Healthy patients of both sexes, totally edentulous jaw presenting extensive maxillary bone resorption, in need of bone transplantation or bone graft, intending to receive implant-supported oral rehabilitation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients at least 35 years-old or older, presenting highly atrophic fully edentulous maxilla (residual alveolar bone height <5 mm), requiring bilateral maxillary sinus augmentation and full mouth implant-supported rehabilitation; having teeth extraction at least 8 weeks prior to bone augmentation.
Exclusion criteria
Exclusion criteria: Smokers (more than 10 cigarettes a day), with a history of use or current use of illicit drugs and/or alcohol; patients with metabolic/systemic diseases that lead to impaired tissue healing (eg, decompensated diabetes, leukocyte or clotting disorders, immunosuppression); hx of previous radiotherapy in the head or neck region; receptors for bisphosphonate-based or steroid therapies; intolerant to general and/or local anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparative analysis (test vs. control) of newly formed bone's density and quantity in cone beam computed tomographies (0,30,90 and180 days), histology (180 days) and histomorphometry (180 days).;RT-PCR analysis of bone formation markers expression (ALPL, PECAM-1 (CD31), VEGF, SPARC (Osteonectin), SSP1 (Osteopontin), COL1A, BMP-2, BMP-4) (180d). | — |
Secondary
| Measure | Time frame |
|---|---|
| Resorption rate of bone substitute particles (test vs.control) compared by histologic and histomorphometric analysis (180 days). | — |
Countries
Brazil