Bone Expantion, Dental Implant
Conditions
Brief summary
Dental implants supported restorations have been widely accepted as one of the treatment modalities to replace missing teeth and to restore human masticatory function. Successful osseointegration from the clinical standpoint is a measured by implant stability, which occurs after implant integration. Osseodensification is a bio-mechanical site preparation technique. It utilizes a multi-fluted densifying bur technology that creates and expands a pilot hole without excavating significant amounts of bone tissue through a unique, highly controllable, fast, and efficient procedure with minimal heat elevation. Aim of the study: Is to evaluate and compare the efficacy of using osseodensification compared to conventional bone expansion in implant stability and ridge expansion.
Interventions
DEVICEOsseodesification densah burs
Drill no. VT1525 (2mm) of densah burs will be used first in counter clockwise (in the osteotomy site). Then drill no. VT2535 (3mm) of densah burs will be used in counter clockwise to put 3.5mm implant diameter.
DEVICEMicrodent
No. 1 Microdent expander will be placed and screwed slowely (to avoid heat generation) into the osteotomy site till reaching the full desired length. N0. 2 microdent expander will be placed and screwed into the osteotomy site as the same step. Then no. 3 Microdent expander will be inserted for placing 3.5mm implant diameter
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Missing maxillary anterior tooth, having moderate horizontal ridge defect in which the alveolar ridge width is( 3-4) mm, and its height is not less than 10 mm. * Presence of adequate keratinized mucosa. * Patients with good oral hygiene. * Patients are free from any systemic diseases that might affect healing. * Presence of adequate inter-occlusal and mesiodistal space that permits placement of fixed prosthesis.
Exclusion criteria
* Heavy smokers and bad oral hygiene patients. * Medically compromised patients that affecting placement of implant. * Alcohol or drug abuse. * Pregnant women. * Patients suffering from osteoporosis. * Current chemotherapy or radiotherapy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in implant stability | Baseline and 16 weeks | Implant stability will be measured using the Ostell device. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in bone density | Baseline and 16 weeks | The patients will be examined radiographically using CBCT |
| Change in ridge expansion | Baseline and 16 weeks | The patients will be examined radiographically using CBCT |
| Change in bone loss | Baseline and 16 weeks | The patients will be examined radiographically using CBCT |
Countries
Egypt
Outcome results
None listed