Performance of Next-X in Alveolar Ridge Preservation

NCT ID: NCT06698276

Last Updated: 2024-12-06

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-01

Study Completion Date

2025-12-01

Brief Summary

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The goal of this case series study is to evaluate the clinical and histological outcomes of a protocol for managing hopeless teeth, focusing on alveolar preservation and subsequent dental implant placement. The study will also assess the long-term success of prosthetic reconstruction. The main questions it aims to answer are:

* How effective is the use of biomaterials for alveolar preservation in maintaining bone structure and quality?
* What are the histological characteristics of the alveolar bone after biomaterial application?
* How successful are dental implants and prosthetic reconstructions in restored sites over a 1-year follow-up period?

Participants will:

1. Undergo extraction of hopeless teeth using an atraumatic protocol.
2. Receive alveolar preservation treatment with biomaterials immediately after extraction.
3. Provide a bone biopsy for histological processing before implant placement.
4. Undergo dental implant placement and prosthetic reconstruction of the lost tooth.
5. Attend follow-up appointments over a 1-year period for clinical and radiographic evaluations.

Detailed Description

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Conditions

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Hopeless Tooth

Keywords

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prospective case series

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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2 months reopen group

a biomaterial will be used to alveolar ridge preservation, and after 2 months participants of this group will receive a dental implant

Group Type EXPERIMENTAL

Alveolar Ridge Reconstruction

Intervention Type OTHER

It will be used a combination of two biomaterials for alveolar ridge preservation

3 months reopen group

a biomaterial will be used to alveolar ridge preservation, and after 3 months participants of this group will receive a dental implant

Group Type EXPERIMENTAL

Alveolar Ridge Reconstruction

Intervention Type OTHER

It will be used a combination of two biomaterials for alveolar ridge preservation

Interventions

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Alveolar Ridge Reconstruction

It will be used a combination of two biomaterials for alveolar ridge preservation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults between 18 and 80 years of age.
* Requirement for single-rooted tooth extraction due to reasons such as caries, fractures, restorative issues, endodontic complications (e.g., root fracture, instrument fracture), orthodontic needs, or prosthetic considerations.
* Presence of at least one neighboring tooth adjacent to the extraction site.
* Maintaining adequate oral hygiene, indicated by bleeding on probing \<20% and plaque index \<20%.
* Presence of at least 50% of the buccal bone plate.
* Classification of patients as ASA I or II status according to the American Society of Anesthesiologists Classification.

Exclusion Criteria

* All smokers, including smoking alternatives.
* Heavy drinker (\> 60 g of alcohol per day as a mean).
* Uncontrolled metabolic disorders e.g., diabetes mellitus, osteomalacia, thyroid disorder, severe renal or hepatic disorder.
* Prolonged corticosteroid therapy.
* Immunological impairment diseases.
* History of malignancy, radiotherapy, or chemotherapy for malignancy within the past five years.
* General contraindications for dental and/or surgical treatment (including patients who take anticoagulants or antiresorptives).
* Disease or condition affecting bone metabolism.
* Women of child-bearing age, not using a highly effective method of birth control.
* Pregnancy or breast feeding.
* Previous and concurrent medication affecting sinus healing in general (e.g., topical steroids, large doses of anti-inflammatory drugs).
* Acute or chronic oral infection or uncontrolled periodontal disease.
* Crestal bone defects at the implantation site, which require additional bone augmentation around the neck of the implant.
* Allergy to collagen.
* Participation in an investigational device or drug clinical trial within the last six month.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Giuseppe Alexandre Romito

Chairman of Periodontics Division

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Faculdade de Odontologia da USP

São Paulo, São Paulo, Brazil

Site Status RECRUITING

Countries

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Brazil

Central Contacts

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Giuseppe A Romito

Role: CONTACT

Phone: +551130917833

Email: [email protected]

Cristina C Villar

Role: CONTACT

Phone: +551130917833

Email: [email protected]

Facility Contacts

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Igor S Medeiros

Role: primary

Graziela F Malagutti

Role: backup

Other Identifiers

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Next-X

Identifier Type: -

Identifier Source: org_study_id