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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04957342
Other study ID # IRB20-1593
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date May 15, 2021
Est. completion date July 1, 2023

Study information

Verified date August 2022
Source Harvard Medical School (HMS and HSDM)
Contact Chia-Yu Chen, DDS, DMSc
Phone 857-576-0279
Email chia-yu_chen@hsdm.harvard.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

When harvesting autogenous free grafts to treat periodontal conditions (e.g., lack of attached keratinized tissue, ridge defects, and other mucogingival deformities), the hard palate is the preferred donor site. The primary disadvantage of this technique is the creation of a second surgical site. This sacrificial traumatic lesion on the palate is associated with significant post-operative morbidities, including patient discomfort, infection, inflammation, hemorrhage, and necrosis. A pilot, blinded Randomized Control Trial will be conducted with subjects who are treatment planned to receive free gingival graft palatal harvest surgery. The palatal wound donor site for treatment group 1 will not receive an allograft membrane; while the donor site for treatment group 2 will receive an amnion-chorion allograft membrane (BioXclude) secured with a suture. The severity of pain at the palatal wound site will be assessed using an at home survey (Visual Analog Scale, Pain Catastrophizing Scale, & Patient-Reported Outcomes Measurement Information System Scale). The healing of the palatal donor site will be evaluated quantitatively and qualitatively (PVS impression, optical scan, endoscopy, and ultrasnonography).


Recruitment information / eligibility

Status Recruiting
Enrollment 10
Est. completion date July 1, 2023
Est. primary completion date May 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 85 Years
Eligibility Inclusion Criteria: - Patients age 18 and above - No reported systemic disease that would compromise healing, such as Diabetes with A1c level >7.0%, endocrine disorders, hypertension above Stage II based on AHA 2017, osteoporosis, or immunodeficiency - Healthy periodontium or demonstrating stable periodontal condition following conventional periodontal therapy. - Clinical indication for periodontal mucogingival surgery utilizing palatal graft harvest e.g., shallow palatal vaults classified by Reiser et al. (1996) the average distance as 7 mm from the CEJ of maxillary teeth to the neurovascular bundle - No history of previous palatal harvesting Exclusion Criteria: - Smoker - Pregnancy [confirmed via patient self-identification] - Systemic condition requiring antibiotic prophylaxis prior to any invasive procedure. The list of such conditions includes: 1. Prosthetic cardiac valves, including transcatheter-implanted prostheses and homografts 2. Prosthetic material used for cardiac valve repair, such as annuloplasty rings and chords. 3. Previous infective endocarditis 4. Unrepaired cyanotic congenital heart disease or repaired congenital heart disease, with residual shunts or valvular regurgitation at the site of or adjacent to the site of a prosthetic patch or prosthetic device. 5. Cardiac transplant with valve regurgitation due to a structurally abnormal valve. - Uncontrolled systemic disease e.g., Diabetes with A1c level > 7.0% endocrine disorders, hypertension above Stage II based on AHA 2017, osteoporosis, or immunodeficiency) - Use of medications, such as Dilantin (aka Phenytoin), Cyclosporin, and Nifedipin, that would adversely affect periodontal tissues

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
amnion-chorion membrane
allograft to be placed on palate
Procedure:
Sutures
Sutures (e.g. interrupted, crisscross compression) to be placed on palate

Locations

Country Name City State
United States Harvard School of Dental Medicine Boston Massachusetts

Sponsors (1)

Lead Sponsor Collaborator
Harvard Medical School (HMS and HSDM)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Postoperative pain as evaluated by subjects using the Visual Analogue Scale The primary purpose of this study is to determine patient-reported outcome measures (i.e., pain) during the immediate post-operative period (i.e., 60 days). The Visual Analogue Scale survey will be completed by the patients during clinical visits and remotely.
The scale ranges from a score of 0 to 10, with a higher score corresponding to more severe pain experienced post-op.
60 days
Secondary Wound volumetric changes At the time of the procedure and post-op days 14 and 60, a research team member will administer the survey, take an impression, endoscopic image, ultrasonography, photograph the surgical site, and collect extra measurements, probing depth (PD), recession (REC), & clinical attachment level (CAL), of the participants' mouth. These records will combined to report volumetric changes of donor site in mm^3. 60 days
Secondary Patient satisfaction as evaluated by Visual Analogue Scale The secondary purpose of this study is to determine patient-reported outcome measures (i.e., satisfaction) during the immediate post-operative period (i.e., 60 days). The Visual Analogue Scale survey will be completed by the patients during clinical visits and remotely. The scale ranges from 0 to 10, with a higher score corresponding to a higher degree of satisfaction. 60 days
Secondary Pain management (medication usage) The secondary purpose of this study is to determine patient-reported outcome measures (i.e., medication usage) during the immediate post-operative period (i.e., 60 days). The survey will be completed during clinical visits and remotely. The survey will ask the following: "Did you take any medications for pain management of the palatal wound site? What medications & how much?" 60 days
Secondary Pain Catastrophizing Scale (PCS) In order to address the subject nature of pain, subjects will be administered the Pain Catastrophizing Scale in the survey (completed during clinical visits and remotely). Each answer choice will be assigned a number, with a higher number reflecting a higher degree of pain experience ("Not at all" is 0; "All the time" is 4). A total score will be calculated as the sum of all answer choices. Total score ranges from 0 to 52, with a higher score corresponding to higher frequency of feelings and thoughts related to pain. 60 days
Secondary • Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference - Short Form 8a In order to address the subject nature of pain, subjects will be administered the PROMIS pain interference form in the survey (completed during clinical visits and remotely). Each answer choice will be assigned a number, with a higher number reflecting a higher degree of pain interference ("Not at all" is 0; "Very much" is 4). A total score will be calculated as the sum of all answer choices. Total score ranges from 0 to 32, with a higher score corresponding to a higher degree of pain interference. 60 days
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