Biologicals in Management of Intra-Bony Defects

NCT ID: NCT07292870

Last Updated: 2025-12-18

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-08

Study Completion Date

2027-12-31

Brief Summary

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The aim is of this study is to evaluate and compare the effects (clinical and radiological) of different biomaterials on the repair of bone defects around the teeth. When participating in this study, persons will be scheduled for local surgical intervention of the gums. Under local anaesthesia, the gums will be opened minimally to gain insight into the underlying bone defect. After the bone defect has been made completely free of inflammation, they will be randomly assigned to one of the groups below and the biomaterials for this group will be used to fill the defect around your teeth. The different biomaterials are artificial bone + amelogenin; artificial bone + hyaluronic acid; artificial bone + blood preparation (L-PRF) or blood preparation alone.

Then the gums will be closed again with a suture and they will receive the necessary instructions regarding the procedure.

Detailed Description

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The purpose of this study is to assess the clinical and radiological effectiveness of hyaluronic acid (REGENFAST®), enamel matrix derivative (Emdogain®), and platelet concentrates (L-PRF) in the surgical treatment (minimally invasive technique) of intra-bony defects in conjunction with minimally invasive surgery..

This is a non-inferiority study. The alternative hypothesis is that the use of hyaluronic acid or L-PRF obtained at least the same treatment outcome (seen as clinical attachment level gain) than the gold standard (use of enamel matrix derivatives).

2.2. Primary Endpoints

Post-operative changes in clinical attachment level (CAL):

* difference between the baseline and 6/12 months after the surgery
* measured in millimetres

2.3. Secondary Endpoints

Post-operative changes in probing pocket depth (PPD):

* difference between the baseline and 6/12 months after the surgery
* measured in millimetres

Post-operative changes in papilla height (preservation of soft tissues):

* difference between the baseline and 6/12 months after the surgery
* measured by means of a volumetric analysis based on intra-oral scan

Post-operative changes in intra-bony defect morphology:

* difference between the baseline and 6/12 months after the surgery
* periapical radiograph (parallel angle technique)
* defect resolution measured in millimetres
* bone fill measured in percentage

Conditions

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Intra-bony Pockets Periodontitis

Keywords

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Intra-bony defects periodontitis minimally invasive surgery biologicals L-PRF Hyaluronic acid enamel matrix derivative leukocyte- and platelet-rich fibrin

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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Bio-Oss® collagen + L-PRF

minimally invasive surgery + Bio-Oss® collagen + L-PRF (MIS + BO + Leucocyte -Platelet Rich Fibrin)

Group Type ACTIVE_COMPARATOR

Minimally invasive surgical treatment of the intra-bony defects

Intervention Type PROCEDURE

A surgical procedure is performed under local anaesthesia in which one of the biomaterials will be used to fill the intra-bony defect.

Use of the xenograft Bio-Oss® Collagen during the surgery

Intervention Type PROCEDURE

The clinician will use Bio-Oss® Collagen as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery

use of the blood derivative L-PRF (leukocyte and platelet rich fibrin)

Intervention Type PROCEDURE

The clinician will use L-PRF as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery.

L-PRF

minimally invasive surgery + L-PRF (MIS + Leucocyte-Platelet Rich Fibrin)

Group Type ACTIVE_COMPARATOR

Minimally invasive surgical treatment of the intra-bony defects

Intervention Type PROCEDURE

A surgical procedure is performed under local anaesthesia in which one of the biomaterials will be used to fill the intra-bony defect.

use of the blood derivative L-PRF (leukocyte and platelet rich fibrin)

Intervention Type PROCEDURE

The clinician will use L-PRF as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery.

Bio-Oss® collagen + Emdogain®

minimally invasive surgery + Bio-Oss® collagen + Emdogain® (MIS + BO + Enamel Matrix Derivative)

Group Type PLACEBO_COMPARATOR

Minimally invasive surgical treatment of the intra-bony defects

Intervention Type PROCEDURE

A surgical procedure is performed under local anaesthesia in which one of the biomaterials will be used to fill the intra-bony defect.

Use of the xenograft Bio-Oss® Collagen during the surgery

Intervention Type PROCEDURE

The clinician will use Bio-Oss® Collagen as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery

Use of enamel matrix derivative (Emdogain®)

Intervention Type PROCEDURE

The clinician will use Enamel matrix derivative (Emdogain®) as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery.

Bio-Oss® collagen + REGENFAST®

minimally invasive surgery + Bio-Oss® collagen + REGENFAST® (MIS + BO + hyaluronic acid)

Group Type ACTIVE_COMPARATOR

Minimally invasive surgical treatment of the intra-bony defects

Intervention Type PROCEDURE

A surgical procedure is performed under local anaesthesia in which one of the biomaterials will be used to fill the intra-bony defect.

Use of the xenograft Bio-Oss® Collagen during the surgery

Intervention Type PROCEDURE

The clinician will use Bio-Oss® Collagen as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery

Use of hyaluronic acid (REGENFAST®)

Intervention Type PROCEDURE

The clinician will use hyaluronic acid (REGENFAST®) as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery

Interventions

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Minimally invasive surgical treatment of the intra-bony defects

A surgical procedure is performed under local anaesthesia in which one of the biomaterials will be used to fill the intra-bony defect.

Intervention Type PROCEDURE

Use of the xenograft Bio-Oss® Collagen during the surgery

The clinician will use Bio-Oss® Collagen as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery

Intervention Type PROCEDURE

Use of enamel matrix derivative (Emdogain®)

The clinician will use Enamel matrix derivative (Emdogain®) as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery.

Intervention Type PROCEDURE

Use of hyaluronic acid (REGENFAST®)

The clinician will use hyaluronic acid (REGENFAST®) as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery

Intervention Type PROCEDURE

use of the blood derivative L-PRF (leukocyte and platelet rich fibrin)

The clinician will use L-PRF as adjuvant in the surgical treatment of the intra-bony defects in conjunction with minimally invasive surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Voluntary written informed consent of the participant or their legally authorized representative has been obtained prior to any screening procedures
* At least 18 years of age at the time of signing the Informed Consent Form (ICF)
* American Society of Anesthesiology (ASA) score I or II
* Has already completed the non-surgical periodontal therapy with remaining local pockets of ≥ 6 mm14
* The intra-bony defect should be non-contained (2-wall defect)
* Clinical indication for surgical treatment of the intra-bony defect with minimally invasive approach in conjunction with biologicals

Exclusion Criteria

* Under the age of 18 years
* Any disorder, which in the Investigator's opinion might jeopardise the participant's safety or compliance with the protocol
* Any prior or concomitant treatment(s) that might jeopardise the participant's safety or that would compromise the integrity of the Trial
* Participation in an interventional Trial with an investigational medicinal product (IMP) or device
* Known or suspected current malignancy
* History of chemotherapy
* History of radiation in the head and neck region
* History of other metabolic bone diseases
* Current or previous use of intravenous and oral bisphosphonates
* Haematological disorders
* Pregnancy / lactation
* Smoking
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ana Castro, Professor

Role: PRINCIPAL_INVESTIGATOR

UZLeuven, department of Oral Health Sciences, Periodontology

Locations

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UZLeuven, Campus St. Raphaël, Department Oral Health Sciences, Periodontology

Leuven, Vlaams Brabant, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Ana B Castro Sarda, Professor

Role: CONTACT

Phone: +32 16 332816

Email: [email protected]

Lieve Desmet, secretary

Role: CONTACT

Phone: +32 16 332407

Email: [email protected]

Facility Contacts

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Lieve Desmet, secretary

Role: primary

Ana Castro, Professor

Role: backup

Other Identifiers

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S69198

Identifier Type: -

Identifier Source: org_study_id