Periapical periodontitis
disease diseaseOn this page
Summary
Periapical periodontitis (MONDO:0004508) is a disease and 53 clinical trials. Top therapeutic interventions include hydrogen peroxide, minocycline, and sodium hypochlorite. A subtype of periodontitis — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Clinical trials: 53
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | periapical periodontitis |
| Mondo ID | MONDO:0004508 |
| EFO | EFO:1001391 |
| MeSH | D010485 |
| DOID | DOID:823 |
| ICD-11 | 1395124674 |
| SNOMED CT | 39273001 |
| UMLS | C0031030 |
| MedGen | 45396 |
| Is cancer (heuristic) | no |
Disease family
This is a subtype of periodontitis. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › musculoskeletal system disorder › skeletal system disorder › periodontal disorder › periodontitis › periapical periodontitis
Related subtypes (3): acute pericementitis, chronic periodontitis, pericoronitis
Subtypes (4): chronic apical periodontitis, acute apical periodontitis, periapical granuloma, suppurative periapical periodontitis
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
Drugs indicated or in trials for this disease
No drug has an approved disease-direct ChEMBL indication for this disease.
3 drugs in clinical trials for this disease (phase 2–3, investigational): efficacy not established — a trial record, not an indication.
| Drug | Highest phase |
|---|---|
| Amoxicillin | Phase 2 |
| Clavulanic Acid | Phase 2 |
| Clindamycin | Phase 2 |
Clinical trials & evidence
Clinical trials
Clinical trials: 53.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 48 |
| PHASE1 | 2 |
| PHASE4 | 1 |
| PHASE2 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01817413 | PHASE4 | COMPLETED | Comparison of Two Dental Techniques Used to Treat Teeth Which Have Become Infected or Painful Following Trauma |
| NCT02747082 | PHASE2 | COMPLETED | Antibacterial Effectiveness of Two Root Canal Irrigants |
| NCT02947763 | PHASE1 | COMPLETED | Single Versus Multiple Visits Endodontic Treatment |
| NCT05599087 | PHASE1 | UNKNOWN | Encapsulated Acellular System From Mesenchymal Stem Cells for Dental Pulp Regeneration |
| NCT00226148 | EARLY_PHASE1 | COMPLETED | Immediate Implant Placement in the Molar Regions |
| NCT05763420 | Not specified | ENROLLING_BY_INVITATION | Clinical Efficacy of AH Plus Bioceramic Sealer |
| NCT07018284 | Not specified | RECRUITING | Postoperative Pain Evaluation After Obturation With Different Sealers |
| NCT07019298 | Not specified | RECRUITING | Success of Endodontic Treatment With Different Obturation Techniques and Sealer Cements |
| NCT07197658 | Not specified | RECRUITING | Healing After Endodontic Microsurgery Using a Rotary Bur Versus Piezoelectric Unit for Osteotomy and Root Resection |
| NCT07239739 | Not specified | NOT_YET_RECRUITING | Comparing Two Medicines for Healing Jaw Bone Infections After Root Canal Treatment |
| NCT07239752 | Not specified | NOT_YET_RECRUITING | Influence of Maintaining Apical Patency on Post-Endodontic Pain in Molars |
| NCT07252258 | Not specified | ACTIVE_NOT_RECRUITING | Comparison of Frequency of Calcium Hydroxide Mixed With 0.2% Chlorhexidine Versus Saline as Intracanal Medicament in Periapical Periodontitis-A Randomized Controlled Trial |
| NCT07343804 | Not specified | RECRUITING | THE EFFECT OF ENDODONTIC TREATMENT ON CARDIOVASCULAR RISK BIOMARKERS IN PATIENTS WITH STABLE CORONARY ARTERY DISEASE |
| NCT07418840 | Not specified | NOT_YET_RECRUITING | Clinical and Radiographic Evaluation of Primary Endodontic Treatment and Non-surgical Endodontic Retreatments |
| NCT07439614 | Not specified | NOT_YET_RECRUITING | Comparison of Root Canal Desinfection Protocols |
| NCT07501585 | Not specified | RECRUITING | Hyaluronic Acid in Endodontic Microsurgery |
| NCT00223327 | Not specified | COMPLETED | Measurement of Bite Force in Humans |
| NCT00762840 | Not specified | UNKNOWN | Safety and Efficacy of the Apexum Ablator |
| NCT01312194 | Not specified | COMPLETED | Periapical Healing After One or Two-visits to Endodontic Treatment in Adolescents Patients |
| NCT01799187 | Not specified | UNKNOWN | Research of Revascularization in Immature Teeth With Periapical Periodontitis |
| NCT02528240 | Not specified | COMPLETED | Endodontic Microsurgery With the Use of L-PRF and an Occlusive Membrane: a Randomized Controlled Clinical Trial |
| NCT02632513 | Not specified | COMPLETED | Effect of Passive Ultrasonic Irrigation on Success of Primary Endodontic Treatment |
| NCT02801552 | Not specified | COMPLETED | Regenerative Endodontic Procedure of Immature Permanent Teeth With Apical Periodontitis Using PRF |
| NCT03102879 | Not specified | COMPLETED | Encapsulated Mesenchymal Stem Cells for Dental Pulp Regeneration. |
| NCT03537664 | Not specified | COMPLETED | Adjunctive Steps for Disinfection of Teeth With Primary Endodontic Infections |
| NCT03660163 | Not specified | UNKNOWN | Assessment of the Outcome of Endodontic Treatment Using Cone Beam Computed Tomography. |
| NCT03708081 | Not specified | COMPLETED | Comparative Evaluation of Different File Systems in Postoperative Pain |
| NCT03918733 | Not specified | UNKNOWN | Comparision of Non Surgical Retreatment and Endodontic Surgery of Failed Root Canal Treated Teeth |
| NCT03990584 | Not specified | COMPLETED | Effects of Irrigation Activation on Clinical Outcomes of Root Canal Treatment |
| NCT04358861 | Not specified | COMPLETED | Healing Outcome of Root Canal Therapy in Maxillary Molars With DOM |
| NCT04373018 | Not specified | UNKNOWN | Evaluation of Three Irrigants, Sodium Hypochlorite, Chlorhexidine and Combination of CHX+H2O2 in Endodontic Treatment. |
| NCT04495270 | Not specified | COMPLETED | 2-year Treatment Outcomes of Teeth Estimated by Means of Periapical and Endodontic Status Scale |
| NCT04812171 | Not specified | COMPLETED | Healing of Apical periodontitis-the Effect of Diabetes Mellitus and Tobacco Smoking |
| NCT04978545 | Not specified | COMPLETED | The Effect of Ca(OH)2 in Apical Periodontitis |
| NCT04980768 | Not specified | UNKNOWN | Association of Apical Periodontitis With Hs-CRP and Hemogram Indices |
| NCT05297747 | Not specified | COMPLETED | Adrenomedullin Upregulation in Apical Periodontitis |
| NCT05525013 | Not specified | COMPLETED | Effect of Simvastatin Versus Calcium Hydroxide Intracanal Medications on Post-operative Pain and Interleukin 6 and 8 |
| NCT05555043 | Not specified | COMPLETED | Comparison of Clinical Outcomes Between GentleWave® and Biolase® |
| NCT05585359 | Not specified | UNKNOWN | Effect of Injectable Platelet Rich Fibrin Augmented With Vitamin C Compared to Injectable Platelet Rich Fibrin Alone on Healing of Necrotic Mature Single Rooted Teeth With Chronic Peri-apical Periodontitis Following Regenerative Endodontics (A Randomized Controlled Trial) |
| NCT05690763 | Not specified | COMPLETED | Quantitative Assessment of the Efficacy of Two Irrigation Activation Systems |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| HYDROGEN PEROXIDE | 4 | 1 |
| MINOCYCLINE | 4 | 1 |
| SODIUM HYPOCHLORITE | 4 | 1 |
| CALCIUM HYDROXIDE | 3 | 3 |