Evaluation of Cross-linked Collagen Membrane With and Without Silk Fibroin Around Immediate Dental Implants

NCT ID: NCT06552065

Last Updated: 2024-08-13

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-30

Study Completion Date

2025-08-31

Brief Summary

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Comparative evaluation of cross-linked collagen membrane with and without silk fibroin around Immediate Dental Implants -Randomized controlled trial.

Detailed Description

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Periodontal disease is an inflammatory and infectious disease affecting the tooth supporting structures leading to tooth loss when left untreated.The detrimental effect of periodontitis results in soft tissue and hard tissue loss. Bone defects has often resulted from tumor resection, congenital malformation, trauma, fractures, surgery, periodontitis or around implants in dentistry, as well as from diseases, such as osteoporosis or arthritis.These deficiencies have been overcome through various treatment modalities.It is a well-established fact that the cells from the periodontal ligament have the potential for regeneration of the tooth attachment apparatus. In addition, bone grafts and membranes have been used to regenerate the lost bone.

Among the membranes, autogenous connective tissue graft remains as gold standard. Collagen is biocompatible natural polymer that has a good function to promote new tissue formation. In the proposed study, immediate implants with compromised bone support, cross-linked bovine collagen membrane will be used. It is a naturally occurring protein, having excellent biocompatibility, and hemostatic and chemotactic characteristics for gingival fibroblasts and periodontal ligaments. Further, it is resistant to tension, controllable biodegradability, is non cytotoxic, low antigenicity, and excellent anti-inflammatory characteristics. It is naturally reabsorbed by microorganisms, easy to manipulate and has a molecular structure with little variance concerning the animal from which the collagen is extracted, leading to improved immunogenicity.

Bovine collagen is selected to enhance the biological function of silk fibroin, as composite membrane for enhancement of gingival thickness. Thus, considering all these characteristics, silk fibroin is incorporated into collagen membrane for evaluation .As there is no literature assessing this composite membrane, the aim of this study Compare evaluation of Cross-linked collagen membrane with and without Silk fibroin around Immediate Dental Implants Randomized controlled trial will be undertaken.

Conditions

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Immediate Implant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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10 will receive cross -linked collagen with silk fibroin membrane around immediate implant.

Local anesthesia is given. Atraumatic extraction is done. Osteotomy is done. Immediate implant is placed along with crosslinked collagen with silk fibroin membrane. Suture is done.

Group Type EXPERIMENTAL

collagen with silk fibroin membrane

Intervention Type OTHER

A mucoperiosteal flap will be raised and atraumatic extraction will be done. An immediate implant with collagen with silk fibroin membrane (experimental group) will be placed according to the standard protocol.

An immediate implant with collagen membrane ( comparative group) will be placed according to the standard protocol .

The surgical wound closure will be coapted with mattress and single interrupted sutures

cross linked collagen membrane

Intervention Type OTHER

A mucoperiosteal flap will be raised and atraumatic extraction will be done. An immediate implant with collagen with silk fibroin membrane (experimental group) will be placed according to the standard protocol.

10 will receive cross linked collagen membrane around immediate implant

Local anesthesia is given. Atraumatic extraction is done. Osteotomy is done. Immediate implant is placed along with crosslinked collagen membrane. Suture is done.

Group Type ACTIVE_COMPARATOR

collagen with silk fibroin membrane

Intervention Type OTHER

A mucoperiosteal flap will be raised and atraumatic extraction will be done. An immediate implant with collagen with silk fibroin membrane (experimental group) will be placed according to the standard protocol.

An immediate implant with collagen membrane ( comparative group) will be placed according to the standard protocol .

The surgical wound closure will be coapted with mattress and single interrupted sutures

cross linked collagen membrane

Intervention Type OTHER

A mucoperiosteal flap will be raised and atraumatic extraction will be done. An immediate implant with collagen with silk fibroin membrane (experimental group) will be placed according to the standard protocol.

Interventions

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collagen with silk fibroin membrane

A mucoperiosteal flap will be raised and atraumatic extraction will be done. An immediate implant with collagen with silk fibroin membrane (experimental group) will be placed according to the standard protocol.

An immediate implant with collagen membrane ( comparative group) will be placed according to the standard protocol .

The surgical wound closure will be coapted with mattress and single interrupted sutures

Intervention Type OTHER

cross linked collagen membrane

A mucoperiosteal flap will be raised and atraumatic extraction will be done. An immediate implant with collagen with silk fibroin membrane (experimental group) will be placed according to the standard protocol.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Systemically healthy patients in the age group of 18 to 55years.
* Patients undergoing immediate implant placement with gingival thickness ≤ 1mm
* Stage II /Stage III and Grade B Periodontitis patients.
* Radiographic assessment using Radiovisiography (RVG) with grid.

Exclusion Criteria

* Patients having allergies with collagen and silk products.
* Medical conditions contraindicating surgical interventions.
* Known smokers and alcoholic.
* Acute infections at the site of extraction. Ex Abscess.
* Patients who have undergone radiotherapy or chemotherapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Krishnadevaraya College of Dental Sciences & Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Krishnadevaraya college of dental sciences

Bangalore, Karnataka, India

Site Status

Countries

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India

Central Contacts

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jyoti naik, bds

Role: CONTACT

7337673040

MLV Prabhuji, mds

Role: CONTACT

9448057407

References

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Pripatnanont P, Chankum C, Meesane J, Thonglam J. Physical and biological performances of a semi-resorbable barrier membrane based on silk fibroin-glycerol-fish collagen material for guided bone regeneration. J Biomater Appl. 2021 Nov;36(5):930-942. doi: 10.1177/08853282211025781. Epub 2021 Jun 21.

Reference Type BACKGROUND
PMID: 34152233 (View on PubMed)

Other Identifiers

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02-D012-00050

Identifier Type: -

Identifier Source: org_study_id

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