NCT06655766尚未招募不适用
Socket Preservation Using Socket-plug Technique With Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket With Buccal Dehiscence: A Randomized Controlled Clinical Trial.
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 30
- 主要终点
- Quantitative volumetric changes
研究概览
简要总结
Socket Preservation Using Socket-plug Technique with Alloplastic Putty Bone Versus Ice Cream Cone Technique in Extraction Socket with Buccal Dehiscence: A Randomized Controlled Clinical Trial.
详细描述
this randomized controlled clinical trial evaluates the effect of using alloplastic putty bone with socket-plug technique versus ice-cream cone technique regarding dimensional changes in bone width
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Single or double rooted teeth indicated for extraction.
- •Systemically free patient
- •Presence of small buccal dehiscence not exceeding 1/3 of the root.
- •Maxillary and Mandibular Arches
- •Non-smoker
- •Adults or above the age of
- •Able to tolerate surgical periodontal procedures.
- •Full mouth plaque and bleeding scores less than 15%.
- •Compliance with the maintenance program.
- •Provide informed consent
排除标准
- •Systemic conditions/disease that contraindicate surgical procedure.
- •Patients with presence or history of osteonecrosis of the jaws, with use of bisphosphonates, exposure to head and neck radiation, chemotherapy.
- •Extraction socket with intact walls with no buccal dehiscence
- •Patients with large distinct pre-apical pathology
- •Heavy Smokers more than 10 cigarettes a day
- •Patients without availability to attend follow-up visits or patients rejecting to sign the informed consent.
- •Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching.
研究组 & 干预措施
Socket-plug technique with putty bone
Experimental
- Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%.
- Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
- Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
- The socket walls are then inspected for the presence of buccal defects.
- putty bone is injected into the socket up to the crest of the bone.
- Collagen plug or sponge is adapted over the graft to occlude the socket
- The plug is then stabilized with absorbable suture material.
干预措施: socket-plug technique with putty bone (Procedure)
Ice cream cone technique
Active Comparator
- Patients will be anesthetized at the surgical site by infiltration, using Articaine Hydrochloride 4%.
- Atraumatic extractions after careful surgical preparation of the soft and hard tissues using periotomes sulcular incision may be done with the aid of number 15c scalpel to dissect the crestal fibers and avoid trauma to soft tissue, care should be taken not to raise the flap.
- Careful curettage and debridement of the socket is performed with hand instruments to remove granulation tissue.
- The socket walls are then inspected for the presence of buccal defects.
- A Collagen barrier membrane is then shaped as an ice-cream cone and placed in the extraction socket lining the buccal tissues.
- The socket is then filled with particulate bone graft.
- The upper part of the membrane is then used to cover the socket.
- Absorbable suture is then used to close the socket and stabilize the barrier membrane
干预措施: Ice cream cone technique (Procedure)
结局指标
主要结局
Quantitative volumetric changes
时间窗: day 0 - month 6
Bone volumetric changes will be measured in millimeter by super-imposition of 3D scans using volume analysis software.
次要结局
- Horizontal alveolar ridge width(day 0 - month 6)
- Vertical alveolar ridge height(day 0 - month 6)
研究者
Abdelrahman Medhat
Teaching assistant
Cairo University
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