Dental Implant, Distraction of Bone
Conditions
Keywords
Alveolar, Bone, Distraction
Brief summary
Deficient alveolar mandibular ridge corrected distraction osteogenesis to facilitate dental implant placement. Patients grouped into 2 groups: one group received Cissus quadrangularis during the consolidation period, and the other group received placebo.
Detailed description
OPGs were taken immediately after distractor placement, at end of activation period, at 1st,2nd month of consolidation period, and at end of consolidation period. Change in bone height was evaluated immediately after distractor placement, at end of activation and end of consolidation periods. CBCT were taken immediately after implant installation, and 6 months later to evaluate change bone density and marginal bone level about the dental implant. histological evaluation was done by biopsy obtained, by trephine bur, from implant site during its preparation. The bone biopsy fixed in 4% formalin solution for 7 days, rinsed in water, and dehydrated in sequent phases of ethanol (70, 80, 90, and 100%) and then specimens were stained by hematoxylin- eosin for microscopic evaluation. Radiographic evaluation
Interventions
DRUGCissus Quadrangularis
Drug with osteogenic potential given to the patients after consolidation period. dose was two capsules once /day with meals for 6 weeks
Sponsors
Al-Azhar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients were included if they were free from any disease that may affect healing. Also, presented with 2-3 missing teeth at least in posterior area and CBCT showed bone height above inferior alveolar canal (IAC) ranged 8-10mm.
Exclusion criteria
* patients were excluded if they suffered from any disease affect tissue healing, bad oral hygiene or heavy smoking patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bone gain after distraction | immediately at end of distractor activation | Increase in bone height after distraction |
| Relapse after distraction | 3 months from beginning of consolidation period | Relapse evaluated on panorama |
| Crestal bone loss around dental implant | 6 months from implant placement | By using cone beam CT, crestal bone level around implant evaluated by measuring a distance from implant apex to a point on dental implant where bone contacts the dental implant mesially and distally. then average of bone loss round each implant was obtained. |
| Bone density around dental implant | 6 months from implant placement | By using cone beam CT, bone density assessed around dental implant at crestal, middle, and apical portions then average was obtained |
Countries
Egypt
Outcome results
None listed