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RecruitingNCT05240417Updated Aug 20, 2024

"Pontic-shield" Technique in Alveolar Ridge Preservation

An interventional study of "Pontic-shield" technique and Alveolar ridge preservation in Tooth Extraction Status Nos, Bone Loss and Bone Resorption, sponsored by Universidad Complutense de Madrid. Recruiting at 1 site in Spain. Open to participants aged 18 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-20.

Sponsored by Universidad Complutense de Madrid · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 10 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Alveolar bone resorption after dental extraction frequently leads to situations in which long-term function and esthetic success of rehabilitations with dental implants is a challenge. "Pontic-shield" has been described as an alternative technique to maintain alveolar ridge after tooth extraction.

The aim of this study is to analyze the effectiveness of "Pontic-shield" technique in alveolar ridge preservation comparing to fresh socket and ridge preservation using deproteinized bovine bone and a porcine collagen membrane.

Read the detailed description

A three-arm randomized clinical study will be conducted:

  • Group 1 (study group): Ridge preservation with "Pontic-shield" technique.
  • Group 2 (positive control): Ridge preservation with deproteinized bovine bone and porcine collagen membrane after tooth extraction.
  • Group 3 (negative control): Tooth extraction only (fresh socket).

A cone-beam computed tomography will be performed prior to tooth extraction and 4 months postoperative. Radiographic changes between before and after intervention will be evaluated to asses the effectiveness of "Pontic-shield" technique.

02

Conditions studied

  • Tooth Extraction Status Nos
  • Bone Loss
  • Bone Resorption

Keywords

  • Tooth extraction
  • Alveolar ridge preservation
  • Partial extraction therapies
  • Bone resorption
03

In context

Bone Diseases, Metabolic

661 studies on the registry are indexed under Bone Diseases, Metabolic; 93 are open to participants now.

This study's planned enrollment of 30 is below the median of 60 across 509 interventional studies indexed under Bone Diseases, Metabolic.

Browse Bone Diseases, Metabolic studies →

Lead sponsor

Universidad Complutense de Madrid is the lead sponsor of 206 studies on the registry; 64 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient from 18 to 80 years old
  • Patients who sign the
  • Need to perform extraction from second premolar to second premolar in maxilla and mandible

Exclusion criteria

Exclusion Criteria:

  • Tobacco consumption (more than 10 cigarettes per day)
  • Severe systemic disease ( - American Society of Anaesthesiology)
  • Drug use that could interfere with alveolar bone healing
  • Active periodontal disease
  • Acute or chronic apical pathology of the tooth
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Study group

    "Pontic-shield" will be performed as ridge preservation technique.

    Procedure: "Pontic-shield" technique

  • Active comparator
    Positive control (ridge preservation)

    Deproteinized bovine bone and porcine collagen membrane will be placed after tooth extraction.

    Procedure: Alveolar ridge preservation

  • No intervention
    Negative control (fresh socket)

    No intervention will be performed after tooth extraction. Blood clot will be maintained after extraction.

Interventions

  • Procedure"Pontic-shield" technique

    A 1mm thick fragment of the vestibular aspect of the root will remain after extraction (partial extraction)

    Also known as: Partial extraction therapy

  • ProcedureAlveolar ridge preservation

    Particulate deproteinized bovine bone and porcine collagen membrane will be placed after tooth extraction

06

What researchers measure

Primary outcomes

  1. Bone resorption

    Radiographic changes between preoperative (prior to tooth extraction) and postoperative (4 months after intervention) will be analyzed. This variation will be assessed by measuring changes in width and height (in millimeters) of the socket by superimposition of CBCT before and after the intervention.

    Time frame: From the day of the extraction to 4 months after

Secondary outcomes

  1. Satisfaction assessed by visual analogue scale (VAS)

    Postoperative pain with visual analogue scale (VAS) from 0 (no pain) to 10 (maximum pain)

    Time frame: From the day of the surgical procedure to the seventh-day

07

Study locations

1 of 1 sites recruiting
  • Luis Miguel Sáez-Alcaide
    Madrid, 28011, Spain
    Recruiting
    • Luis Miguel Sáez-Alcaide, PhD Student · Contactlsaez@ucm.es · +34665101278
08

References and documents

Publications

  • Avila-Ortiz G, Chambrone L, Vignoletti F. Effect of alveolar ridge preservation interventions following tooth extraction: A systematic review and meta-analysis. J Clin Periodontol. 2019 Jun;46 Suppl 21:195-223. doi: 10.1111/jcpe.13057. Erratum In: J Clin Periodontol. 2020 Jan;47(1):129. doi: 10.1111/jcpe.13212. PubMed 30623987 ↗
  • Canullo L, Del Fabbro M, Khijmatgar S, Panda S, Ravida A, Tommasato G, Sculean A, Pesce P. Dimensional and histomorphometric evaluation of biomaterials used for alveolar ridge preservation: a systematic review and network meta-analysis. Clin Oral Investig. 2022 Jan;26(1):141-158. doi: 10.1007/s00784-021-04248-1. Epub 2021 Nov 26. PubMed 34826029 ↗
  • Saez-Alcaide LM, Gonzalez Fernandez-Tresguerres F, Cortes-Breton Brinkmann J, Segura-Mori L, Iglesias-Velazquez O, Perez-Gonzalez F, Lopez-Pintor RM, Torres Garcia-Denche J. Socket shield technique: A systematic review of human studies. Ann Anat. 2021 Nov;238:151779. doi: 10.1016/j.aanat.2021.151779. Epub 2021 Jun 1. PubMed 34087383 ↗
  • Hurzeler MB, Zuhr O, Schupbach P, Rebele SF, Emmanouilidis N, Fickl S. The socket-shield technique: a proof-of-principle report. J Clin Periodontol. 2010 Sep;37(9):855-62. doi: 10.1111/j.1600-051X.2010.01595.x. PubMed 20712701 ↗
  • Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol. 2005 Feb;32(2):212-8. doi: 10.1111/j.1600-051X.2005.00642.x. PubMed 15691354 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05240417
Responsible party
Jesús Torres García Denche (Associate professor, Universidad Complutense de Madrid) — Principal investigator
First posted
Feb 15, 2022
Start date
Jan 1, 2023
Primary completion
Nov 1, 2023
Completion
Dec 1, 2024 (estimated)
Last update
Aug 20, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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