Comparison Between Magnetic Mallet and Piezotome in Atrophic Anterior Maxillary Ridge Expansion With Simultaneous Bone Graft and Implant Placement (Randomized Clinical Trial)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- secondary implant stability
研究概览
简要总结
Background: teeth loss in the anterior maxilla initiate residual ridge resorption, especially in the anterior region. The consequence of this resorption is a gradual medial or palatal shift of the crest of maxilla. This results in change in facial morphology as result of diminished maxillary lip support. This may also lead to compromised occlusal relationship of prosthetic teeth as they are positioned labially to the crest of alveolar ridge.
Aim: to compare the use of magnetic mallet and piezotome in atrophic anterior maxillary ridge expansion with simultaneous bone graft and implant placement.Materials and Methods: 20 patients with anterior atrophic maxilla will be included in the study. Patients will be divided into two groups, group A the bone expansion will be done by the magnetic mallet. Group B the bone expansion will be done by the piezotome , both groups will have bone graft and implant.
clinical evaluation will include intra operative and post operative evaluation, primary and secondary stability, operative time and time . Radiographic evaluation will include bone density and marginal bone loss around the tnalpmi
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •alveolar ridge width from 3-5 mm
- •Patient with missing more than two anterior maxillary teeth
- •Patient with good oral hygiene and acceptable inter-arch space[8-12mm] for the restoration
- •D3 bone density
排除标准
- •Heavy smoker, alcohol abuse, parafunctional habits.
- •Patient with uncontrolled hypertension, uncontrolled diabetes, on radiation therapy
研究组 & 干预措施
Study group
干预措施: ridge expansion by piezotome (Procedure)
Control Group
干预措施: ridge expansion by magnetic mallet (Procedure)
结局指标
主要结局
secondary implant stability
时间窗: up to 6 months
(2ry stability ) will be recorded after 6 months by using osstell device. The result is presented in form of ISQ value from 1to 100, the higher the ISQ the higher the stability of implant.
次要结局
- change in bone density(up to 6 months)
- change in pain scores(up to 7 days)
- change in labial bone thickness(baseline and 6 months)
- Marginal bone loss(up to 6 months)