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OrACELL™ vs. Connective Tissue in Miller Class 3 Defects

Primary Purpose

Gingival Recession

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
OrACELL
Connective Tissue Graft
Sponsored by
Texas A&M University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gingival Recession focused on measuring Gingival Recession, Connective Tissue Graft, OrACELL, Decellularized Dermis, Periodontics

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Patients must be between 18 and 80 years old, with recession present in one quadrant as either single or multiple buccal vertical recession sites
  2. The defect must be at least 2mm in length, (measured from the CEJ to the midfacial gingival margin) and classified as either Miller Class I, II or III
  3. Study is limited to vital and nonvital incisors, canines, and premolars
  4. If teeth adjacent to the site to be treated had recession as well, they were included in the grafting procedure but not included in measurement
  5. Plaque control defined as modified O'Leary Index of 85% was established before surgical intervention
  6. Only sites with probing depths of 3mm or less and no bleeding on probing were accepted for surgery

Exclusion Criteria:

  1. Subjects who smoke more than ten cigarettes per day or use nicotine replacement therapy
  2. History of previous history of surgery performed at surgical sites included in study
  3. Subjects who have uncontrolled or poorly controlled systemic conditions that could compromise or contraindicate periodontal surgery
  4. Non-English speakers
  5. Pregnant or lactating females
  6. Immunosuppressant medications

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Experimental

    Arm Label

    Connective Tissue Graft

    OrACELL

    Arm Description

    Connective Tissue is harvested from the palate of the subject then placed over the recession defect on the facial of the designated tooth. A coronally advanced flap is raised to cover the connective tissue graft and the recession.

    Allograft Tissue (human dermis) is removed from packing and placed over the recession defect on the facial of the designated tooth. A coronally advanced flap is raised to cover the OrACELL graft and the recession.

    Outcomes

    Primary Outcome Measures

    Gingival Recession (Root Coverage)
    The measurement in millimeters of the relationship of the cementoenamel junction (CEJ) to the gingival margin

    Secondary Outcome Measures

    Full Information

    First Posted
    May 31, 2017
    Last Updated
    July 20, 2017
    Sponsor
    Texas A&M University
    Collaborators
    LifeNet Health
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03226600
    Brief Title
    OrACELL™ vs. Connective Tissue in Miller Class 3 Defects
    Official Title
    A COMPARATIVE STUDY OF ROOT COVERAGE USING OrACELL™ VERSUS SUBEPITHELIAL CONNECTIVE TISSUE GRAFT: A RANDOMIZED CONTROLLED TRIAL
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    March 26, 2015 (Actual)
    Primary Completion Date
    June 13, 2016 (Actual)
    Study Completion Date
    December 16, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Texas A&M University
    Collaborators
    LifeNet Health

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose was to compare root coverage outcomes between autogenous connective tissue graft (CTG) and decellularized human dermis (OrACELL™) in areas of facial gingival recession.
    Detailed Description
    Twenty-four non-smoking, healthy patients, with 2mm or greater facial gingival recession at a minimum of one site that classified as a Miller Class I, II, or III recession defect were included. Patients were randomly assigned to either control (CTG) or OrACELL™ (test) groups, which were treated with identical surgical techniques. All root coverage clinical parameters were evaluated at baseline, 3-, and 6-months.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Gingival Recession
    Keywords
    Gingival Recession, Connective Tissue Graft, OrACELL, Decellularized Dermis, Periodontics

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    Randomized Controlled Trial between two treatment modalities for gingival recession with 6 month follow-up
    Masking
    ParticipantInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    24 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Connective Tissue Graft
    Arm Type
    Active Comparator
    Arm Description
    Connective Tissue is harvested from the palate of the subject then placed over the recession defect on the facial of the designated tooth. A coronally advanced flap is raised to cover the connective tissue graft and the recession.
    Arm Title
    OrACELL
    Arm Type
    Experimental
    Arm Description
    Allograft Tissue (human dermis) is removed from packing and placed over the recession defect on the facial of the designated tooth. A coronally advanced flap is raised to cover the OrACELL graft and the recession.
    Intervention Type
    Device
    Intervention Name(s)
    OrACELL
    Intervention Description
    OrACELL is human dermis that undergoes the MATRACELL process. MATRACELL is a patented and validated process that renders allograft tissue acellular, without compromising the biomechanical or desired biochemical properties of an allograft bio-implant for its intended surgical application.
    Intervention Type
    Device
    Intervention Name(s)
    Connective Tissue Graft
    Other Intervention Name(s)
    Subepithelial Connective Tissue Graft
    Intervention Description
    A measured layer of dermis is surgically removed from the palate for use as a graft to cover gingival recession
    Primary Outcome Measure Information:
    Title
    Gingival Recession (Root Coverage)
    Description
    The measurement in millimeters of the relationship of the cementoenamel junction (CEJ) to the gingival margin
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Patients must be between 18 and 80 years old, with recession present in one quadrant as either single or multiple buccal vertical recession sites The defect must be at least 2mm in length, (measured from the CEJ to the midfacial gingival margin) and classified as either Miller Class I, II or III Study is limited to vital and nonvital incisors, canines, and premolars If teeth adjacent to the site to be treated had recession as well, they were included in the grafting procedure but not included in measurement Plaque control defined as modified O'Leary Index of 85% was established before surgical intervention Only sites with probing depths of 3mm or less and no bleeding on probing were accepted for surgery Exclusion Criteria: Subjects who smoke more than ten cigarettes per day or use nicotine replacement therapy History of previous history of surgery performed at surgical sites included in study Subjects who have uncontrolled or poorly controlled systemic conditions that could compromise or contraindicate periodontal surgery Non-English speakers Pregnant or lactating females Immunosuppressant medications

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    OrACELL™ vs. Connective Tissue in Miller Class 3 Defects

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