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CompletedNCT04072926Updated Jan 19, 2023

Effects of PDT and Bioceramic Filling on Periapical Healing and Postoperative Pain After Endodontic Retreatment

An Early Phase 1 interventional study of BioRoot in Apical Periodontitis, sponsored by Akademicka Poliklinika Stomatologiczna. Completed at 1 site in Croatia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-01-19.

Sponsored by Akademicka Poliklinika Stomatologiczna · Early Phase 1, Interventional, and Treatment

Phase
Early Phase 1
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose is to investigate influence of bioceramic filling of the root canal and photodynamic therapy on periapical healing and development of postoperative pain after endodontic retreatment. Patients are divided into two main groups and each of the group is divided into two subgroups. Main groups are patients receiving photodynamic therapy and patients receiving passive ultrasonic irrigation. Each of the main group is divided by the root canal filling material on the AH+ group and BioRoot group.

Read the detailed description

Clinical trial will be conducted in Dental clinic Zagreb. Patients will be chosen for this randomized prospective trials from the everyday patients referred by general dentist for endodontic retreatment. In the research will be included only patients with symptoms of chronic apical periodontitis and previous endodontic treatment. It includes teeth sensitive to palpation, percussion or visible sinus tract or swelling and asymptomatic inadequate endodontic filling. Patients that are immunocompromised, pregnant women, teeth with pocket depth bigger then 3mm, teeth with signs of vertical root fracture, teeth that are impossible to restore are excluded from research.

Every patient will be assigned to one group and one subgroup using "wheeldecide" programme. Patients will not be aware what group or subgroup they are assigned. endodontic retreatment will be conducted by one specialist in endodontics. Therapy is single visit retreatment.

02

Conditions studied

  • Apical Periodontitis

Keywords

  • Biomaterials
  • irrigation protocol
  • pariapical healing
03

In context

Periodontitis

1,635 studies on the registry are indexed under Periodontitis; 327 are open to participants now.

This study's enrollment of 70 is above the median of 45 across 1,191 interventional studies indexed under Periodontitis.

Browse Periodontitis studies →

Lead sponsor

Akademicka Poliklinika Stomatologiczna is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients with symptoms of periapical disease after endodontic treatment,
  • teeth sensitive to percussion and palpation,
  • teeth with present sinus tract and
  • asymptomatic teeth with radiologically inadequate root canal filling.

Exclusion criteria

Exclusion Criteria:

  • Immunocompromised patients,
  • pregnancy,
  • teeth with signs of vertical root fracture,
  • teeth that can't be restored,
  • antibiotic usage within last month,
  • teeth with acute apical abscess
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    PDT+/BIOROOT

    Photodynamic therapy will bi conducted with diode laser (660nm, 100mW, 60 seconds) with toluidine at the end of chemomechanical preparation. Final root canal filling will be with BioRoot in combination with guttapercha points.

    Drug: BioRoot

  • Experimental
    PUI/BIOROOT

    This arm will only get PUI (passive ultrasound irrigation) with 2,5ml of 2,5% sodium hypochlorite, then 2ml of 15% EDTA which will be activated for 60seconds (EndoUltra MicroMega, France) and finally 2,5ml of 2,5% of sodium hypochlorite will be also activated for 30 seconds. Root canal filling in combination with BioRoot and guttapercha points.

    Drug: BioRoot

  • Active comparator
    PDT+/AH+

    Photodynamic therapy will bi conducted with diode laser (660nm, 100mW, 60 seconds) with toluidine at the end of chemomechanical preparation. Final root canal filling will be with AH+ epoxy based cement in combination with guttapercha points.

    Drug: BioRoot

  • Active comparator
    PUI/AH+

    This arm will only get PUI (passive ultrasound irrigation) in combination with AH+ epoxy based cement and guttapercha points.

    Drug: BioRoot

Interventions

  • DrugBioRoot

    Influence of biomaterial BioRoot on periapical healing

    Also known as: Photodynamic therapy

06

What researchers measure

Primary outcomes

  1. Change in volume of periapical lesion

    Volumetric change of size of periapical lesion depending of the root canal filling material and the use of photodynamic therapy at the end of chemomechanical preparation.

    Time frame: 1 year

  2. Level of postoperative pain after endodontic treatment

    After endodontic treatment receives questionaire with day - by - day monitoring of the level of pain on the scale from 0 (no pain) to 10 (sever pain)

    Time frame: 7 days day after day monitoring of the level of pain.

07

Study locations

1 site
  • Dental Clinic Zagreb
    Zagreb, 10000, Croatia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 19, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04072926
Lead sponsor
Akademicka Poliklinika Stomatologiczna
Collaborators
University of Zagreb
Responsible party
BORIS PAZIN (DDM, SPECIALIST IN ENDODONTICS AND RESTORATIVE DENTISTRY, Akademicka Poliklinika Stomatologiczna) — Principal investigator
First posted
Aug 28, 2019
Start date
Oct 16, 2019
Primary completion
Dec 31, 2021
Completion
Dec 31, 2022
Last update
Jan 19, 2023

Study contacts

BORIS PAZIN, DDM
principal investigator · DENTAL CLINIC ZAGREB

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

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