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Evaluation of the Efficacy of Allograft Versus Tenting Technique in Open Sinus Lifting With Immediate Implant Placement

Not Applicable
Not yet recruiting
Conditions
Implant Complication
Sinus; Dental
Surgery-Complications
Interventions
Procedure: Sinus lifting with allograft
Other: Sinus lifting without graft
Registration Number
NCT06254378
Lead Sponsor
Cairo University
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.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. Patient with missing upper pre molar , molar teeth
  2. Patients in need of bone grafting of the maxillary sinus to house an implant.
  3. 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
  4. Patients with adequate inter-arch space
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Exclusion Criteria
  1. Patients suffering from any sinus pathosis.
  2. Patients who are heavy smokers (>10 cigarettes/day).
  3. Patient under psychiatric therapy or unrealistic expectations
  4. Patients of systemic conditions that may interfere with carrying out the surgical procedure.
  5. Lack of opposite occluding dentition/prosthesis in the area intended for implant placement
  6. Severe bruxism or clenching
  7. Poor oral hygiene (full mouth bleeding on probing and full mouth plaque index >25%)
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sinus lifting with graft (intervention)Sinus lifting with allograftPatients will receive sinus lifting with immediate implant and allograft placement.
Sinus lifting without graft (control )Sinus lifting without graftPatients will receive sinus lifting with immediate implant placement without graft placement.
Primary Outcome Measures
NameTimeMethod
Implant stabilityDuring 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 Outcome Measures
NameTimeMethod
Bone hightBefore surgery and after 6 months

Newly formed bone length will be measured on cone beam ct by millimeter

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