Horizontal Ridge Deficiency
Conditions
Keywords
ridge splitting, bone wedge, mixed bone particles, horizontally deficient ridge, aesthetic zone, ridge augmentation.
Brief summary
The current study aimed to evaluate both the quality and quantity of gained and maintained bone width after ridge splitting utilizing autogenic bone wedges versus mixed bone particles for horizontal ridge augmentation in the anterior esthetic zone.
Detailed description
This randomized clinical study included 20 patients with a horizontally deficient ridge in the esthetic region. Two groups were divided according to the type of intercortical bone graft used after ridge splitting: 10 patients for each. (The intervention group) had grafting with autogenous bone wedges harvested from the chin, and (the control group) had mixed (autogenic and xenogenic) bone particles.
Interventions
PROCEDUREautogenous bone wedge
autogenous bone block harvested from chin and adjusted to be wedged intercortical in split ridge
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
1. All patients possessed partially edentulous anterior maxillary ridge with the following criteria 1. The anterior maxillary vertical dimension was more than ten mm measured from the alveolar crest to the basal bone of the maxilla. 2. The horizontal alveolar dimension varies from 3-5 mm at the crest and 6-8 mm at the basal part of the ridge measured from the labial cortex to the lingual cortex. 2. All patients were free from any medical conditions that may affect bone healing . 3. No local pathosis that may interfere with bone healing. 4. No previous grafting procedures at the indicated edentulous ridge. \-
Exclusion criteria
1- Patients suffering from any systemic disease that may affect bone healing. 2- Patients with less than 3mm labio palatal alveolar ridge width. 3- Ridge with inadequate vertical bone height. 4- Presence of any local pathosis that may interfere with bone healing. 5- Patients unable to continue the whole follow up. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| bone width in (mm) by cone beam pre, immediate post operative and 6 months postoperative | 6 months | after ridge augmentation in both groups, the bone width will be measured immediately postoperatively and 6 months postoperatively with cone beam and the measurements of the three intervals (pre-, immediate and 6 months postoperatively) will be compared in both groups to evaluate the amount of gained and maintained bone width |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| percentage of areas of new bone (%) | 6 months | The harvested core biopsies would be stained with H&E and Massons trichrome stain and be microscopically examined to determine percentage areas of newly formed bone |
Countries
Egypt
Contacts
Primary Contactyasmin ahmed, B.D.S
Backup ContactMohamed Omara, PHD
Outcome results
None listed