Alveolar Bone Grafting, Alveolar Bone Loss, Tooth Extraction, Tooth Extraction Site Healing
Conditions
Keywords
Beta-tricalcium phosphate, Alveolar ridge preservation, Bone volume, Implant site development, Socket preservation, Ridge augmentation, Tooth extraction, Volumetric Changes
Brief summary
The goal of this randomized clinical trial is to assess whether β-TCP (Beta-Tricalcium Phosphate) improves alveolar ridge preservation (ARP) in patients who need tooth extraction. The main question it aims to answer is whether using β-TCP for alveolar ridge preservation has a positive effect on bone volume compared with natural healing. The main questions it aims to answer are: Does β-TCP improve ridge preservation compared with natural healing? Researchers will compare β-TCP grafted sockets to natural healing sockets to see if β-TCP better preserves ridge volume. Participants will: Have a tooth indicated for extraction. Be assigned to either β-TCP or natural healing. Undergo CBCT (Cone Beam Computed Tomography) and intra-oral scanning after extraction and after six months of healing to measure horizontal and vertical resorption and bone density.
Interventions
After tooth extraction the socket will be grafted with Neocement Inject P® (Beta-Tricalcium Phosphate).
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years or older * Acceptance of informed consent * Type 1 or 2 extraction sockets (Elian et al. 2007)
Exclusion criteria
* Presence of active infection or severe inflammation in the intervention zone * Relevant medical history that contraindicates implant surgery * Patients with poor oral hygiene (full-mouth plaque score and full-mouth bleeding score \>15%) and lack of motivation * Uncontrolled diabetes (reported levels of glycated haemoglobin exceeding 7%) * Uncontrolled and /or untreated periodontal disease * Heavy smokers (more than 10 cigarettes per day) * Immunosuppression
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in alveolar ridge volume after tooth extraction | From enrollment to the end of treatment at 6 months | Change in alveolar ridge volume after tooth extraction on sockets grafted with Beta-Tricalcium Phosphate |
Countries
Portugal
Contacts
Clinical Research Unit (CRU), Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science