| CTRI Number |
CTRI/2025/07/091461 [Registered on: 22/07/2025] Trial Registered Prospectively |
| Last Modified On: |
30/06/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
|
Public Title of Study
|
Comparing two bio-materials for socket preservation for delayed implant placement: A study on Platelet rich fibrin and Collagen Membrane. |
|
Scientific Title of Study
|
Evaluation of efficacy of placing delayed dental implant following “Ice-cream Cone Technique” of socket preservation using Autologous Heat Compressed Platelet-rich-fibrin (PRF) membrane with Bone Allograft compared to Collagen Membrane with Bone Allograft: A Randomized Controlled Study. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Smitha K |
| Designation |
Professor and Head Of The Department of Periodontology |
| Affiliation |
Government dental college and research institute |
| Address |
Room No. 3, Department of Periodontology, Government Dental College and Research Institute, Victoria Hospital campus , City market, Bangalore, Karnataka
Bangalore KARNATAKA 560002 India |
| Phone |
9449630572 |
| Fax |
|
| Email |
periosmitha@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Smitha K |
| Designation |
Professor and Head Of The Department of Periodontology |
| Affiliation |
Government dental college and research institute |
| Address |
Room No. 3, Department of Periodontology, Government Dental College and Research Institute, Victoria Hospital campus , City market, Bangalore Karnataka.
KARNATAKA 560002 India |
| Phone |
9449630572 |
| Fax |
|
| Email |
periosmitha@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr shreyas kamath |
| Designation |
postgraduate student |
| Affiliation |
Government Dental College and Research Institute |
| Address |
Department of Periodontology, Room No. 3 Government Dental College and Resrach Institute, Victoria Hospital Campus , city market bangalore karnataka
Bangalore KARNATAKA 560002 India |
| Phone |
8088690072 |
| Fax |
|
| Email |
kamathshreyas27@gmail.com |
|
|
Source of Monetary or Material Support
|
| Department of Periodontology, Room No. 3 Government Dental College and Resrach Institute,victoria hospital campus , city market bangalore karnataka |
|
|
Primary Sponsor
|
| Name |
Government Dental College And Research institute Bangalore |
| Address |
Department of Periodontology, Room No. 3 Government Dental College and Resrach Institute,victoria hospital campus , city market bangalore karnataka |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Smitha K |
Government Dental College and Research Institute, Bangalore |
Department of Periodontology, Room No. 3 Government Dental College and Resrach Institute,victoria hospital campus , city market bangalore karnataka Bangalore KARNATAKA |
9449630572
periosmitha@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethical Comittee, Government Dental College and Research Institute, Begaluru |
Approved |
|
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Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
type 2 extraction socket with 50% intact buccal bone plate and three intact walls following extraction |
| Patients |
(1) ICD-10 Condition: K069||Disorder of gingiva and edentulousalveolar ridge, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Delayed Implant placement following socket preservation with Autologous Heat Compressed PRF membrane with DFDBA |
Participants desiring dental implant treatment and satisfying the eligibility criteria will be included n the study. Atraumatic extraction will be performed by experts (Oral Surgeon) under local anesthesia. CBCT scans and Intra-oral images of the site of interest will be taken and the socket will be thoroughly debrided before performing socket preservation procedure.Socket preservation with ice cream cone technique will be performed on the missing wall of the extraction socket using Autologous heat compressed PRF membrane. The socket is then filled with DFDBA bone graft up to the gingival margin and the top part of of the graft will be compressed to cover the opening and the socket is then sutured using hidden x suturing technique with 4-0 silk suture. |
| Intervention |
Delayed Implant placement following socket preservation with Commercially Available Resorbable Collagen membrane with DFDBA |
Participants desiring dental implant treatment and satisfying the eligibility criteria will be included n the study. Atraumatic extraction will be performed by experts (Oral Surgeon) under local anesthesia. CBCT scans and Intra-oral images of the site of interest will be taken and the socket will be thoroughly debrided before performing socket preservation procedure.Socket preservation Procedure using ice cream cone technique will be performed on the missing wall of the Type 2 extraction socket using Resorbable Collagen Membrane. The socket is then filled with DFDBA bone graft up to two-thirds of the socket and the top part of the graft will be compressed to cover the opening and the socket is then sutured using hidden x suturing technique with 4-0 silk suture. |
| Comparator Agent |
Delayed Implant placement in Naturally healing socket |
Participants desiring dental implant treatment and satisfying the eligibility criteria will be included n the study. Atraumatic extraction will be performed by experts (Oral Surgeon) under local anesthesia. CBCT scans and Intra-oral images of the site of interest will be taken and the socket will be thoroughly debrided. Further curettage of the socket walls will be performed to allow the socket to fill with blood up to the bony crestand suturing is done using hidden X suturing technique with 4-0 silk suture. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
1 ASA Physical status I & II
2 Type 2 extraction socket of non-molar tooth with at least 50 percent intact buccal bone plate and the remaining three walls are intact with adjacent teeth in good periodontal health.
|
|
| ExclusionCriteria |
| Details |
1 Participants taking medication influences the bone metabolism and bone healing.
2 Participants with the habit of smoking.
3 Participants in which tooth is extracted due to periodontal breakdown.
4 Participants with acute infection (or presence of pus) in or close to the site intended for extraction.
5 Participants with occlusal disharmony.
6 Pregnant and Lactating mothers.
7 Participants with poor oral hygiene.
|
|
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Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1 Dimensional changes (soft tissue and hard tissue) from baseline to 4 months post-operatively between 3 groups as assessed by intra-oral scanner and CBCT
2 Feasibility of placing an implant in a prosthetically driven position along with achieving the primary stability. Feasibility of implant placement is defined as “achieving primary stability following implant placement in a prosthetically guided position with 1mm of residual bone circumferentially surrounding the implant”.
|
1 at Baseline
2 4 months after performing the procedure |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
• Dimensional changes (soft tissue and hard tissue) from baseline to 4 months post-operatively between 3 groups as assessed by intra-oral scanner and CBCT
• Feasibility of placing an implant in a prosthetically driven position along with achieving the primary stability. Feasibility of implant placement is defined as “achieving primary stability following implant placement in a prosthetically guided position with 1mm of residual bone circumferentially surrounding the implant”.
|
4 months after socket preservation |
|
|
Target Sample Size
|
Total Sample Size="51" Sample Size from India="51"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
23/07/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Participants who satisfy the eligibility criteria will be alloted after randomisation into three groups. the first group will undergo ice cream cone technique of socket preservation with autologous heat compressed prf membrane and DFDBA bone graft. the second group will be treated with ice cream cone technique of socket preservation with resorbable collagen membrane and dfdba bone graft. third group will be followed up to observe the natural healing of the extraction socket , the primary outcome would be to asses the change in the bucco-lingual dimension of the extraction socket following interventions in all three groups along with the assesment of feasibility of placing dental implant post socket preservation without the need for ridge augmentation procedure. clinical measurment of ridge dimensions will be made with intraoral scanner , radiographic measurement will be made with cbct. histological anlyasis of preserved socket bone and patient centered outcome in all thee groups will be assesed as secondary outcome. comparision of results will be made between all three groups. autologous heat compressed prf membrane has been used as barrier membrane because of its increased time of biodegradation and if the results of this study prove that autologous heat compressed membrane is as efficacious as resorbable collagen membrane in socket preservation then it will be cost effective for patient undergoing socket preservation following extraction as the prf membrane derived from patient own blood. |