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CompletedNCT04669795Updated Dec 17, 2020

Osteogenic Potential of Cissus Quadrangularis Alveolar Ridge Distraction

A Phase 2 interventional study of Cissus Quadrangularis in Distraction of Bone and Dental Implant, sponsored by Al-Azhar University. Completed at 1 site in Egypt. Open to participants aged 30 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-12-17.

Sponsored by Al-Azhar University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
30 Years to 55 Years
Sex
All
01

Study summary

Deficient alveolar mandibular ridge corrected distraction osteogenesis to facilitate dental implant placement. Patients grouped into 2 groups: one group received Cissus quadrangularis during the consolidation period, and the other group received placebo.

Read the detailed description

OPGs were taken immediately after distractor placement, at end of activation period, at 1st,2nd month of consolidation period, and at end of consolidation period. Change in bone height was evaluated immediately after distractor placement, at end of activation and end of consolidation periods.

CBCT were taken immediately after implant installation, and 6 months later to evaluate change bone density and marginal bone level about the dental implant.

histological evaluation was done by biopsy obtained, by trephine bur, from implant site during its preparation. The bone biopsy fixed in 4% formalin solution for 7 days, rinsed in water, and dehydrated in sequent phases of ethanol (70, 80, 90, and 100%) and then specimens were stained by hematoxylin- eosin for microscopic evaluation.

Radiographic evaluation

02

Conditions studied

  • Distraction of Bone
  • Dental Implant

Keywords

  • Alveolar
  • Bone
  • Distraction
03

Who can participate

Ages eligible
30 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients were included if they were free from any disease that may affect healing. Also, presented with 2-3 missing teeth at least in posterior area and CBCT showed bone height above inferior alveolar canal (IAC) ranged 8-10mm.

Exclusion criteria

Exclusion Criteria:

  • patients were excluded if they suffered from any disease affect tissue healing, bad oral hygiene or heavy smoking patients
04

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
20 participants (actual)

Study arms

  • Placebo comparator
    Group 1

    Placebo was given to ten patients during consolidation period ( 2 capsule daily for 6 months during consolidation period)

    Drug: Cissus Quadrangularis

  • Experimental
    Group 2

    Cissus quadrangularis in form of capsules given to ten patients ( 2 capsule daily for 6 months during consolidation period)

    Drug: Cissus Quadrangularis

Interventions

  • DrugCissus Quadrangularis

    Drug with osteogenic potential given to the patients after consolidation period. dose was two capsules once /day with meals for 6 weeks

    Also known as: Hadiod capsule

05

What researchers measure

Primary outcomes

  1. Bone gain after distraction

    Increase in bone height after distraction

    Time frame: immediately at end of distractor activation

  2. Relapse after distraction

    Relapse evaluated on panorama

    Time frame: 3 months from beginning of consolidation period

  3. Crestal bone loss around dental implant

    By using cone beam CT, crestal bone level around implant evaluated by measuring a distance from implant apex to a point on dental implant where bone contacts the dental implant mesially and distally. then average of bone loss round each implant was obtained.

    Time frame: 6 months from implant placement

  4. Bone density around dental implant

    By using cone beam CT, bone density assessed around dental implant at crestal, middle, and apical portions then average was obtained

    Time frame: 6 months from implant placement

06

Study locations

1 site
  • Faculty of dental medicine
    Cairo, Nasr City 11651, Egypt
07

References and documents

Publications

  • Altaweel AA, Baiomy AABA, Shoshan HS, Abbas H, Abdel-Hafiz AA, Gaber AE, Zewail AA, Elshiekh MAM. Evaluation of osteogenic potential of Cissus quadrangularis on mandibular alveolar ridge distraction. BMC Oral Health. 2021 Oct 4;21(1):491. doi: 10.1186/s12903-021-01847-y. PubMed 34607598 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT04669795
Lead sponsor
Al-Azhar University
Responsible party
Alaa Altaweel (Principle Investigator, Al-Azhar University) — Principal investigator
First posted
Dec 17, 2020
Start date
Apr 15, 2017
Primary completion
May 30, 2019
Completion
Aug 15, 2019
Last update
Dec 17, 2020

Study contacts

Altaweel
principal investigator · Al-Alharby university

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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