Radiographic Bone Changes Following Socket Preservation in Mandibular Molars Using Deproteinized Bovine Bone Mineral Versus Using Beta Tri Calcium Phosphate
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Cairo University
- Enrollment
- 20
- Primary Endpoint
- Prevent post extraction ridge volume loss and decrease bone resorption detected by CBCT to prepare for success implant loading
Study Overview
Brief Summary
Inadequate ridge width to allow implant placement, it noted that when extraction takes place and ridge preservation is not utilized the site of extraction could lose 40% to 60% of bone height and width within 2 to 3 years and subsequent loss of 0.25% to 0.5% annually. it reported as much as 4 mm loss of ridge width in extraction alone sites within 6 months. Using an atraumatic tooth extraction technique preserves osseous walls thereby improving the chances of osseous graft success.
The goal of ridge preservation is minimizing bone loss to preserve the maximum final, healed ridge dimensions.
Socket preservation is done using a hard tissue graft like xenograft bone or synthetic bone substitutes and prevent hazard of surgical intervention which needed during implant loading due to bone resorption.
Detailed Description
Good assessment whether a particular graft is more beneficial than others which can be improve the extraction site healing.
Good assessment if grafting has any beneficial or detrimental effects on post-operative sequelae post extraction.
Extraction is indicated when a tooth cannot be restored or maintained in suitable conditions for long-term health, function, and/or esthetics. Loss of a tooth has a direct effect on life quality by impairing the ability to masticate, speak, and, in some instances, socialize, after tooth extraction an average alveolar bone loss of 1.5-2 mm (vertical) and 40%-50% (horizontal) occurs within 6 months, alveolar dimensional changes occur during the first 3 months. If no treatment to restore the dentition is provided, then continued bone loss occurs and up to 40%-60% of ridge volume is lost in first 3 years . And the absence of a tooth in its alveolus enhances a cascade of biological events that typically result in significant local anatomic changes..
Studies have demonstrated that loss of alveolar ridge Post extraction is an irreversible process result in both horizontal and vertical reduction. Atrophy of alveolar ridge may have a significant effect on tooth replacement therapy, especially when implant restorations are planned.
Therefore, alveolar ridge preservation has become a key component of contemporary clinical dentistry.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Masking Description
Blinded participants
Eligibility Criteria
- Ages
- 25 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Good oral hygiene.
- •Age from 25-60 years
- •Both sexes
- •Sufficient bone volume
- •Presence of non-restorable mandibular molars.
- •Exclusion Criteria
- •Extreme bone atrophy.
- •Patients who have systemic disorders that might interfere with bone metabolism.
- •Pregnant patients.
- •Bad oral hygiene.
- •Patients with bone diseases.
- •Patient with limited mouth opening
Exclusion Criteria
- Not provided
Arms & Interventions
study group:
ridge preservation alveolar ridge socket preserved using alloplastic material beta tri calcium phosphate type
Intervention: ridge preservation (Other)
control group
ridge preservation (alveolar ridge socket preserved using xenograft material Bio-oss type
Intervention: ridge preservation (Other)
Outcomes
Primary Outcomes
Prevent post extraction ridge volume loss and decrease bone resorption detected by CBCT to prepare for success implant loading
Time Frame: base lline
socket preservation is minimizing bone loss to preserve the maximum final, healed ridge dimensions
Secondary Outcomes
No secondary outcomes reported
Investigators
wahid yehia al azizy al hussiney
Principal Investigator
Cairo University