Comparison of Socket Preservation Using Socket Shield Technique With Autogenous Dentin Graft Versus Alloplast Graft Material (Clinical and Histological Study)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- post opertaive edema
研究概览
简要总结
Alveolar bone resorption and labial bone plate reduction follow teeth extraction due to the deficiency of blood supply, derived from the loss of periodontal ligaments, and hence the socket shield technique with autogenous dentine was introduced to preserve the periodontal ligaments.
this study aim to evaluate of socket preservation using alloplast with socket shield versus Autogenous dentin graft with socket shield through radiographic analysis of alveolar bone dimension change and mean bone density in addition to histological and histomorphometric analysis for the quality of the formed bone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •One or more of non-restorable (fractured or decayed) tooth/teeth in the maxillary aesthetic regions (incisors, premolars) in both side
- •Intact labial periodontal tissues.
- •Ability to read and sign an informed consent form.
排除标准
- •A medical history that contraindicates oral surgical treatment (uncontrolled/untreated diabetes mellitus, immunocompromised status, radio/chemotherapy of the oral and maxillofacial region, treatment with oral and/or intravenous amino-bisphosponates).
- •Untreated periodontal disease.
- •Vertical root fractures on the labial aspect.
- •Tooth /teeth with horizontal fractures below bone level.
- •Tooth /teeth with external or internal resorptions.
研究组 & 干预措施
Study group (in one side)
Modified socket shield technique with autogenous dentin graft
干预措施: Modified socket shield technique with autogenous dentin graft material (in one side) (Procedure)
Control group (in contrlateral side)
Modified socket shield technique with alloplast
干预措施: Modified socket shield technique with alloplast graft material (in contralateral side) (Procedure)
结局指标
主要结局
post opertaive edema
时间窗: after 7 days
This will be assessed in the 1st week postoperatively and measured as follows: None (no inflammation) Mild (intraoral swelling confined to the surgical field) Moderate (extraoral swelling in the surgical zone) Severe (extraoral swelling spreading beyond the surgical zone).
change in pain score
时间窗: 1 week and 3 months
it will be assessed using VAS It rates pain on a scale from 1-10, with 0 representing "no pain" and 10 "very much pain
Change in bone density
时间窗: at baseline and 3 months
it will be assessed using CBCT
Change in bone height
时间窗: at baseline and 3 months
it will be assessed using CBCT
次要结局
未报告次要终点
研究者
Hams Hamed Abdelrahman
Assistant lecturer of DPH and Clinical statistician
Alexandria University