Implant Site Reaction, Maxillary Deficiency
Conditions
Keywords
Closed Sinus lifting, Bone Gain
Brief summary
This study aims to evaluate the quantity and quality of the native and the newly bone around dental implants that's simultaneously installed with sinus lifting
Interventions
PROCEDUREDental implant with sinus lifting.
Surgery will be performed under local infiltration anaesthesia. Flap will be done. For maxillary sinus lifting by using Crestal approach with Membrane Control Technique by Wang (Wang, 2017) will be employed. After reflecting on the flap, Magic Split will be used to confirm bone quality clinically. This will be followed by site preparation using Magic Marking Drill. Bone drilling will then be performed by Magic Drill shorter by 2 mm from the sinus floor. This will be followed by sinus lifting by using Magic Sinus Lifter (MSL). The 3mm space of the apex of the Sinus Lifter instrument enables direct control of the bone-block and consequently the membrane, which is connected to the bone-block. the fixture will be installed in the conventional method. Then cover the fixture with the cover screw. The flap will be sutured. An immediate CBCT will be requested to ensure the implant is in its proper position.
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
1. Patients required dental implant treatment in the posterior maxilla, in the premolar and molar regions ( both sexes). 2. Residual bone height 4-8mm in the estimated implant positions. 3. The bone width of the alveolar ridge is at least 5mm in estimated implant positions. 4. The edentulous ridges are covered with optimal thickness of mucoperiosteum.
Exclusion criteria
1. Patients with a systemically diseases or inflammation whether local or generalized. 2. Patients with bleeding disorders. 3. Subjected to irradiation in the head and neck area less than 1 year before implantation. 4. Poor oral hygiene and motivation. 5. Pregnant or nursing. 6. Severe bruxism or clenching. 7. Active infection or severe inflammation in the area intended for implant placement. 8. Unable to open mouth sufficiently to accommodate the surgical tooling.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cone beam computed tomography (CBCT) bone height formation around dental implants | Patients will be evaluated after 3 days and weekly for the first month and then once monthly up to 4 months for signs of dehiscence. then cone-beam computed tomography 4 months postoperatively to calculate the amount of vertical bone gain. | Calculate bone height and formation around dental implants. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cone beam computed tomography (CBCT) density formation around dental implants | Patients will be evaluated after 3 days and weekly for the first month and then once monthly up to 4 months for signs of dehiscence. then cone-beam computed tomography 4 months postoperatively to calculate the amount of vertical bone gain. | Calculate bone density formation around dental implants. |
Outcome results
None listed