Application of Concentrated Growth Factors in Alveolar Ridge Preservation
Study on the Effect of Concentrated Growth Factor in Promoting the Regeneration and Preservation of Soft and Hard Tissues
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
A prospective, randomized controlled trial is designed to explore the role of CGF in the regeneration or preservation of soft and hard tissues in extraction site preservation. Using random number table, 20 patients were randomly divided into 4 groups using different filling materials in the extraction socket and materials for the wound sealing. Group A (5cases): bone powder + collagen membrane; Group B (5 cases): bone powder + collagen membrane + CGF membrane; Group C (5 cases): bone powder mixed CGF gel + collagen membrane + CGF membrane; Group D (5 cases): bone powder + CGF membrane.
Extraction and site preservation surgery were performed by the same physician and clinical follow-up was more than 6 months after surgery. The four groups will be compared on several variables, including the changes in pain score, Landry wound healing index, membrane exposure area, keratinized gingival width, buccolingual gingival width, alveolar crest width and height.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Genying Zhuang, Master
- Phone Number: 13758195143
- Email: 20918620@zju.edu.cn
Study Locations
-
-
Zhejiang Procince
-
Yiwu, Zhejiang Procince, China, 310000
- Recruiting
- The Fourth Affiliated Hospital Zhejiang University School of Medicine
-
Contact:
- Genying Zhuang, Master
- Phone Number: 13758195143
- Email: 20918620@zju.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
Voluntarily participate in this trial and sign a written informed consent; Patients aged 25 ≤ age ≤ 45 years; The combination of intraoral and imaging examinations confirms that the affected tooth has no preservation value, requires tooth extraction, and the patient is willing to use site preservation; No progressive periodontal disease or acute apical periodontitis in the affected teeth; No long-term history of oral bisphosphonates; Non smoking patients; No systemic diseases such as diabetes and hypertension.
Exclusion Criteria:
Patients who have difficulty tolerating surgery; Patients under 25 years old or above 45 years old; The whole body is accompanied by hypertension, diabetes and other serious systemic diseases, which need to be controlled by drugs; Patients who take oral medication that affects bone metabolism for at least one month due to the need for disease treatment; Patients who take medication that may affect platelet function was used within 3 months due to the need for disease treatment; Patients unable to undergo X-ray imaging examination due to pregnancy or preparation after site preservation surgery; Patients who Smoke; The apical and periodontal inflammation is in the acute phase (purulent phase) Regular follow-up or follow-up for more than 6 months is not allowed
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: bone powder + collagen membrane
Fill the extraction socket with bone powder, and cover the extraction wound with collagen membrane.
|
Fill the extraction socket with Bio-Oss® bone powder, and cover the extraction wound with Bio-Gide® collagen membrane.
|
|
Experimental: bone powder + collagen membrane + CGF membrane
Fill the extraction socket with bone powder, and cover the extraction wound with collagen membrane and CGF membrane.
|
Fill the extraction socket with Bio-Oss® bone powder, and cover the extraction wound with Bio-Gide® collagen membrane plus CGF membrane(CGF gel is pressed into a film)
|
|
Experimental: bone powder mixed wih CGF gel + collagen membrane + CGF membrane
Fill the extraction socket with bone powder mixed with CGF gel, and cover the extraction wound with collagen membrane and CGF membrane.
|
Fill the extraction socket with Bio-Oss® bone powder mixed with CGF gel (CGF gel is cutted into granules ), and cover the extraction wound with Bio-Gide® collagen membrane plus CGF membrane(CGF gel is pressed into a film)
|
|
Experimental: bone powder + CGF membrane
Fill the extraction socket with bone powder, and cover the extraction wound with CGF membrane.
|
Fill the extraction socket with Bio-Oss® bone powder and cover the extraction wound with CGF membrane(CGF gel is pressed into a film)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
the width of keratinized gingiva
Time Frame: preoperative, 3 months and 6 months after surgery
|
the width of keratinized gingiva measured by periodontal probe
|
preoperative, 3 months and 6 months after surgery
|
|
the horizontal width (from buccal to lingual at the alveolar top ) of gingiva
Time Frame: immediate , 3 months and 6 months postoperative
|
the horizontal width of gingiva measured by periodontal probe
|
immediate , 3 months and 6 months postoperative
|
|
the horizontal bone resorption of alveolar crest
Time Frame: immediate , 3 months and 6 months postoperative
|
Compared with immediate postoperative, the horizontal width of alveolar crest decreased at 3months and 6 months, postoperative alveolar bone resorption progressed with time
|
immediate , 3 months and 6 months postoperative
|
|
the vertical bone resorption of alveolar crest
Time Frame: immediate , 3 months and 6 months postoperative
|
the vertical width of alveolar crest decreased at 3months and 6 months postoperative compared with the immediate postoperative
|
immediate , 3 months and 6 months postoperative
|
|
the average gray value of alveolar bone
Time Frame: immediate , 3 months and 6 months postoperative
|
the average gray value of alveolar bone
|
immediate , 3 months and 6 months postoperative
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Landry wound healing index
Time Frame: 7 days and 12 days after surgery
|
scores:1,2,3,4,5 according to the gingival healing status
|
7 days and 12 days after surgery
|
|
reduction in membrane exposure area
Time Frame: 7 days,12 days and one month after surgery
|
membrane exposure area reduce different in four groups
|
7 days,12 days and one month after surgery
|
|
pain score
Time Frame: 1day, 3days after surgerys
|
scores: 2,4,6,8,10 using the Wong-Baker facial pain scale revision (FPS-R)
|
1day, 3days after surgerys
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Genying Zhuang, Master, The Fourth Affiliated Hospital Zhejiang University School of Medicine
Publications and helpful links
General Publications
- Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res. 2012 Feb;23 Suppl 5:1-21. doi: 10.1111/j.1600-0501.2011.02375.x.
- Li S, Yang H, Duan Q, Bao H, Li A, Li W, Chen J, He Y. A comparative study of the effects of platelet-rich fibrin, concentrated growth factor and platelet-poor plasma on the healing of tooth extraction sockets in rabbits. BMC Oral Health. 2022 Mar 23;22(1):87. doi: 10.1186/s12903-022-02126-0.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- KY-2023-045
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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