Guided Bone Regeneration Using Bovine-derived Xenograft in Combination With or Without Injectable Platelet-rich Fibrin

Study Overview
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Brief Summary
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The aim of the study was to compare the change in augmentation thickness after guided bone regeneration (GBR) using bovine-derived xenograft in combination with or without injectable platelet-rich fibrin (i-PRF). This randomized-controlled clinical trial was conducted on patients with horizontal bone deficiency in the posterior regions of mandible. After implant placement, GBR procedures were randomly performed using i-PRF enriched bovine-derived xenograft (test group) or bovine derived xenograft alone (control group). Cone-beam computed tomography was taken at the implant sites immediately, and 6 months after surgery for assess the change in augmentation thickness as the primary outcome of the study. The secondary outcomes included marginal bone level and implant survival rate.

Detailed Description
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The study was conducted on patients who had partially edentulism with horizontal deficiency of the alveolar bone in the posterior regions of mandible. All patients were informed about treatment protocol of the study and also, the risks and benefits associated with participation. Each patient provided written informed consent prior to enrollment. Randomization was performed after the dental implant surgeries and the patients were randomly assigned to one of the study groups: Test group included 22 patients treated with GBR using i-PRF-enriched bovine-derived xenograft + resorbable membrane Control group included 22 patients treated with GBR using bovine-derived xenograft + resorbable membrane All patients underwent two-stage surgical protocol that performed by the same experienced surgeon. Following implant placement, i-PRF-enriched bovine-derived xenograft for the test group and bovine-derived xenograft alone for the control group was carefully positioned with light compression around the implants. Finally, the resorbable membrane was placed to cover the augmented area. As the second stage of surgery, healing caps were placed and the implant-supported fixed prosthesis were completed in approximately one to two months.

Official Title
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Guided Bone Regeneration Using Bovine-derived Xenograft in Combination With or Without Injectable Platelet-rich Fibrin: a Randomized-controlled Clinical Trial

Conditions
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Bone Resorption

Intervention / Treatment
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* Procedure: bovine-derived xenograft with i-PRF
* Procedure: bovine-derived xenograft alone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: horizontal deficiency of the alveolar bone in the posterior regions of mandible absence of periodontal disease or previously treated with blood tests showing platelet counts at least 150.000 mm3 ability to understand and accept the requirements of the study. Exclusion Criteria: any disorders or infection at the implantation site or adjacent tissue tooth loss or extraction in the planned implant site within 6 months poor oral hygiene medical conditions that compromised tissue healing (uncontrolled diabetes, etc.) treatments with an interfering medications (bisphosphonates, steroids etc.) smoking habit pregnancy or nursing

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: i-PRF enriched bovine-derived xenograft<br>Patients treated with i-PRF-enriched bovine-derived xenograft + resorbable membrane | Procedure: bovine-derived xenograft with i-PRF<br>* Bovine-derived xenograft was mixed with i-PRF and was placed in the augmentation site.<br>|
| Experimental: bovine-derived xenograft<br>Patients treated with bovine-derived xenograft + resorbable membrane | Procedure: bovine-derived xenograft alone<br>* Bovine-derived xenograft was placed in the augmentation site.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Augmentation thickness | the change in augmentation thickness at surgical site. | at immediately and at 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Marginal bone level | the change in marginal bone level around the implants after prosthetic loading | at immediately, at 6 months, at 12 months and at 24th months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Guided bone regeneration, Bovine-derived xenograft, Injectable platelet-rich fibrin