NCT03268512

Brief Summary

A split-mouth design study will be performed regarding the use of platelet concentrates on ridge preservation: L-PRF vs A-PRF vs control. Patient needing multiple teeth extractions in the upper jaw (single-rooted teeth) will be recruited. The use of each platelet concentrate or control will be randomized by means of a computer program. The results will be analysed clinical and radiographically (CBCT). When the subject will choose for implant rehabilitation, a biopsy will be taken in the site of the preserved sockets. The region will be localized with a customized stent, fabricated with the position of the extracted teeth. VAS scales will be provided to evaluate the post-operative discomfort.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
20

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Aug 2015

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 22, 2015

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

August 28, 2017

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 31, 2017

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 10, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 10, 2018

Completed
Last Updated

October 11, 2018

Status Verified

October 1, 2018

Enrollment Period

3.1 years

First QC Date

August 28, 2017

Last Update Submit

October 10, 2018

Conditions

Keywords

leucocyte- and platelet rich fibrinridge preservationgrowth factorsplatelet concentrates

Outcome Measures

Primary Outcomes (1)

  • Changes horizontal width at crest -1mm

    Primary outcome variables were defined as the changes in horizontal width at crest-1 mm levels.

    3 months

Secondary Outcomes (1)

  • Changes horizontal width at crest -3 mm and 5 mm; vertical resorption; socket fill

    3 months

Other Outcomes (1)

  • Post-operative scores

    1 week

Study Arms (3)

L-PRF

EXPERIMENTAL

One socket will be filled with L-PRF membranes and covered with at least 2 L-PRF membranes. A modified horizontal mattress will be place as suture to keep the L-PRF in place.

Other: L-PRF

A-PRF

EXPERIMENTAL

One socket will be filled with A-PRF membranes and covered with at least 2 A-PRF membranes. A modified horizontal mattress will be place as suture to keep the A-PRF in place.

Other: A-PRF

Control

NO INTERVENTION

The socket will be filled with a natural blood clot. A modified horizontal mattress will be place as suture.

Interventions

L-PRFOTHER

Platelet concentrates are produced from a small peripheral blood sample, which is immediately centrifuged without any anticoagulant. Coagulation starts during the centrifugation, and three layers are obtained: red blood corpuscles (RBCs) at the bottom of the tube, platelet-poor plasma (PPP) on the top and an intermediate layer called "buffy coat" where most platelets and leucocytes are concentrated. L-PRF has potential advantages, namely: it creates a bioactive construct that stimulates the local environment for differentiation and proliferation of stem and progenitor cells and it acts as an immune regulation node with inflammation control abilities, such as slow continuous release of growth factors over a period of 7-14 days.

L-PRF
A-PRFOTHER

Platelet concentrates are produced from a small peripheral blood sample, which is immediately centrifuged without any anticoagulant. Coagulation starts during the centrifugation, and three layers are obtained: red blood corpuscles (RBCs) at the bottom of the tube, platelet-poor plasma (PPP) on the top and an intermediate layer called "buffy coat" where most platelets and leucocytes are concentrated. L-PRF has potential advantages, namely: it creates a bioactive construct that stimulates the local environment for differentiation and proliferation of stem and progenitor cells and it acts as an immune regulation node with inflammation control abilities, such as slow continuous release of growth factors over a period of 7-14 days.

A-PRF

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • single-rooted teeth needed to be extracted in the upper jaw
  • patient in good general health as documented by self-assessment
  • patients must be committed to the study and must be willing to sing the informed consent.

You may not qualify if:

  • any systemic medical condition that could interfere with the surgical procedure or planned treatment.
  • current pregnancy or breast feeding
  • radiotherapy or chemotherapy in head and neck area
  • intravenous and oral bisphosphonate
  • patients smoking \>20 cig/day
  • unwillingness to return for the follow-up examination

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UZ Leuven

Leuven, Vlaams-Brabant, 3000, Belgium

Location

MeSH Terms

Conditions

Atrophic Maxilla

Condition Hierarchy (Ancestors)

Bone ResorptionBone DiseasesMusculoskeletal DiseasesMaxillary DiseasesJaw DiseasesStomatognathic Diseases

Study Officials

  • Ana B Castro, PhD student

    UZ Leuven

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Doctoral researcher

Study Record Dates

First Submitted

August 28, 2017

First Posted

August 31, 2017

Study Start

August 22, 2015

Primary Completion

October 10, 2018

Study Completion

October 10, 2018

Last Updated

October 11, 2018

Record last verified: 2018-10

Data Sharing

IPD Sharing
Will not share

Locations