The Outcome of Healing Intraoral Sinus Tract With a Single or Multi-visit With Bioceramic Sealer

Study Overview
=================
Brief Summary
-----------------
The aim of clinical trial is to see is there any difference in the outcome of healing of the intraoral sinus tract when treat in single or multi-visit root canal treatment by an endodontist.

Detailed Description
-----------------
Methods and material : Inclusion criteria as follows: Tooth with a sinus tract and radiographic evidence of periradicular bone destruction, Tooth with a necrotic pulp confirmed by pulp tests or with previous root canal treatment, Tooth that was restorable and had an indication for root canal treatment or retreatment, Tooth with a mobility score <3 Absence of periodontal pockets >4 mm deep Patients without significant systemic disease. Two groups will be divided into: Group A: will treat in a single visit. The treatment protocol will be: cleaning and shaping by NITI file ( pro taper gold ) with Naocl 5.25%, EDTA 17% and saline then the canal will be obturate by single cone technique with bioceramic sealer. Group B: will treat in a multi-visit. The treatment protocol will : cleaning and shaping by NITI file ( pro taper gold ) with Naocl 5.25%, EDTA 17% and saline then ca(oh)2 use as Intracanal medication the after disappear the sinus tract the canal will obturate by single cone technique with bioceramic sealer. Follow-up examinations were performed at 7, 14, and 30 days postoperatively. According to the clinical, the outcome was classified as: Healed: the sinus tract disappeared completely. Healing: the sinus tract getting smaller and can't be traced with small gutta-percha ( we need to mention GP size) failed: the sinus tract persisted more than 30 days after treatment

Official Title
-----------------
The Outcome of Healing Intraoral Sinus Tract With a Single or Multi-visit With Bioceramic Sealer

Conditions
-----------------
Sinus Tract, Singler Visit, Multi Visit, Single Cone Obturation Technique, Bioceramic Sealer

Intervention / Treatment
-----------------
* Procedure: sinus tract healing in single or multi visit with single cone technique with bioceramic sealer


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Tooth with a sinus tract and radiographic evidence of periradicular bone destruction, Tooth with a necrotic pulp confirmed by pulp tests or with previous root canal treatment, Tooth that was restorable and had an indication for root canal treatment or retreatment, Tooth with a mobility score <3 Absence of periodontal pockets >4 mm deep Patients without significant systemic disease. Exclusion Criteria: Tooth without a sinus tract . Tooth that was not restorable Tooth with a mobility score >3 Absence of periodontal pockets <4 mm deep Patients with significant systemic disease.

Ages Eligible for Study
-----------------
Minimum Age: 6 Years
Maximum Age: 80 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Two group : Group A: The treatment will be in a single visit Group B:The treatment will be in Multi visit
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Healing rate of intra oral sinus tract in single visit by SCT with bioceramic sealer<br>When a patient comes with intra oral sinus tract will treat in a single visit. The treatment protocol will be: cleaning and shaping by NITI file ( pro taper gold ) with Naocl 5.25%, EDTA 17% and saline then the canal will be obturate by single cone technique with bioceramic sealer. | Procedure: sinus tract healing in single or multi visit with single cone technique with bioceramic sealer<br>* Investigators will see the healing rate between single visit and multi visit with single cone technique with bioceramic sealer .<br>|
| Experimental: Healing rate of intra oral sinus tract in multi visit by SCT with bioceramic sealer<br>When a patient comes with intra-oral sinus tract will treat in a multi-visit. The treatment protocol will : cleaning and shaping by NITI file ( pro taper gold ) with Naocl 5.25%, EDTA 17%, and saline then ca(oh)2 use as Intracanal medication the after disappear the sinus tract the canal will obturate by single cone technique with bioceramic sealer. | Procedure: sinus tract healing in single or multi visit with single cone technique with bioceramic sealer<br>* Investigators will see the healing rate between single visit and multi visit with single cone technique with bioceramic sealer .<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Healing rate of intra oral sinus tract in single visit and multi visit root canal treatment | To see is there sinus tract disappear after treatment | 7 days , 14 days, 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Healing rate of intra oral sinus tract when treat with single cone technique with bioceramic sealer | Is this technique will effect on healing rate of sinus tract | 7 days , 14 days, 30 days |