Impact Of Soft Tissue Manipulation On Dimensional Changes After Posterior Region Extraction.

University of Campinas, Brazil

Status: Unknown

Conditions: Alveolar Ridge Preservation; Connective Tissue

Treatments: Procedure: Alveolar Ridge Preservation With Gingival Graft

Study type: Interventional

Funder types: Other

Identifiers

NCT04296682

13838819.1.0000.5418

Details and patient eligibility

About

Alveolar preservation seek to avoid multiple surgical interventions to the patient and decrease costs to the patient. In particular, in a Brazilian population where the need for extraction is great, the development of techniques that safely allow a higher quality of rehabilitation is of paramount importance. Thus, this analysis is of great scientific and therapeutic importance. Within the above, the objective is to use an autogenous connective tissue graft in order to eliminate the need to raise the full-thickness flap and compensate for soft tissue deficiencies, which may reduce dimensional losses after extraction, in addition to reducing the cost of the technique.

Enrollment: 40 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Systemic health (absence of Hypertension and Diabetes);
• Indication of dental extraction of at least 2 teeth (with at least 2/3 of bone support, in the region of premolars or molars with indication for extraction;
• Signature of the consent form;
• Individuals over 18 years old.

Exclusion criteria

• Presence of periodontal disease at the time of surgery;
• Pregnant and lactating women;
• Smokers;
• Be under orthodontic treatment;
• Use medication that alters the bone healing process, such as those used to treat osteoporosis and the bisphosphonates group;
• Individuals under 18 years old.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Atraumatic Extraction Without Gingival Graft

No Intervention group

Description:

Alveolar closure with elevation of total flaps and simple suture (Silk thread 4.0, Ethicon, Johnson \& Johnson, SJC).

Atraumatic Extraction With Gingival Graft

Experimental group

Description:

Closure of the alveolus without flap elevation, and placement of a free gingival tissue graft removed from the individual palate.

Treatment:

Procedure: Alveolar Ridge Preservation With Gingival Graft