Bone Loss
Conditions
Brief summary
The aim of this study was to assess the efficiency of the computer-guided interpositional sandwich osteotomy for the vertical bone gain and effects on vital structures (inferior dental nerve bundle) compared to free hand interpositional osteotomies.
Detailed description
in this research a full digital sandwich osteotomy protocol was conducted to be compared with the conventional protocol. the investigators were seeking to determine the significance of using surgical computer software in sandwich interpositional bone grafting at atrophied posterior mandibles and how efficiently can it affect this technique.
Interventions
PROCEDUREsandwich interpositional bone grafting computer guided
performing the 2 vertical and the 1 horizontal osteotomies using a cutting patient specific guide and fixation of the vertically elevated bony segment after gap calculation using patient specific fixation guides
PROCEDUREconventional interpositional bone grafting
performing the conventional interpositional sandwich osteotomies free-hand and fixation of the mobilized bone segment free-hand
Sponsors
Future University in Egypt
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* • Edentulous posterior mandibular ridge with vertical loss of alveolar bone with remaining bone height (4-7 mm) above the mandibular canal * Good oral hygiene * Highly motivated patients * Patients seeking fixed prosthesis at posterior mandibular region. * Patients willing for a surgical procedures follow-up with an informed consent * Age range 20-65 years
Exclusion criteria
* • Smokers * Individuals with dentulous posterior mandible ridge * Medically compromised patients * Patients with local pathosis at the surgical area suggested * Previously subjected to reconstructive procedures of the posterior mandible
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| amount of vertical bone gain | 4 months | measure the amount of vertical bone gained after performing the interpositional sandwich osteotomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| neurosensory affection | 4 months | measure the affection of the inferior alveolar nerve bundle after performing the interpositional sandwich osteotomy |
Countries
Egypt
Outcome results
None listed