Efficacy Assessment of Lamina Curved Plate in Managing Oroantral Communication (OACs)

NCT ID: NCT05910073

Last Updated: 2024-09-19

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

Total Enrollment

33 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-05-16

Study Completion Date

2023-06-29

Brief Summary

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The aim of this study is to assess the success rate, of using a Lamina Curved plate (Osteobiol® Laboratory) in the treatment of persistent OACs over 5mm.

Detailed Description

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Oroantral communication (OAC) is an abnormal opening that forms between the maxillary sinus and oral cavity. This communication can occur as a result of tooth extraction, maxillofacial surgery or dental infections. Microorganisms from the oral cavity can then colonise the maxillary sinuses, leading to infections. Prompt and effective management of a OAC is essential to prevent complications such as acute or chronic sinusitis, facial pain or inflammation. Closure is usually made surgically with a local flap such as Fat pad flap, palatal or vestibular flap or with natural or synthetic biomaterials.

However, OACs may persist even after attempted closure, and there is also a risk of facial nerve damage during the dissection of the Bichat's flap.

All these factors prompt the evaluation of surgical procedures employed in the treatment of OACs, including the use of the Lamina Curved biomaterial from Osteobiol®. This biomaterial comprises a decalcified flexible plate made of heterologous cortical bone. It serves to reconstruct the sinus floor and isolate the sinus from the oral cavity. The plate is secured using osteosynthesis screws and possesses the characteristic of being resorbable.

The objective of this study is to investigate the success rate, of utilizing the Lamina Curved plate (Osteobiol® Laboratory) and to provide surgeons with an additional reference technique for treating OACs larger than 5mm.

Conditions

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Oroantral Fistula

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Lamina curved plate

Use of a Lamina Curved plate (Osteobiol® Laboratory) in the treatment of OAC

Lamina curved plate

Intervention Type DEVICE

Use of a Lamina Curved plate (Osteobiol® Laboratory) in the treatment of OAC

Interventions

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Lamina curved plate

Use of a Lamina Curved plate (Osteobiol® Laboratory) in the treatment of OAC

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All patients with persistent OAC greater than 5mm treated with the use of an Osteobiol® Lamina curved plate
* Age ≥ 18 years
* Patients informed of the study and who did not object.

Exclusion Criteria

* Follow-up less than 1 month after surgery
* Patient under guardianship
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hôpital NOVO

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dr Nicolas Jaballah Magdeleine

Role: PRINCIPAL_INVESTIGATOR

Hôpital NOVO

Locations

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Department of Stomatology - Hôpital NOVO Pontoise site

Pontoise, , France

Site Status

Countries

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France

References

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Shahrour R, Shah P, Withana T, Jung J, Syed AZ. Oroantral communication, its causes, complications, treatments and radiographic features: A pictorial review. Imaging Sci Dent. 2021 Sep;51(3):307-311. doi: 10.5624/isd.20210035. Epub 2021 Jul 13.

Reference Type BACKGROUND
PMID: 34621658 (View on PubMed)

Scott P, Fabbroni G, Mitchell DA. The buccal fat pad in the closure of oro-antral communications: an illustrated guide. Dent Update. 2004 Jul-Aug;31(6):363-4, 366. doi: 10.12968/denu.2004.31.6.363.

Reference Type BACKGROUND
PMID: 15376721 (View on PubMed)

Lee JJ, Kok SH, Chang HH, Yang PJ, Hahn LJ, Kuo YS. Repair of oroantral communications in the third molar region by random palatal flap. Int J Oral Maxillofac Surg. 2002 Dec;31(6):677-80. doi: 10.1054/ijom.2001.0209.

Reference Type BACKGROUND
PMID: 12521329 (View on PubMed)

Di Carlo R, Zara S, Ventrella A, Siani G, Da Ros T, Iezzi G, Cataldi A, Fontana A. Covalent Decoration of Cortical Membranes with Graphene Oxide as a Substrate for Dental Pulp Stem Cells. Nanomaterials (Basel). 2019 Apr 12;9(4):604. doi: 10.3390/nano9040604.

Reference Type BACKGROUND
PMID: 31013705 (View on PubMed)

Caballe-Serrano J, Munar-Frau A, Delgado L, Perez R, Hernandez-Alfaro F. Physicochemical characterization of barrier membranes for bone regeneration. J Mech Behav Biomed Mater. 2019 Sep;97:13-20. doi: 10.1016/j.jmbbm.2019.04.053. Epub 2019 May 4.

Reference Type BACKGROUND
PMID: 31085456 (View on PubMed)

Rossi R, Rancitelli D, Poli PP, Rasia Dal Polo M, Nannmark U, Maiorana C. The use of a collagenated porcine cortical lamina in the reconstruction of alveolar ridge defects. A clinical and histological study. Minerva Stomatol. 2016 Oct;65(5):257-68.

Reference Type BACKGROUND
PMID: 27580650 (View on PubMed)

Other Identifiers

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CHRD0623

Identifier Type: -

Identifier Source: org_study_id

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