28 patients will be included in this study with atrophic posterior maxillary ridge due to sinus pneumatization who will randomly assigned to two groups * Group I: sinus lifting using CAD/CAM allogenic block through lateral window technique * Group II: sinus lifting using particulate allogenic graftthrough lateral window technique
28patients will be included in this study with an atrophic posterior maxillary ridge due to sinus pneumatization, who will be randomly assigned to two groups * Group I: sinus lifting using CAD/CAM allogenic block through lateral window technique * Group II: sinus lifting using particulate allogenic graft through the lateral window technique * Surgical procedure: A full-thickness, wide mucoperiosteal flap was elevated buccally. Alateral bony window of the maxillary sinus will be made then the sinus lining will be elevated carefully. The CAD/CAM allogenic block will be inserted and fixed in its position via a titanium screw to the crest of maxillary ridge (group I). In group II the particulate bone will be packed at the site of augmentation * The lateral window will be covered with collagen membrane, the flap will reposited in its place and sutured. 6 months later, implants will be inserted
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
28
A full-thickness, wide mucoperiosteal flap was elevated buccally. A lateral bony window of the maxillary sinus will be made, then the sinus lining will be carefully elevated. The CAD/CAM allogenic block will be inserted and fixed in its position via a titanium screw to the crest of maxillary ridge (group I). • The lateral window will be covered with collagen membrane, the flap will be repositioned in its place and sutured.
In group II the particulate bone will packed at the site of augmentation
Faculty of Dentistry, Tanta University
Tanta, Egypt
bone height gain
using CBCT
Time frame: 6 months
marginal bone resorption around implants
CBCT
Time frame: 6 months
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