Tooth-saving surgery or implant? new study aims to settle the debate for damaged molars
NCT ID NCT07633834
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two treatments for severely damaged lower molars: a tooth-saving surgery called hemisection (removing the damaged root) versus replacing the whole tooth with a dental implant. Researchers will track 28 participants over 12 months to see which option leads to better patient satisfaction, chewing ability, and bone healing. The goal is to help dentists and patients make more informed treatment decisions.
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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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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: * Good oral hygiene and motivation for follow-up care. * Ability to understand and sign informed consent. * Localized Root/Periodontal Disease: Severe attachment loss or bone loss (e.g., severe localized periodontitis) affecting the mesial root, while the other root remains healthy. * Furcation Involvement: Class II or III furcation involvements where the disease cannot be treated by conventional methods. * Vertical root fracture confined to the mesial root. * Non-treatable perforation in the mesial root. * Extensive sub-gingival root caries affecting the mesial root. * Extensive un-treatable internal and external root resorption related to the mesial root. Exclusion Criteria: * Uncontrolled systemic diseases (e.g., diabetes mellitus, bleeding disorders, immunosuppression). * Fused or poorly shaped roots, * Active periodontal or endodontic infection at adjacent teeth that may interfere with treatment outcomes. * Severe bruxism or occlusal parafunction. * History of radiation therapy in the head and neck region. * Pregnancy or lactation. * Poor compliance or inability to attend follow-up visits. * Smoking more than 10 cigarettes per day.
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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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Other studies related to the condition(s) this trial covers.
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