Alveolar Bone Resorption
Conditions
Keywords
Densah burs, Osseodensification, OsseoHand Osteotomes, alveolar ridge wideninig
Brief summary
the goal of this clinical trial is to learn if the new osseo-densification technique works to provide enough bone width and quality prior to implant placement in the upper jaw the main question it aims to answer is: Is the use of osseo-densification protocol better than the standard alveolar ridge widening techniques; regarding efficiency and comfort in obtaining sufficient alveolar ridge width in horizontally atrophic alveolar ridges?
Detailed description
a new osseo-densification protocol using specially designed Densah burs was compared to conventional hand Osteotome technique to test its efficiency in providing sufficient bone quantity and quality in cases of horizontally deficient maxillary edentulous alveolar ridge sites that require expansion prior to dental implant placement
Interventions
PROCEDUREAlveolar ridge wideninig via applying osseodensification protocol using densah burs
alveolar ridge expansion using densah burs in horizontally deficient maxillary alveolar ridges prior to dental implants insertion
PROCEDUREAlveolar ridge widening via hand osteotomes
Alveolar ridge expansion using hand driven osteotomes in horizontally deficient maxillary alveolar ridges prior to dental Implant insertion
Sponsors
Cairo University
Mohamed Magdy Mostafa Shehata
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Intervention model description
a new technique used to provide sufficient alveolar ridge width and enhance bone quality at horizontally deficient maxillary alveolar ridges prior to implant placement. the new technique uses specially designed burs called Densah burs that act by causeing bone compaction rather than bone removing from the osteotomy site
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age ≥18 years old. * In cases of an initial ridge width ≤ 5mm that contains ≤ 2mm of trabecular bone core. * Alveolar ridges with narrow crest and wider base.
Exclusion criteria
* Uncontrolled diabetic patients * Heavy Smokers * Patients suffering from osteoporosis * Patients receiving chemo or radio therapy * Patients suffering from bleeding disorders * Patients suffering from intraosseous lesions at the proposed site of implant * Patients with insufficient alveolar bone hight less than 10 mm. * Resorbed ridge with a narrow base.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| efficiency of ridge widening technique | intraoperative and within 3 days post operative | the amount of ridge width gain is measured both clinically via a caliber and radiographically on CBCT |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| primary stability of implant | intra-operative after dental implant placement | the primary stability of the inserted dental implant is measured via osstell device |
| length of surgical procedure | During surgery | the time required for completion of the surgical procedure is measured in minutes using stop watch |
| Value of pain | Immediate post operative | the degree of pain or discomfort examined by the patient during the ridge widening procedure is recorded using a visual scale where 0 represents no pain while 1 minimum pain and 10 is maximum pain |
Countries
Egypt
Outcome results
None listed