Badly Broken Down Vital Teeth, Badly Broken Maxillary Premolars Indicated for Extraction
Conditions
Keywords
Amnion membrane, chorion membrane, soft tissue healing, tooth extraction
Brief summary
Statement of the problem: Tooth extraction results in hard and soft tissue loss which complicates prosthodontic rehabilitation, So different techniques of alveolar ridge preservation should be done to maintain hard and soft tissue dimensions. Aim: The aim of this study is to compare the effect of amnion membrane versus chorion membrane on soft tissue healing among socket preservation procedure.
Detailed description
Aim: The aim of this study is to compare the effect of amnion membrane versus chorion membrane on soft tissue healing among socket preservation procedure. Materials and Methods: This parallel arm, randomized controlled clinical trial will involve systemically free patients with remaining roots or badly decayed teeth in the posterior region not indicated for immediate implant placement. They will be randomly allocated to two equal groups. Group A (n=95) socket will be grafted with HAM particulate and the socket will be covered with amnion membrane, and group B (n=95) socket will be grafted with HAM particulate and the socket will be covered with chorion membrane. Soft tissue healing will be assessed (1ry outcome) every day for the first week, day after day second week, once in third and fourth week. Postoperative pain and swelling will be recorded daily by the patient for the 1st two weeks post surgically. Postoperative medication will be prescribed to the patient and postoperative instructions will be explained in detail. Follow-up will be performed to assess the parameters and to ensure performing proper oral hygiene. Data collected will be tabulated and statistically analyzed.
Interventions
PROCEDUREAmnion membrane.
the amnion membrane tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 5-0 resorbable suture material
PROCEDUREChorion membrane
chorion membrane tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 4-0 resorbable suture material.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
blinding of outcome assessors and participants will be achieved as the different outcomes will be assessed for all groups by assessors other than the researchers doing the procedures.
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
1\. Patients who need simple extraction not indicated for immediate implant placement.
Exclusion criteria
1. Patients with inability or anticipated failure to maintain adequate oral hygiene. 2. Pregnant or breast-feeding mothers. 3. Any medical condition or therapy that can affect healing.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue healing | every day for the first week, day after day second week, once in third and fourth week | Surface area/intraoral scanner |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Healing index | every day for the first week, day after day second week, once in third and fourth week | Score (from o to 10, were 0 is no healing and 10 complete healing of tissue ) |
Countries
Egypt
Outcome results
None listed