Piezo-assisted Expansion of Narrow Ridges for Implant-supported Treatment of Intercalated Mono-edentulism: A Case Series Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Trieste
- 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
- 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
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
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
prof. Roberto Di Lenarda
prof
University of Trieste
