Badly Broken Maxillary Premolars Indicated for Extraction
Conditions
Keywords
Human amniotic Membrane (HAM), Alveolar ridge preservation, Soft tissue healing
Brief summary
Statement of the problem: Alveolar ridge preservation after tooth extractions is considered a challenge in oral surgery daily practice. Dental extraction is a traumatic procedure which leads to loss of alveolar bone. The alveolar bone remodeling, which occurs after tooth extraction, leads to vertical and horizontal bone volume loss. Although placentally derived allografts have been widely applied in medical procedures over the past 100 years, their use in the dental field is relatively new. The aim of this study is to compare the effect of covering versus uncovering the HAM on soft tissue healing after alveolar ridge preservation procedure using customized splints.
Detailed description
The aim of this study is to compare the effect of covering versus uncovering the HAM on soft tissue healing after alveolar ridge preservation procedure using customized splints. materials and methods: Careful extraction of the selected tooth will be performed. Then, the extraction sockets will be randomly allocated into two groups. The HAM particulate will be packed into the extraction socket as a standard method for both groups. Group A (n=24) socket will be covered with Human amnion membrane while group B (n=24) socket will be covered with the prefabricated acrylic splint. 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
PROCEDUREAcrylic splint
The HAM particulate material will be packed into the extraction socket then the HAM will be tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 5-0 resorbable suture material. The surgical site covered with the custom acrylic splint.
PROCEDURENo splint
The HAM particulate material will be packed into the extraction socket then the HAM will be tucked over the extraction socket then the socket plug will be maintained in place with approximating sutures using 5-0 resorbable suture material. The surgical site will not be covered
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 40 Years
Healthy volunteers
Yes
Inclusion criteria
1.Patients who need simple teeth extractions.
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 in mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| post operative pain | every day for the first week, day after day second week, once in third and fourth week | Visual analog score ( score from 0 to 10 in which 0 is no pain and 10 is maximum pain ) |
Countries
Egypt
Outcome results
None listed