Molar Extraction Socket
Conditions
Keywords
ColiSorB
Brief summary
This study tested three different treatment groups in a fair and organized way. It included people who came to Cairo University's Dental Department to have a back tooth (molar) removed and who qualified to join. Out of 40 people who were checked, 8 did not meet the requirements, and 2 others did not return for check-up visits. The study followed all ethical rules and was approved by the Research Ethics Committee at Cairo University's Faculty of Oral and Dental Medicine.
Detailed description
ColiSorB® is a novel biomimetic adhesive, coagulant-free hemostatic sponge engineered for dental and surgical applications. Unlike conventional hemostatic methods that rely on mechanical compression or exogenous coagulation agents, ColiSorB® mimics the body's natural adhesive and clot-stabilization mechanisms. Its architecture replicates the fibrin mesh, forming a bio-adhesive matrix at the application site to achieve rapid hemostasis, minimize patient discomfort, and reduce postoperative complications such as persistent bleeding and alveolar osteitis (dry socket). The material is composed of a gelatin-based, non-pyrogenic, absorbable polysaccharide that is both cost-effective and adaptable. By eliminating the need for coagulants, ColiSorB® offers a simplified, biocompatible approach to bleeding control in dental extractions. This study aimed to evaluate the safety and effectiveness of ColiSorB® sponges in patients undergoing molar extraction, with direct comparison to both a widely used commercial reference product (Cutanplast®) and the conventional method of gauze or cotton under pressure. The primary endpoint was the achievement of post-extraction hemostasis, while secondary endpoints included assessment of postoperative pain and wound healing. Study Groups Participants were randomized into three equal groups (n = 10 per arm): 1. Test group: ColiSorB® hemostatic sponge. 2. Comparator group: Cutanplast®, a commercially available gelatin-based hemostatic product. 3. Control group: Conventional method using sterile gauze under biting pressure. A total of 30 extraction sites were evaluated, with each group receiving its designated hemostatic intervention immediately following extraction. Application and Assessments * Hemostatic efficacy: Time to complete hemostasis was recorded, with success rates measured at 3 and 10 minutes. * Bleeding assessment: Bleeding severity was scored using a visual analogue scale (VAS). * Safety outcomes: Postoperative complications (e.g., infection, dry socket, persistent bleeding), periodontal integrity, and radiographic findings were monitored on postoperative days 1 and 7. * Pain outcomes: Postoperative pain was evaluated using VAS scores at days 1 and 7. The study protocol was approved by the Research Ethics Committee, and informed consent was obtained from all participants.
Interventions
COMBINATION_PRODUCTHemostatic gelatin sponge
Colisorb® exhibits optimal pore structure, number and size, which results in its structure being highly porous with low density. In addition, Colisorb® possesses optimal mechanical integrity allowing it to swell to its maximal absorption capacity while maintaining mechanical stability. The sponge can absorb fluids in the blood resulting in prompt recruitment of clotting factors, hence accelerating the body's natural blood clotting cascade. Colisorb® was configured in a way to imitate natural adhesive mechanism without the use of co-agulants, it provides a safer and a more efficient alternative for minimizing post-operative complications and enhancing recovery. Upon performing the tooth extraction, oral surgeon instantly applied the sponge. Patients were prescribed, antibiotics, and antacid, if needed, for 3 days and analgesics for 5 days, followed by a mouth wash routine of warm water with salt to enhance healing outcomes. Patients visited the clinic three days after surgery.
COMBINATION_PRODUCTHemostatic Agent
Gelatin sponge that may be soaked with sterile physiological solution. Biocompatible and easy to use for 5 to 10 minute bleeding control rate. Upon performing the tooth extraction, oral surgeon instantly applied the sponge in the socket where the tooth was extracted to facilitate hemostasis. Patients were prescribed, antibiotics, and antacid, if needed, for 3 days and analgesics for 5 days, followed by a mouth wash routine of warm water with salt to enhance healing outcomes. Patients visited the clinic three days after surgery.
Sponsors
Incura Inc.
Sara Omar
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients seeking removal of a wisdom tooth due to: * Severe decay * Malposition/misalignment * Pressure caries affecting adjacent teeth * Indication for future orthodontic treatment * Age ≥ 14 years * Available for at least one postoperative evaluation (scheduled approximately 7 days post-surgery) * Willing and able to provide informed consent for participation
Exclusion criteria
* Unwillingness to provide informed consent * Current use of anticoagulant medications (e.g., Aspirin, Coumadin, Plavix) or discontinuation of such medications \< 3 days prior to surgery * Pregnant, planning pregnancy during the follow-up period, or actively breastfeeding * Active or suspected infection at the surgical site * Known sensitivity or allergy to any component of the hemostatic gelatin sponge * Severe congenital or acquired immunodeficiency * Undergoing bisphosphonate therapy * Diabetes with unstable blood glucose levels
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to achieve full absorption and hemostasis | Assessed from baseline until hemostasis is achieved (within 1 day). | Time (in minutes) from baseline (application of the assigned dressing immediately after tooth extraction) until complete hemostasis is achieved, defined as cessation of visible bleeding at the extraction site. |
| Time of placement | Assessed at baseline (time of dressing application immediately after tooth extraction). | Duration (in minutes) required at baseline to apply the assigned dressing (sponge or standard gauze) at the extraction site, including any pre-wetting step if applicable. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain and Healing Scale | Up to 7 days | Patients comfort level is assessed by a verbal inquiry after completion of the operation and dressing application ( post- operation). Pain scores: Patient-reported pain scores assessed on day 1, and day 7 of post-procedure appointment. Based on a 0 to 10 self-reported pain score basis, with 0 being no pain and 10 being the worst pain the patient had ever experienced. Healing: Sealing of the wound was assessed on day 1, and day 7 post-operation. Using a modified scale adopted from Landry, Turnbull and Howley healing Index. The parameters based on which the wound sealing is assessed include tissue color, bleeding on palpation, granulation tissue, incision margin and suppuration. The adjusted scale was as follows: 1 (significantly getting worse or very poor), 2 (moderate), and 3 (significantly better or excellent). |
Countries
Egypt
Outcome results
None listed