Tissue Preservation
Conditions
Brief summary
It is planned to evaluate if a porcine collagen matrix (Mucograft Seal) is offering comparable results to free gingival grafts (FGG) in post-extraction tissue preservation. If so, this would provide a substantial benefit to the patient as the second intervention on the palate and the subsequent morbidity of the donor site is omitted.
Detailed description
In a proof of concept 5 groups are compared in preserving soft- and hard tissue after tooth extraction in the esthetic zone: 1. Mucograft® Seal + Bio-Oss® 2. Free Gingival Graft (FGG) + Bio-Oss® 3. Free Gingival Graft + Gelatine sponge (Spongostan®) 4. Spongostan®+ Mucograft® Seal 5. Spongostan® Volumetric changes of hard and soft tissues are recorded , 2/4/8 weeks and 3/6/12 months after extraction.
Interventions
Placement of BioOss®-Collagen into the extraction socket. The Mucograft Seal® Membrane is then applied to the socket.
Placement of BioOss®-Collagen into the extraction socket. The FGG is then attached to the socket.
Placement of a Gelatine sponge into the extraction socket, then attaching the FGG to the socket.
Placement of a Gelatine sponge into the extraction socket, then attaching the Mucograft® Seal Membrane to the socket
Sponsors
Study design
Eligibility
Inclusion criteria
• Planned extraction in the upper front or premolar region
Exclusion criteria
* General risk situation (antiresorptive therapy, antiangiogenic therapy, history of local radiation therapy, heavy coagulation disorder, relevant allergies, dysregulated Diabetes mellitus, malignant diseases) * Acute gingivitis * Deep pockets (\>5.5mm) * Apical periodontitis on neighboring teeth * Heavy smoker (\>10/d)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Soft tissue volume | 2 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Bone volume | 3 months |
Countries
Austria