Bone Augmentation
Conditions
Brief summary
Is the use of collagen membrane on top of particulate bone mixture covered by onlay bone block in Maxilla better than the use of mixture of particulate bone covered by onlay bone block without the use of collagen membrane, in terms of bone quantity?
Detailed description
Soft tissue dehiscence could result due to flap irritation as a result of, closure under tension, intraoperative or postoperative recipient site infection, postoperative edema, which in turns compromises stability of onlay bone blocks thus osseintegration of bone block. Any attempt of bone recontouring and resuturing fails since there is no vascular bed. Ideal requirements of barrier membranes are, they should be biological compatible, they must act as a barrier membrane, unwanted fibroblasts should be hindered from entrance while allowing diffusion of nutrients, tissue integration (biological adhesion), tissues should be able to grow into the membrane but not through it. Space maintainer, it should be sufficiently stiff, so as not to collapse into the underlying particulate bone under the pressure of soft tissue and it should be ease in its manipulation, adaptation and handling, as for example, collagen membrane. Some types of collagen membrane, contain some degrees of stretchability example Geistlich Bio-Gide or Jason Membrane Botiss.
Interventions
PROCEDUREOnlay bone block covered with collagen membrane
Onlay bone block covered with collagen membrane
Onlay bone block covered without collagen membrane
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients with maxillary residual alveolar bone height not less than 8 mm. * Alveolar bone width from less than or equal 5 mm. * Both genders. * At least missing single tooth. * Previous Failed Implants. * Previous Failed Grafting.
Exclusion criteria
* • Heavy smokers more than 20 cigarettes per day. * Patients with alcohol abuse * Patients with narcotic abuse. * Patients with bone disease that may affect normal healing, example; hyperparathyroidism. * Patients had radiotherapy and chemotherapy in head and neck. * Patients had neoplasms in sites to be grafted. * Patients with Metabolic diseases uncontrolled diabetic patients, Glycated hemoglobin (Hb A1c) more than 7 mg\\dl. * Pregnant females. * Patients with Para functional habits, apprehensive and non-cooperative. * Bone pathology related to the site to be grafted. * Psychological problems, stress situation (socially or professionally), emotional instability, and unrealistic patients' expectations. * Intraoral soft and hard tissue pathology. * Systemic condition that contraindicate implant placement. * Under the age of 18 years.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantity of bone gain. | At 5 months from ridge augmentation. | Measured using linear measurements from Cone Beam Computed Tomography in millimeters. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Soft Tissue Dehiscence | Baseline 1st Week. Written Binary Numerical Yes or No. | Exposure of bone block assembly and impaired healing |
Countries
Egypt
Contacts
Primary ContactMohannad A. Ismail, MSc.
Backup ContactNiveen A. Askar, PhD
Outcome results
None listed