Using a new piezoelectric device for endodontic microsurgery

Outcome of Bone Window Approach in Endodontic Microsurgery Using Novel Piezoelectric Device Versus Conventional Rotary Burs in the Treatment of Periapical Lesions - a Randomized Controlled Trial

Not applicable Interventional Postgraduate Institute of Dental Sciences Rohtak · NCT06587048

This study is testing a new tool for dental surgery to see if it can help patients with chronic tooth infections heal better and keep more of their bone compared to traditional methods.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment40 (estimated)
Ages18 Years to 60 Years
SexAll
SponsorPostgraduate Institute of Dental Sciences Rohtak Academic / other
Locations1 site (Rohtak, Haryana)
Trial IDNCT06587048 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the bone window approach in endodontic microsurgery, utilizing a novel piezoelectric device to enhance surgical precision while preserving cortical bone. The study aims to compare the outcomes of this innovative technique against traditional methods that use rotary burs and bone chisels. By focusing on patients with chronic apical periodontitis and periapical lesions, the trial seeks to determine the effectiveness of this minimally invasive procedure in promoting healing and maintaining bone structure. Participants will undergo periapical surgery with the goal of improving recovery and reducing complications associated with conventional techniques.

Who should consider this trial

Good fit: Ideal candidates are consenting adults aged 18-60 with symptomatic apical periodontitis and intact buccal cortical plates.

Not a fit: Patients with systemic diseases, pregnancy, or those on anticoagulant medications may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to improved healing outcomes and reduced complications for patients undergoing endodontic microsurgery.

How similar studies have performed: While this specific approach is novel, similar studies using piezoelectric devices in surgical procedures have shown promising results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* • Consenting adults (age range: 18-60 years)

  * Non-contributory medical history (ASA Class I or Class 2)
  * Participants with symptomatic/persistent apical periodontitis showing clinical signs and symptoms and evidence of periapical lesion of strictly endodontic origin with minimum lesion diameter of 5mm on periapical radiography (PR).
  * Radiographic evidence of an intact buccal cortical plate on cone-beam computed tomographic (CBCT) imaging with minimum thickness of 1mm.

Exclusion Criteria:

* Patients with systemic diseases (diabetes mellitus, uncontrolled hypertension, hepatic/renal disease, or systemic bleeding disorders), pregnancy, smoking
* Patients on anticoagulant/ antiplatelet drugs
* Teeth that were unrestorable, fractured/perforated teeth,
* Teeth with endodontic-periodontal communication and
* Teeth with deep pockets (probing depth \>4 mm)

Where this trial is running

Rohtak, Haryana

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Periapical LesionsChronic Apical Periodontitis of Pulpal Originendondontic microsurgerypiezoelectric devicepiezoendodontic surgerybone window
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.