Implant Complication, Sinus; Dental, Surgery-Complications
Conditions
Brief summary
Implant placement in deficient posterior maxilla is a challenging clinical situation that necessitates appropriate treatment options to restore this area. -Aim of the study: To compare allograft vs tenting technique in terms of implant stability and bone height.
Detailed description
Rationale for carrying out the trial: The research population will be divided into two groups. Group1 will be treated by allograft with immediate implant technique, Group2 will be treated by tenting technique with immediate implant technique. Allograft has been effective in augmenting bone growth and has been proven to be a vital asset in sinus lifting.
Interventions
PROCEDURESinus lifting with allograft
Participants will receive sinus lifting and allograft with immediate implant in premolar-molar area.
OTHERSinus lifting without graft
Participants will receive sinus lifting with immediate implant in premolar-molar area without graft
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
30 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patient with missing upper pre molar , molar teeth 2. Patients in need of bone grafting of the maxillary sinus to house an implant. 3. Patients with residual alveolar crest of at least 3-4mm in height and 5mm in width distal to the canine as measured on CBCT scan 4. Patients with adequate inter-arch space
Exclusion criteria
1. Patients suffering from any sinus pathosis. 2. Patients who are heavy smokers (\>10 cigarettes/day). 3. Patient under psychiatric therapy or unrealistic expectations 4. Patients of systemic conditions that may interfere with carrying out the surgical procedure. 5. Lack of opposite occluding dentition/prosthesis in the area intended for implant placement 6. Severe bruxism or clenching 7. Poor oral hygiene (full mouth bleeding on probing and full mouth plaque index \>25%)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant stability | During the implant placement procedure and after 6 months | implant stability quotient(ISQ) is the evaluation unit set to determine the correct isq\<60:low stability isq 60-65 : medium stability isq \>70: high stability stability of the implant, this module by means of a resonance frequency analysis (rfa) applied to the bone manages to measure stability on an isq scale from 1 to 100 (khz): |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Bone hight | Before surgery and after 6 months | Newly formed bone length will be measured on cone beam ct by millimeter |
Contacts
Primary ContactAmira R Elshikh, BCS
Backup ContactSalma H Abdelaty
Outcome results
None listed