Xenograft Model Clinical Trial
Official title:
Ridge Preservation With a Low Resorption Xenograft in Posterior Mandible Postextraction Sockets
The aim of this study is to evaluate the volume of madibular bone after placement of a xenograft in a fresh extraction socket in human. The surgery protocol is flapless, and the teeth are mandibular premolars or molars leaving sockets with 4 walls intact or at least 3 walls intact and the buccal wall at 80% . This study will include 35 patients.
Primary objective :
Estimate the percentage of loss of bone volume and the percentage thickness loss of the
buccal and palatal cortical for patients who underwent bone volume preservation technology
and conservation of the vestibular cortical by guided bone regeneration using a material slow
absorption in the molar areas and premolar.
Secondary objectives:
Compare the percentage of loss of bone volume and the percentage loss of thickness of the
buccal and palatal cortical patients who underwent a preservation technique, the upgrading
data of mandibular posterior region without fillers described in the literature.
Methods :
After tooth extraction of a premolar or molar in mandibular flapless technique, guided bone
regeneration is carried out. The cell is filled by a slow absorption material (Xenograft
common use). The regeneration space is maintained by a resorbable membrane. To protect the
membrane without tissue motion (technical flapless) placing a three-dimensional collagen
matrix graft substitute gingival (Muccograft®) will be used. A CBCT preoperative be performed
to verify the integrity of cortical and measure the height and width of the residual cavity.
caliper measurements at the foot will also be performed during surgery in order to integrate
also the thickness of the bone tables and gingival thickness.
After healing of the graft, the pre-implant scan performed at six months postoperatively will
measure the height and width of the grafted cell, to compare measurements and evaluate the
dynamics of alveolar resorption
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