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Oxidative StressNCT07059481

Effect of Different Root Canal Sealers on Oxidative Stress Markers

A study testing Root Canal Treatment and Sample Collection and PAI Score Comparasion in people with Oxidative Stress and Chronic Apical Periodontitis, run by bengi gülgü at 1 site in Turkey (Türkiye).

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Sites and contacts
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Trial summary

The goal of this clinical trial is to primary purpose investigate and compare oxidative stress markers in patients with chronic apical periodontitis treated with different root canal paste in a single session. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
What is being tested?
Root Canal Treatment and Sample Collection and PAI Score Comparasion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteTurkey (Türkiye)
Study dates
18 Mar 2024to 13 Nov 2025
Phase
Interventional

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Systemically healthy, ASA1 patients,
  • Phase 1 periodontal treatment was performed,
  • Diagnosed with chronic apical periodontitis in a single tooth with 2 or more roots in the mouth,
  • The lesion measured <2 cm on radiographic evaluation,
  • The vitality of the tooth was checked by EPT (Ai-Pex, Woodpecker, China) and Cold test (Cerkamed, Poland) and confirmed to be devitalised,
  • Socioculturally able to participate in the treatment,
  • Individuals who did not smoke or drink alcohol

Who cannot join

  • Patients who have used antibiotics in the last three months and analgesics in the last two weeks
  • Patients who smoke and/or abuse alcohol
  • Patients younger than 18 years or older than 45 years,
  • Patients with controlled or uncontrolled systemic disease and life-threatening conditions (ASA 2,3,4,5,6)
  • Pregnant or lactating women,
  • Patients with poor oral hygiene,
Show all 15Show fewer
  • Patients who had head and neck radiotherapy,
  • With obesity,
  • Active periodontal disease,
  • Periodontal pocket depth over 3mm,
  • There is enough loss of material in the relevant tooth to prevent adequate isolation or to require post placement,
  • Clinical examination of the relevant tooth showing symptoms in percussion-palpation,
  • Radiographically, the lesion is seen in relation to anatomical formations such as the mandibular canal and maxillary sinus,
  • Patients who required prophylactic antibiotic use before invasive dental procedures were excluded from the study.
  • Patients who did not attend the follow-up appointment and patients who experienced complications during expansion (instrument seperation, perforation, etc.) were excluded from the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Turkey (Türkiye)1 site, 1 recruiting
  • Ordu University

    Ordu, Ordu- Altınordu, 52200

    Bengi Gülgü, +905330262002, bengigulgu@gmail.com

    Bengi Gülgü

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: Evaluation of Oxidative Stress in Patients With Chronic Apical Periodontitis Treated With Single Session Root Canal Treatment Using Different Root Canal Sealers: in Vivo Study

The goal of this clinical trial is to primary purpose investigate and compare oxidative stress markers in patients with chronic apical periodontitis treated with different root canal paste in a single session. The main questions it aims to answer are:

Is there a change in oxidative stress markers measured from saliva after root canal treatment? Is there a difference between the change of oxidative stress markers in patients using different root canal sealers after root canal treatment?

Read more

Researchers will compare bioceramic-based and epoxy resin-based root canal sealers to see if there are significant differences in oxidative stress markers measured from patients' saliva after root canal treatment.

  • Participants will be informed about all procedures before starting the clinical process.
  • Participants are expected to allow saliva sampling two times: first sample will be collected on root canal treatment session and second sample will be collected on the 30th day after root canal treatment.
  • Participants will be informed in writing about the treatment procedure before starting the clinical process.
  • Participants are expected to sign the informed consent form on a voluntary basis.
Being tested
Root Canal Treatment and Sample Collection, PAI Score Comparasion
Keywords
oxidative stress, root canal sealers, chronic apical periodontitis, periapical index, total oxidant status, total antioxidant status, oxidative stress index, 8-epi, malondialdehyde, myeloperoxidase

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Root Canal Treatment and Sample CollectionOther

    Also called Saliva Sample Collection (two times per patient), Sample Collection from Endodontium while root canal treatment session., Completion of root canal obturation with epoxyamine (Itena Obturys) or bioceramic-based sealer (Itena, MTA Bioseal)

    Single session root canal treatment procedure will be performed with VDW Gold Reciproc device and reciprocal files (Endo T-Must, Dentac, Turkey). Endodontium Samples will be collected from each patient's root canal, with 15 Hedström files (Dentsplay).

  • PAI Score ComparasionDiagnostic test

    PAI scores of the patients will be determined with periapical films taken before treatment and compared with oxidative stress markers before and after treatment for the epoxyamine group and bioceramic group.

Study groups in NCT07059481
Study groupRoleWhat they receive
1- Bioceramic GroupExperimentalPatients which had been used bioceramic-based sealer (MTA Bioseal, Itena, France) while root canal treatment.
Receives: Other: Root Canal Treatment and Sample Collection; Diagnostic Test: PAI Score Comparasion
2- Epoxy amine GroupExperimentalPatients which had been used epoxyamine resin-based sealer (Itena Obturys, Itena, France) while root canal treatment.
Receives: Other: Root Canal Treatment and Sample Collection; Diagnostic Test: PAI Score Comparasion

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in biochemically measured oxidative stress markers at 30th day in patients treated with epoxyamine/bioceramic root canal pastes.

    oxidative stress markers (myeloperoxidase, 8-epi, total oxidant status, total antioxidant status, oxidative stress index, malondialdehyde) will be measured and compared biochemically in saliva samples taken from the patients on the first and thirtieth day.

    Measured: three month aproximately

  2. Comparison of the changes observed in biochemically measured oxidative stress markers of patients in the bioceramic group and patients in the epoxyamine group at day 1 and day 30

    results of oxidative stress measurement obtained from bioceramic group and epoxyamin group will be compared. comparsion will be performed with biochemical kits for saliva samples.

    Measured: three month aproximately

Secondary outcomes (1)
  1. Investigation of the relationship between biochemically measured oxidative stress markers from endodontium and initial saliva samples obtained from all patients and PAI score determined by periapical films

    results of PAI and oxidative stress markers measured with biochemical kits will be compromised.

    Measured: three months aproximately

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2025
  2. Study start18 Mar 2024
  3. Primary completion2 Sep 2025 (estimated)
  4. Study completion13 Nov 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
the results obtained from the groups will be compared and correlated both within and between the groups.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07059481
Sponsor's protocol ID
2024/53
Status last verified
Jul 2025
First submitted
19 Jan 2025
Last updated
10 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

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