Clinical trial NCT01391767: Histologic Evaluation of Healing Following Tooth Extraction With Ridge Preservation Using NuOss XC and NuOss Particulate
Official title: Histologic Evaluation of Healing Following Tooth Extraction With Ridge Preservation Using NuOss XC and NuOss Particulate
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Oral Ridge Preservation
Keywords: Ridge Preservation
Dental Implant
Histology
Lead sponsor: University of Oklahoma
Sponsor class: OTHER
Collaborators: name: ACE Surgical Supply, Inc.
First posted: 2011-07-12
Enrollment: 22
Sex: ALL
Minimum age (years): 18
Maximum age (years): 64
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Periodontal Clinic Population at the University of Oklahoma College of Dentistry

Brief summary: This study histologically evaluates sites grafted with NuOss XC using ridge preservation techniques prior to placement of dental implants. Sites grafted with NuOss XC (bovine bone mineral with self-expanding collagen) will be compared to sites grafted with NuOss particulate (bovine bone mineral).

Detailed description: Patients presenting to the University of Oklahoma College of Dentistry Graduate Periodontics Clinic who are treatment planned for tooth extraction and placement of dental implant(s) will be interviewed for possible participation in the study. Forty extraction sites will be included in this study to provide statistical significance.

The ridge preservation sites, using either NuOss XC or NuOss particulate, will be selected randomly. The first site will be selected using the flip of a coin. Thereafter, every other site will be grafted using NuOs XC. The ridge preservation procedure will involve tooth extraction with as little trauma as possible to preserve all four bony socket walls, curettage of the socket to remove all periodontal ligament fibers and granulation tissue, placement of the graft material into the socket and coverings the graft material with long-lasting collagen membrane. Facial and lingual mucoperiosteal flaps will be elevated to facilitate securing of the membrane with long-lasting absorbable sutures. Patient will be given prescriptions for analgesics and antibiotics as necessary.

Eligibility criteria: INCLUSION CRITERIA:

* may be either male or female
* must be between 18 and 64 years old
* must be of sufficiently good health to undergo routine dental treatment, including the surgical procedures associated with tooth extraction and placement of NuOss XC or NuOss particulate
* must agree to remain in study for 6 months after ridge preservation (grafting)
* must be able to physically, emotionally, and financially undergo the surgical and restorative (implant replacement) procedures planned.
* must not have medical conditions that preclude the removal of indicated teeth and placement of NuOss XC or NuOss particulate
* must have at least one single-rooted tooth to be extracted
* must consent to tooth extractions, socket augmentation and implant placement
* Patients with or without dental insurance

Exclusion Criteria:

* have any requirements for antibiotic premedication for heart murmurs, artificial joints, or any other condition
* have a history of significant heart, stomach, liver, kidney, blood, immune system or other organ impairment or systemic disease that would prevent their undergoing the proposed treatment
* smoke ≥ 10 cigarettes per day or use other tobacco products
* have a religious or philosophical aversion to having processed bovine bone or collagen used in their mouth
* have taken any investigational drugs anytime in the previous month
* have dental conditions likely to require treatment, necessitating exit from the study such as deep caries, abscesses, or moderate-severe periodontal disease(s).
* have sockets that do not have four bony walls intact.
* cannot comply with treatment and follow-up visits for 6 months
* have had significant radiation exposure (occupational, therapeutic, diagnostic).

Primary outcomes:
measure: Histological analysis: All sections removed from the osteotomy (hole where implant will be placed) at time of implant placement to be evaluated by a single evaluator, using a semi-quantitative scoring system
timeFrame: 12-18 months
Secondary outcomes:
Other outcomes:
Locations:
city: Oklahoma City
country: United States
facility: University of Oklahoma College of Dentistry
state: Oklahoma
Study officials:
affiliation: University of Oklahoma College of Dentistry
name: Robert Carson, DMD, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Jemt T, Lekholm U. Implant treatment in edentulous maxillae: a 5-year follow-up report on patients with different degrees of jaw resorption. Int J Oral Maxillofac Implants. 1995 May-Jun;10(3):303-11.
citation: Iasella JM, Greenwell H, Miller RL, Hill M, Drisko C, Bohra AA, Scheetz JP. Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol. 2003 Jul;74(7):990-9. doi: 10.1902/jop.2003.74.7.990.