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Evaluation of Sinus Augmentation Bone Healing Using Autograft and Xenograft Compared to Xenograft Alone

Not Applicable
Recruiting
Conditions
Maxillary Sinus Floor Augmentation
Autogenous Bone Graft
Dental Implant
Bone Substitute
Interventions
Procedure: Sinus Lift augmentation
Device: Cone-beam computed tomography systems (CBCT)
Registration Number
NCT06247098
Lead Sponsor
Tufts University
Brief Summary

To evaluate bone healing at 4 months after lateral sinus augmentation with a 4:1 ratio of autologous bone and xenograft or xenograft alone. A radiographic volumetric, histomorphometric, and histologic analysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
10
Inclusion Criteria
  • Patients of Tufts School of Dental Medicine (TUSDM)
  • Two stage sinus augmentations with <5mm (Zinner, Small 2004) residual bone height in need of augmentation for implant placement
  • Full maxillary edentulism or Kennedy class I or III
  • 18 to 100 year old
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Exclusion Criteria
  • Adults unable to consent (cognitively impaired adults)
  • Those who self-report as pregnant or breastfeeding
  • Wards of the state
  • Non-Viable neonates
  • Neonates of uncertain viability
  • < 18 years of age
  • Refusal to participate
  • Prior medical condition causing complications in bone metabolism
  • Osteoporosis
  • History of/or current chemotherapy
  • History of/or current head and neck radiation
  • Current heavy smoking > 10 cigarettes/day
  • Self-reported pregnancy or lactation
  • Previous history of sinus elevation procedure
  • Existing sinus pathology or pathology discovered at time of sinus augmentation or implant placement
  • Absence of autogenous donor site
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Xenograft - Autogenous 1:4Cone-beam computed tomography systems (CBCT)Sinus grafted with a ratio of Xenograft - Autogenous 1:4
Xenograft aloneCone-beam computed tomography systems (CBCT)Sinus grafted with Xenograft only
Xenograft - Autogenous 1:4Sinus Lift augmentationSinus grafted with a ratio of Xenograft - Autogenous 1:4
Xenograft aloneSinus Lift augmentationSinus grafted with Xenograft only
Primary Outcome Measures
NameTimeMethod
Histological analysis4 months from surgery

Mineralized and non-mineralized tissue Remnant particles of biomaterial Inflammatory infiltrate

Secondary Outcome Measures
NameTimeMethod
Radiographic bone height gain at 4 months4 months post sinus augmentation

Residual alveolar crest Final alveolar crest height at 4 months Initial height of graft immediately post graft placement Vertical bone material resorption

Volumetric bone analysis 4 months post sinus augmentation4 months from surgery

Sinus volume calculation via CBCT analysis

Trial Locations

Locations (1)

Tufts University School of Dental Medicine

🇺🇸

Boston, Massachusetts, United States

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