Sinus Floor Elevation
Conditions
Brief summary
Dental implant therapy in the posterior maxilla may be difficult owing to limited bone height after dental extraction with sinus pneumatization. Several approaches for sinus floor elevation have been documented, and hence flapless transcrestal sinus floor elevation is minimally invasive technique which is used in moderately defected maxilla. Aim of the study: to evaluate both clinical and radiographic outcomes in sinus floor elevation following dental implant placement using flapless transcrestal sinus lift approach with Titanium platelet rich fibrin (TPRF) as a sole sinus graft material compared to Platelet rich fibrin (PRF).
Interventions
Including 8 patients who will be treated by flapless transcrestal sinus floor elevation using the TPRF as a sole grafting material.
Including 8 patients who will be treated by flapless transcrestal sinus floor elevation using the PRF as a sole grafting material.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient seeking replacement of a missed maxillary posterior teeth by a delayed dental implant procedure. * Residual bone height is (4-7) mm measured from crestal bone to sinus floor. * Good oral hygiene
Exclusion criteria
* Uncontrolled Diabetes. * Coagulation disorders. * Immunological disorders. * Previous radiation of the head and neck region. * Abnormal bone physiology. * Therapy with Bisphosphonates.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in bone density | Baseline and 6 months | Cuts of CBCT (cross sectional, axial and sagittal view), bone density, will be analyzed using On-demand software. The radiographic evaluation will be based on radiological parameters, using reference points and lines at T0 and T1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in implant stability | Baseline and 6 months | Secondary implant stability will be measured 6 months post-operatively using Osstell device. |
| change in pain scores | 1st day, 3rd day and 1 week | Pain (by Visual Analogous Scale) ranges from 0 to 10 0 - No pain. 2 to 4 - Mild pain. 5 to 7 - Moderate pain. 8 to 10 - severe pain. |
Countries
Egypt