Evaluation of Piezosurgical Buccal Plate Repositioning Technique for Horizontal Alveolar Ridge Augmentation Comparing Between Two Different Grafting Materials (a Randomized Clinical Trial)
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- change in alveolar ridge width
Study Overview
Brief Summary
Achieving prosthetically driven implant placement is a highly predictable treatment modality with reliable long-term results. Different surgical procedures have been used as a solution for reconstructing of the alveolar ridge with deficient volume. In the present study we demonstrate a modified alveolar ridge split technique for horizontal alveolar ridge augmentation (buccal plate repositioning technique) using the piezotome surgery. Evaluation of the effect of silica-calcium phosphate nanocomposite (SCPC) graft material versus demineralized freeze dried bone allograft (DFBA) in horizontal alveolar ridge augmentation before implant insertion will be performed.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with horizontal atrophy of the posterior mandible with pristine residual alveolar crest width from 2 to 4 mm.
- •Augmented area length in the mesial-distal direction of less than 20 mm.
- •Adequate physically healthy condition.
Exclusion Criteria
- •A systemic disease that would contraindicate oral surgical treatment.
- •Treated patients who had undergone therapy involving radiation
- •Patients who had received bone resection as part of an oncological treatment after a bone augmentation procedure.
- •Patients are subjected to intravenous and/or oral bisphosphonate therapy after the bone augmentation procedure.
Arms & Interventions
Group A
Group A will be treated with the buccal plate repositioning technique and grafted with SCPC.
Intervention: silica-calcium phosphate nanocomposite SCPC (Other)
Group B
Group B will be similarly managed and grafted using DFDBA
Intervention: freezed dried bone (Other)
Outcomes
Primary Outcomes
change in alveolar ridge width
Time Frame: at baseline and 6 months
All patients will receive a CBCT scan; immediately after surgery and at 6 months post-operatively. The images will be analyzed using OnDemand3D software (Cybermed Inc) CBCT analyzing software and compared to the pre-operative scan for alveolar ridge width evaluation.
Secondary Outcomes
No secondary outcomes reported
Investigators
Hams Hamed Abdelrahman
Assistant lecturer of DPH and Clinical statistician
Alexandria University