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Clinical Trials/NCT07401238
NCT07401238CompletedNot Applicable

Piezo-assisted Expansion of Narrow Ridges for Implant-supported Treatment of Intercalated Mono-edentulism: A Case Series Study

University of Trieste0 sites20 target enrollmentStarted: December 15, 2016Last updated:
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Enrollment
20
Primary Endpoint
postoperative surgical width

Study Overview

Brief Summary

the goal of the study was the evaluation of the clinical and histological performance of delayed inserted implants in augmented sites with a shaped solid graft inserted in an originally narrow alveolar edentulous ridge.

Detailed Description

Purpose To assess the efficacy of a two-stage piezo-assisted split crest technique and delayed implant insertion. Computed tomography, radiological, clinical, and histologic evaluation.

Research design Multicenter case-series

Sample size 20 patients People involved in the protocol At least 25 enrolled patients (5 per center) counting drop-outs

Inclusion criteria

  1. Patients with single mandibular or maxillary intercalated edentulism (1 implant) who require implant rehabilitation with conventional loading
  2. The edentulous site width should be comprised between 3 and 5mm for the first 3mm of height
  3. Presence of visible spongious bone in CBCT cross-sections
  4. The edentulous site must present at least 4mm wide band of keratinized tissue
  5. Plaque index < 20%, Bleeding index < 25%
  6. Medical condition of the enrolled patients should be within ASA 2 score
  7. Only no smokers, light smokers (< 10 per day) or electronic smokers will be accepted

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
— to 99 Years (Child, Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • 1. Patients with single mandibular or maxillary intercalated edentulism (1 implant) who require implant rehabilitation with conventional loading
  • The edentulous site width should be comprised between 3 and 5mm for the first 3mm of height
  • Presence of visible spongious bone in CBCT cross-sections
  • The edentulous site must present at least 4mm wide band of keratinized tissue
  • Plaque index < 20%, Bleeding index < 25%
  • Medical condition of the enrolled patients should be within ASA 2 score
  • Only no smokers, light smokers (< 10 per day) or electronic smokers will be accepted

Exclusion Criteria

  • 1. Head and neck RT in the previous 5 years
  • Previous or actual antiresorptive therapy
  • Chronic corticosteroid therapy
  • Active periodontal disease
  • Pregnancy or breastfeeding
  • Abuse of alcohol or drugs
  • Incapability of understanding the purposes of the study (e.g. mental deficit)

Arms & Interventions

narrow ridge

Experimental

width comprised between 3 and 5 mm

Intervention: Alveolar Ridge Reconstruction (Procedure)

Outcomes

Primary Outcomes

postoperative surgical width

Time Frame: 5 months

radiologically measured alveolar expansion

Secondary Outcomes

  • new bone formation(5 months later than surgery)

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

prof. Roberto Di Lenarda

prof

University of Trieste

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