Computer - Guided Inferior Alveolar Nerve Lateralization With Simultaneous Prosthetic Driven Implant Placement
Trial Snapshot
- Phase
- Not Applicable
- Status
- Enrolling By Invitation
- Sponsor
- Enrollment
- 10
- Locations
- 1
- Primary Endpoint
- clinical neurosensory testing of the inferior alveolar nerve function
Study Overview
Brief Summary
The aim of this clinical trial is to primarily evaluate the postoperative neurosensory disturbances following guided inferior alveolar nerve lateralization with simultaneous implant placement in 10 surgical sides (mandibular quadrants distal to the mental foramen) either in males or females with age range from 30 to 75 years. The main questions it aims to answer are:
- Will the postoperative neurosensory disturbances after the surgical intervention fade out and if not, will it be annoying to the patient?
- Can we consider inferior alveolar nerve lateralization efficient substitute to short implants?
- will the inserted implants going to be properly ossteointegrated at the site of osteotomy for lateralization?
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 30 Years to 75 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Atrophic mandibular ridges distal to the mental foramen with residual alveolar bone height ≤ 8 mm above the IAN.
- •The width of the alveolar ridge ≥ 6 mm, 3mm down from the alveolar crest.
Exclusion Criteria
- •All patients suffering from any systemic disease that may contraindicate implant surgery or affect bone healing and osseointegration of implant.
- •Previous history of bone augmentation or implant placement in the site planned for nerve lateralization.
Arms & Interventions
Main single arm for the clinical trial
Intervention: Guided Inferior Alveolar Nerve Lateralization with Simultaneous Implant Placement (Procedure)
Outcomes
Primary Outcomes
clinical neurosensory testing of the inferior alveolar nerve function
Time Frame: Postoperatively 1 week, 1 month, 3 months, 6 months
We will use the light touch test and sensitivity mapping by applying moderated pressure with a periodontal probe to depress the skin by 1-2 mm while the patients will be seated comfortably in a quiet room with their eyes closed throughout the procedures. We will show the hypo aesthetic area as a graphic to illustrate its extension. We will choose this technique because it selects the dysfunction of rapidly adapting long myelinated fibers, which are 90% of the fibers of the IAN.
Secondary Outcomes
No secondary outcomes reported
Investigators
AYMAN M. ARAKEEP, MSc, PhD researcher
Assistant Lecturer of Oral and Maxillofacial surgery
Tanta University