Socket Preservation
Conditions
Keywords
socket preservation, vascularized interpositional connective tissue graft, alveolar ridge preservation techniques, bovine bone graft, roll pedicle graft
Brief summary
After tooth extraction, the residual alveolar ridge generally provides limited bone volume because of ongoing, progressive bone resorption. Healing events within post-extraction sockets reduce the dimensions of the socket over time. Therefore, socket preservation became an indispensable procedure as well as fundamental to prevent bone loss following tooth extraction. Preservation, by the name, is the maintenance of the socket, which is essentially the height and width of the gap that is left after the tooth is removed. It is done by placing a graft material or scaffold immediately into the socket of an extracted tooth to presto preserve bone height, width and density
Detailed description
Investigator evaluate the clinical and radio graphic effect of roll pedicle connective tissue graft as a barrier membrane together with bovine bone in alveolar ridge preservation in extraction sockets.
Interventions
PROCEDUREroll pedicle connective tissue graft with bovine bone
rotated pedicle connective tissue graft together with bovine bone applied for socket preservation after tooth extraction
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
27 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* • patients with healthy systemic condition. * Adult patients ˃ 18 years old. * hopeless teeth that need tooth or root extraction in the maxillary esthetic zone. * Alveolar socket Grade I and II. * Normal platelet counts according to complete blood count (CBC) test done in the screening stage.
Exclusion criteria
* Acute infection at the extraction site * Smokers ˃ 10 cigarettes / day. * Medications that may interfere with wound healing * History of treatment with bisphosphonates. * History of allergic reaction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| width of alveolar bone | changes in the Width of alveolar bone were measured at 3& 5 mm at baseline,3 months and 6 months | Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted. The buccopalatal width of the alveolar ridge will be measured at the two assigned points using bone caliper at baseline and 6 months post extraction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| gingival thickness | changes in the gingival thickness were measured at 3 & 5mm at (baseline,3 months and 6 months) | Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted. The gingival thickness will be evaluated by William's graduated periodontal probe inserted horizontally perpendicular to the alveolar bone at the two assigned holes labially/buccally at baseline and 6 Two holes will be made in the acrylic stent (3mm and 5 mm below the alveolar crest) on the buccal and palatal extensions within the midline of the tooth to be extracted. The gingival thickness will be evaluated by William's graduated periodontal probe inserted horizontally perpendicular to the alveolar bone at the two assigned holes labially/buccally at baseline and 6 months post extraction. months post extraction. |
| height of the alveolar crest | changes in height of alveolar crest were measured at baseline, 3 months and 6 months | Crestal bone height was measured to determine the amount of bone at gain using digora soft ware |
Countries
Egypt
Outcome results
None listed