected by FI: * Ongoing endodontic pathology affecting the furcation involved molar, as judged by the examining clinician * Previous periodontal surgical treatment to the furcation affected molar within the previous 5 years * Endodontically treated molar tooth without a full coverage restoration * 'Unrestorable' molar tooth (lacking adequate tooth structure to provide a restoration) as deemed by the examining clinician. * Molar tooth acting as a bridge abutment * The presence of occlusal dysfunction as assessed by the examining clinician
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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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King's College London
London, United Kingdom
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Other studies related to the condition(s) this trial covers.
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