AzTrials
AzTrials

Effect of Putty Form Bone Graft in Immediate Implant PlacmentNCT06783517

Evaluation of Hyaluronic Acid in Addition to Xenograft in Immediate Implant Placement Within Maxillary Esthetic Zone

A study testing cerabone and cerabone®plus in people with Effect of Putty Form Bone Graft in Immediate Implant Placment, run by Mansoura University at 1 site in Egypt.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

Study design: The present study will be carried out on twenty patients selected from the department of Oral Medicine, Periodontology, Oral Diagnosis and Radiology, Faculty of Dentistry, Mansoura University for replacement of non restorable maxillary anterior and/or premolar teeth within esthetic zone by immediate… Read more about this study

Who is it for?
Ages 20 to 60 yearsHealthy volunteers can take part
What is being tested?
cerabone and cerabone®plus
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
20 participants
Where
1 siteEgypt
Study dates
30 Oct 2023to 30 May 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • • Patients who are medically free from any systemic diseases.
  • Patients with good oral hygiene and regular maintenance.
  • Age of patients will be >20 years.
  • Presence of at least single non restorable maxillary anterior and/or premolar tooth due to caries, root resorption, endodontic failure, root fracture or tooth with open apex.
  • No acute infection is present within both periodontal and/or peri-apical area within the tooth of concern and/or adjacent teeth.
  • Patients with extraction socket type I.
  • Free from history of clenching, tapping and bruxism.
  • Patients prepared to co-operate and comply with the follow-up and maintenance program.

Who cannot join

  • • Patients taking medications known to influence bone metabolism ( such as heparin, warfarin, corticosteroid).
  • Smoking and alcoholic patients.
  • History of radiation in the head and neck region.
  • Insufficient interocclusal distance for implant placement and restoration.
  • Patient with lack of stable posterior occlusion.
  • Pregnant, lactating and post-menopausal female patients. Complete medical history, dental history will be taken to all of patients in the study.

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Mansoura university

    Egypt, Mansora, 35516

Other trials in Egypt

About this study

Official title: Evaluation of Hyaluronic Acid in Addition to Xenograft Material in Treatment Peri-implant Bony Defects in Immediate Implant Placement Within Maxillary Esthetic Zone

Study design:

The present study will be carried out on twenty patients selected from the department of Oral Medicine, Periodontology, Oral Diagnosis and Radiology, Faculty of Dentistry, Mansoura University for replacement of non restorable maxillary anterior and/or premolar teeth within esthetic zone by immediate implant divided into two groups. A written informed consent will be obtained from all patients before their participation in this study.

Read more

Evaluation of study:

All patients will be seen at regular time interval for evaluation at the visit of surgical intervention , follow up of clinical parameter will be recorded monthly then three , six months postoperative and six month after loading(with twelve month follow up study).

  1. Clinical evaluation: Implant stability evaluation Soft tissue evaluation
  2. Radiographic evaluation:
  • Marginal bone loss(MBL).
Read the detailed description

Study design:

The present study will be carried out on two groups of patients.

A-Patients Sample:

Twenty patients selected from the department of Oral Medicine, Periodontology, Oral Diagnosis and Radiology, Faculty of Dentistry, Mansoura University for replacement of non restorable maxillary anterior and/or premolar teeth within esthetic zone by immediate implant. A written informed consent will be obtained from all patients before their participation in this study.

  1. Group (1): Comprised of ten patients with hopeless non-restorable maxillary anterior and/or premolar tooth within the esthetic zone will be extracted and replaced by an immediately placed dental implant in conjunction with Bovine bone mineral graft material( cerabone®,Botiss biomaterial) followed by healing abutment. ii. Group (2): Comprised of ten patients with hopeless non-restorable maxillary anterior and/or premolar tooth within the esthetic zone will be extracted and replaced by an immediately placed dental implant in conjunction with Bovine bone mineral with sodium hyaluronate graft material (cerabone®plus,Botiss biomaterial) followed by healing abutment.

Inclusion criteria:

  • Patients who are medically free from any systemic diseases.
  • Patients with good oral hygiene and regular maintenance.
  • Age of patients will be >20 years.
  • Presence of at least single non restorable maxillary anterior and/or premolar tooth due to caries, root resorption, endodontic failure, root fracture or tooth with open apex.
  • No acute infection is present within both periodontal and/or peri-apical area within the tooth of concern and/or adjacent teeth.
  • Patients with extraction socket type I.
  • Free from history of clenching, tapping and bruxism.
  • Patients prepared to co-operate and comply with the follow-up and maintenance program.

Exclusion criteria:

  • Patients taking medications known to influence bone metabolism ( such as heparin, warfarin, corticosteroid).
  • Smoking and alcoholic patients.
  • History of radiation in the head and neck region.
  • Insufficient interocclusal distance for implant placement and restoration.
  • Patient with lack of stable posterior occlusion.
  • Pregnant, lactating and post-menopausal female patients. Complete medical history, dental history will be taken to all of patients in the study.

Materials:

  1. Dental Implants: Conventional 2 pieces screw type dental implants. B. Bone substitute: Bovine bone graft material (cerabone®,Botiss biomaterial) and Bovine bone substitute with sodium hyaluronate graft material (cerabone®plus,Botiss biomaterial).
  2. Trephine bur: to create intentional bony defect in experimental rabbits. D. Ostell: to measure the primary and secondary stability of the implant.

Methods:

  1. Pre-operative measurements:
  2. Photographs: for all items under research. B. Preoperative Radiographs: CBCT will be taken for clinical patients before treatment.
  3. Antibiotic administration for both patients and rabbits before implant placement.
  4. Surgical Procedures:
  5. Clinical sample (patients) :
  • Atraumatic removal of remaining root or tooth will be performed using periotome, appropriate forceps and elevators in an attempt to preserve the buccal plate of bone and soft tissue.
  • Implant will be placed in fresh socket using implant motor with saline coolant after curettage and its size is determined according to pre-operative CBCT within both groups.
  • Group (1): Bovine bone graft (cerabone®,Botiss biomaterial)will be added to the implant.
  • Group (2): Bovine bone substitute with sodium hyaluronate graft (cerabone®plus,Botiss biomaterial) will be added to the implant.
  • followed by healing abutment.
  • Post-operative care: The patients will be instructed to consume soft food for eight weeks Patients will be maintained on amoxicillin twice a day for six days and Ibuprofen 400mg 2 to 4 times daily
  • loading will begin at three to four months from surgical intervention. 3-Evaluation of study:
  1. Patients evaluation:

All patients will be seen at regular time interval for evaluation at the visit of surgical intervention , follow up of clinical parameter will be recorded monthly then three , six months postoperative and six month after loading(with twelve month follow up study).

  1. Clinical evaluation:
  2. Soft tissue evaluation: This will be done in both groups where, soft tissue evaluation will be done using probing depth(PD) and pink esthetic score (PES) around dental implant. ii. Implant stability evaluation: Using Osstell implant stability will be assessed in both groups soon after implant placement to assess primary implant stability then three , six and twelve months after surgery to assess secondary implant stability.
  3. Radiographic evaluation: Radiographic assessment will be held preoperative ,six and twelve months after implant placement for evaluation of:
  • Marginal bone loss(MBL). Statistical Analysis: All data will be collected and statistically analyzed.
Being tested
cerabone, cerabone®plus

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ceraboneProcedure or surgery

    Atraumatic removal of remaining root or tooth will be performed Implant will be placed in fresh socket Bovine bone graft (cerabone®,Botiss biomaterial) will be added to the implant

  • cerabone®plusProcedure or surgery

    Atraumatic removal of remaining root or tooth will be performed Implant will be placed in fresh socket Bovine bone substitute with sodium hyaluronate graft (cerabone®plus,Botiss biomaterial) will be added to the implant

Study groups in NCT06783517
Study groupRoleWhat they receive
immediate dental implant with cerabone®ExperimentalComprised of ten patients with hopeless non-restorable maxillary anterior and/or premolar tooth within the esthetic zone will be extracted and replaced by an immediately placed dental implant in conjunction with Bovine bone mineral graft material( cerabone®,Botiss biomaterial) followed by healing abutment.
Receives: Procedure: cerabone
immediate dental implant with cerabone plus®Active comparatorComprised of ten patients with hopeless non-restorable maxillary anterior and/or premolar tooth within the esthetic zone will be extracted and replaced by an immediately placed dental implant in conjunction with Bovine bone mineral with sodium hyaluronate graft material (cerabone®plus,Botiss biomaterial) followed by healing abutment.
Receives: Procedure: cerabone®plus

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. radiographic marginal bone change

    Radiographic cone beam tomography (CBCT) assessment will be held preoperative ,at time implant placement, six and twelve months after implant placement

    Measured: preoperative , at time implant placement, six and twelve months after implant placement

  2. Implant stability evaluation

    Using Osstell implant stability will be assessed in both groups soon after implant placement to assess primary implant stability then three , six months after surgery to assess secondary implant stability

    Measured: at time of placement, three , six months after surgery to assess secondary implant stability

Secondary outcomes (1)
  1. Soft tissue evaluation

    This will be done in both groups where, soft tissue evaluation will be done using probing depth(PD) and pink esthetic score (PES) around dental implant

    Measured: monthly then three , six months postoperative and six month after loading

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Jan 2025
  2. Study start30 Oct 2023
  3. Primary completion1 Mar 2025 (estimated)
  4. Study completion30 May 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
20 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06783517
Sponsor's protocol ID
A0104023OM
Status last verified
Jan 2025
First submitted
9 Jan 2025
Last updated
20 Jan 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Peric Kacarevic Z, Kavehei F, Houshmand A, Franke J, Smeets R, Rimashevskiy D, Wenisch S, Schnettler R, Jung O, Barbeck M. Purification processes of xenogeneic bone substitutes and their impact on tissue reactions and regeneration. Int J Artif Organs. 2018 Nov;41(11):789-800. doi: 10.1177/0391398818771530. Epub 2018 Apr 29.

    PubMed 29707988
  • Dos Santos PL, de Molon RS, Queiroz TP, Okamoto R, de Souza Faloni AP, Gulinelli JL, Luvizuto ER, Garcia IR Jr. Evaluation of bone substitutes for treatment of peri-implant bone defects: biomechanical, histological, and immunohistochemical analyses in the rabbit tibia. J Periodontal Implant Sci. 2016 Jun;46(3):176-96. doi: 10.5051/jpis.2016.46.3.176. Epub 2016 Jun 28.

    PubMed 27382506
  • Cohen DJ, Scott KM, Kulkarni AN, Wayne JS, Boyan BD, Schwartz Z. Acellular mineralized allogenic block bone graft does not remodel during the 10 weeks following concurrent implant placement in a rabbit femoral model. Clin Oral Implants Res. 2020 Jan;31(1):37-48. doi: 10.1111/clr.13544. Epub 2019 Oct 10.

    PubMed 31545532
  • Kyyak S, Blatt S, Wiesmann N, Smeets R, Kaemmerer PW. Hyaluronic Acid with Bone Substitutes Enhance Angiogenesis In Vivo. Materials (Basel). 2022 May 27;15(11):3839. doi: 10.3390/ma15113839.

    PubMed 35683136
  • Raines AL, Sunwoo M, Gertzman AA, Thacker K, Guldberg RE, Schwartz Z, Boyan BD. Hyaluronic acid stimulates neovascularization during the regeneration of bone marrow after ablation. J Biomed Mater Res A. 2011 Mar 1;96(3):575-83. doi: 10.1002/jbm.a.33012. Epub 2011 Jan 10.

    PubMed 21254389
  • Zhao N, Wang X, Qin L, Guo Z, Li D. Effect of molecular weight and concentration of hyaluronan on cell proliferation and osteogenic differentiation in vitro. Biochem Biophys Res Commun. 2015 Sep 25;465(3):569-74. doi: 10.1016/j.bbrc.2015.08.061. Epub 2015 Aug 15.

    PubMed 26284973
  • Pilloni A, Bernard GW. The effect of hyaluronan on mouse intramembranous osteogenesis in vitro. Cell Tissue Res. 1998 Nov;294(2):323-33. doi: 10.1007/s004410051182.

    PubMed 9799448
  • Guo J, Guo S, Wang Y, Yu Y. Adipose-derived stem cells and hyaluronic acid based gel compatibility, studied in vitro. Mol Med Rep. 2017 Oct;16(4):4095-4100. doi: 10.3892/mmr.2017.7055. Epub 2017 Jul 21.

    PubMed 28731160
  • Sasaki T, Watanabe C. Stimulation of osteoinduction in bone wound healing by high-molecular hyaluronic acid. Bone. 1995 Jan;16(1):9-15. doi: 10.1016/s8756-3282(94)00001-8.

    PubMed 7742090
  • Pirnazar P, Wolinsky L, Nachnani S, Haake S, Pilloni A, Bernard GW. Bacteriostatic effects of hyaluronic acid. J Periodontol. 1999 Apr;70(4):370-4. doi: 10.1902/jop.1999.70.4.370.

    PubMed 10328647
  • Kawano M, Ariyoshi W, Iwanaga K, Okinaga T, Habu M, Yoshioka I, Tominaga K, Nishihara T. Mechanism involved in enhancement of osteoblast differentiation by hyaluronic acid. Biochem Biophys Res Commun. 2011 Feb 25;405(4):575-80. doi: 10.1016/j.bbrc.2011.01.071. Epub 2011 Jan 23.

    PubMed 21266161
  • Grigolo B, Lisignoli G, Piacentini A, Fiorini M, Gobbi P, Mazzotti G, Duca M, Pavesio A, Facchini A. Evidence for redifferentiation of human chondrocytes grown on a hyaluronan-based biomaterial (HYAff 11): molecular, immunohistochemical and ultrastructural analysis. Biomaterials. 2002 Feb;23(4):1187-95. doi: 10.1016/s0142-9612(01)00236-8.

    PubMed 11791922
  • Knudson CB, Knudson W. Hyaluronan-binding proteins in development, tissue homeostasis, and disease. FASEB J. 1993 Oct;7(13):1233-41.

    PubMed 7691670
  • Bozic D, Catovic I, Badovinac A, Music L, Par M, Sculean A. Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral. Materials (Basel). 2021 Nov 11;14(22):6795. doi: 10.3390/ma14226795.

    PubMed 34832196
  • Kammerer PW, Scholz M, Baudisch M, Liese J, Wegner K, Frerich B, Lang H. Guided Bone Regeneration Using Collagen Scaffolds, Growth Factors, and Periodontal Ligament Stem Cells for Treatment of Peri-Implant Bone Defects In Vivo. Stem Cells Int. 2017;2017:3548435. doi: 10.1155/2017/3548435. Epub 2017 Aug 16.

    PubMed 28951742

Questions about this trial

What is this clinical trial studying?

A study testing cerabone and cerabone®plus in people with Effect of Putty Form Bone Graft in Immediate Implant Placment, run by Mansoura University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 20 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

radiographic marginal bone change (time frame: preoperative , at time implant placement, six and twelve months after implant placement). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06783517, which also lists 33 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in