Autologous Dentine Graft Compared to Xenograft in Managing Periodontally Compromised Second Molar After Third Molar Removal
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Autologous dentin graft, Xenograft.
- Кому может быть актуально
- Состояния в реестре: Impacted Mandibular Third Molar Extraction, Dentin Graft, Xenograft, Bone Defects. Базовые параметры: от 26 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Малайзия
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Autologous Dentine Graft Compared to Xenograft in Managing Periodontally Compromised Second Molar After Third Molar Removal - A Split-Mouth Randomized Controlled Trial
Обзор
The goal of this study is to evaluate the efficacy of autologous dentin graft (ADG) in treating periodontal defects on the distal aspect of mandibular 2nd molar (M2) after surgical removal of impacted mandibular 3rd molar (M3) by improving periodontal and radiological outcomes when compared with a xenograft, which is commercially available. The main questions it aims to answer are: 1. How does the clinical efficacy of ADG compare to xenografts, regarding wound healing and periodontal parameters at the distal aspect of periodontally compromised mandibular M2 following impacted M3 extraction? 2. How does the radiological bone regeneration at ADG-grafted sites differ from that at xenograft-grafted sites? 3. How do the post-operative patient-reported outcomes at sites receiving ADG differ from those at sites receiving xenografts? Researchers will compare ADG to xenograft to see if ADG is more efficacious in managing periodontal defects on distal aspect of M2 after surgical removal of M3. Participants will 1. Undergo bilateral surgical removal of M3 under general anaesthesia 2. Receive ADG on test site and xenograft on contralateral control site 3. Come back for clinical assessments, wound healing assessments and radiographic assessments for 5 times after the surgery (2 weeks, 1 month, 3 months, 6 months and 12 months)
Вмешательства
- Биопрепарат Autologous dentin graft
Extracted mandibular M3 will be mechanically processed intraoperatively into dentine particles using the BonMaker® device (Korea Dental Solutions Co. Ltd., South Korea), in accordance with the manufacturer's instructions for chairside preparation of ADG. - Биопрепарат Xenograft
Commercially available xenograft, which is of bovine derivative
Первичные конечные точки
- Clinical Assessment [Срок оценки: Baseline, 3 months, 6 months, 12 months]
- Clinical Assessment [Срок оценки: Baseline, 3 months, 6 months, 12 months]
- Radiographic Assessment [Срок оценки: Baseline, 6 months, 12 months]
Вторичные конечные точки (4)
- Wound Healing Assessment [Срок оценки: Baseline, 2 weeks, 1 month, 3 months, 6 months and 12 months]
- Patient Reported Outcome Measures [Срок оценки: Baseline, Day 1, Day 3, 1 week, 2 weeks, 1 month]
- Patient Reported Outcome Measures [Срок оценки: Baseline, Day 1, Day 3, 1 week, 2 weeks, 1 month]
- Patient Reported Outcome Measures [Срок оценки: Baseline, Day 1, Day 3, 1 week, 2 weeks, 1 month]
Критерии участия
Критерии включения
- Adult patients aged 26 years and above who can give informed consent and are scheduled for bilateral surgical removal of mesioangular or horizontally impacted mandibular M3s
- Present with a periodontally compromised mandibular second molar, defined by the presence of probing pocket depth (PPD) greater than 4 mm on the distal aspect
- Type of impaction of M3s on both sides must be symmetrical
- Consent to the use of xenograft as control
Критерии исключения
- Smokers
- Poor oral hygiene with >30% full mouth plaque score (FMPS)
- Pregnant or lactating mothers
- Have uncontrolled systemic conditions such as diabetes or immunodeficiency disorders
- On medications that affect bone metabolism, including bisphosphonates or corticosteroids
- History of periodontal surgery or grafting at the intended surgical site
- Presence of acute infection and M2s with distal caries and Grade III mobility
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Лечение
Центры проведения
Малайзия · 1 центр
- Kuala Lumpur Hospital — Kuala Lumpur
Идентификаторы
NCT: NCT07362394 · UKM-FGG-ADG25 · RSCH ID-25-08139-VWQ