RCT: Beta-Tricalcium Phosphate and Concentrated Growth Factors in Treatment of Intra-bony Defect Randomized Clinical Trial

Sponsor
Tanta University (Other)
Overall Status
Completed
CT.gov ID
NCT04698317
Collaborator
(none)
40
1
2
5.9
6.7

Study Details

Study Description

Brief Summary

This clinical study aimed to evaluate the efficacy of biodegradable gelatin sponge loaded with Beta-tricalcium phosphate socked in concentrated growth factors in the treatment of periodontal intra-bony defects, as compared with biodegradable gelatin/beta-tricalcium phosphate sponges alone.

Condition or Disease Intervention/Treatment Phase
  • Procedure: open flap debridement
  • Other: use of Biodegradable Gelatin Sponge loaded with Beta-tricalcium Phosphate plus concentrated growth factors
  • Other: use of Biodegradable Gelatin Sponge loaded with Beta-tricalcium Phosphate alone
Phase 2

Detailed Description

40 intra-bony defects in 40 patients will be selected from outpatient clinic of Oral Periodontology Clinic Faculty of Dentistry, Tanta University to participate in this study. Each defect had intra-bony depth > or = 4 mm and probing pocket depth (PPD) > or = 6 mm. Patients will be randomly assigned to either test or control group. 20 patients will be treated by surgery plus biodegradable gelatin/beta-tricalcium phosphate sponges alone.

(control group), the other 20 patients will be treated with the same surgical technique plus biodegradable gelatin sponge loaded with Beta-tricalcium phosphate socked in concentrated growth factors (test group).

Gingival index (GI), bleeding on probing, Probing pocket depth and clinical attachment level (CAL) will assessed at baseline, 3, and 6 months at the site to be treated. Cone beam radiographs evaluation will be taken at baseline, and 6 months after surgery.

Study Design

Study Type:
Interventional
Actual Enrollment :
40 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
40 Patients will be randomly assigned to either test or control group. 20 patients will be treated by surgery plus biodegradable gelatin/beta-tricalcium phosphate sponges alone. (control group), the other 20 patients will be treated with the same surgical technique plus biodegradable gelatin sponge loaded with Beta-tricalcium phosphate socked in concentrated growth factors (test group).40 Patients will be randomly assigned to either test or control group. 20 patients will be treated by surgery plus biodegradable gelatin/beta-tricalcium phosphate sponges alone. (control group), the other 20 patients will be treated with the same surgical technique plus biodegradable gelatin sponge loaded with Beta-tricalcium phosphate socked in concentrated growth factors (test group).
Masking:
Triple (Participant, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Biodegradable Gelatin Sponge Loaded With Beta-Tricalcium Phosphate Sponges Incorporating Concentrated Growth Factors in the Treatment of Intra-bony Pocket Randomized Clinical and Radiographic Study
Actual Study Start Date :
Jan 1, 2021
Actual Primary Completion Date :
Jul 1, 2021
Actual Study Completion Date :
Jul 1, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: beta-tricalcium phosphate plus concentrated growth factors

surgery plus biodegradable gelatin sponge loaded with Beta-tricalcium phosphate socked in concentrated growth factors (test group).

Procedure: open flap debridement
Open flap for removal of diseased periodontal tissues and necrotic cementum
Other Names:
  • periodontal surgery
  • Other: use of Biodegradable Gelatin Sponge loaded with Beta-tricalcium Phosphate plus concentrated growth factors
    use of Biodegradable Gelatin Sponge loaded with Beta-tricalcium Phosphate incorporating Concentrated Growth Factors in Periodontal Defect
    Other Names:
  • regenerative surgery
  • Placebo Comparator: beta tricalcium phosphate alone(control group)

    surgery plus biodegradable gelatin/beta-tricalcium phosphate sponges alone. (control group),

    Procedure: open flap debridement
    Open flap for removal of diseased periodontal tissues and necrotic cementum
    Other Names:
  • periodontal surgery
  • Other: use of Biodegradable Gelatin Sponge loaded with Beta-tricalcium Phosphate alone
    use of Biodegradable Gelatin Sponge loaded with Beta-tricalcium Phosphate alone in the Intrabony Periodontal Defect
    Other Names:
  • Regenerative surgery
  • Outcome Measures

    Primary Outcome Measures

    1. gingival index [6months]

      gingival index will be recorded at baseline, 3, and 6 months at the site to be treated

    2. bleeding on probing [6 months]

      bleeding on probing will be recorded at baseline, 3, and 6 months at the site to be treated

    3. probing pocket depth [6 months]

      probing pocket depth will be recorded at baseline, 3, and 6 months at the site to be treated

    4. clinical attachment level [6 months]

      clinical attachment level will be recorded at baseline, 3, and 6 months at the site to be treated

    5. cone beam x ray measuring defect area [6 months]

      defect area will be recorded at baseline, and 6 months at the site to be treated

    6. cone beam x ray measuring bone density [6 months]

      bone density will be recorded at baseline, and 6 months at the site to be treated

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    30 Years to 50 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • systemically healthy patients were selected

    • patients who had not received any medications for the previous six months that may interfere with periodontal tissue health or healing.

    • Patients should demonstrate their ability to maintain good oral hygiene

    Exclusion Criteria:
    • Smokers and pregnant patients.

    • Medically compromised patients and systemic conditions precluding periodontal surgery.

    • Subjects who do not comply with oral hygiene measures as evidenced in recall visits.

    • Sites with tooth mobility

    • Restoration or caries in the site to be treated or non-vital tooth

    • Restoration or caries in the site to be treated or non-vital tooth

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Malak Mohamed Shoukheba Tanta Egypt 020

    Sponsors and Collaborators

    • Tanta University

    Investigators

    • Principal Investigator: malak m shoukheba, Cairo University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    malak mohamed shoukheba, associate prof., Tanta University
    ClinicalTrials.gov Identifier:
    NCT04698317
    Other Study ID Numbers:
    • ≤ ≥ ° ± µ ™ ®
    First Posted:
    Jan 6, 2021
    Last Update Posted:
    Oct 4, 2021
    Last Verified:
    Oct 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by malak mohamed shoukheba, associate prof., Tanta University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 4, 2021