Evaluation of Computer-Guided Secondary Alveolar Cleft Bone Grafting With and Without Platelet-Rich Fibrin

June 13, 2022 updated by: Mansoura University
This study aims at investigating the role of platelet-rich fibrin in alveolar cleft secondary grafting. This grafting is done from the patient's chin using a computer-guided stent that is customized for each patient, and the cleft volume is analysed at first to estimate the needed amount of bone to be harvested.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

12

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Egypt
    • Addakahlyia
      • Mansoura, Addakahlyia, Egypt, 35516
        • Faculty of Dentistry, Mansoura University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

9 years to 14 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Healthy patients who are classified according to the American Society of Anesthesiologists (ASA) physical status classification as class I.
  2. Patients seeking treatment and accepting to be enrolled in the study, so as their guardians.
  3. Patients who will age 9-14 years old by the surgery day.
  4. Patients with adequate chin bone volume that could be harvested without marked donor site morbidity, as pre-determined by cone beam computed tomography.

Exclusion Criteria:

  1. Patients with systemic illness, i.e. ASA(22) classes II, III, IV, and V.
  2. Patients with previously operated alveolar clefts and seeking revision for the same cleft.
  3. Patients that wouldn't be able to attend the recalls.
  4. Patients with other craniofacial anomalies and associated syndrome conditions.
  5. Edentulous maxilla, atypical or non-described cleft diagnosis.
  6. Patients with history of chemotherapy or radiotherapy.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control group
No platelet-rich fibrin was added to the cleft site during grafting.
Experimental: Study group
Platelet-rich fibrin was added to the cleft site during grafting.
Procedure: Platelet-rich fibrin
Addition of platelet-rich fibrin into the cleft site.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Closure of oronasal fistula
Time Frame: Ten days postoperatively
  • By questioning the patient if there's a nasal regurgitation or not.
  • Qualitative outcome (positive or negative).
Ten days postoperatively
Closure of oronasal fistula
Time Frame: Six months postoperatively
  • By questioning the patient if there's a nasal regurgitation or not.
  • Qualitative outcome (positive or negative).
Six months postoperatively
Volume of newly formed bone
Time Frame: Six months postoperatively
  • By computerized measurement on the Cone-Beam Computed Tomography software. (Volume tool in Invesalius ® software (Invesalius, CTI, Brazil)).
  • Quantitative outcome (in cubic millimetres (mm3)).
Six months postoperatively
Average density of newly formed bone
Time Frame: Six months postoperatively
  • By computerized measurement on the Cone-Beam Computed Tomography software. (Average density tool in Invesalius ® software (Invesalius, CTI, Brazil)).
  • Quantitative outcome (in Hounsfield Units (HU)).
Six months postoperatively

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mansoura University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 1, 2020

Primary Completion (Actual)

December 1, 2021

Study Completion (Actual)

June 2, 2022

Study Registration Dates

First Submitted

June 8, 2022

First Submitted That Met QC Criteria

June 13, 2022

First Posted (Actual)

June 16, 2022

Study Record Updates

Last Update Posted (Actual)

June 16, 2022

Last Update Submitted That Met QC Criteria

June 13, 2022

Last Verified

June 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • A08080920

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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