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
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
8
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
Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt
Alexandria, Azarita, Egypt
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
operation time
Evaluation of the operating time
Time frame: During the procedure
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