Dental ExtractionNCT05400213
Wound Healing Following Tooth Extraction and Ridge Preservation Using DFDBA Alone in Particulate Fiber Form and in Combination With Xenograft
A study testing Vallos (DCP), Vallomix (DCF) and Vallos-F (DPX) in people with Dental Extraction and Wound Heal, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.
Trial summary
The primary aim of the study is to determine the amount of newly formed vital bone, residual graft material, and "connective tissue/other" 18 to 20 weeks after ridge preservation is performed using DFDBA fibers alone, DFDBA particulate alone, a combination of xenograft and DFDBA particulate, or a combination of… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Dental Extraction, Wound Heal
- What is being tested?
- Vallos (DCP), Vallomix (DCF) and Vallos-F (DPX)
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 102 participants
- Where
- 1 siteUnited States
- Study dates
- 2 Aug 2022to 18 Dec 2024
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- One tooth, excluding molars, that has been identified by dental faculty as requiring a single tooth extraction
- A dental implant is indicated and treatment planned to replace the missing tooth
- Have adequate restorative space for a dental implant-retained restoration
- Have at least 10mm of alveolar bone height, without impinging on the maxillary sinus or inferior alveolar canal.
- Have a dehiscence of the buccal or lingual bony plate of the tooth socket extending no more than 50% of the total depth of the socket.
- Female patients who have undergone a hysterectomy, tubal ligation, or menopause, and non-pregnant women of child-bearing potential.
- Are nonsmokers or former smokers. Current smokers may be included if they smoke <10 cigarettes per day
Who cannot join
- Will not cooperate with the follow-up schedule.
- Patients will not be entered who are mentally incompetent, prisoners, or pregnant.
- Pregnant women or women intending to become pregnant during the study period (as confirmed verbally; an over the counter pregnancy test will be provided if pregnancy status is unknown or suspected).
- Patients who become pregnant during the study will be withdrawn and standard care will be delivered.
- Smokers who smoke >10 cigarettes per day
- Clinical and/or radiographic determinations which will preclude inclusion in this study are: Active infection other than periodontitis; Inadequate bone dimensions or restorative space for a dental implant; Presence of a disease entity, condition or therapeutic regimen which decreases probability of soft tissue and bony healing, e.g., poorly controlled diabetes, chemotherapeutic and immunosuppressive agents, autoimmune diseases, history of bisphosphonate use or long-term steroid therapy; Positive medical history of endocarditis following oral or dental surgery.
Trial locations and contacts
1 site in 1 country.
United States1 site
University of Texas Health Science Center at San Antonio (Dental School)
San Antonio, Texas, 78229
About this study
Official title: Randomized Controlled Trial of Wound Healing Following Tooth Extraction and Ridge Preservation Using Decalcified Freeze-dried Bone Allograft (DFDBA) Alone in Particulate Fiber Form and in Combination With Xenograft
The primary aim of the study is to determine the amount of newly formed vital bone, residual graft material, and "connective tissue/other" 18 to 20 weeks after ridge preservation is performed using DFDBA fibers alone, DFDBA particulate alone, a combination of xenograft and DFDBA particulate, or a combination of xenograft and DFDBA fibers.
Read the detailed description
The study plan is to extract non-molar teeth and graft with the various graft materials. Each subject will provide a single non-molar tooth site for study treatment. Following approx. 18-20 weeks of healing, the study team will harvest a core biopsy at the time of implant placement. The implant osteotomy is prepared with a trephine drill and the core inside the trephine is placed in 10% formalin for future processing and histomorphometric analysis. The core biopsy will be evaluated for the primary histologic outcome of % vital bone formation and the secondary histologic outcomes of % residual graft material, and % "CT/other" (fibrous tissue and marrow space). The study team will also evaluate the following secondary clinical outcomes using a custom measuring stent for each subject: change in ridge width; change in buccal ridge height and change in lingual ridge height. During the 18 to 20-week healing period, patients will be followed as needed per standard care to evaluate healing.
- Conditions
- Dental Extraction, Wound Heal
- Being tested
- Vallos (DCP), Vallomix (DCF), Vallos-F (DPX), Vallomix-F (DFX)
- Keywords
- Ridge preservation, Implant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vallos (DCP)Device
Also called DFDBA particulate
Demineralized freeze-dried bone allograft (DFBA) in a small particle form
Vallomix (DCF)Device
Also called Xenograft and human-derived DFDBA
A combination of cow-derived xenograft and human-derived DFDBA particulate
Vallos-F (DPX)Device
Also called DFDBA in fiber form
Demineralized freeze-dried bone allograft (DFDBA) in a fiber form
Vallomix-F (DFX)Device
Also called Xenograft (Bio-Oss) combined with DFDBA fibers
A combination of cow-derived xenograft and human-derived DFDBA fibers
| Study group | Role | What they receive |
|---|---|---|
| Group 1 Vallos (DCP) | Active comparator | Subjects will be randomized into this group and receive DFDBA particulate alone Receives: Device: Vallos (DCP) |
| Group 2 Vallomix (DCF) | Active comparator | Subjects will be randomized into this group and receive DFDBA fibers alone Receives: Device: Vallomix (DCF) |
| Group 3 Vallos-F (DPX) | Active comparator | Subjects will be randomized into this group and receive Xenograft combined with DCP Receives: Device: Vallos-F (DPX) |
| Group 4 Vallomix-F (DFX) | Active comparator | Subjects will be randomized into this group and receive Xenograft combined with DCF. Receives: Device: Vallomix-F (DFX) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage Vital Bone Formation
Measure of percentage of vital bone formation from extraction to time of implant, this is a measure of how much bone has regenerated since the extraction to the surgery.
Measured: Wound healing time ( approximately 18 to 20 weeks)
Secondary outcomes (5)
Percentage of Residual Graft Material
Measure of percentage of residual graft material remaining at time of implant, this is the amount of graft material remaining from the original amount implanted during surgery.
Measured: Wound healing time ( approximately 18 to 20 weeks)
Percentage of Connective Tissue at Time of Implant
Measure of percentage of connective tissue (fibrous tissue and marrow space) at time of implant. This is the amount of connective tissue that is present at the time of surgery.
Measured: Baseline to 18-20 weeks
Change in Ridge Width (Clinical Measurement)
Measure of change in ridge width from extraction to healing time
Measured: Baseline to 18-20 weeks
Change in Buccal Ridge Height (Clinical Measurement)
Measure of change in buccal ridge height from extraction to healing time
Measured: Baseline to 18-20 weeks
Change in Lingual Ridge Height (Clinical Measurement)
Measure of change in lingual ridge height from extraction to healing time
Measured: Baseline to 18-20 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jun 2022
- Study start2 Aug 2022
- Primary completion23 Aug 2024
- Study completion18 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Dental ExtractionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- 4 arm randomized controlled parallel study
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 102 participants (actual)
Sponsor and investigators
- Lead sponsor
- The University of Texas Health Science Center at San Antonio
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Brian Mealey, DDS, MS, Principal investigator, The University of Texas Health Science Center at San AntonioAngela Palaiologou-Gallis, DDS, Principal investigator, The University of Texas Health Science Center at San Antonio
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05400213
- Sponsor's protocol ID
- HSC20220346H
- Status last verified
- Jun 2025
- First submitted
- 26 May 2022
- Last updated
- 19 Jun 2025
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
- Individual data sharing
- Yes: De-identified data will be shared as summary results on ClinicalTrials.gov and in a peer-review journal.
Publications
Yineman KJ, Palaiologou AA, Powell CA, Deas DE, Mealey BL. Palatal donor site wound healing following mucogingival surgery using amnion-chorion membrane: A randomized controlled clinical trial. J Periodontol. 2026 Jun 18. doi: 10.1002/jper.70147. Online ahead of print.
PubMed 42312399Foster JE, Coleman CC, Palaiologou AA, Mealey BL. Healing following ridge preservation using demineralized allograft particles or fibers alone, and combined with xenograft. J Periodontol. 2026 Jan;97(1):23-33. doi: 10.1002/jper.11374. Epub 2025 Jul 24.
PubMed 40702945
Study at a glance
From the registry record, last updated by the sponsor on 19 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Controlled Trial of Wound Healing Following Tooth Extraction and Ridge Preservation Using Decalcified Freeze-dried Bone Allograft (DFDBA) Alone in Particulate Fiber Form and in Combination With Xenograft
- ClinicalTrials.gov ID
- NCT05400213
- Acronym / sponsor ID
- HSC20220346H
- Conditions
- Dental Extraction, Wound Heal
- Keywords
- Ridge preservation, Implant
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 102 participants (actual)
- Lead sponsor
- The University of Texas Health Science Center at San AntonioUniversity, hospital or other
- Study start
- 2 Aug 2022 (actual)
- Primary completion
- 23 Aug 2024 (actual)
- Study completion
- 18 Dec 2024 (actual)
- First posted
- 1 Jun 2022 (actual)
- Results
- Posted 19 Jun 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary aim of the study is to determine the amount of newly formed vital bone, residual graft material, and "connective tissue/other" 18 to 20 weeks after ridge preservation is performed using DFDBA fibers alone, DFDBA particulate alone, a combination of xenograft and DFDBA particulate, or a combination of xenograft and DFDBA fibers.
Detailed description
The study plan is to extract non-molar teeth and graft with the various graft materials. Each subject will provide a single non-molar tooth site for study treatment. Following approx. 18-20 weeks of healing, the study team will harvest a core biopsy at the time of implant placement. The implant osteotomy is prepared with a trephine drill and the core inside the trephine is placed in 10% formalin for future processing and histomorphometric analysis. The core biopsy will be evaluated for the primary histologic outcome of % vital bone formation and the secondary histologic outcomes of % residual graft material, and % "CT/other" (fibrous tissue and marrow space). The study team will also evaluate the following secondary clinical outcomes using a custom measuring stent for each subject: change in ridge width; change in buccal ridge height and change in lingual ridge height. During the 18 to 20-week healing period, patients will be followed as needed per standard care to evaluate healing.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
- Model description
- 4 arm randomized controlled parallel study
| Arm | Type | Receives |
|---|---|---|
| Group 1 Vallos (DCP) | Active comparator | Device: Vallos (DCP)Subjects will be randomized into this group and receive DFDBA particulate alone |
| Group 2 Vallomix (DCF) | Active comparator | Device: Vallomix (DCF)Subjects will be randomized into this group and receive DFDBA fibers alone |
| Group 3 Vallos-F (DPX) | Active comparator | Device: Vallos-F (DPX)Subjects will be randomized into this group and receive Xenograft combined with DCP |
| Group 4 Vallomix-F (DFX) | Active comparator | Device: Vallomix-F (DFX)Subjects will be randomized into this group and receive Xenograft combined with DCF. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- One tooth, excluding molars, that has been identified by dental faculty as requiring a single tooth extraction
- A dental implant is indicated and treatment planned to replace the missing tooth
- Have adequate restorative space for a dental implant-retained restoration
- Have at least 10mm of alveolar bone height, without impinging on the maxillary sinus or inferior alveolar canal.
- Have a dehiscence of the buccal or lingual bony plate of the tooth socket extending no more than 50% of the total depth of the socket.
Key exclusion criteria (6 listed)
- Will not cooperate with the follow-up schedule.
- Patients will not be entered who are mentally incompetent, prisoners, or pregnant.
- Pregnant women or women intending to become pregnant during the study period (as confirmed verbally; an over the counter pregnancy test will be provided if pregnancy status is unknown or suspected).
- Patients who become pregnant during the study will be withdrawn and standard care will be delivered.
- Smokers who smoke >10 cigarettes per day
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vallos (DCP)Also: DFDBA particulateDemineralized freeze-dried bone allograft (DFBA) in a small particle form | Device | Group 1 Vallos (DCP) |
| Vallomix (DCF)Also: Xenograft and human-derived DFDBAA combination of cow-derived xenograft and human-derived DFDBA particulate | Device | Group 2 Vallomix (DCF) |
| Vallos-F (DPX)Also: DFDBA in fiber formDemineralized freeze-dried bone allograft (DFDBA) in a fiber form | Device | Group 3 Vallos-F (DPX) |
| Vallomix-F (DFX)Also: Xenograft (Bio-Oss) combined with DFDBA fibersA combination of cow-derived xenograft and human-derived DFDBA fibers | Device | Group 4 Vallomix-F (DFX) |
Primary outcome
Percentage Vital Bone Formation
Time frame: Wound healing time ( approximately 18 to 20 weeks)
Measure of percentage of vital bone formation from extraction to time of implant, this is a measure of how much bone has regenerated since the extraction to the surgery.
5 secondary outcomes
Percentage of Residual Graft Material
Time frame: Wound healing time ( approximately 18 to 20 weeks)
Percentage of Connective Tissue at Time of Implant
Time frame: Baseline to 18-20 weeks
Change in Ridge Width (Clinical Measurement)
Time frame: Baseline to 18-20 weeks
Change in Buccal Ridge Height (Clinical Measurement)
Time frame: Baseline to 18-20 weeks
Change in Lingual Ridge Height (Clinical Measurement)
Time frame: Baseline to 18-20 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Jun 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 42312399Yineman KJ, Palaiologou AA, Powell CA, Deas DE, Mealey BL. Palatal donor site wound healing following mucogingival surgery using amnion-chorion membrane: A randomized controlled clinical trial. J Periodontol. 2026 Jun 18. doi: 10.1002/jper.70147. Online ahead of print.
- Derived from this study: PubMed 40702945Foster JE, Coleman CC, Palaiologou AA, Mealey BL. Healing following ridge preservation using demineralized allograft particles or fibers alone, and combined with xenograft. J Periodontol. 2026 Jan;97(1):23-33. doi: 10.1002/jper.11374. Epub 2025 Jul 24.
- Individual participant dataSharing planned: Yes. De-identified data will be shared as summary results on ClinicalTrials.gov and in a peer-review journal.
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Not yet recruitingPhase 4
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Brian Mealey, DDS, MS principal investigator
The University of Texas Health Science Center at San Antonio
Angela Palaiologou-Gallis, DDS principal investigator
The University of Texas Health Science Center at San Antonio
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Vallos (DCP), Vallomix (DCF) and Vallos-F (DPX) in people with Dental Extraction and Wound Heal, run by The University of Texas Health Science Center at San Antonio at 1 site in United States.
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 7 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: finished, as of the sponsor's last update on 19 Jun 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 United States. 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?
Yes. Results are posted in the registry (first posted 19 Jun 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Percentage Vital Bone Formation (time frame: Wound healing time ( approximately 18 to 20 weeks)). 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 NCT05400213, which also lists 2 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 19 Jun 2025.