LPRF Block vs. DBBM in Horizontal Bone Reconstruction
Horizontal Guided Bone Regeneration: LPRF Block vs. a Mixture of Autogenous Bone With Deproteinized Bovine Bone Mineral. A Split-mouth RCT Study With 25 Months Follow-up
調査の概要
詳細な説明
12 patients were included in this split-mouth RCT. In test sites a horizontal GBR procedure was performed using a collagen membrane with a graft consisting of 50% autogenous bone and 50% DBBM. In control sites a collagen membrane was used, with a graft consisting of an LPRF block. This was left to heal for 9 months. Subsequently an implant was placed. At time of implant placement a bone biopsy was taken. After 4 months of osseointegration the abutment connection was performed. 1 year after loading of the implants a final check was done. CBCT scans were taken at intake, immediately after reconstruction, 9 months after reconstruction, before implant placement and 1 year after loading of the implants.
Primary outcome measure is the bone volume as measured on the CBCT scans. Secondary outcome measures are bone quality in the biopsy, buccal bone thickness around the oral implant, number and type of complications, cumulative survival rates of the implants 1 year after loading.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
Vlaams-Brabant
-
Leuven、Vlaams-Brabant、ベルギー、3000
- UZ Leuven
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Males or females, with ASA I or II, between 18 and 80 years old
- 2 implant sites requiring vertical bone augmentation prior to implant placement
- Both sites in the same jaw
- Good general health as documented by self-assessment
Exclusion Criteria:
- Any systemic medical condition that could interfere with the surgical procedure, planned treatment or healing of the patient
- Immunosuppression, Diabetes, Anticoagulation or Antiaggregatory medication.
- Current pregnancy or breast feeding/ lactating at the time of recruitment.
- Radiotherapy or Chemotherapy in head and neck area.
- Intravenous and oral bisphosphonate therapy.
- Smoking
- Unwillingness to return for the follow-up examination.
- Conditions or circumstances, in the opinion of the investigator, which could represent a general contra-indication for surgical procedure or would prevent completion of study participation or interfere with analysis of study results, such as history of non-compliance, or unrealistic expectations
- Presence of osseous pathologies, that might interfere with normal wound healing
- Presence of oral lesions (such as ulceration, malignancy)
- Local inflammation, including untreated periodontitis
- Patients with inadequate oral hygiene or unmotivated for adequate home care
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：LPRF block group
LPRF block covered by collagen membrane
|
Bone grafting procedure using a particulated bone graft, covered by a resorbable membrane
他の名前：
|
|
実験的：Compound graft group
50% autogenous bone with 50% DBBM covered by collagen membrane.
|
Bone grafting procedure using a particulated bone graft, covered by a resorbable membrane
他の名前：
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
bone volume changes
時間枠：at intake, immediately after surgery, 9 months postoperative, 13 months postoperative, 25 months postoperative
|
bone volume is measured on CBCT scans of the jaw
|
at intake, immediately after surgery, 9 months postoperative, 13 months postoperative, 25 months postoperative
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
buccal bone thickness on CBCT scan
時間枠：measured at placement of the implant and 1 year later
|
thickness of the buccal bone plate of the oral implant
|
measured at placement of the implant and 1 year later
|
|
Cumulative survival rate of the implants
時間枠：measured at the 1 year loading follow-up
|
survival of the implants over the follow-up time
|
measured at the 1 year loading follow-up
|
|
Rates of complications
時間枠：from the gbr surgery to 25 months follow-up
|
all possible complications were registered and monitored
|
from the gbr surgery to 25 months follow-up
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- S59813-1
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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