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Clinical and Histological Outcomes of Allogenic Amnion Chorion Membrane in the Healing of Free Gingival Graft Donor Site

Clinical and Histological Outcomes of Allogenic Amnion Chorion Membrane in the Healing of Free Gingival Graft Donor Site

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03713073
Enrollment
19
Registered
2018-10-19
Start date
2016-10-03
Completion date
2020-01-17
Last updated
2022-01-19

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

Conditions

Palatal Wound

Brief summary

The purpose of this study is to compare an allogenic amnion chorion membrane to a collagen dressing in palatal wound healing after harvesting free gingival graft (FGG).

Interventions

DEVICEAllogenic amnion chorion membrane

Allogenic amnion chorion membrane (ACM) is a minimally manipulated allograft amnion chorion tissue for use as a wound covering in dental surgery.

Collagen dressing is used to cover wounds in dental surgery.

Sponsors

The University of Texas Health Science Center, Houston
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Intervention model description

The study is a split-mouth design, in which two treatments (test and control) are randomly assigned to either the right or left halves of the dentition/palate.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* patients attending the Clinic for Graduate Periodontics at The University of Texas health Science Center at Houston School of Dentistry who are in need of a Free Gingival Graft procedure to augment keratinized gingiva, augment ridge, or cover recession defects. * systemically healthy or with controlled common systemic conditions, such as hypertension, that will not affect wound healing.

Exclusion criteria

* size of the FGG that the patient needs bigger than the size of FGGs that have to be harvested in this study (two 8mm (width) x 10mm (length) x ≈1.5mm (thickness) FGG). * current heavy smokers(\>10 cigarettes/day) (patients who stop smoking more than one year are eligible) * have diabetes or other systemic diseases that may comprise healing * take antibiotics and/or analgesics within one week before the procedure and have loss of sensation on the palate

Design outcomes

Primary

MeasureTime frameDescription
Size of Wound AreabaselineThe wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Secondary

MeasureTime frameDescription
Relative Difference in Color of Wound Site Compared to Adjacent GingivabaselineThe color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.
Number of Participants With Haemostasis of Wound AreabaselineHaemostasis is achieved when no bleeding of the wound site is actively seen.
Pain as Assessed by a Visual Analogue Scale (VAS)baselinePain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.
Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)baselineSensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensitivity based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.
Volume of WoundbaselineThe wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.
Number of Participants Stratified as Per the Degree of Epithelialization of WoundbaselineEpithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.
Number of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy SectionsbaselineGingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope.
Change in Percentage of Collagen Density in Wound Area as Assessed by Light Microscopy of Masson's Trichrome-stained Biopsy Sectionsbaseline, 10 days
Thickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy SectionsbaselineGingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope, and Nikon NIS-Elements Advanced Research (AR) Imagine Software will be used to calculate the thickness of the epithelium.
Angiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)baseline
Clinician's Feedback on the Wound Dressing Material as Assessed by a Questionnaireat the time of placement of the wound dressing material

Countries

United States

Participant flow

Participants by arm

ArmCount
All Participants
The study is a split-mouth design. For each participant, there were 2 palatal wound sites (one on the right side and one on the left side), and for each participant, allogenic amnion chorion membrane (ACM) was placed on one of the wound sites and collagen dressing was placed on the other wound site. In other words, each participant received both interventions, and the interventions were received at the same time. The side of placement of the two interventions was randomized. Allogenic amnion chorion membrane (ACM) is a minimally manipulated allograft amnion chorion tissue for use as a wound covering in dental surgery. Collagen dressing is used to cover wounds in dental surgery.
19
Total19

Baseline characteristics

CharacteristicAll Participants
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
4 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
Age, Continuous54.55 years
STANDARD_DEVIATION 11.16
Body mass index (BMI)
18.5-24.9 kg/m²
13 Participants
Body mass index (BMI)
25-29.9 kg/m²
2 Participants
Body mass index (BMI)
greater than 30 kg/m²
4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
Number of participants who currently smoke1 Participants
Number of participants with hypertension4 Participants
Physical status as indicated by American Society of Anesthesiologists (ASA) Class
ASA class I
10 Participants
Physical status as indicated by American Society of Anesthesiologists (ASA) Class
ASA class II
9 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
1 Participants
Race (NIH/OMB)
Black or African American
2 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
Race (NIH/OMB)
White
10 Participants
Region of Enrollment
United States
19 Participants
Sex: Female, Male
Female
18 Participants
Sex: Female, Male
Male
1 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 190 / 19
other
Total, other adverse events
0 / 190 / 19
serious
Total, serious adverse events
0 / 190 / 19

Outcome results

Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 60 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area0 micrometers (μm)Standard Deviation 0
Collagen DressingSize of Wound Area0 micrometers (μm)Standard Deviation 0
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 4 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area35.9 micrometers (μm)Standard Deviation 12.2
Collagen DressingSize of Wound Area37.3 micrometers (μm)Standard Deviation 12.9
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 10 days

Population: Data for this outcome were not collected for four in the allogenic amnion chorion membrane arm and four in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area22.9 micrometers (μm)Standard Deviation 10.7
Collagen DressingSize of Wound Area25.6 micrometers (μm)Standard Deviation 10.2
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 14 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area13.3 micrometers (μm)Standard Deviation 9.1
Collagen DressingSize of Wound Area14.1 micrometers (μm)Standard Deviation 7.9
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 21 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area2.8 micrometers (μm)Standard Deviation 3.4
Collagen DressingSize of Wound Area4.1 micrometers (μm)Standard Deviation 4.1
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 28 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area0 micrometers (μm)Standard Deviation 0
Collagen DressingSize of Wound Area0.25 micrometers (μm)Standard Deviation 1
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: 45 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area0 micrometers (μm)Standard Deviation 0
Collagen DressingSize of Wound Area0 micrometers (μm)Standard Deviation 0
Primary

Size of Wound Area

The wound area will be assessed by means of a clinical picture. The picture will be taken with an angulation perpendicular to the wound. A periodontal probe will be placed by the wound as a reference scale. Wound area is defined as the area without epithelization. The wound area on the picture will be measured by ImageJ.

Time frame: baseline

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneSize of Wound Area80 micrometers (μm)Standard Deviation 0
Collagen DressingSize of Wound Area80 micrometers (μm)Standard Deviation 0
Secondary

Angiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)

Gingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope, and the area of angiogenesis will be quantified using Nikon NIS Element AR Imagine Software.

Time frame: 10 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and two in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneAngiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)4.4 blood vessels/fieldStandard Deviation 2
Collagen DressingAngiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)5.1 blood vessels/fieldStandard Deviation 2
Secondary

Angiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)

Time frame: baseline

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneAngiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)4.9 blood vessels/fieldStandard Deviation 1.9
Collagen DressingAngiogenesis as Indicated by Number of Blood Vessels as Assessed by Light Microscopy of Biopsy Sections Immunohistochemically Stained to Detect Factor VIII (Von Willebrandt Factor)5.4 blood vessels/fieldStandard Deviation 2.2
Secondary

Change in Percentage of Collagen Density in Wound Area as Assessed by Light Microscopy of Masson's Trichrome-stained Biopsy Sections

Time frame: baseline, 10 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneChange in Percentage of Collagen Density in Wound Area as Assessed by Light Microscopy of Masson's Trichrome-stained Biopsy Sections1.15 percentage of collagen densityStandard Deviation 2.41
Collagen DressingChange in Percentage of Collagen Density in Wound Area as Assessed by Light Microscopy of Masson's Trichrome-stained Biopsy Sections3.38 percentage of collagen densityStandard Deviation 2.63
Secondary

Clinician's Feedback on the Wound Dressing Material as Assessed by a Questionnaire

Time frame: at the time of placement of the wound dressing material

Population: Data for this outcome measure were not collected.

Secondary

Number of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections

Gingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope.

Time frame: 10 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and two in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneNumber of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections80 neutrophil cells/fieldStandard Deviation 47.7
Collagen DressingNumber of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections88 neutrophil cells/fieldStandard Deviation 35.8
Secondary

Number of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections

Gingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope.

Time frame: baseline

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneNumber of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections62.1 neutrophil cellsStandard Deviation 29.9
Collagen DressingNumber of Neutrophil Cells as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections65 neutrophil cellsStandard Deviation 22.6
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 28 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization18 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization18 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 45 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization19 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization19 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 60 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization19 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization19 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 4 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization18 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization19 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization0 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 10 days

Population: Data for this outcome were not collected for three in the allogenic amnion chorion membrane arm and four in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization15 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization1 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization15 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization0 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 14 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization7 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization11 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization7 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization11 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: 21 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and seven in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization1 Participants
Allogenic Amnion Chorion MembraneNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization17 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundno epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundpartial epithelialization0 Participants
Collagen DressingNumber of Participants Stratified as Per the Degree of Epithelialization of Woundtotal epithelialization11 Participants
Secondary

Number of Participants Stratified as Per the Degree of Epithelialization of Wound

Epithelialization is measured by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface. Less bubbles indicate greater epithelialization, and epithelialization will be ranked as total, partial or none.

Time frame: baseline

Population: Data were not collected at this time point for this outcome measure.

Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 45 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area19 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area19 Participants
Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 60 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area19 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area19 Participants
Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: baseline

Population: Data were not collected at this time point for this outcome measure.

Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 4 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area19 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area19 Participants
Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 10 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area18 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area19 Participants
Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 14 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area18 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area18 Participants
Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 21 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area19 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area19 Participants
Secondary

Number of Participants With Haemostasis of Wound Area

Haemostasis is achieved when no bleeding of the wound site is actively seen.

Time frame: 28 days

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneNumber of Participants With Haemostasis of Wound Area19 Participants
Collagen DressingNumber of Participants With Haemostasis of Wound Area19 Participants
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 28 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)0 units on a scaleStandard Deviation 0
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)0 units on a scaleStandard Deviation 0
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 60 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)0 units on a scaleStandard Deviation 0
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)0 units on a scaleStandard Deviation 0
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: baseline

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)7.89 units on a scaleStandard Deviation 2.13
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)7.89 units on a scaleStandard Deviation 2.13
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 4 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)4.42 units on a scaleStandard Deviation 1.57
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)4.42 units on a scaleStandard Deviation 1.57
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 10 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)1.63 units on a scaleStandard Deviation 2.31
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)1.63 units on a scaleStandard Deviation 2.31
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 14 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)0.53 units on a scaleStandard Deviation 1.26
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)0.53 units on a scaleStandard Deviation 1.26
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 21 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)0.32 units on a scaleStandard Deviation 1
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)0.32 units on a scaleStandard Deviation 1
Secondary

Pain as Assessed by a Visual Analogue Scale (VAS)

Pain will be assessed by a Visual Analogue Scale (VAS). Scores range form 0 to 10. 0 indicates no pain, 1 indicates minimal pain, and 10 indicates severe pain.

Time frame: 45 days

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembranePain as Assessed by a Visual Analogue Scale (VAS)0 units on a scaleStandard Deviation 0
Collagen DressingPain as Assessed by a Visual Analogue Scale (VAS)0 units on a scaleStandard Deviation 0
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 28 days

Population: Data for this outcome were not collected for three in the allogenic amnion chorion membrane arm and three in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference9 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference7 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference2 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference12 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference2 Participants
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 60 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference2 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference17 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference16 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference3 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 4 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference19 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference19 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 21 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference6 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference7 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference5 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference1 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference10 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference7 Participants
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 14 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference1 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference5 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference12 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference6 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference2 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference10 Participants
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 10 days

Population: Data for this outcome were not collected for four in the allogenic amnion chorion membrane arm and four in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference15 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference15 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: baseline

Population: Data were not collected at this time point for this outcome measure.

Secondary

Relative Difference in Color of Wound Site Compared to Adjacent Gingiva

The color of wound site will be compared to the adjacent gingiva by using a 4-point scale: 1. Obvious difference; 2. Noticeable difference; 3. Disguisable difference; or 4. No noticeable difference in comparison with adjacent gingiva.

Time frame: 45 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference4 Participants
Allogenic Amnion Chorion MembraneRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference14 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivano noticeable difference12 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivaobvious difference0 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivadisguisable difference6 Participants
Collagen DressingRelative Difference in Color of Wound Site Compared to Adjacent Gingivanoticeable difference0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 45 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 60 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensitivity based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: baseline

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 4 days

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation19 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 10 days

Population: Data for this outcome were not collected for four in the allogenic amnion chorion membrane arm and four in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation15 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation15 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 14 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation18 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation18 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 21 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation18 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation18 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Sensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)

Sensibility will be assessed with a periodontal probe using a rubbing movement and pin-pressure nociception. Patients will be asked to rate their sensibility based on a 3-point verbal descriptor scale (VDS): no loss of sensation, mild/moderate loss of sensation, or severe loss of sensation.

Time frame: 28 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and one in the collagen dressing arm.

ArmMeasureCategoryValue (COUNT_OF_PARTICIPANTS)
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation18 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Allogenic Amnion Chorion MembraneSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)no loss of sensation18 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)mild/moderate loss of sensation0 Participants
Collagen DressingSensibility of the Wound Area as Indicated by Number of Participants Who Lost Sensation as Assessed by a 3-point Verbal Descriptor Scale (VDS)severe loss of sensation0 Participants
Secondary

Thickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections

Gingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope, and Nikon NIS-Elements Advanced Research (AR) Imagine Software will be used to calculate the thickness of the epithelium.

Time frame: 10 days

Population: Data for this outcome were not collected for one in the allogenic amnion chorion membrane arm and two in the collagen dressing arm.

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneThickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections339.6 micrometers (μm)Standard Deviation 94.4
Collagen DressingThickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections339.3 micrometers (μm)Standard Deviation 118.6
Secondary

Thickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections

Gingival specimen biopsies (4mm in diameter, 1.5mm in thickness) will be harvested. The histological sections will be evaluated using a Nikon light microscope, and Nikon NIS-Elements Advanced Research (AR) Imagine Software will be used to calculate the thickness of the epithelium.

Time frame: baseline

ArmMeasureValue (MEAN)Dispersion
Allogenic Amnion Chorion MembraneThickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections302.2 micrometers (μm)Standard Deviation 95.2
Collagen DressingThickness of the Epithelium as Assessed by Light Microscopy of Haematoxylin and Eosin (H&E)-Stained Biopsy Sections291 micrometers (μm)Standard Deviation 79.7
Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: baseline

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 4 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 10 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 14 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 21 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 45 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 28 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Secondary

Volume of Wound

The wound area will analyzed with an intraoral scanner, and three-dimensional images will be reconstructed to determine the volume of the wound.

Time frame: 60 days

Population: There is not enough usable data collected for any participant to summarize and report this outcome measure accurately.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026