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Using Combination of Synthetic Bone Substitutes During Extractions

Phase 3
Conditions
Dental Caries
Alveolar Bone Losses
Periodontitis
Interventions
Device: Calcium Phosphate, Calcium Sulphate
Registration Number
NCT01503593
Lead Sponsor
Rambam Health Care Campus
Brief Summary

The study was designed to assess the effectiveness of conservation ridge preservation (horizontal and vertical dimension) after tooth extraction with and without combination of bone substitutes based on synthetic (calcium sulfate mixed with phosphate.

Detailed Description

Using the combination of these two bone substitute is taken in order to diminish the alveolar ridge alternations after tooth extraction. the investigator will measure the horizontal and vertical changes (primary outcome) and the adverse effects (secondary outcome)in 4 months period

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  1. Patients over age 18.
  2. Patients who require extraction of teeth for Periodontal or other dental reasons (up one tooth in each quarter when there are existing adjacent teeth).
Exclusion Criteria
  1. Inability to pass informed consent procedure
  2. Pregnant women
  3. Breastfeeding women
  4. Patient taking medications that affect bone metabolism such as bisphosphonates
  5. Extractions sites contaminated
  6. Smoking over 10 cigarettes a day
  7. Patients with removable prostheses

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Alverolar ridge dimensionCalcium Phosphate, Calcium SulphateExtraction of teeth and implant a bone substitute
Primary Outcome Measures
NameTimeMethod
The change of the dimension of the alveolar ridgeImmediatly after tooth extraction (up to 10 minutes after the extraction) and 4 monthes after extraction

Measurement of socket width (aspect B/L) at three points Height:

1. Record-high ridge (buccal/lingual-palatal )

2. 3 mm apically to the peak ridge (buccal/lingual-palatal )

3. 6mm apically to the peak ridge (buccal/lingual-palatal )

Measurement of alveolar ridge height:

Measured distance between the summit crater and the peak of the ridge and the center line connecting the CEJ of adjacent teeth

Secondary Outcome Measures
NameTimeMethod
Post operative adverse effectsimmediate after the extraction and until 4 monthes after

The investigators will record the optionally adverse effect such as edema, infection, pain, exposure of the membrane.

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