Interchangeable Guide in Ridge Splitting Flapless Technique for Implant Placement

Hams Hamed Abdelrahman8 enrolled

Overview

A clinical trial was conducted to evaluate the accuracy of dental implant placement in narrow ridges after ridge splitting flapless technique using an interchangeable guide.

A sample was selected conveniently to fulfill a list of inclusion and exclusion criteria. Then the selected participants underwent ridge splitting with the aid of interchangeable guide. After ridge splitting, all patients had simultaneous implant placement followed by clinical and radiographical evaluation over a period of 6 months.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Anterior Maxillary Narrow Ridge

Interventions

ridge splitting flapless technique using interchangeable guide followed by implant placementPROCEDURE

An informed consent is taken from all the patients I. Presurgical phase: 1. Proper dental and medical history. 2. Scaling and oral hygiene measurements. 3. Clinical examination. 4. Radiographic examination. Clinical bucco-lingual measurements was done using calipers to ensure the patients would meet our initial inclusion criteria prior to further investigations. III. Fabrication of interchangeable surgical guide stent from primary impression: 1. Optical scanning of the dental casts was done using Ceramill map 400 2. surgical stent was designed using Mimics Innovation Suite 19 ™ software. 3. Series of creating and designing special 3D virtual guide slits and boxes that can accommodate and precisely fit the tools used for the ridge splitting technique. All patients will be operated under local anesthesia, stent was placed on ridge and adapted well after disinfection osteotomy was done using piezotome splitting tips Implant-insertion was started immediately

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with anterior maxillary narrow ridge * Patients with adequate alveolar ridge bone height * Age ranging from 20-40 years. * Patients should have adequate oral hygiene * Patients should be free of soft tissue or oral dental pathology * Patients who accept to participate in the study. Exclusion Criteria: * Patients suffering from relevant systemic and/or metabolic diseases * Patients suffering from immunosuppressive and/or autoimmune diseases * Heavy smokers.

Locations (1)

Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt

Alexandria, Azarita, Egypt

Outcomes

Primary Outcomes

Clinical evaluaion

post operative complication (presence or absence of any sign of swelling or infection)

Time frame: After 1 week

Postoperative Pain

Visual Analouge Scale (VAS) 0=no pain 1. mild pain; it is easily tolerated 2. moderate pain; it is causing discomfort but bearable. 3. severe pain; it is causing discomfort, hardly tolerated and unbearable.

Time frame: After 1 week

Change of bone width from baseline measurements

Cone beam computed tomography (CBCT) was used to evaluate bone width and density to all patients by doing CBCT at time intervals

Time frame: Baseline, 1 week, 3 months and 6 months

Secondary Outcomes

operation time

Evaluation of the operating time

Time frame: During the procedure

Data from ClinicalTrials.gov

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