Efficiency of Self Extracted Tooth Graft in Extraction Socket : A Clinical and Radiographic Study

N/AEnrolling By InvitationNCT07394634

Mahsa University20 enrolled

Overview

This is the clinical trial. The goal of this clinical trial is to test whether self extracted tooth graft (autogenous tooth graft ) able to preserved the extraction socket effectively. Our aim is to answer is there any difference in dimensional changes in extraction socket in clinically and radiographically Researchers will compare autogenous tooth graft with self-healing extraction socket in radiographic and clinical measurement. Participant will be randomly allocated into 2 groups ( Test or controlled group) Test group will be autogenous tooth grafting post extraction. After removed any caries, calculus and any gilling material, the extracted tooth will be grind with grinder and processed using BONMAKER machine. (which the bone graft is washed with hydrogen peroxide, hydrogen chloride and alcohol isopropyl) and controlled group will be self healing group. Both group will withdraw 20cc blood for PRF ( Plasma rich fibrin) membrane and place into the socket and secured with suture. They will be reviewed post extraction 1 week ( to ensure there is no infection ) , 2 week ( for suture removal ) , 1 months ( For clinical measurement) , 3 months (For clinical and radiographic measurement) and 6 months (For radiographic measurement).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Healthy

Interventions

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age\> or equal to 18 years old 2. Presence of adjacent teeth to the extraction site 3. Healthy ,or well controlled systemic disease 4. Lower and upper incisors, lower premolar/ first molar 5. Full mouth plaque score \< 15% 6. Adequate space for a dental implant restoration \*Patient with previous diagnosis of periodontitis will be required to have a successfully completed course of periodontal treatment before enrolment. Exclusion Criteria: 1. Smokers and vapers 2. Acute infection or sinus tract in relation to the tooth that require extraction 3. Pregnant or lactating women 4. Patient received antibiotic for past 1 month 5. Loss of more than 50% buccal or lingual /palatal bone at the time of extraction 6. Patient on medication that altered bone metabolism or bone healing such as bisphosphonates, chemotherapeutic drugs or immunosuppressive agents

Outcomes

Primary Outcomes

Socket dimensional changes in autogenous tooth graft group and self healing group

Socket dimensional changes will be measure in clinical and radiographic measure Clinical measure: A stent will be made prior extraction and hole on the stent will be made to standardized measurement. Clinical measurement ( socket height) will be measure during post extraction, 1 month, 3 month and 6 month to observe the value of the resorption of the extraction socket . The discrepancy value is will be from ( 1month -baseline, 3month-baseline, 6month- baseline) Radiographic measure: CBCT will be taken post extraction 3 month and 6month. Socket width will be measure in 3mm below the socket and 5 mm below the socket. Other than that, mimic software will be used for the volumetric changes.

Time frame: 6 months

Secondary Outcomes

Volumetric changes in autogenous tooth group and self healing group

In this , mimic software will be used for volumetric changes