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Clinical Trials/NCT07664098
NCT07664098Not yet recruitingNot Applicable

Assessment of Vestibular Shifted Flap Versus Conventional Flap on Ridge Augmentation in Patients With Anterior Maxillary Bony Deficiency: a Randomized Control Trial

Cairo University1 site in 1 country24 target enrollmentStarted: August 15, 2026Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Not yet recruiting
Enrollment
24
Locations
1

Study Overview

Brief Summary

two groups of patients both have alveolar bone deficiency in anterior maxilla, one group will be subjected to khoury bone augmentation with conventional flap the other with vestibular shifted flap

Detailed Description

The procedure begins with preoperative preparation, including patient positioning in a semi supine position with appropriate head support, induction of local anesthesia, and meticulous surgical site sterilization.

  • Full thickness Vestibular flap and 2 horizontal releasing incision are made (Key Concept: The vestibular shifted flap provides additional flap length by translating vestibular mucosa coronally while preserving keratinized tissue and blood supply) in a group and conventional flap in the other group
  • Flap elevation: Full thickness flap in the Donor site
  • Using piezoelectric device, thin cortical bone blocks (1-1.5 mm thick) are harvested.
  • Blocks are carefully shaped into flat "plates."
  • The shell Graft placed, adapted and fixed with microscrews to restore desired horizontal dimension
  • The space between the host bone and the fixed cortical plates is filled with bone particles.
  • Tension free bilayered suturing

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Participant)

Masking Description

This trial is considered a randomized single blind clinical trial due to:

  • The participants will be blinded to the technique that will be used during the surgical procedure.
  • The operator will not be blinded for both techniques during the surgical procedure as the two techniques are different.
  • The outcome assessor cannot be blinded.

Eligibility Criteria

Ages
21 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Adult patients with horizontal bone defects in anterior maxilla
  • Mixed dentition age (21-75)
  • Good periodontal health
  • Non smokers
  • Both genders males and females will be included

Exclusion Criteria

  • Uncontrolled systemic disease
  • General contraindications to surgery.
  • Patients participating in other studies, if the present protocol could not be properly followed.

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Piatrece Amgad Wadeea

principle investigator

Cairo University

Study Sites (1)

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