Alveolar Ridge and Soft Tissue Augmentation Using Graft From the Maxillary Tuberosity

Ain Shams University24 enrolled

Overview

In the study immediate implant is placed in the anterior region with autogenous bone grafting from the maxillary tuberosity in one group and in the other group immediate implant is placed with xenograft .IN both groups soft tissue grafting is done using connective tissue assessment of buccal bone thickness and soft tissue will be done 6 months post operative

immediate implant will be placed in the anterior region with autogenous graft from the maxillary tuberosity and in the other group immediate implant will be laced with xenograft soft tissue grafting using sub-epithelial connective tissue will in both groups assessment of buccal bone thickness is the primary outcome of the study, while volumetric assessment of the soft tissue and patient satisfaction are the secondary and tertiary outcome the assessment of all outcome will be 6 months post operative the extraction socket in which the implant will be placed are class I\&II

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Immediate Implant Placement

Interventions

maxillary tuberosity bone graft (autogenous graft)PROCEDURE

the usage of maxillary tuberosity as source of autogenous graft supplying the needed cells for bone regeneration

Bone graft (xenograft)PROCEDURE

xenograft is bone graft material that is obtained from porcine, bovine or equine source

Eligibility

Sex: ALLMin age: 20 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Systemically healthy patients (American Society of Anesthesiologists I; ASA I). * Age range (20-40) years. * Good compliance with the plaque control instructions following initial therapy. * Patients diagnosed with bone defect in the maxillary anterior esthetic zone (class 1 \& 2) * Availability for follow up and maintenance program. Exclusion Criteria: * Peri apically infected teeth * Presence of smoking habit. * Presence of occlusal interferences. * Pregnant females. * Vulnerable group of patients (handicapped, mentally retarded and prisoners) (according to the recommendation of esthetical committee of Faculty of Dentistry Ain Shams University).

Locations (1)

Faculty of Dentistry Ain Shams University

Cairo, Egypt

Outcomes

Primary Outcomes

buccal bone thickness

measuring the buccal bone thickness using CBCT

Time frame: at baseline and 9 months

Secondary Outcomes

soft tissue assessment using pink esthetic score

The pink esthetic score (PES) evaluates the esthetic outcome of soft tissue around implant-supported single crowns in the anterior zone by awarding seven points for the mesial and distal papilla, soft-tissue level, soft-tissue contour, soft-tissue color, soft-tissue texture, and alveolar process deficiency, Using a 0-1-2 scoring system, 0 being the lowest, 2 being the highest value, the maximum achievable PES was 14

Time frame: 9 months post opertive

patient satisfaction

questionnaire in which the scale is from (0 to 10) where 0 is completely unsatisfied and 10 totally satisfied

Time frame: after 9 months

Data from ClinicalTrials.gov

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