About this trial
This investigator-initiated study will compare ADM and resorbable cross-linked collagen membrane barriers for guided bone regeneration at atrophic lateral ridge augmentation sites.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
English speaking
At least 18 years old
Must be a patient of the UAB Dental School
Able to read and understand informed consent document
Disqualifiers
Non-English speaking
Less than 18 years old
Smokers/nicotine users (defined as currently reporting use of any form of tobacco/nicotine products)
Uncontrolled diabetes (HbA1c > 7%)
Trial design
Parallel
Treatments tested in this trial
Guided Bone Regeneration with ADM (AlloDerm) as a barrier
Procedure/SurgeryGBR will be performed using a composite particulate graft consisting of a combination of freeze-dried bone allograft (FDBA) and xenograft in a 75%/25% mixture. Following decortication and graft placement to reconstruct the horizontal ridge deficiency, acellular dermal matrix (ADM) will be adapted to fully cover the augmented site with appropriate extension beyond the defect margins. The ADM will be stabilized using titanium tacks and/or periosteal sutures as needed to ensure space maintenance and membrane stability.
Guided Bone Regeneration with Resorbable Crosslinked Collagen Matrix (Mem-Lok) as a barrier
Procedure/SurgeryGBR will be performed using a composite particulate graft consisting of a combination of freeze-dried bone allograft (FDBA) and xenograft in a 75%/25% mixture. The graft will be contoured to reconstruct the horizontal ridge deficiency following decortication of the recipient site. A resorbable collagen membrane \[Mem-Lok® Resorbable Collagen Matrix (RCM) will be trimmed and positioned to fully cover the grafted area with extension beyond the defect margins and stabilized using titanium tacks and/or periosteal sutures as needed.
Treatment groups
Trial outcomes
Primary outcomes
Horizontal ridge width gain
Horizontal ridge width gain (mm) at 6 months post-GBR (CBCT-based measurement) at 2mm and 4mm from the alveolar crest
Secondary outcomes
Soft tissue thickness change
Clinical assessment using an endodontic reamer and a calibrated periodontal probe
Patient centered outcomes using the Visual Analog Scale (VAS)
Patient centered outcomes including pain, bleeding, swelling, change in daily activities at 2 weeks and 4 weeks postoperatively, using the Visual Analog Scale (VAS) This measurement ranges from 0-10 (0 being better and 10 being worse).
Sponsors and contacts
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