Alveolar Bone Losses, Dental Caries, Periodontitis
Conditions
Brief summary
The study was designed to assess the effectiveness of conservation ridge preservation (horizontal and vertical dimension) after tooth extraction with and without combination of bone substitutes based on synthetic (calcium sulfate mixed with phosphate.
Detailed description
Using the combination of these two bone substitute is taken in order to diminish the alveolar ridge alternations after tooth extraction. the investigator will measure the horizontal and vertical changes (primary outcome) and the adverse effects (secondary outcome)in 4 months period
Interventions
1cc of Calcium Phosphate and 1cc of Calcium Sulphate
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patients over age 18. 2. Patients who require extraction of teeth for Periodontal or other dental reasons (up one tooth in each quarter when there are existing adjacent teeth).
Exclusion criteria
1. Inability to pass informed consent procedure 2. Pregnant women 3. Breastfeeding women 4. Patient taking medications that affect bone metabolism such as bisphosphonates 5. Extractions sites contaminated 6. Smoking over 10 cigarettes a day 7. Patients with removable prostheses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change of the dimension of the alveolar ridge | Immediatly after tooth extraction (up to 10 minutes after the extraction) and 4 monthes after extraction | Measurement of socket width (aspect B/L) at three points Height: 1. Record-high ridge (buccal/lingual-palatal ) 2. 3 mm apically to the peak ridge (buccal/lingual-palatal ) 3. 6mm apically to the peak ridge (buccal/lingual-palatal ) Measurement of alveolar ridge height: Measured distance between the summit crater and the peak of the ridge and the center line connecting the CEJ of adjacent teeth |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post operative adverse effects | immediate after the extraction and until 4 monthes after | The investigators will record the optionally adverse effect such as edema, infection, pain, exposure of the membrane. |