Computer Guided Versus Conventional Augmentation Using Bone Ring

Cairo University10 enrolled

Overview

Using bone ring grafts with simultaneous implant placement after three-dimensional augmentation of severely defective bone ridges using computer-guided surgical templates. The study compares accuracy effectiveness by mimics software

To study the effectiveness of computer guided surgical stents in ridge augmentation with implant insertion compared with free hand augmentation -Population/Intervention/Comparator/Outcome (PICO)- Population (P): patients with massive bone resorption horizontally and vertically, severe bone loss around teeth, periodontal disease or traumatic extraction in partially edentulous maxillary anterior region requiring implant insertion. Intervention (I): simultaneous implant placement with ridge augmentation using computer guided surgical templates with PRF. Comparator (C): Free hand simultaneous implant placement with ridge augmentation. Outcome (O): Patient esthetic satisfaction - Augmentation and implant insertion accuracy

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Bone Resorption

Interventions

Computer Guided Stent AugmentationPROCEDURE

Defective alveolar ridge is to be replaced by simultaneous implant placement with ring graft augmentation (Trephine Drill to obtain the ring graft autogenous bone) using computer guided stent and covered with Platelet-rich fibrin (PRF), by using venous blood from the patient, a centrifuge will be used to obtain the top layer after centrifuging blood at 3000 Revolution Per Minute (RPM) for 10 minutes.

Free Hand AugmentationPROCEDURE

Defective alveolar ridge is to be replaced by Free Hand simultaneous implant placement with ring graft augmentation (Trephine Drill to obtain the ring graft autogenous bone) and covered with Platelet-rich fibrin (PRF), by using venous blood from the patient, a centrifuge will be used to obtain the top layer after centrifuging blood at 3000 RPM for 10 minutes.

Platelet-rich fibrin (PRF)

Eligibility

Sex: ALLMin age: 21 YearsMax age: 55 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with insufficient alveolar ridge or severe alveolar bone resorption horizontally and vertically in partially edentulous maxillary anterior region. 2. Medically free patients in order to be a confounding factor on the final results. 3. Highly motivated patients. 4. Good oral hygiene. 5. Patients physically able to tolerate surgical and restorative procedures. Exclusion Criteria: 1. Young patients (incomplete bone growth). 2. Patients with any systemic disease that could affect bone healing. 3. Patients allergic to local anaesthetic agent. 4. Pregnant or lactating females. 5. Presence of any pathosis in the area. 6. history of oral radiotherapy. 7. history of prolonged steroid use. 8. Psychological disorders.

Locations (1)

Cairo University

Giza, Cairo Governorate, Egypt

Outcomes

Primary Outcomes

Patient Satisfaction regarding esthetic results.

outcome will be measured using questionnaire

Time frame: 5 month

Secondary Outcomes

Accuracy of computer guided surgical templates in comparison with 3D virtual planning.

Comparing the results on the patient with the design made by the surgical software.

Time frame: immediately after procedure

Central Contacts

Mohamed A Younis, Dentist

CONTACT

01156674425 younismatador@gmail.com

Data from ClinicalTrials.gov

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