Prospective Randomized Study: Assessment of PRF Efficacy in Prevention of Jaw Osteonecrosis After Tooth Extraction

NCT ID: NCT02198001

Last Updated: 2014-07-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-31

Study Completion Date

2017-01-31

Brief Summary

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This prospective study will include patients taking or having taken bisphosphonates and needing dental extractions.

The aim of this study is to validate the contribution of PRF (Platelet Rich Fibrin) in tooth extraction sites.

In the test group (PRF) and in the control group (no PRF), we use the same atraumatic extraction protocol associated with the same antibiotic procedure.

Detailed Description

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Dental extractions are the main cause of jaw osteonecrosis in patients taking oral or iv bisphosphonates.

This prospective randomized study will include a cohort of 100 patients treated with bisphosphonates (for benign or malignant conditions) and requiring dental extractions (non-retainable teeth for infectious, traumatic or parodontal reasons). 50 patients will benefit of PRF placement in the tooth extraction site (group 1) while 50 patients do not (group 2).

The rest of the procedure will be the same in the 2 arms. In the literature, studies suggest a benefit from a long term antibiotherapy before and after tooth extraction. Extraction procedure should be the least traumatic as possible.

The main objective of our study is to assess, after tooth extraction, the contribution of PRF in the prevention of jaw osteonecrosis induced by bisphosphonates.

A follow-up period of one year after extraction is indicated.

Conditions

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Bisphosphonate-Associated Osteonecrosis of the Jaw

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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tooth extraction and insertion of PRF

Experimental: Atraumatic tooth extraction with antibiotics( amoxicillin clavulanate combination) .Insertion of PRF membrane in tooth-extraction site.

Group Type ACTIVE_COMPARATOR

tooth extraction with antibiotics (amoxicillin- clavulanate, clindamycine)

Intervention Type DRUG

BPs per os\< 3ans: amoxicillin- clavulanate J-1 à J+10

BPs IV ou per os\> 3ans ou per os + comordibities (diabetes, immunosuppression, tobacco):

amoxicillin- clavulanate J-3 à J+10

In case of allergy:

BPs per os: clindamycine J-1 à J+10

BPs IV ou per os\> 3ans ou per os + comordibities (diabetes, immunosuppression, tobacco):

clindamycine J-3 à J+10

atraumatic extraction

Intervention Type PROCEDURE

Atraumatic tooth extraction, alveolar bone reduction, hermetic mucosal closure

No PRF

Atraumatic extraction with antibiotic without PRF insertion

Group Type PLACEBO_COMPARATOR

tooth extraction with antibiotics (amoxicillin- clavulanate, clindamycine)

Intervention Type DRUG

BPs per os\< 3ans: amoxicillin- clavulanate J-1 à J+10

BPs IV ou per os\> 3ans ou per os + comordibities (diabetes, immunosuppression, tobacco):

amoxicillin- clavulanate J-3 à J+10

In case of allergy:

BPs per os: clindamycine J-1 à J+10

BPs IV ou per os\> 3ans ou per os + comordibities (diabetes, immunosuppression, tobacco):

clindamycine J-3 à J+10

atraumatic extraction

Intervention Type PROCEDURE

Atraumatic tooth extraction, alveolar bone reduction, hermetic mucosal closure

Interventions

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tooth extraction with antibiotics (amoxicillin- clavulanate, clindamycine)

BPs per os\< 3ans: amoxicillin- clavulanate J-1 à J+10

BPs IV ou per os\> 3ans ou per os + comordibities (diabetes, immunosuppression, tobacco):

amoxicillin- clavulanate J-3 à J+10

In case of allergy:

BPs per os: clindamycine J-1 à J+10

BPs IV ou per os\> 3ans ou per os + comordibities (diabetes, immunosuppression, tobacco):

clindamycine J-3 à J+10

Intervention Type DRUG

atraumatic extraction

Atraumatic tooth extraction, alveolar bone reduction, hermetic mucosal closure

Intervention Type PROCEDURE

Other Intervention Names

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antibiotherapy before and after extraction - atraumatic tooth extraction - hermetic mucosal closure

Eligibility Criteria

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Inclusion Criteria

* patients taking bisphosphonates whatever the indication, the type, the administration and the duration of treatment (we include patients taking or having taken bisphosphonates, even several years ago)
* And who need tooth extraction (not recoverable in conservative dentistry and symptomatic tooth: dental and periodontal infections, symptomatic traumatic tooth fracture).

Exclusion Criteria

* pregnant women
* younger than 50 years old
* jaw's radiotherapy
* history of jaw osteonecrosis
* jaw metastasis from an other cancer
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cliniques universitaires Saint-Luc- Université Catholique de Louvain

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hervé P Reychler, MD, DMD

Role: STUDY_CHAIR

Cliniques universitaires Saint-Luc- Université Catholique de Louvain

Locations

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Cliniques Universitaires Saint Luc

Brussels, , Belgium

Site Status RECRUITING

Centre Hospitaliser Ambroise Paré

Mons, , Belgium

Site Status RECRUITING

Clinique et maternité Sainte Elisabeth

Namur, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Dorothée L Deneubourg, MD, DDS

Role: CONTACT

003227645702 ext. 003227645774

Michèle Magremanne, MD, DDS

Role: CONTACT

003227645711

Facility Contacts

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Michele Magremanne, MD, DDS

Role: primary

003227645711

Catherine Vervaet, MD DDS

Role: primary

003265414190

Patrice Lejuste, MD, DDS

Role: primary

003281720631

References

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Beth-Tasdogan NH, Mayer B, Hussein H, Zolk O, Peter JU. Interventions for managing medication-related osteonecrosis of the jaw. Cochrane Database Syst Rev. 2022 Jul 12;7(7):CD012432. doi: 10.1002/14651858.CD012432.pub3.

Reference Type DERIVED
PMID: 35866376 (View on PubMed)

Other Identifiers

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B403201318408

Identifier Type: -

Identifier Source: org_study_id

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