A Prospective Randomized Trial Comparing Conventional And Piezosurgery Method In Mandibular Bone Block Harvesting From The Retromolar Region
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Alveolar Bone Resorption
- Sponsor
- Marmara University
- Enrollment
- 19
- Locations
- 1
- Primary Endpoint
- Osteotomy time
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The aim of this randomized prospective clinical trial was to evaluate the outcome of bone block harvesting from the retromolar region using the Conventional and Piezosurgery Method.
The study was planned on 19 patients (13F,6M) on 31 donor sites. In patients with bilateral bone harvesting, the donor site and the surgical method to be used were determined by the randomization protocol, while in patients with bone harvesting from a single site, the donor site was determined by considering parameters such as proximity to the operation site and distance to the inferior alveolar nerve. Clinical parameters such as operation time, pain, swelling, trismus, nerve damage were evaluated.
Investigators
Ferit Bayram
Assistant Professor
Marmara University
Eligibility Criteria
Inclusion Criteria
- •The main inclusion criteria were severe alveolar ridge atrophy in the horizontal plane (≤4 mm) and no accompanying vertical defect, according to preoperative CBCT scans.
Exclusion Criteria
- •Individuals who had systemic disease affecting bone or soft tissue metabolism
- •Smokers (more than 10 cigarettes a day
- •Alcohol dependent
- •Systemic disease affecting bone or soft tissue metabolism
- •Donor field in the mouth of another region (simfiz, tuber etc.) or any extra-oral field is planned to be used
- •Patients with cleft lip-palate or defect exceeding the alveolar crest
- •Grafts applied to defects caused by tumors, osteoradionecrosis, or congenital malformations
- •Patients with an unstable systemic condition such as metabolic bone disease, uncontrolled diabetes, or untreated hypothyroidism, as well as smokers, patients undergoing radiation therapy or chemotherapy
Outcomes
Primary Outcomes
Osteotomy time
Time Frame: Intraoperative
The time from the start of the osteotomy to the luxation of the bone block was measured with the help of a digital stopwatch.
Secondary Outcomes
- Change in pain(7 days)
- Operation time(Intraoperative)
- Change in Mouth opening(7 days)
- Change in Oral Health-related Quality of Life(14 days)
- Change in facial swelling(7 days)