Healthy
Conditions
Keywords
extraction, socket preservation, autologous, maxillary tuberosity, hard and soft tissue graft
Brief summary
A prospective study investigating clinically and radiologically the effectiveness of the use of a combined hard and soft tissue graft retrieved from the maxillary tuberosity and designed for alveolar ridge preservation following tooth extraction.
Detailed description
Patients scheduled for a single mono-rooted tooth extraction are included in the study. After atraumatic extraction, sockets are filled with a one-piece dual tissue graft harvested from the tuberosity using an adjusted trephine. CBCTs are performed before the extraction and 4 months after ridge preservation, to analyze the vertical and horizontal alterations of the ridge, using 'ITK-Snap' software. Clinical measurements of both soft and hard tissues are also assessed during the extraction and implant placement.
Interventions
'One-Piece' autologous tuberosity graft combining hard and soft tissue, harvested from the maxillary tuberosity, placed in extraction sockets.
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy patient * Patient with at least one single-rooted tooth to be extracted and be replaced with an implant * No signs of acute infection : edema, suppuration, abscess, spontaneous bleeding * Non-smoker or Light Smoker \< 10 cigarettes/day
Exclusion criteria
* Pregnant or lactating females * Non-controlled periodontal disease * Medical conditions that contraindicate implant surgery * Metabolic bone disorders such as osteoporosis,.. * Severe psychiatric conditions * Heavy smoker \> 10 cigarettes/day
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of volume of the ridge from baseline to 4 months post-op | 4 months | Volumetric variation of the ridge, measured on superimposed images of CBCT. |
| Change of Vertical dimension of the ridge from baseline to 4 months post-op | 4 months | Linear Vertical variation of the ridge, measured on superimposed images of CBCT. |
| Change of Horizontal dimension of the ridge from baseline to 4 months post-op | 4 months | Linear Horizontal variation of the ridge at 3 different levels, measured on superimposed images of CBCT. |
| Change in Soft tissue from baseline to 4 months post-op | 4 months | Variation of the thickness of the buccal keratinized mucosa at 2 different levels, measured on superimposed images of CBCT. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in crestal Soft tissue from baseline to 4 months post-op (clinical measurements) | 4 months | Thickness of the keratinized mucosa on the crestal site, measured with a gauge caliper. |
| Change in Hard tissue from baseline to 4 months post-op (clinical measurements) | 4 months | Horizontal dimension of the ridge (bucco-lingual) measured with a periodontal probe |
| Change in buccal Soft tissue from baseline to 4 months post-op (clinical measurements) | 4 months | Thickness of the keratinized mucosa on the buccal site, measured with a gauge caliper. |
Countries
Lebanon