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The purpose of this trial is to determine the correlations between various tissue dimensions and the changes that occur following a single-tooth dental extraction in human adults.
65 adult subjects who are in need of dental extractions will be recruited. Clinical measurements will be gathered prior to and immediately following the single tooth extraction. There will be a 2-week post-operative visit to assess healing and a 14-week follow-up for photographic documentation and clinical measurements of the extraction area.
Periodontal phenotype, also known as periodontal biotype, has been recognized as one of the key factors that may potentially impact the outcome of a variety of esthetic restorative procedures. With the increasing esthetic demand of patients in the context of tooth replacement therapy in the anterior esthetic zone, the ability to determine the prognostic value and the influence on treatment outcomes of this parameter has become a critical component of contemporary treatment planning. Periodontal phenotype encompases "bone morphotypes, shapes of the teeth, morphologic characteristics of the gingiva and the periodontium".
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| interventional | Other | consent, screening, xrays, PVS impressions, photographs, CBCT, anesthesia, extraction, clinical measurements |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| consent | Other | At the initial screening examination, each subject will receive an informed consent form. Prior to signing the informed consent, one of the investigators or qualified staff will thoroughly discuss participation in the study with each subject, allocating time for questions and answers. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage change in tissue volume - Rank Correlations | For the purpose of this study, a 10-20% reduction in the volume must detectable. Pearson correlations will be used to assess associations if appropriate and Spearman rank correlations will be considered if needed. | 14 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Probing Depths of soft tissue dimensions | supracrestal soft tissue dimensions will be evaluated | 14 weeks |
| bone thickness ( facial and lingual) - Correlations | Analogous correlational approaches, supplemented by regression methods, will be used to assess the relationships between measurements made by CBCT with those derived from volumetric analysis of casts. |
| Measure | Description | Time Frame |
|---|---|---|
| width of keratinized gingiva | supracrestal soft tissue dimensions will be evaluated | 14 weeks |
Inclusion Criteria:
Exclusion Criteria:
NOTE: Occasional, short-term use (7-14 days) of analgesics or common cold medications is permitted. Use of such medications will be reviewed and recorded by the investigator.
- Any other non-specified reason that from the point of views of the investigators will make a candidate not a suitable subject for the study (e.g. limited mouth opening).
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| Name | Affiliation | Role |
|---|---|---|
| Gustavo Avila Ortiz, BSE, DDS | University of Iowa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UIowa | Iowa City | Iowa | 52242 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36644815 | Derived | Couso-Queiruga E, Graham ZA, Peter T, Gonzalez-Martin O, Galindo-Moreno P, Avila-Ortiz G. Effect of periodontal phenotype characteristics on post-extraction dimensional changes of the alveolar ridge: A prospective case series. J Clin Periodontol. 2023 May;50(5):694-706. doi: 10.1111/jcpe.13781. Epub 2023 Feb 1. |
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| ID | Term |
|---|---|
| D032962 | Consent Forms |
| D008403 | Mass Screening |
| D014965 | X-Rays |
| D015903 | Moire Topography |
| D000758 | Anesthesia |
| ID | Term |
|---|---|
| D007258 | Informed Consent |
| D007603 | Jurisprudence |
| D012926 | Social Control, Formal |
| D004472 | Health Care Economics and Organizations |
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|
| Screening | Other | At the initial screening examination, complete medical and dental history will be obtained to verify eligibility. |
|
| Xray | Other | each subject will undergo site-specific oral radiographic exam (new periapical radiographs will be obtained if needed) to evaluate potential study sites. |
|
| PVS Impressions | Other | PVS impressions of the arch of interest will be obtained in order perform volumetric analysis of the area of interest. |
|
| Photographs | Other | Intraoral photographs will also be taken and subsequent study visits will be planned. |
|
| CBCT | Other | The patient will then be sent to the Department of Radiology at the College of Dentistry for a baseline CBCT and follow-up at 14 week CBCT. These CBCT's will be utilized to evaluate the hard tissue volume in comparison to the clinical volume of soft tissue. |
|
| Anesthesia | Other | After appropriate local anesthetic is administered and anesthesia is achieved, the buccal tissue thickness will be measured and recorded. |
|
| Extraction | Procedure | After the pre-extraction baseline measurements are recorded and adequate anesthesia is confirmed, minimally invasive extraction procedures will be initiated. All extractions will be performed by residents in the UI CoD Periodontics advanced education program. |
|
| Clinical measurements | Other | Measuring soft tissue dimensions, bone thickness prior to and immediately after extraction and then after appropriate healing time frames. |
|
| 14 weeks |
| soft tissue thickness (facial and lingual) -correlations | correlations among the periodontal phenotype and the supracrestal soft tissue dimensions will be evaluated. | 14 weeks |
| D011996 | Records |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
| D003625 | Data Collection |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006306 | Health Surveys |
| D011795 | Surveys and Questionnaires |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D003954 | Diagnostic Services |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
| D015980 | Public Health Practice |
| D060733 | Electromagnetic Radiation |
| D055590 | Electromagnetic Phenomena |
| D060328 | Magnetic Phenomena |
| D055585 | Physical Phenomena |
| D011827 | Radiation |
| D011839 | Radiation, Ionizing |
| D010780 | Photogrammetry |
| D010781 | Photography |
| D003952 | Diagnostic Imaging |
| D007368 | Interferometry |
| D000760 | Anesthesia and Analgesia |