Tooth Loss
Conditions
Keywords
CAD-CAM allogenic block, oroantral communication, radiographic analysis, histological analysis
Brief summary
13 patients will be included in this study with a badly destructed upper molar indicated for extraction. Cone beam computerized tomography images revealed the presence of a large bone defect associated with oro-antral communication with the maxillary sinus. after extraction, The prefabricated allogenic scaffold will be seated. then 6 months later, implant will be inserted.
Detailed description
13 patients will be included in this study with a badly destructed upper molar indicated for extraction. Cone beam computerized tomography images revealed the presence of a large bone defect associated with oro-antral communication with the maxillary sinus. : Extraction will be performed atraumatically using a piezotome surgical motor with an extraction kit. After removal of tooth, oro-antral communication will be verified .The prefabricated CAD-CAM allogenic bone will be seated and covered with nonporous d-PTFE membrane which was secured with simple interrupted sutures. After 6 months, a new CBCT scan will be performed. A mucoperiosteal flap will be reflected ,and a bone biopsy will be taken using a trephine bur. Under strictly aseptic circumstances, the selected implant will be inserted
Interventions
DEVICEExtraction will be performed atraumatically using a piezotome surgical motor with an extraction kit
Extraction will be performed atraumatically using a piezotome surgical motor with an extraction kit. After removal of tooth, oro-antral communication will be verified .The prefabricated CAD-CAM Allogenic bone will be seated and covered with nonporous d-PTFE membrane
Sponsors
Tanta University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* ≥ 20 badly destructed upper molar indicated for extraction CBCT revealed the presence of a large bone defect associated with oro-antral communication with the maxillary sinus
Exclusion criteria
* any systemic disesse affect healing heavy smoker sinus disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the integration of graft | 6 months | CBCT |
| histological analysis of graft | 6 months | histomorphometric analysis |
Countries
Egypt
Contacts
PRINCIPAL_INVESTIGATORmohamed helal, lecturer
Tanta University
PRINCIPAL_INVESTIGATORrehab ghouraba, professor
Tanta University
PRINCIPAL_INVESTIGATORaya alsherif, lecturer
Tanta University
Outcome results
None listed