Piezosurgical Buccal Plate Repositioning Technique for Horizontal Alveolar Ridge Augmentation

Hams Hamed Abdelrahman18 enrolled

Overview

Achieving prosthetically driven implant placement is a highly predictable treatment modality with reliable long-term results. Different surgical procedures have been used as a solution for reconstructing of the alveolar ridge with deficient volume. In the present study we demonstrate a modified alveolar ridge split technique for horizontal alveolar ridge augmentation (buccal plate repositioning technique) using the piezotome surgery. Evaluation of the effect of silica-calcium phosphate nanocomposite (SCPC) graft material versus demineralized freeze dried bone allograft (DFBA) in horizontal alveolar ridge augmentation before implant insertion will be performed.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Alveolar Bone Loss

Interventions

Eligibility

Sex: ALLMin age: 20 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients with horizontal atrophy of the posterior mandible with pristine residual alveolar crest width from 2 to 4 mm. * Augmented area length in the mesial-distal direction of less than 20 mm. * Adequate physically healthy condition. Exclusion Criteria: * A systemic disease that would contraindicate oral surgical treatment. * Treated patients who had undergone therapy involving radiation * Patients who had received bone resection as part of an oncological treatment after a bone augmentation procedure. * Patients are subjected to intravenous and/or oral bisphosphonate therapy after the bone augmentation procedure.

Outcomes

Primary Outcomes

change in alveolar ridge width

All patients will receive a CBCT scan; immediately after surgery and at 6 months post-operatively. The images will be analyzed using OnDemand3D software (Cybermed Inc) CBCT analyzing software and compared to the pre-operative scan for alveolar ridge width evaluation.

Time frame: at baseline and 6 months