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Early Healing of Apical Periodontitis After Root Canal Treatment With Bioceramic and Calcium Hydroxide Medicaments: Evaluation Using PAI and ImageJ
Sponsor: Hasanuddin University
Summary
This study aims to evaluate and compare early radiographic healing of apical periodontitis following root canal treatment using bioceramic and calcium hydroxide intracanal medicaments. Participants with apical periodontitis who meet the eligibility criteria will be assigned to one of two treatment groups. The first group will receive a bioceramic intracanal medicament (Bio-C Temp, Angelus), while the second group will receive calcium hydroxide (Ultracal, Ultradent). The assigned medicament will be placed inside the root canal for two weeks as part of the root canal treatment procedure. Periapical dental radiographs will be obtained at baseline and at the three-month follow-up using the paralleling technique. Radiographic images will be evaluated to assess changes in periapical healing over time. Periapical healing will be assessed using the Periapical Index (PAI) and quantitative image analysis with ImageJ software. The PAI will be used to evaluate the radiographic status of the periapical tissues. ImageJ will be used to measure the area and density of periapical lesions and their fractal dimension on periapical radiographs. The findings from the baseline and three-month follow-up assessments will be compared to evaluate changes in periapical lesions and to compare early radiographic healing between the bioceramic and calcium hydroxide groups. The study is expected to provide information on the effectiveness of bioceramic and calcium hydroxide intracanal medicaments in promoting early radiographic healing of apical periodontitis following root canal treatment.
Official title: Effectiveness of Bioceramic Root Canal Medicament on Early Healing of Apical Periodontitis After Root Canal Treatment: A Periapical Radiographic Evaluation Using the PAI Index and ImageJ
Key Details
Gender
All
Age Range
18 Years - 65 Years
Study Type
INTERVENTIONAL
Enrollment
24
Start Date
2026-06-12
Completion Date
2026-12-12
Last Updated
2026-11-03
Healthy Volunteers
No
Interventions
Bioceramic Intracanal Medicament
Bio-C Temp (Angelus) will be placed inside the root canal for two weeks as part of root canal treatment. Periapical dental radiographs will be obtained at baseline and at the three-month follow-up using the paralleling technique. Periapical healing will be evaluated using the Periapical Index (PAI) and ImageJ analysis to measure lesion area, lesion density, and fractal dimension.
Calcium Hydroxide Intracanal Medication
Ultracal XS (Ultradent) will be placed inside the root canal for two weeks as part of root canal treatment. Periapical dental radiographs will be obtained at baseline and at the three-month follow-up using the paralleling technique. Periapical healing will be evaluated using the Periapical Index (PAI) and ImageJ analysis to measure lesion area, lesion density, and fractal dimension.
Locations (1)
Dental and Oral Hospital of Hasanuddin University
Makassar, South Sulawesi, Indonesia