Status:
COMPLETED
Effect of Cone Beam Computed Tomography on Diagnostic and Therapeutic Decision Making
Lead Sponsor:
Postgraduate Institute of Dental Sciences Rohtak
Conditions:
Diagnoses Disease
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
this study will determine the effect of CBCT examinations on diagnostic and therapeutic decision making in endodontics.
Detailed Description
Patients selected for Cone beam computed tomography (CBCT) examinations in accordance with European Commission guidelines ( patients with symptomatic vital teeth or with symptomatic root filled teeth;...
Eligibility Criteria
Inclusion
- The inclusion criteria for referring patients to CBCT examination will be in accordance with current European guidelines and can be grouped as follows:
- 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.
Exclusion
- 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.
Key Trial Info
Start Date :
November 1 2016
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
April 30 2018
Estimated Enrollment :
40 Patients enrolled
Trial Details
Trial ID
NCT04689126
Start Date
November 1 2016
End Date
April 30 2018
Last Update
December 30 2020
Active Locations (1)
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1
Post Graduate Institute of Dental Science
Rohtak, Haryana, India, 124001