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Alveolar Bone LossNCT07779421

THBC/CGF for Alveolar Bone Regeneration: A Real-World Study

A study testing Temperature-sensitive hydroxybutyl chitosan-loaded concentrated growth factor, Temperature-sensitive hydroxybutyl chitosan and Autologous Concentrated Growth Factor in people with Alveolar Bone Loss and Alveolar Ridge Resorption After Extraction, run by Stomatological Hospital Affiliated with Fujian Medical University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study aims to combine real-world research with relevant bone repair materials and techniques to improve alveolar bone resorption in extraction sockets following impacted wisdom tooth removal, while achieving effective bone preservation or promoting bone regeneration. Read more about this study

Who is it for?
Ages 18 to 60 years
What is being tested?
Temperature-sensitive hydroxybutyl chitosan-loaded concentrated growth factor, Temperature-sensitive hydroxybutyl chitosan and Autologous Concentrated Growth Factor
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
136 participants
Where
1 siteChina
Study dates
1 Aug 2024to 31 Jul 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Preoperative CBCT imaging confirming mandibular third molars (M3s) with low to moderate impaction according to the Pell and Gregory classification, and not in the acute inflammatory stage.
  • Ipsilateral mandibular second molars (M2s) with retention value and no indication for extraction.
  • Patients able to provide written informed consent and willing to comply with the scheduled follow-up visits.
  • Age between 18 and 60 years (inclusive).

Who cannot join

  • Presence of systemic diseases or other contraindications to tooth extraction surgery.
  • Known or suspected current malignancy.
  • History of radiation therapy to the head and neck region.
  • History of chemotherapy within 5 years prior to surgery.
  • Smoking > 15 cigarettes per day.
  • Subjects with mental or neurological disorders, or otherwise unable to provide informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Stomatological Hospital Affiliated with Fujian Medical University

    Fuzhou, Fujian, 350002

    Ye Wu, Ph.D., +86-591-83700838, wuye@fjmu.edu.cn

    Recruiting

Other trials in China

About this study

Official title: A Real-World Study on Temperature-Sensitive Hydroxybutyl Chitosan-Loaded Concentrated Growth Factor for Alveolar Bone Defect Repair

This study aims to combine real-world research with relevant bone repair materials and techniques to improve alveolar bone resorption in extraction sockets following impacted wisdom tooth removal, while achieving effective bone preservation or promoting bone regeneration. All eligible cases within specified parameters will be included in the clinical study scope. Based on real-world clinical data, we will proactively collect postoperative clinical examination findings and imaging data. Statistical analysis will be performed on clinical outcomes and follow-up data from patients undergoing mandibular impacted M3 extraction. The study aims to clarify the therapeutic efficacy of the thermosensitive hydroxyethylchitosan-loaded concentrated growth factor group in repairing mesial bone defects of M2s following M3 extraction.

Read the detailed description

This study is a prospective observational investigation conducted in a real-world clinical setting. Its objective is to systematically evaluate the clinical efficacy and bone regeneration capacity of a novel composite material, thermosensitive hydroxybutyl chitosan (THBC) loaded with concentrated growth factor (CGF), in the clinical efficacy and bone regenerative capacity for restoring mesial bone defects in second molars following mandibular impacted third molar extraction. The study will enroll patients requiring extraction of mandibular mesial or lower impacted third molars. All participants will select different bone repair options based on clinical circumstances and personal preference, including the THBC+CGF experimental group, autogenous bone graft group, THBC group, CGF group, collagen sponge group, and unfilled control group. Baseline data and intraoperative details will be comprehensively described.

Being tested
Temperature-sensitive hydroxybutyl chitosan-loaded concentrated growth factor, Temperature-sensitive hydroxybutyl chitosan, Autologous Concentrated Growth Factor, Natural Healing without Biomaterial Intervention
Medical subject headings
Alveolar Bone Loss, Tooth, Impacted

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Temperature-sensitive hydroxybutyl chitosan-loaded concentrated growth factorCombination product

    • THBC Component: Its key component is hydroxybutyl chitosan. The product is supplied as a clear or light yellow, easily flowing liquid at storage temperature (2-8 degrees Celsius) and undergoes a sol-gel transition to form a transparent or semi-transparent gel at body temperature (37 +/- 2 degrees Celsius). The product is composed of hydroxybutyl chitosan, glycerol, and purified water. It is designed to provide a physical barrier, create a moist wound-healing environment, and alleviate pain.
    • CGF Component: Concentrated Growth Factor (CGF) is a third-generation autologous platelet concentrate obtained from the patient's own venous blood through a specific centrifugation process. It presents as a dense, three-dimensional fibrin matrix rich in platelets, leukocytes, cytokines, and growth factors (such as PDGF, TGF-beta, VEGF).
    • Composite Process: Mixed under sterile conditions, injection flow rate less than or equal to 0.5 mL/s.
  • Temperature-sensitive hydroxybutyl chitosanDevice

    Its key component is hydroxybutyl chitosan. The product is supplied as a clear or light yellow, easily flowing liquid at storage temperature (2-8 degrees Celsius) and undergoes a sol-gel transition to form a transparent or semi-transparent gel at body temperature (37 +/- 2 degrees Celsius). The product is composed of hydroxybutyl chitosan, glycerol, and purified water. It is designed to provide a physical barrier, create a moist wound-healing environment, and alleviate pain.

  • Autologous Concentrated Growth FactorBiological

    Concentrated Growth Factor (CGF) is a third-generation autologous platelet concentrate obtained from the patient's own venous blood through a specific centrifugation process. It presents as a dense, three-dimensional fibrin matrix rich in platelets, leukocytes, cytokines, and growth factors (such as PDGF, TGF-beta, VEGF).

  • Natural Healing without Biomaterial InterventionOther

    After tooth extraction, gently scraping the bone wall induces bleeding, allowing a natural blood clot to form. Within 30 minutes postoperatively, ensure the clot fills more than 90 percent of the socket without applying experimental biomaterials.

Study groups in NCT07779421
Study groupRoleWhat they receive
THBC+CGF CompositeExperimentalFollowing extraction of the patient's mandibular third molar, immediate placement of a THBC/CGF composite filling was performed. Autologous venous blood was centrifuged, and the resulting CGF clot was compressed into a CGF membrane using specialised instruments. This membrane was mixed with 0.5 mL of THBC solution and injected into the extraction socket. The mixture gelled at 37 degrees Celsius, with a gelation time of less than or equal to 1 minute. Routine infection prevention measures were implemented postoperatively.
Receives: Combination Product: Temperature-sensitive hydroxybutyl chitosan-loaded concentrated growth factor
THBCActive comparatorFollowing extraction of the patient's mandibular third molar, 0.5 mL of THBC was injected into the extraction socket and allowed to gel at 37 degrees Celsius (gelation time less than or equal to 1 minute). Routine infection prevention measures were implemented postoperatively.
Receives: Device: Temperature-sensitive hydroxybutyl chitosan
CGFActive comparatorImmediately prior to surgery, venous blood is drawn from the patient and centrifuged without delay. Upon completion of preparation, the resulting CGF clot is compressed into a CGF membrane using specialised instruments. This CGF membrane is implanted directly into the extraction socket within 30 minutes of preparation to cover the bone defect area.Routine infection prevention measures were implemented postoperatively.
Receives: Biological: Autologous Concentrated Growth Factor
No FillingSham comparatorNatural healing after tooth extraction: The extraction socket is filled solely by a blood clot without any implanted biomaterials. Routine infection prevention measures were implemented postoperatively.
Receives: Other: Natural Healing without Biomaterial Intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 7-day postoperative healing score

    Healing of the extraction wound and granulation tissue formation assessed at 7 days postoperatively. Scoring: 3 = complete healing (no gingival redness or swelling); 2 = fistula detected at the distal-middle area of the second molar or mild gingival redness/swelling without infection; 1 = poor healing or obvious redness/swelling without pus; 0 = presence of pus (infection).

    Measured: 7 days after surgery

  2. Alveolar Bone Width( Millimeters)

    Width of the alveolar bone measured as the distance from the crest of the buccal alveolar ridge to the crest of the lingual alveolar ridge, using the CT scanner's built-in measurement software.

    Measured: Pre-operative, 3 months post-operative,6 months post-operative

  3. Alveolar Bone Height(Millimeters)

    Height of the alveolar bone measured as the vertical distance from the highest point of the alveolar bone to the upper wall of the mandibular canal, using the CT scanner's built-in measurement software.

    Measured: Pre-operative; 3 months post-operative,6 months post-operative

  4. Second Molar Mobility (Modified Miller Grade)

    Mobility of the second molar assessed using the modified Miller grading system with two standard metal dental instrument handles (e.g., mouth mirror handle and probe handle). Grade 0 = no mobility; Grade I = labial/lingual mobility <1 mm; Grade II = labial/lingual mobility 1-2 mm; Grade III = labial/lingual mobility >2 mm with vertical mobility.

    Measured: Preoperative,7 days after surgery, 14 days after surgery, 3 months after surgery

  5. Mouth Opening Width(Millimeters)

    Maximum interincisal distance (between the incisal margins of the upper and lower incisors) measured using standard calipers.

    Measured: Preoperative,1 day after surgery, 3 days after surgery, 7 days after surgery

  6. Postoperative pain (VAS score)

    Patient-reported pain intensity on a 10-point visual analogue scale (VAS) with verbal descriptors: 0 = no pain; 1-3 = mild pain, not interfering with sleep; 4-6 = moderate pain, mildly interfering with sleep; 7-9 = severe pain, preventing sleep and requiring medication; 10 = worst possible pain.

    Measured: 1 day after surgery, 3 days after surgery, 7 days after surgery, 14 days after surgery

  7. Swelling degree(millimeter)

    Facial swelling measured as the distance from the tragus to the corner of the mouth on the extraction side, using a soft tape measure.

    Measured: Preoperative, 1 day postoperative, 3 days postoperative, 7 days postoperative

  8. Second Molar Probing Depth (Mean of Three Sites)

    Probing depth (PD) recorded at three sites of the second molar periodontium (buccal distal-medial, mid-distal, and lingual distal-medial) using a periodontal probe. The final reported value will be the mean of the three site measurements. PD is defined as the distance from the free gingival margin to the bottom of the periodontal pocket.

    Measured: Preoperative, 14 days postoperative, 3 months postoperative

  9. Second Molar Probing Tenderness(Ordinal category )

    Vertical percussion of the occlusal surface of the second molar (M2) using the handle of a metal dental mirror, compared with the contralateral healthy tooth. Response graded as: (-) = no discomfort, identical to control; (±) = abnormal sensation/soreness, not clearly pain; (+) = clear pain, tolerable; (++) = sharp pain provoking avoidance; (+++) = severe pain, refusal of further examination.

    Measured: Preoperative,7 days after surgery, 14 days after surgery, 3 months after surgery

  10. Postoperative Bleeding

    Presence of active bleeding from the extraction wound and presence of blood clot formation assessed at 30 minutes postoperatively. Recorded as present/absent.

    Measured: 30 minutes after surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2026
  2. Study start1 Aug 2024
  3. Primary completion31 May 2027 (estimated)
  4. Study completion31 Jul 2027 (estimated)

Resources

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
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
136 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07779421
Sponsor's protocol ID
2024Clin004
Status last verified
Aug 2026
First submitted
18 Aug 2025
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Temperature-sensitive hydroxybutyl chitosan-loaded concentrated growth factor, Temperature-sensitive hydroxybutyl chitosan and Autologous Concentrated Growth Factor in people with Alveolar Bone Loss and Alveolar Ridge Resorption After Extraction, run by Stomatological Hospital Affiliated with Fujian Medical University at 1 site in China.

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 4 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: looking for participants now, as of the sponsor's last update on 21 Aug 2026. 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 China. 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. Some participants in this study may receive a placebo. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

7-day postoperative healing score (time frame: 7 days after surgery). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Aug 2026.

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