- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02206009
Use of a Collagen Membrane for Soft Tissue Grafting
PriMatrix Dermal Repair Scaffold Utilization Intraorally
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
PriMatrix is an acellular fetal bovine dermal matrix that has a wide array of FDA approved uses. These uses include partial- and full-thickness wounds, pressure, diabetic, and venous ulcers, surgical wounds, trauma wounds, tunneled wounds, and draining wounds. It is a sheet-like matrix made up primarily of type I and type III collagen. An increased proportion of type III collagen appears to play a key role in healing and regeneration.
The use of extracellular dermal matrices is a relatively young field, and the exact mechanism by which PriMatrix promotes skin regeneration is still unknown. Despite this, PriMatrix has demonstrated differences in manufacturing and molecular composition that make it conducive to the harsh environments in which it has already been tested. Intraorally, where there is a rich vascular bed, this material holds exceeding promise.
Utilizing this vascularity, autogenous free gingival grafts from the palate have already had their efficacy proven as a method of augmenting the keratinized tissue.The need to increase the keratinized tissue is based upon the postulation that less mobile, keratinized epithelium is more resilient than the non-keratinized oral mucosa. This is especially important in areas where recession and attachment loss has already occurred. Without having keratinized gingiva apical to the recession area, it has been suggested that there is a greater risk for more attachment loss to occur, thus reducing the support for the tooth. In addition, autogenous free gingival grafts have demonstrated the phenomenon of "creeping attachment" where a portion of the recession actually becomes covered as a result of grafting.
While autogenous grafting is the gold standard in soft tissue augmentation, the amount of tissue that can be taken from the palate is limited, making it difficult to treat patients with generalized recession. Furthermore, a secondary surgical site increases the morbidity associated with the procedure. The hypothesis of this study is that PriMatrix will be able to provide similar results to an autogenous free gingival graft.
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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Minnesota
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Rochester, Minnesota, United States, 55905
- Mayo Clinic in Rochester
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Must have one to three consecutive teeth with recession and less than 1 mm of keratinized gingiva
Exclusion Criteria:
- Asthma
- Pregnancy
- Uncontrolled diabetes
- Use of continuous positive airway pressure (CPAP) machine for sleep apnea
- Oral appliances (removable partial dentures, braces, mandibular advancement, bruxism splints, etc.)
- Tobacco use
- Immunocompromised individual
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Collagen membrane
First, the recipient site is prepared, and the collagen membrane hydrated.
The collagen membrane is sutured firmly against the prepared vascular bed with a long-lasting suture material.
The subject is requested to minimize the amount of manipulation to the area to maintain graft stability.
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First, the recipient site is prepared, and the collagen membrane hydrated.
The collagen membrane is sutured firmly against the prepared vascular bed with a long-lasting suture material.
The subject is requested to minimize the amount of manipulation to the area to maintain graft stability.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in depth of keratinized tissue
Time Frame: baseline, approximately 6 months after the procedure
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The amount of gingival augmentation will be assessed by the depth of keratinized tissue, measured in millimeters.
Change in the amount of keratinized tissue in the areas of interest from baseline to 6 months will be tested to see if they are statistically significant.
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baseline, approximately 6 months after the procedure
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Daniel Assad, DDS, Mayo Clinic
- Principal Investigator: Lauren MF Syrowik, DDS, Mayo Clinic
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 14-000767
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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