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CompletedNCT03290638GBRUpdated Sep 25, 2017

Comparison of Dehydrated Human Amnion-Chorion and Type 1 Bovine Collagen Membranes for Guided Bone Regeneration

An interventional study of Guided Bone Regeneration (GBR) in Ridge Deficiency, sponsored by Samer Faraj. Completed. Open to participants aged 18 Years to 78 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-09-25.

Sponsored by Samer Faraj · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
43
Allocation
Randomized
Ages
18 Years to 78 Years
Sex
All
01

Study summary

The objective of this randomized clinical study was to evaluate the use of dehydrated human amnion-chorion membrane as an exposed barrier for guided bone regeneration (GBR) after tooth extraction and to determine whether intentional exposure of this membrane to the oral environment compromises ridge dimensions and bone vitality for implant placement.

Read the detailed description

Forty-three patients requiring extraction of at least one tooth and delayed implant placement were randomly assigned to either an experimental or a control group. For both groups, demineralized freeze-dried bone allograft was used to graft the socket. For the control group, Type I bovine collagen was used as a membrane; for the experimental group, human amnion-chorion membrane was used. For both groups, the barrier membranes were left exposed, and no primary closure was achieved. Patients returned for implant placement after a mean healing period of 19.5 weeks, at which time a core bone biopsy specimen 2 mm in diameter was obtained for histomorphometric analyses. Clinical ridge dimensions were measured at the times of extraction and implant placement.

02

Conditions studied

  • Ridge Deficiency

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Keywords

  • Guided Bone Regeneration
  • Dehydrated Human Amnion Chorion Membrane
  • Type I Bovine Collagen Membrane
  • Ridge Preservation
  • Ridge Healing
  • Teeth Extraction
03

Who can participate

Ages eligible
18 Years to 78 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria: .

Patients included in the study were required:

  • Not to be completely edentulous.
  • To have at least 1 tooth that could not be saved and for which extraction and delayed implant placement were planned

Exclusion Criteria: Patients were excluded if they :

  • Had received radiation therapy
  • Were taking antiresorptive medication (i.e., bisphosphonate or denosumab)
  • Had uncontrolled systemic disorders (such as uncontrolled diabetes, congestive heart failure, or acute odontogenic infections)
  • Were smokers (more than 10 cigarettes per day)
  • Were pregnant or breastfeeding.
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Dehydrated Human Amnion Chorion Membrane

    This membrane was investigated to evaluate its use as an open barrier for guided bone regeneration (GBR) after tooth extraction and to determine whether intentional exposure of this membrane to the oral environment compromises ridge dimensions and bone vitality for implant placement.

    Procedure: Guided Bone Regeneration (GBR)

  • Active comparator
    Type I Bovine Collagen Membrane

    This membrane has been tested as an open barrier for GBR after tooth extraction. The intentional use of this membrane to the oral environment did not compromise ridge dimensions and bone vitality for implant placement.

    Procedure: Guided Bone Regeneration (GBR)

Interventions

  • ProcedureGuided Bone Regeneration (GBR)

    Teeth Extraction With Bone Grafting and Membrane

    Also known as: Ridge Preservation

05

What researchers measure

Primary outcomes

  1. Alveolar Ridge Dimensional Changes

    Clinical ridge height changes were taken with a thermoplastic triad stent, and a University of North Carolina (UNC) 15 periodontal probe. Ridge width changes measurements were taken with a metal bone caliper. Alveolar ridge dimensional changes in height and width were measured at the times of extraction and at the time of implant placement.

    Time frame: Alveolar Ridge Dimensional Changes were taken at the extraction time and at the time of implant placement. Mean = 19.5 weeks

  2. Alveolar Ridge Bone Vitality

    a core bone biopsy specimen 2 mm in diameter was obtained from the center of the root at the time of implant placement for histomorphometric analyses

    Time frame: Mean= 19.5 weeks after tooth extraction and bone grafting

Secondary outcomes

  1. Ridge Healing Evaluation

    Pictures of the healing ridges were taken using clinical macro lens photography

    Time frame: Two weeks form the time of the extraction

06

Study locations

No study locations are listed for this record.

07

Registry details

Key details

Study ID
NCT03290638
Lead sponsor
Samer Faraj
Responsible party
Samer Faraj (Principal Investigator, University of Kentucky) — Sponsor-investigator
First posted
Sep 25, 2017
Start date
Oct 3, 2013
Primary completion
Oct 1, 2016
Completion
Oct 1, 2016
Last update
Sep 25, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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