Evaluation of the Efficacy of Allograft Versus Tenting Technique in Open Sinus Lifting With Immediate Implant Placement
- Conditions
- Implant ComplicationSinus; DentalSurgery-Complications
- Interventions
- Procedure: Sinus lifting with allograftOther: 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
- 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
- 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%)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Sinus lifting with graft (intervention) Sinus lifting with allograft Patients will receive sinus lifting with immediate implant and allograft placement. Sinus lifting without graft (control ) Sinus lifting without graft Patients will receive sinus lifting with immediate implant placement without graft placement.
- Primary Outcome Measures
Name Time Method Implant stability 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 Outcome Measures
Name Time Method Bone hight Before surgery and after 6 months Newly formed bone length will be measured on cone beam ct by millimeter