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Histological Outcome of the Use of Different Biomaterials for Fresh Socket Regeneration. A Split-mouth Design

Primary Purpose

Alveolar Bone Loss

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
dental socket regeneration
Sponsored by
University of Salamanca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alveolar Bone Loss

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients in need of at least one bilateral tooth extraction due to one or more of the following causes:

    • periodontal disease,
    • vertical fracture
    • included teeth.
  • Patients seeking dental implant to replace their missing teeth.
  • All sockets should have intact or partially conserved buccal wall according to Elian´s classification (Type I, II).

Exclusion Criteria:

  • Patients under 18 years old.
  • Patients with a severely untreated periodontal disease.
  • Smokers of more than 15 cigarettes a day.
  • patients suffering from any systemic disease requiring pharmacological treatment.
  • Patients whose socket´s buccal wall is totally missing after tooth extraction

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    No Intervention

    Experimental

    Arm Label

    Control Group

    Experimental group

    Arm Description

    The dental socket heals spontaneously

    Distinct bone graft regeneration strategies (PRGF, Autologous bone and DFDBA)

    Outcomes

    Primary Outcome Measures

    Degree of mineralization
    Histological Assessment by Von Kossa Stain of the degree of the mineralization in the regenerated bone inside the alveolar walls
    type of bone maturation
    Histological Assessment by Goldner Trichromic Stain of the grade of maturation in the regenerated bone inside the alveolar walls

    Secondary Outcome Measures

    Full Information

    First Posted
    December 20, 2021
    Last Updated
    January 8, 2022
    Sponsor
    University of Salamanca
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05183386
    Brief Title
    Histological Outcome of the Use of Different Biomaterials for Fresh Socket Regeneration. A Split-mouth Design
    Official Title
    Histological Outcome of the Use of Different Biomaterials for Fresh Socket. A Split Mouth Design
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2022
    Overall Recruitment Status
    Completed
    Study Start Date
    January 1, 2014 (Actual)
    Primary Completion Date
    January 1, 2019 (Actual)
    Study Completion Date
    January 1, 2020 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    University of Salamanca

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Purpose: The aim of this study was to analyze the quality of bone regeneration in fresh sockets using four different materials and at different times points. Materials and Methods: A split-mouth clinical trial was designed to evaluate the histological and histomorphometrical characteristics of fresh sockets from 30 patients. One socket per patient will healed spontaneously (control) and, at least, one fresh socket, will be grafted with platelet-rich growth factor (PRGF), PRGF+autologous bone, autologous bone or PRGF+demineralized freeze dried bone allograft (DFDBA). The day of the implant placement, biopsies will be taken at different time points divided into three assessment groups: short duration (2-4 months), intermediate duration (5-6 months) and long duration (7-12 months). The histologic findings will be assessed to quantify the trabeculae pattern, the degree of mineralization and the quality of bone regeneration.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Alveolar Bone Loss

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    30 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Control Group
    Arm Type
    No Intervention
    Arm Description
    The dental socket heals spontaneously
    Arm Title
    Experimental group
    Arm Type
    Experimental
    Arm Description
    Distinct bone graft regeneration strategies (PRGF, Autologous bone and DFDBA)
    Intervention Type
    Procedure
    Intervention Name(s)
    dental socket regeneration
    Intervention Description
    after a dental extraction the fresh socket is filled with graft materials and compared with the spontaneous healing (control)
    Primary Outcome Measure Information:
    Title
    Degree of mineralization
    Description
    Histological Assessment by Von Kossa Stain of the degree of the mineralization in the regenerated bone inside the alveolar walls
    Time Frame
    2-12 months
    Title
    type of bone maturation
    Description
    Histological Assessment by Goldner Trichromic Stain of the grade of maturation in the regenerated bone inside the alveolar walls
    Time Frame
    2-12 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    75 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients in need of at least one bilateral tooth extraction due to one or more of the following causes: periodontal disease, vertical fracture included teeth. Patients seeking dental implant to replace their missing teeth. All sockets should have intact or partially conserved buccal wall according to Elian´s classification (Type I, II). Exclusion Criteria: Patients under 18 years old. Patients with a severely untreated periodontal disease. Smokers of more than 15 cigarettes a day. patients suffering from any systemic disease requiring pharmacological treatment. Patients whose socket´s buccal wall is totally missing after tooth extraction

    12. IPD Sharing Statement

    Learn more about this trial

    Histological Outcome of the Use of Different Biomaterials for Fresh Socket Regeneration. A Split-mouth Design

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