Alveolar Management Following Teeth Extraction

NCT ID: NCT03089619

Last Updated: 2023-07-17

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-02

Study Completion Date

2023-05-08

Brief Summary

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Investigation of the volume stability of the alveolar ridge, the bone structure and soft tissue appearance at a delayed dental implantation using two bone substitute materials (1. Human-Spongiosa, gefriergetrocknet, CHB; 2. collacone®)

Detailed Description

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Conditions

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Alveolar Bone Loss Bone Resorption

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

assignment of patients to one of the two treatment arms will be carried out randomly. Randomization process will be monitored and carried out by the center of clinical studies coordination - University Medicine Greifswald. Assignment of patient will be only known to the investigator after blood and urine sample results fulfill the inclusion criteria.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
outcome assessors will be masked during the evaluation period. Subjects will be identified through their randomization number. Patients identification log is stored at the study site and only available to the investigator who is responsible of concealment of these information.

Study Groups

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Human-Spongiosa (IMP: drug)

Product Name: Human-Spongiosa,gefriergetrocknet, CHB / Pharmaceutical form: Granules / Routes of Administration: Dental use / Marketing authorisation number : 3004134.00.00 / Marketing Authorisation Holder: Institute of Transfusion Medicine, Tissue bank, Charité university of medicine Berlin / Used by socket preservation

Group Type ACTIVE_COMPARATOR

Human-Spongiosa

Intervention Type DRUG

after tooth extraction, the dental alveolus is filled with the bone substitute material (Human-Spongiosa) and covered with a membrane (mucoderm®)

collacone® (IMP: medical device)

Product Name: Collacone / Pharmaceutical form: Absorbable, local Hemostat, porcine collagen / Routes of Administration: Dental use / Medical device with a CE mark / Used by socket preservation

Group Type ACTIVE_COMPARATOR

collacone®

Intervention Type DEVICE

after tooth extraction, the dental alveolus is filled with the bone substitute material (collacone®) and covered with a membrane (mucoderm®)

Interventions

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Human-Spongiosa

after tooth extraction, the dental alveolus is filled with the bone substitute material (Human-Spongiosa) and covered with a membrane (mucoderm®)

Intervention Type DRUG

collacone®

after tooth extraction, the dental alveolus is filled with the bone substitute material (collacone®) and covered with a membrane (mucoderm®)

Intervention Type DEVICE

Other Intervention Names

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Knochenspongiosa of human origin absorbable local hemostat porcine collagen

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* Indication for tooth extraction resulting in a edentulous gap
* Male and female patients with an age range 20-60 years
* Caucasian
* For female patients: a negative pregnancy test
* Normotonic blood pressure (according to the WHO definition):

* Men: 110/70 - 140/90 mm Hg
* Women: 100/60- 140/90mm Hg

Exclusion Criteria

* Parallel implantation of another implant
* Parallel planned prosthetic restoration of the adjacent teeth
* Smoker (less than 5 years non-smoker)
* Nursing women
* Participation in another clinical trial which dates back to less than 3 months before inclusion in this clinical trial
* Intake of bisphosphonates
* Radiation therapy (medical history or current)
* Known Diabetes mellitus
* Inflammatory processes in the mouth (PSI\> 2)
* Presence of autoimmune diseases (Rheumatoid arthritis, Sjögren's syndrome, Systemic lupus erythematosus)
* Presence of blood coagulation disorders (Haemophilia A/B), or the intake of anticoagulants (Warfarin, new oral anticoagulants, aspirin\> 100 mg)
* Osteogenesis imperfecta
* Osteoporosis
* Leukemia
* Agranulocytosis
* Immunocompromised patients
* Acute phase and rehabilitation phase of myocardial infarction
* Oncogenes diseases
* Patients undergoing chemotherapy
* Sepsis
* Acute and chronic infections: sinusitis, rhinitis, pharyngitis and Otitis media
* Wound healing disorders
* Seizures
* Gingival hyperplasia
* Alcohol abuse
* Drug abuse
* Infectious diseases (HIV, Hepatitis B and C)
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Botiss Medical AG

OTHER

Sponsor Role collaborator

University Medicine Greifswald

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stefan Engeli, Prof.

Role: STUDY_CHAIR

University Greifswald, KKS

Locations

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University Medicine Greifswald - Department for oral and maxillofacial Surgery

Greifswald, Mecklenburg-Vorpommern, Germany

Site Status

Countries

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Germany

References

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Morjaria KR, Wilson R, Palmer RM. Bone healing after tooth extraction with or without an intervention: a systematic review of randomized controlled trials. Clin Implant Dent Relat Res. 2014 Feb;16(1):1-20. doi: 10.1111/j.1708-8208.2012.00450.x. Epub 2012 Mar 8.

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Cardaropoli G, Araujo M, Lindhe J. Dynamics of bone tissue formation in tooth extraction sites. An experimental study in dogs. J Clin Periodontol. 2003 Sep;30(9):809-18. doi: 10.1034/j.1600-051x.2003.00366.x.

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Cardaropoli G, Araujo M, Hayacibara R, Sukekava F, Lindhe J. Healing of extraction sockets and surgically produced - augmented and non-augmented - defects in the alveolar ridge. An experimental study in the dog. J Clin Periodontol. 2005 May;32(5):435-40. doi: 10.1111/j.1600-051X.2005.00692.x.

Reference Type BACKGROUND
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Schropp L, Kostopoulos L, Wenzel A, Isidor F. Clinical and radiographic performance of delayed-immediate single-tooth implant placement associated with peri-implant bone defects. A 2-year prospective, controlled, randomized follow-up report. J Clin Periodontol. 2005 May;32(5):480-7. doi: 10.1111/j.1600-051X.2005.00699.x.

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Reference Type BACKGROUND
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Lundgren D, Sennerby L, Falk H, Friberg B, Nyman S. The use of a new bioresorbable barrier for guided bone regeneration in connection with implant installation. Case reports. Clin Oral Implants Res. 1994 Sep;5(3):177-84. doi: 10.1034/j.1600-0501.1994.050309.x.

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Nevins M, Camelo M, De Paoli S, Friedland B, Schenk RK, Parma-Benfenati S, Simion M, Tinti C, Wagenberg B. A study of the fate of the buccal wall of extraction sockets of teeth with prominent roots. Int J Periodontics Restorative Dent. 2006 Feb;26(1):19-29.

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Furhauser R, Florescu D, Benesch T, Haas R, Mailath G, Watzek G. Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score. Clin Oral Implants Res. 2005 Dec;16(6):639-44. doi: 10.1111/j.1600-0501.2005.01193.x.

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Other Identifiers

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2015-001434-16

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

3D_CHB/collacone

Identifier Type: -

Identifier Source: org_study_id

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