Evaluation of Computer-Guided Versus Conventional Simultaneous Implant Placement With Ridge Augmentation Using an Autogenous Bone Ring Graft With PRF on Patient's Esthetic Satisfaction
Overview
- Phase
- Not Applicable
- Intervention
- Computer Guided Stent Augmentation
- Conditions
- Bone Resorption
- Sponsor
- Cairo University
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- Patient Satisfaction regarding esthetic results.
- Last Updated
- 9 years ago
Overview
Brief Summary
Using bone ring grafts with simultaneous implant placement after three-dimensional augmentation of severely defective bone ridges using computer-guided surgical templates. The study compares accuracy effectiveness by mimics software
Detailed Description
To study the effectiveness of computer guided surgical stents in ridge augmentation with implant insertion compared with free hand augmentation -Population/Intervention/Comparator/Outcome (PICO)- Population (P): patients with massive bone resorption horizontally and vertically, severe bone loss around teeth, periodontal disease or traumatic extraction in partially edentulous maxillary anterior region requiring implant insertion. Intervention (I): simultaneous implant placement with ridge augmentation using computer guided surgical templates with PRF. Comparator (C): Free hand simultaneous implant placement with ridge augmentation. Outcome (O): Patient esthetic satisfaction - Augmentation and implant insertion accuracy
Investigators
Mohamed Ahmed Younis
Dentist at Ministry Of Health
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Patients with insufficient alveolar ridge or severe alveolar bone resorption horizontally and vertically in partially edentulous maxillary anterior region.
- •Medically free patients in order to be a confounding factor on the final results.
- •Highly motivated patients.
- •Good oral hygiene.
- •Patients physically able to tolerate surgical and restorative procedures.
Exclusion Criteria
- •Young patients (incomplete bone growth).
- •Patients with any systemic disease that could affect bone healing.
- •Patients allergic to local anaesthetic agent.
- •Pregnant or lactating females.
- •Presence of any pathosis in the area.
- •history of oral radiotherapy.
- •history of prolonged steroid use.
- •Psychological disorders.
Arms & Interventions
Computer Guided Stent Augmentation
Patients with defective maxillary anterior alveolar ridges requiring implant insertion will have simultaneous implant placement with ridge augmentation using autogenous bone ring graft covering them with Platelet-rich fibrin (PRF) using computer guided stent.
Intervention: Computer Guided Stent Augmentation
Computer Guided Stent Augmentation
Patients with defective maxillary anterior alveolar ridges requiring implant insertion will have simultaneous implant placement with ridge augmentation using autogenous bone ring graft covering them with Platelet-rich fibrin (PRF) using computer guided stent.
Intervention: Platelet-rich fibrin (PRF)
Computer Guided Stent Augmentation
Patients with defective maxillary anterior alveolar ridges requiring implant insertion will have simultaneous implant placement with ridge augmentation using autogenous bone ring graft covering them with Platelet-rich fibrin (PRF) using computer guided stent.
Intervention: implant
Free Hand Augmentation
Patients with defective maxillary anterior alveolar ridges requiring implant insertion will have simultaneous implant placement with ridge augmentation using Free hand simultaneous implant placement with ridge augmentation and covering them with Platelet-rich fibrin (PRF).
Intervention: Free Hand Augmentation
Free Hand Augmentation
Patients with defective maxillary anterior alveolar ridges requiring implant insertion will have simultaneous implant placement with ridge augmentation using Free hand simultaneous implant placement with ridge augmentation and covering them with Platelet-rich fibrin (PRF).
Intervention: Platelet-rich fibrin (PRF)
Free Hand Augmentation
Patients with defective maxillary anterior alveolar ridges requiring implant insertion will have simultaneous implant placement with ridge augmentation using Free hand simultaneous implant placement with ridge augmentation and covering them with Platelet-rich fibrin (PRF).
Intervention: implant
Outcomes
Primary Outcomes
Patient Satisfaction regarding esthetic results.
Time Frame: 5 month
outcome will be measured using questionnaire
Secondary Outcomes
- Accuracy of computer guided surgical templates in comparison with 3D virtual planning.(immediately after procedure)