Endodontic Microsurgery with Platelet-Rich Fibrin

This study is looking into a dental procedure called endodontic microsurgery (also known as apicoectomy), which is used when a root canal treatment hasn't fully healed an infection around the tooth root. Researchers want to see if adding something called Platelet Rich Fibrin (PRF) to the surgery helps the bone heal better. PRF is a biological material that will be used to fill the area after the surgery. The study will compare how well teeth heal with and without PRF. You might be able to join if you are between 18 and 90 years old, have certain front or premolar teeth with a failed root canal and an infection, and meet other health criteria. The main way they will measure success is by looking at changes in bone healing over 6, 12, and 18 months.

Study design
This is an interventional study planning to enroll 20 participants, comparing endodontic microsurgery with and without Platelet Rich Fibrin.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 18 months to measure bone healing.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06776289

Endodontic Microsurgery

Not Yet Recruiting
PHASE4Ages 18–90InterventionalTreatment
Mark Schachman
~20 participants
Updated 2026-07-29 on ClinicalTrials.gov
What's tested:Platelet rich fibrin

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in bone deposition using voxel-based imposition
Measured over 6 months, 12 months, and 18 months
Apical Periodontitis
1 sites across 1 states
Kentucky1
  • Mark Schachman, DMD · PRINCIPAL_INVESTIGATOR

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Eligibility criteria

Inclusion

Maxillary or Mandibular Anterior teeth and premolars #4-13 and #20-29 with a history of failing RCT and a periapical radiolucency will be accepted

Exclusion

Patients with vertical root fractures
Patients with non-restorable teeth
Patients with class 3 mobility
Pregnant
Smoker
Systematic disease contraindicating surgery
  • Change in bone deposition using voxel-based imposition6 months, 12 months, and 18 months

    From the CBCT images Invivo imaging software (Anatomage, San Jose, CA, USA) will be used to obtain measurements from voxel-based superimposition. The voxel-based imposition is automated by the software to match the voxel grayscale values from the two image volumes. Originally developed by Bazina et al. this analysis method has been demonstrated to show reliable and accurate data. The Linear measurements will be obtained on the cross-section view (sagittal, coronal, and axial) of the periapical lesion on CBCT-1 (6 months) and CBCT-2 (12 months) images.