Clinical and Radiographic of the Effect of Socket Preservation Using the Roll Pedicle Connective Tissue Graft With Bovine Bone: A Case Series Trial.

Cairo University (CU)

Status: Completed

Conditions: Socket Preservation

Treatments: Procedure: roll pedicle connective tissue graft with bovine bone

Study type: Interventional

Funder types: Other

Identifiers

NCT05255341

roll pedicle graft

Details and patient eligibility

About

After tooth extraction, the residual alveolar ridge generally provides limited bone volume because of ongoing, progressive bone resorption. Healing events within post-extraction sockets reduce the dimensions of the socket over time. Therefore, socket preservation became an indispensable procedure as well as fundamental to prevent bone loss following tooth extraction. Preservation, by the name, is the maintenance of the socket, which is essentially the height and width of the gap that is left after the tooth is removed. It is done by placing a graft material or scaffold immediately into the socket of an extracted tooth to presto preserve bone height, width and density

Full description

Investigator evaluate the clinical and radio graphic effect of roll pedicle connective tissue graft as a barrier membrane together with bovine bone in alveolar ridge preservation in extraction sockets.

Enrollment: 8 patients

Sex: All

Ages: 27 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• • patients with healthy systemic condition.

  • Adult patients ˃ 18 years old.
  • hopeless teeth that need tooth or root extraction in the maxillary esthetic zone.
  • Alveolar socket Grade I and II.
  • Normal platelet counts according to complete blood count (CBC) test done in the screening stage.

Exclusion criteria

• Acute infection at the extraction site

  • Smokers ˃ 10 cigarettes / day.
  • Medications that may interfere with wound healing
  • History of treatment with bisphosphonates.
  • History of allergic reaction

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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8 participants in 1 patient group

roll pedicle connective tissue graft with bovine bone

Experimental group

Description:

1. sulcular incisions were performed on the buccal and lingual aspects of the teeth to be extracted 2. Atraumatic extraction was made by periotome. 3. After tooth extraction the soft tissue was reflected at least 4 mm beyond the alveolar crest margin and the socket was filled with bovine derived xenograft and covered with roll pedicle connective tissue graft as a barrier membrane. 4. This pedicle is rolled under the buccal mucosa.The palatal connective tissue pedicle graft was outlined by full thickness incision along the oblique incision line, and parallel incision given from the mesial line angle of target place and reflected coronally up to the crest of the ridge defect. then a partial thickness incision was made extending beyond the line angles of adjacent incisors and mucogingival junction, leaving the periosteum on the bone. 5. the pedicle graft was rolled from the apical end and secured with interrupted sutures to the labial flap.

Treatment:

Procedure: roll pedicle connective tissue graft with bovine bone