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Alveolar Bone Loss clinical trials

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NCT ID: NCT02802319 Completed - Alveolar Bone Loss Clinical Trials

Ridge Preservation Following Tooth Extraction Using Porcine and Bovine Xenograft Materials

Start date: July 2016
Phase: N/A
Study type: Interventional

The study is a two-arm, parallel-design, randomized, prospective clinical trial designed to examine histologic wound healing following ridge preservation using bovine xenograft and porcine xenograft materials.This protocol involves procedures that are standard care. All materials are FDA-approved materials being used in an FDA-approved manner. The test group subjects will have extraction sockets grafted with porcine xenograft (Zcore). This test group will be compared to an active control group using bovine xenograft (Bio-Oss). The null hypothesis is that there will be no significant difference in formation of new vital bone between treatment groups (primary outcome). Each subjects will have a non-molar tooth extracted and the socket grafted with either test or control graft material. At the time of dental implant placement 18-20 weeks after tooth extraction a small core biopsy specimen will be removed from the implant site. The core biopsy will then be evaluated for the primary histologic outcome of % vital bone formation and secondary histologic outcome of % residual graft material.

NCT ID: NCT02741752 Completed - Alveolar Bone Loss Clinical Trials

The Influence of Cortical Bone Perforation on Guided Bone Regeneration in Humans

Start date: January 2015
Phase: N/A
Study type: Interventional

The purpose of this randomized clinical trial was to evaluate the effect of cortical bone decortication on the angiogenesis and osteogenesis of augmented ridge by GBR.

NCT ID: NCT02709525 Completed - Alveolar Bone Loss Clinical Trials

Use of Hyaluronic Acid as a Therapeutic Strategy for Bone Repair in Human

Start date: July 2012
Phase: Phase 1/Phase 2
Study type: Interventional

The aim of this study is to evaluate the effects of hyaluronic acid (HA) on bone healing in human dental sockets.

NCT ID: NCT02644070 Completed - Alveolar Bone Loss Clinical Trials

mp3 vs Apatos in Post-extractive Sockets

Start date: June 2011
Phase: N/A
Study type: Interventional

The primary aim of the present multicenter randomized controlled trial was to evaluate and compare the shortterm clinical and histological changes of extraction sockets after ridge preservation procedures with changes of extraction sockets that healed naturally. The secondary aim was to evaluate which, if any extraction socket characteristics could have affected tissue changes occurring at the augmented as well as naturally healed sites. Recruitment and enrollment of patients were performed from June 2011 to June 2012 in five university centers/private practice: - University of Pisa; - University of Murcia; - University of Ancona; - Private practice, Dr. Di Felice; - University of Verona. Randomization: 1. extraction sockets with spontaneous healing; 2. extraction sockets grafted with pre-hydrated collagenated cortico-cancellous porcine bone, with a particle size between 600 and 1000 μm; 3. extraction sockets grafted with cortical porcine bone, with a particle size between 600 and 1000 μm. Outcome Variables - Complications - Changes of ridge volume contour; - Vertical bone changes; - Buccal-Lingual Width; - Histomorphometric parameters. Sample size was calculated comparing outcome data between grafted sockets versus non-grafted sockets. The primary parameter was the change in mid-buccal vertical height (0.7±1.4mm and 3.6±1.5mm, respectively, for the test and control groups) (Barone et al. 2008). Final sample size was increased to 30 subjects per group due to possible patient dropout events. Each center contributed according to the predetermined 1:1:1 ratio; the fresh extraction socket was considered the unit of randomization. Corrections for balancing the three experimental groups for confounding factors were not applied. A matrix elaborator performed all the analyses§§: multi-way analysis of variance (ANOVAn) was applied, then appropriate post hoc comparison tests were run; post hoc estimated effect sizes were calculated with a power of 0.9. The level of statistical significance was set at 0.05 for all analyses.

NCT ID: NCT02617212 Completed - Alveolar Bone Loss Clinical Trials

Implant Abutment Dis-/Reconnection and Peri-Implant Marginal Bone Loss.

Start date: November 1, 2015
Phase: N/A
Study type: Interventional

The purpose of this study is to investigate whether the immediate definitive abutment connection to dental implant is effective in preventing marginal bone loss when compared to the conventional treatment with late abutment/implant connection, which include three disconnections and reconnections.

NCT ID: NCT02602223 Completed - Alveolar Bone Loss Clinical Trials

Comparison of Amnion Chorion Membrane vs. Dense Polytetrafluoroethylene Membrane in Ridge Preservation Procedures

Start date: September 2012
Phase: Phase 2
Study type: Interventional

The purpose of this study is to examine if a biologically active commercially available amnion chorion membrane (ACM) is as effective as the commercially available inert dense polytetrafluoroethylene membrane (D-PTFE) in preserving jaw bone dimensions and whether it provides the added benefit of reducing post-operative discomfort after dental surgery

NCT ID: NCT02515058 Completed - Alveolar Bone Loss Clinical Trials

Ridge Preservation Following Tooth Extraction Using Two Mineralized Cancellous Bone Allografts

Start date: September 2015
Phase: N/A
Study type: Interventional

The study is a 2-arm, parallel-design, randomized, prospective clinical trial designed to examine histologic wound healing following ridge preservation using bone allograft that has been prepared by either freeze-drying or via a non-freeze-dried solvent process.This entire protocol involves procedures that are standard care. All materials are FDA-approved materials being used in an FDA-approved manner. The test group subjects will have extraction sockets grafted with a cancellous non-freeze-dried bone allograft (called PUROS graft). This test group will be compared to an active control group using cancellous freeze-dried bone allograft (called FDBA). The null hypothesis is that there will be no significant difference in formation of new vital bone between treatment groups (primary outcome). Each subject will provide a single non-molar tooth site for study treatment. After tooth extraction, the graft material will be placed and covered by a resorbable collagen membrane. Following 3 months of healing, the dental implant will be place, at which time a core of bone will be removed from the site as part of the preparation for the implant. The core biopsy will then be evaluated for the primary histologic outcome of % vital bone formation and secondary histologic outcome of % residual graft material.

NCT ID: NCT02487784 Completed - Alveolar Bone Loss Clinical Trials

Ridge Augmentation: Particulate v/s Block Graft

Start date: August 2015
Phase: N/A
Study type: Interventional

The primary aims of this study are to compare the clinical and histologic results of bone regeneration with a cancellous block allograft versus MinerOss Cortico cancellous particulate allograft mixed with autogenous bone chips after 4 months of healing. Titanium reinforced hd-PTFE (Cytoplast) membrane GBR will be used to cover the bone grafts. Specific Aim 1: To compare the baseline to 4 month change in clinical ridge width and height. Specific Aim 2: To compare the histologic percent of vital and nonvital bone and trabecular space at 4 months. The primary outcome variable is the change in horizontal ridge width. The secondary outcomes are the change in ridge height and the percent histologic composition of the augmented site.

NCT ID: NCT02440048 Completed - Alveolar Bone Loss Clinical Trials

Using Boned-Apatite Cement at the Time of Extraction for Ridge Preservation at These Sites

Start date: June 16, 2015
Phase: N/A
Study type: Interventional

To assess efficiency of ridge preservation (in vertical and horizontal dimensions) after tooth extraction using Calcium Sulfate with hydroxyapatite(®Bond-apatite) compared to the use of bovine bone substitute (BioOss®) and to extration only as negative control.

NCT ID: NCT02435706 Completed - Gingival Recession Clinical Trials

Esthetic Outcomes of Single Immediate Implant Placement

Start date: December 2011
Phase: N/A
Study type: Interventional

A randomized controlled trial of 12-month duration to compare gingival margin location, buccal horizontal ridge dimensions, and interproximal crestal bone levels following two surgical approaches for immediate placement of implants in the esthetic zone: one involving flap elevation and another using a flapless protocol.