Tooth-Saving surgery vs. implants: which is better for bad molars?
NCT ID NCT07608497
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study compares two treatments for severely damaged upper molars: root amputation (removing only the damaged root and keeping the rest of the tooth) versus replacing the whole tooth with a dental implant. Researchers will track pain, bone healing, and implant stability over 12 months in 28 patients. The goal is to help dentists choose the best option for saving teeth.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- root amputation (surgery) and dental implant
- What this could lead to
- If successful, this could show that root amputation is a good alternative to implants for saving damaged upper molars, helping more people keep their natural teeth.
- What could go wrong
- This is a small, early study with only 28 participants, so results may not apply to everyone. Both procedures have risks like infection or failure, and the study hasn't started yet.
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 28 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Jan 2028
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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21 to 60 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 will be illegible for root amputation if they one or more of the following criteria: * Severe vertical bone loss affecting only Mesio-buccal root of Maxillary molar. * Through-and-through furcation involvement * Vertical root fracture confined to a Mesio-buccal root of Maxillary molar. * Extensive root caries affecting Mesio-buccal root of Maxillary molar. * Endodontic failure or non- treatable perforation in Mesio-buccal root of Maxillary molar * Extensive internal or external non- treatable root resorption related to Mesio-buccal root of Maxillary molar. * Patients who do not meet the above criteria and present with Maxillary molars in more severely compromised conditions will be directed for extraction followed by dental implant placement. Exclusion Criteria: * \- Uncontrolled systemic disease, immunosuppression, recent bisphosphonate use, head and neck radiotherapy. * Patient non-compliance or poor oral hygiene. * Heavy smoking or inability to commit to maintenance. * Root anatomy or interradicular bone that precludes predictable root amputation; insufficient bone for implant placement that cannot be reasonably augmented.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
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