Osseodensification by Densah Burs Versus Osteotome for Transcrestal Maxillary Sinus Lifting With Simultaneous Implant Placement (Randomized Clinical Trial)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Maxillary Sinus Lift
- Sponsor
- Hams Hamed Abdelrahman
- Enrollment
- 12
- Locations
- 1
- Primary Endpoint
- implant stability
- Last Updated
- 5 years ago
Overview
Brief Summary
implant placement in the posterior maxilla is problematic, not only due to inferior properties of bone but also due to loss of vertical bone height which happens after extraction of posterior teeth. when the required additional height is few millimeters, indirect transcresta sinus lifting procedures are recommended.
This study compares sinus lifting using the conventional osteotome versus the osseodensification with densah burs.
Detailed Description
a total of 12 patients with missing maxillary premolars or molars and with limited vertical bone height below the maxillary sinus floor will receive implants either with osteotome or with Densah burs transcrestal sinus lifting to compare clinically and radiographically transcrestal sinus lifting with Densah burs and osteotome with simultaneous implant placement
Investigators
Hams Hamed Abdelrahman
Assistant lecturer of DPH and Clinical statistician
Alexandria University
Eligibility Criteria
Inclusion Criteria
- •Patient with missing maxillary premolas and molars
- •Vertical bone height of 5-8 mm
- •Non smokers
- •Good oral hygiene
Exclusion Criteria
- •Bad oral hygiene
- •maxillary sinusitis
- •Presence of infection or periapical lesions in adjacent teeth
- •Bruxism or clenching
- •Alcoholism
- •Medically compromised patients with a condition that affect the procedure
- •Multiple sinus septa
Outcomes
Primary Outcomes
implant stability
Time Frame: at 6 months
Using the Osstell, The result is presented as an ISQ value of 1-100. The higher the ISQ, the more stable the implant
change in bone height
Time Frame: at baseline and 6 months
using CBCT
change in bone density
Time Frame: at baseline and 6 months
using CBCT
Secondary Outcomes
- edema scores(at 2 weeks)
- Pain scores(at 2 weeks)