Combination of Bone Marrow Concentrate and Iliac Cancellous Bone Graft in Alveolar Cleft Grafting

NCT ID: NCT04414423

Last Updated: 2021-12-07

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

COMPLETED

Clinical Phase

NA

Total Enrollment

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-01

Study Completion Date

2021-12-01

Brief Summary

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The aim of this study will be to analyze the newly formed bone volume and density, 6 months after alveolar cleft grafting using iliac cancellous bone graft, with and without bone marrow concentrate.

Detailed Description

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Twelve patients with unilateral alveolar cleft will be enrolled in this randomized comparative study.

The patients will be divided into two groups, the control (group A) who received illiac cancellous bone graft and study group who received a combination of bone marrow concentrate and illiac cancellous bone graft (group B).

Cone Beam CT (CBCT) images will be done prior to surgery to asses preoperative alveolar defect volume. Six months postoperative CBCT images will be done and postoperative newly bone formed volume and density will be evaluated and bone formation ratio (BF%) will be calculated as follows: BF% = (formed volume/alveolar defect) × 100%.

Conditions

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Alveolar Cleft Grafting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Eighteen patients will be divided into two equal groups. Each group comprises nine patients.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Bone marrow concentrate

Bone marrow concentrate combined with Autogenous bone graft

Group Type EXPERIMENTAL

bone marrow concentrate alveolar cleft grafting

Intervention Type PROCEDURE

patients will undergo surgery to repair alveolar cleft with autogenous bone graft combined with bone marrow concentrate

autogenous bone graft

grafting with autogenous bone graft

Group Type ACTIVE_COMPARATOR

Autogenous alveolar grafting

Intervention Type PROCEDURE

patients will undergo surgery to repair alveolar cleft with autogenous bone graft

Interventions

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bone marrow concentrate alveolar cleft grafting

patients will undergo surgery to repair alveolar cleft with autogenous bone graft combined with bone marrow concentrate

Intervention Type PROCEDURE

Autogenous alveolar grafting

patients will undergo surgery to repair alveolar cleft with autogenous bone graft

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients suffering from maxillary alveolar cleft
* Patient with Primary, complete cleft lip

Exclusion Criteria

* Syndromic cases will be excluded
* Previous operated cases
Minimum Eligible Age

8 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fayoum University

OTHER

Sponsor Role lead

Responsible Party

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Alshaimaa Ahmed shabaan

associate professor in oral & maxillofacial Surgery Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculty of Dentistry

Al Fayyum, , Egypt

Site Status

Faculty of Dentistry

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Pinheiro FHSL, Drummond RJ, Frota CM, Bartzela TN, Dos Santos PB. Comparison of early and conventional autogenous secondary alveolar bone graft in children with cleft lip and palate: A systematic review. Orthod Craniofac Res. 2020 Nov;23(4):385-397. doi: 10.1111/ocr.12394. Epub 2020 Jun 28.

Reference Type BACKGROUND
PMID: 32446283 (View on PubMed)

Ziegler CG, Van Sloun R, Gonzalez S, Whitney KE, DePhillipo NN, Kennedy MI, Dornan GJ, Evans TA, Huard J, LaPrade RF. Characterization of Growth Factors, Cytokines, and Chemokines in Bone Marrow Concentrate and Platelet-Rich Plasma: A Prospective Analysis. Am J Sports Med. 2019 Jul;47(9):2174-2187. doi: 10.1177/0363546519832003. Epub 2019 Apr 29.

Reference Type BACKGROUND
PMID: 31034242 (View on PubMed)

Shabaan AA, Salahuddin A, Aboulmagd I, Ragab R, Salah KA, Rashid A, Ayad HM, El Aty Ahmed WA, Refahee SM. Alveolar cleft reconstruction using bone marrow aspirate concentrate and iliac cancellous bone: A 12-month randomized clinical study. Clin Oral Investig. 2023 Nov;27(11):6667-6675. doi: 10.1007/s00784-023-05276-9. Epub 2023 Oct 5.

Reference Type DERIVED
PMID: 37794139 (View on PubMed)

Other Identifiers

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BMC AlvCleft

Identifier Type: -

Identifier Source: org_study_id

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