Clinical and Radiographic Evaluation of the Effect of Socket Preservation Using the Roll Pedicle Connective Tissue Graft With Bovine Bone: A Case Series Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- width of alveolar bone
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 27 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •• 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.
排除标准
- •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
研究组 & 干预措施
roll pedicle connective tissue graft with bovine bone
- sulcular incisions were performed on the buccal and lingual aspects of the teeth to be extracted
- Atraumatic extraction was made by periotome.
- 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.
- 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.
- the pedicle graft was rolled from the apical end and secured with interrupted sutures to the labial flap.
干预措施: roll pedicle connective tissue graft with bovine bone (Procedure)
结局指标
主要结局
width of alveolar bone
时间窗: 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
次要结局
- height of the alveolar crest(changes in height of alveolar crest were measured at baseline, 3 months and 6 months)
- gingival thickness(changes in the gingival thickness were measured at 3 & 5mm at (baseline,3 months and 6 months))
研究者
Noha Magdy Salem Amen Eladly
principal investigator
Cairo University