Evaluation of the Efficacy of Allograft Versus Tenting Technique in Open Sinus Lifting With Immediate Implant Placement A Randomized Clinical Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 20
- Primary Endpoint
- Implant stability
Study Overview
Brief Summary
Implant placement in deficient posterior maxilla is a challenging clinical situation that necessitates appropriate treatment options to restore this area.
-Aim of the study: To compare allograft vs tenting technique in terms of implant stability and bone height.
Detailed Description
Rationale for carrying out the trial:
The research population will be divided into two groups. Group1 will be treated by allograft with immediate implant technique, Group2 will be treated by tenting technique with immediate implant technique. Allograft has been effective in augmenting bone growth and has been proven to be a vital asset in sinus lifting.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 30 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Patient with missing upper pre molar , molar teeth
- •Patients in need of bone grafting of the maxillary sinus to house an implant.
- •Patients with residual alveolar crest of at least 3-4mm in height and 5mm in width distal to the canine as measured on CBCT scan
- •Patients with adequate inter-arch space
Exclusion Criteria
- •Patients suffering from any sinus pathosis.
- •Patients who are heavy smokers (>10 cigarettes/day).
- •Patient under psychiatric therapy or unrealistic expectations
- •Patients of systemic conditions that may interfere with carrying out the surgical procedure.
- •Lack of opposite occluding dentition/prosthesis in the area intended for implant placement
- •Severe bruxism or clenching
- •Poor oral hygiene (full mouth bleeding on probing and full mouth plaque index >25%)
Arms & Interventions
Sinus lifting without graft (control )
Patients will receive sinus lifting with immediate implant placement without graft placement.
Intervention: Sinus lifting without graft (Other)
Sinus lifting with graft (intervention)
Patients will receive sinus lifting with immediate implant and allograft placement.
Intervention: Sinus lifting with allograft (Procedure)
Outcomes
Primary Outcomes
Implant stability
Time Frame: During the implant placement procedure and after 6 months
implant stability quotient(ISQ) is the evaluation unit set to determine the correct isq\<60:low stability isq 60-65 : medium stability isq \>70: high stability stability of the implant, this module by means of a resonance frequency analysis (rfa) applied to the bone manages to measure stability on an isq scale from 1 to 100 (khz):
Secondary Outcomes
- Bone hight(Before surgery and after 6 months)
Investigators
Amira Raafat Ahmed Elshikh
Dentist
Cairo University