Alveolar Bone Loss
Conditions
Brief summary
Achieving prosthetically driven implant placement is a highly predictable treatment modality with reliable long-term results. Different surgical procedures have been used as a solution for reconstructing of the alveolar ridge with deficient volume. In the present study we demonstrate a modified alveolar ridge split technique for horizontal alveolar ridge augmentation (buccal plate repositioning technique) using the piezotome surgery. Evaluation of the effect of silica-calcium phosphate nanocomposite (SCPC) graft material versus demineralized freeze dried bone allograft (DFBA) in horizontal alveolar ridge augmentation before implant insertion will be performed.
Interventions
OTHERsilica-calcium phosphate nanocomposite SCPC
Patients will be treated with the buccal plate repositioning technique and grafted with SCPC then the grafted defect will be covered with a platelet-rich fibrin membrane.
OTHERfreezed dried bone
Patients will be treated with the buccal plate repositioning technique and grafted using DFDBA. then the grafted defect will be covered with a platelet-rich fibrin membrane.
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Patients with horizontal atrophy of the posterior mandible with pristine residual alveolar crest width from 2 to 4 mm. * Augmented area length in the mesial-distal direction of less than 20 mm. * Adequate physically healthy condition.
Exclusion criteria
* A systemic disease that would contraindicate oral surgical treatment. * Treated patients who had undergone therapy involving radiation * Patients who had received bone resection as part of an oncological treatment after a bone augmentation procedure. * Patients are subjected to intravenous and/or oral bisphosphonate therapy after the bone augmentation procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in alveolar ridge width | at baseline and 6 months | All patients will receive a CBCT scan; immediately after surgery and at 6 months post-operatively. The images will be analyzed using OnDemand3D software (Cybermed Inc) CBCT analyzing software and compared to the pre-operative scan for alveolar ridge width evaluation. |
Countries
Egypt
Outcome results
None listed