3D-printable biopolymers and their use in dentistry

ISRCTN ISRCTN12199305
DOI https://doi.org/10.1186/ISRCTN12199305
Submission date
02/03/2024
Registration date
04/03/2024
Last edited
04/03/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

All the patients enrolled in the study had a financial convenience , since .
The study was conducted in and lasted from June 2023 to July 2023.
No funds were received for the trial and the responsible was the adjunct professor

Background and study aims
The goal of this clinical study is to assess how well 3D printed biopolymers, mixed with materials that promote bone growth (beta-tricalcium phosphate and hydroxyapatite), work for closing soft tissues after having a tooth removed.

Who can participate?
The study was opened to all patients requiring a tooth extraction

What does the study involve?
The procedure involved removing the tooth, and then randomly choosing whether to close the socket using a 3D printed disk made from two types of biodegradable materials: polylactic acid and polycaprolactone. Both materials were mixed with synthetic ceramic substances that promote bone growth, specifically 10% hydroxyapatite and 20% beta tricalcium phosphate, respectively.

What are the possible benefits and risks of participating?
The procedure was done free of charge.
No risks

Where is the study run from?
Trisakti University (Indonesia)

When is the study starting and how long is it expected to run for?
May 2023 to July 2023

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Nicola De Angelis, n.deangelis74@gmail.com

Contact information

Dr Nicola De Angelis
Public, Scientific, Principal Investigator

Largo R. benzi 10
Genoa
16121
Italy

ORCiD logoORCID ID 0000-0001-8622-4328
Phone +39 3474188180
Email nicolaantonio.deangelis@edu.unige.it

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Dental clinic
Study typeTreatment
Participant information sheet 45125 PIS.pdf
Scientific title3D-printable biopolymers for socket preservation technique: soft tissues response. A randomized clinical trial.
Study hypothesisSoft tissues response after tooth extraction is the same whether the socket is sealed by a polymeric 3D printed disk or is left open to heal
Ethics approval(s)

Approved 03/05/2023, Ethics Committee for Health Research Faculty of Dentistry, Universitas Trisakti (Jl. Kyai Tapa No.260 4, RT.4/RW.16, Jakarta, 11440, Indonesia; +62 21 566 3232; komisietikfkg@trisakti.ac.id), ref: 641/S3/KEPK/FKG/5/2023

ConditionSoft tissues response following teeth extractions
InterventionAll the extractions were performed without flap elevation without any antibiotic prophylaxis.
A careful cleaning of the socket was done in order to exclude the possible presence of inflammatory tissue, without grafting any additional bone substitute. Once tooth extraction was completed, the operator opened a sealed envelope containing the result of the randomization in order to include the patient in one of the following study groups:

TEST 1: a 3D printed disk of poli-D-lactic acid with 10% of hydroxyapatite had to be trimmed inside the gingival margin and ensured with a crossed mattress suture.

TEST 2: a 3D printed disk of poli- ε caprolactone with 20% of β-tricalcium phosphate had to be trimmed inside the gingival margin and ensured with a crossed mattress suture.

CONTROL: extraction left to heal without any graft materials. Only a collagen sponge was used in case of excessive bleeding.
Intervention typeProcedure/Surgery
Primary outcome measureSoft tissues closure was measured at the baseline and 30 days after the procedure with intraoral photographs
Secondary outcome measuresBone formation was measured at the baseline at 30 days after the procedure with intra-oral periapical X-rays
Overall study start date03/05/2023
Overall study end date31/07/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit80 Years
SexBoth
Target number of participants39
Total final enrolment39
Participant inclusion criteria1. Medically healthy
2. No assumption of bifosphonates
3. No or light – medium smokers (maximum 10 cigarettes/day)
4. Requiring a tooth extraction
Participant exclusion criteria1. Pregnancy and lactation
2. Patients with signs of acute infection at the extraction site
Recruitment start date01/06/2023
Recruitment end date30/06/2023

Locations

Countries of recruitment

  • Indonesia

Study participating centre

Trisakti University Dental Department
Jakarta
11440
Indonesia

Sponsor information

Trisakti University
University/education

Jalan Kyai Tapa No. 1 Grogol
Jakarta
11440
Indonesia

Phone +62 21 566 3232
Email humas@trisakti.ac.id
Website http://www.mm.trisakti.ac.id/
ROR logo "ROR" https://ror.org/019fnr381
University of Genoa
University/education

Largo R. benzi 10
Genoa
16121
Italy

Phone +39 144320305
Email 681535@unige.it
Website http://www.unige.it/
ROR logo "ROR" https://ror.org/0107c5v14

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date30/03/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high impact peer-reviewed journal
IPD sharing planThe datasets generated during the study will be amiable upon request from Nicola De Angelis n.deangelis74@gmail.com

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 04/03/2024 No Yes
Protocol file version 1 04/03/2024 No No

Additional files

45125 Protocol v1.pdf
45125 PIS.pdf

Editorial Notes

04/03/2024: Trial's existence confirmed by Ethics Committee for Health Research Faculty of Dentistry, Universitas Trisakti.