Bone Resorption
Conditions
Brief summary
Using bone ring grafts with simultaneous implant placement after three-dimensional augmentation of severely defective bone ridges using computer-guided surgical templates. The study compares accuracy effectiveness by mimics software
Detailed description
To study the effectiveness of computer guided surgical stents in ridge augmentation with implant insertion compared with free hand augmentation -Population/Intervention/Comparator/Outcome (PICO)- Population (P): patients with massive bone resorption horizontally and vertically, severe bone loss around teeth, periodontal disease or traumatic extraction in partially edentulous maxillary anterior region requiring implant insertion. Intervention (I): simultaneous implant placement with ridge augmentation using computer guided surgical templates with PRF. Comparator (C): Free hand simultaneous implant placement with ridge augmentation. Outcome (O): Patient esthetic satisfaction - Augmentation and implant insertion accuracy
Interventions
PROCEDUREComputer Guided Stent Augmentation
Defective alveolar ridge is to be replaced by simultaneous implant placement with ring graft augmentation (Trephine Drill to obtain the ring graft autogenous bone) using computer guided stent and covered with Platelet-rich fibrin (PRF), by using venous blood from the patient, a centrifuge will be used to obtain the top layer after centrifuging blood at 3000 Revolution Per Minute (RPM) for 10 minutes.
PROCEDUREFree Hand Augmentation
Defective alveolar ridge is to be replaced by Free Hand simultaneous implant placement with ring graft augmentation (Trephine Drill to obtain the ring graft autogenous bone) and covered with Platelet-rich fibrin (PRF), by using venous blood from the patient, a centrifuge will be used to obtain the top layer after centrifuging blood at 3000 RPM for 10 minutes.
DEVICEimplant
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
Double Blind (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients with insufficient alveolar ridge or severe alveolar bone resorption horizontally and vertically in partially edentulous maxillary anterior region. 2. Medically free patients in order to be a confounding factor on the final results. 3. Highly motivated patients. 4. Good oral hygiene. 5. Patients physically able to tolerate surgical and restorative procedures.
Exclusion criteria
1. Young patients (incomplete bone growth). 2. Patients with any systemic disease that could affect bone healing. 3. Patients allergic to local anaesthetic agent. 4. Pregnant or lactating females. 5. Presence of any pathosis in the area. 6. history of oral radiotherapy. 7. history of prolonged steroid use. 8. Psychological disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Satisfaction regarding esthetic results. | 5 month | outcome will be measured using questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy of computer guided surgical templates in comparison with 3D virtual planning. | immediately after procedure | Comparing the results on the patient with the design made by the surgical software. |
Countries
Egypt
Contacts
Primary ContactMohamed A Younis, Dentist
Outcome results
None listed