Effect of Cone Beam Computed Tomography on Diagnostic and Therapeutic Decision Making

NCT04689126 | Completed DMC

• 1 other identifier: natwar singh
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

this study will determine the effect of CBCT examinations on diagnostic and therapeutic decision making in endodontics.

Conditions

Diagnoses Disease

Keywords

resorption; fracture; pulp necrosis; nonendodontic diagnosis

Outcome Measures

Primary Outcomes (1)

• Change in diagnosis and treatment planning

  Comparison of diagnostic and therapeutic decision making between gold standard and radiographic findings.

  1 year

Study Arms (1)

intervention

EXPERIMENTAL

diagnosis and treatment plan before and after cone beam computed tomography scan

Procedure: surgical or nonsurgical endodontic treatment

Interventions

surgical or nonsurgical endodontic treatment PROCEDURE

Change in diagnosis and treatment plans between the two imaging - periapical radiography and cone beam computed tomography

Also known as: extraction, root amputation

intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients in which disease had to be ruled out:
• patients with symptomatic vital teeth otherwise judged healthy (no exposed dentin; normal sensitivity pulp tests; no tenderness to palpation or percussion; with radiographic apical/marginal periodontal normalcy; and no cracks/fractures)
• patients with symptomatic root-filled teeth otherwise judged healthy (good quality of root filling that did not need to be revised or completed; no tenderness to palpation or percussion; with radiographic apical/marginal periodontal normalcy; and no cracks/fractures)
• when conventional radiology failed to demonstrate if a finding was a pathological process or a normal anatomical structure.
• Patients in which suspected disease had to be confirmed:
• suspected dental fractures that could not be demonstrated
• suspected external or internal resorptions.
• As an aid in performing the therapeutic intervention:
• in established external or internal resorptions to assist in the approach of complex cases
• before apical surgery when important anatomical structures interfered with the surgical approach
• in diagnosing foreign body structures, their location and, when needed, as a guide in the surgical removal
• in understanding tooth anatomy of abnormal teeth in need of endodontic treatment
• in assessing the number and location of root canals after at least one unsuccessful attempt to find them under oral microscope.

You may not qualify if:

• Patients will not be referred for CBCT examination if they:
• presented themselves with an accessible previous volume tomography in the region of interest. This was, however, not a strict restriction if the examiner judged that new and relevant information could be obtained by a new CBCT examination
• had a definite diagnosis and treatment plan after a complete clinical and conventional radiographic examination and therefore did not need a CBCT examination. This group represented the vast majority of all patients
• needed any other special imaging technique for soft tissue assessment such as CT or magnetic resonanace imaging.

Sponsors & Collaborators

• Postgraduate Institute of Dental Sciences Rohtak: lead

Study Sites (1)

Post Graduate Institute of Dental Science

Rohtak, Haryana, 124001, India

Location

MeSH Terms

Conditions

Fractures, Bone; Dental Pulp Necrosis

Interventions

Surgical Procedures, Operative; Apicoectomy

Condition Hierarchy (Ancestors)

Wounds and Injuries; Dental Pulp Diseases; Tooth Diseases; Stomatognathic Diseases; Necrosis; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Oral Surgical Procedures; Endodontics; Dentistry

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 11, 2020
• First Posted: December 30, 2020
• Study Start: November 1, 2016
• Primary Completion: March 30, 2018
• Study Completion: April 30, 2018
• Last Updated: December 30, 2020

Record last verified: 2020-12

Locations

IN (1)