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Clinical and Radiographic of the Effect of Socket Preservation Using the Roll Pedicle Connective Tissue Graft With Bovine Bone: A Case Series Trial.

24. februar 2022 opdateret af: Noha Magdy Salem Amen Eladly, Cairo University

Clinical and Radiographic Evaluation of the Effect of Socket Preservation Using the Roll Pedicle Connective Tissue Graft With Bovine Bone: A Case Series Trial.

After tooth extraction, the residual alveolar ridge generally provides limited bone volume because of ongoing, progressive bone resorption. Healing events within post-extraction sockets reduce the dimensions of the socket over time. Therefore, socket preservation became an indispensable procedure as well as fundamental to prevent bone loss following tooth extraction. Preservation, by the name, is the maintenance of the socket, which is essentially the height and width of the gap that is left after the tooth is removed. It is done by placing a graft material or scaffold immediately into the socket of an extracted tooth to presto preserve bone height, width and density

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Investigator evaluate the clinical and radio graphic effect of roll pedicle connective tissue graft as a barrier membrane together with bovine bone in alveolar ridge preservation in extraction sockets.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

8

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Egypten
      • Giza, Egypten, 0020
        • Faculty of Dentistry -Cairo University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

27 år til 45 år (Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • • patients with healthy systemic condition.

    • Adult patients ˃ 18 years old.
    • hopeless teeth that need tooth or root extraction in the maxillary esthetic zone.
    • Alveolar socket Grade I and II.
    • Normal platelet counts according to complete blood count (CBC) test done in the screening stage.

Exclusion Criteria:

  • Acute infection at the extraction site

    • Smokers ˃ 10 cigarettes / day.
    • Medications that may interfere with wound healing
    • History of treatment with bisphosphonates.
    • History of allergic reaction

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: roll pedicle connective tissue graft with bovine bone
  1. sulcular incisions were performed on the buccal and lingual aspects of the teeth to be extracted
  2. Atraumatic extraction was made by periotome.
  3. After tooth extraction the soft tissue was reflected at least 4 mm beyond the alveolar crest margin and the socket was filled with bovine derived xenograft and covered with roll pedicle connective tissue graft as a barrier membrane.
  4. This pedicle is rolled under the buccal mucosa.The palatal connective tissue pedicle graft was outlined by full thickness incision along the oblique incision line, and parallel incision given from the mesial line angle of target place and reflected coronally up to the crest of the ridge defect. then a partial thickness incision was made extending beyond the line angles of adjacent incisors and mucogingival junction, leaving the periosteum on the bone.
  5. the pedicle graft was rolled from the apical end and secured with interrupted sutures to the labial flap.
Procedure: roll pedicle connective tissue graft with bovine bone
rotated pedicle connective tissue graft together with bovine bone applied for socket preservation after tooth extraction
Andre navne:
  • vascularized interpositional connective tissue graft

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
width of alveolar bone
Tidsramme: changes in the Width of alveolar bone were measured at 3& 5 mm at baseline,3 months and 6 months

Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted.

The buccopalatal width of the alveolar ridge will be measured at the two assigned points using bone caliper at baseline and 6 months post extraction
changes in the Width of alveolar bone were measured at 3& 5 mm at baseline,3 months and 6 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
gingival thickness
Tidsramme: changes in the gingival thickness were measured at 3 & 5mm at (baseline,3 months and 6 months)

Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted.

The gingival thickness will be evaluated by William's graduated periodontal probe inserted horizontally perpendicular to the alveolar bone at the two assigned holes labially/buccally at baseline and 6 Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted.

The gingival thickness will be evaluated by William's graduated periodontal probe inserted horizontally perpendicular to the alveolar bone at the two assigned holes labially/buccally at baseline and 6 months post extraction.

months post extraction.
changes in the gingival thickness were measured at 3 & 5mm at (baseline,3 months and 6 months)
height of the alveolar crest
Tidsramme: changes in height of alveolar crest were measured at baseline, 3 months and 6 months
Crestal bone height was measured to determine the amount of bone at gain using digora soft ware
changes in height of alveolar crest were measured at baseline, 3 months and 6 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Cairo University

Efterforskere

  • Ledende efterforsker: noha magdy salem amin, Cairo University- Faculty of Dentistry

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

16. juli 2019

Primær færdiggørelse (Faktiske)

1. marts 2021

Studieafslutning (Faktiske)

16. september 2021

Datoer for studieregistrering

Først indsendt

8. februar 2022

Først indsendt, der opfyldte QC-kriterier

23. februar 2022

Først opslået (Faktiske)

24. februar 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

11. marts 2022

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

24. februar 2022

Sidst verificeret

1. februar 2022

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • roll pedicle graft

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

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