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Changes in the bone after a tooth extraction and filling the space with a product obtained from the patient's blood (L-PRF) against the conventional treatment

Changes in the bone morphology of the post-extraction socket, preserved with platelet-rich fibrin and leukocytes (L-PRF) versus Conventional treatment

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2017-001068-39-ES
Enrollment
40
Registered
2017-08-08
Start date
2018-07-24
Completion date
Unknown
Last updated
2018-08-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Regenerative potential of L-PRF

Interventions

Trade Name: L-PRF (INTRASPIN SYSTEM ) Product Name: L-PRF Product Code: IS220 Pharmaceutical Form: Periodontal insert INN or Proposed INN: leukocytes and platelet rich fibrin Current Sponsor code: IS2

Sponsors

OMEQUI
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patients older than 18 years Presence of oral health with plaque index and bleeding not exceeding 25%. Need to perform dental extraction in anterosuperior zone involving teeth in position 15 - 25 (both included) Presence of more than 60% of the bone at the radiographic level Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Smokers of more than 20 cigarettes Presence of medical pathology that prevents the application of the treatments, has an impact on the response of these and the healing process: protein and vitamin deficiency, therapeutic radiation, metabolic disorders (diabetes, hypercalcemia ...), drug disorders (antimetabolic, immunosuppressive) And hormonal, allergy to some component of the treatments applied in the study.

Design outcomes

Primary

MeasureTime frame
Main Objective: To determine if there are differences in the horizontal radiographic bone gain at 1 mm from the most coronal crestal portion by means of the Computed Tomography CT scan at 3 months after alveolar preservation post-extraction between two treatment modalities: the use of L- PRF or DBBM-C / PG (demineralized bovine bone mineral with collagen and covered by connective tissue graft);Secondary Objective: To estimate the possible differences between the modalities of preservation applied by CT by assessing the osseo-crest changes in the horizontal direction (vestibular, palatal and total crest) at 3 and 5 mm apical to the most coronal alveolar crest, and vertically (vestibular crest, palatine And midpoint of the socket). Likewise, we will analyze the volumetric crest changes observed when comparing previous study models and at 3 months post-extraction using image digitalization techniques. Assessment of postoperative morbidity, healing and adherence to postoperative guidelines given;Primary end point(s): Radiographic bone changes horizontally 1 mm from the crest (HW-1C);Timepoint(s) of evaluation of this end point: At baseline and at 3 months after treatment

Secondary

MeasureTime frame
Secondary end point(s): CLINICS: Ii) changes in alveoli depth in mm at 3 months of healing; Iii) dimensional changes at 3 months of healing among the study models obtained; Iv) evaluation of compliance with postoperative guidelines and intensity of pain after the intervention (1st and 2nd postoperative weeks); Vi) level of healing of the area involved, complications and level of oral hygiene (1st, 2nd and 12th week post-treatment); Age, sex, number of daily cigarettes consumed (evaluated at baseline); Extraction tooth position, dental extraction motif, periodontal biotype, antibiotic prophylaxis (evaluated on the day of treatment). RADIOGRAPHICS: (HW-3C and HW-5C) and changes in the thickness of each cortical for the 3 levels studied (BHW-1C, BHW-3C, BHW-5C: cortical Vestibular, PHW-1C, PHW-3C, PHW-5C: cortical palatine). Viii) vertical changes in vestibular and palatal ridge (BH and PH); Ix) vertical bone filling of the alveoli (AF).;Timepoint(s) of evaluation of this end point: RADIOGRÁFICAS: They are evaluated at the beginning and at 3 months post-treatment. CLINICS: Ii) changes in alveoli depth in mm at 3 months of healing; Iii) dimensional changes at 3 months of healing among the study models obtained; Iv) evaluation of compliance with postoperative guidelines and intensity of pain after the intervention (1st and 2nd postoperative weeks); Vi) level of healing of the area involved, complications and level of oral hygiene (1st, 2nd and 12th week post-treatment); Age, sex, number of daily cigarettes consumed (they would be evaluated at baseline); Extraction tooth position, dental extraction motif, periodontal biotype, antibiotic prophylaxis (they would be evaluated on the day of treatment).

Countries

Spain

Contacts

Public ContactMaster of Periodontics. USC

University of Santiago de Compostela. Faculty of Medicine and Dentistry

lourdes.novoa@rai.usc.es34981562226

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026