Horizontal Ridge Deficiency Clinical Trial
Official title:
Assessment of Guided Bone Regeneration in Augmentation of Horizontally Atrophic Maxillary Ridge Using Collagen Membrane Versus Using Titanium Mesh: a Randomized Controlled Clinical Trial
this study is aiming to Assess postoperative complications and bone quality and quantity in augmentation of horizontally atrophic maxillary ridge using a 1:1 mixture of autograft and xenograft particulate bone covered with collagen membrane with the new Sausage techniqueâ„¢ versus using the same mixture covered with titanium mesh.
patients with atrophic maxillary ridge < 4 mm will be selected in this study for augmentation
for future implant placement. The full thickness flap will be elevated including one extra
tooth on each side of the edentulous area or if completely edentulous 5 mm on each side.. the
bone bed will be prepared by cleaning any debris and Multiple decortication holes will be
performed with a 2.0 mm round bur. the harvested bone from the chin is then mixed with the
xenograft with ratio 1:1 and then put on the recipient site and will be covered with a
collagen membrane with the Sausage technique (intervention group) and the other group the
graft will be covered with titanium mesh (control group).
flap is repositioned and sutured. followup for 6 months and then CBCT is done. Reopening
after 6 months, core biopsy is taken by a 2 mm thickness trephine from the healed augmented
bone at the site of implant placement and will be sent for histomorphometric analysis and the
bone thickness (buccolingual ) dimension is measured using a caliper and from the CBCT (cone
beam CT) the bone width gain will be calculates and recorded.
postoperative complications( infection, wound dehiscence or membrane exposure) will be
monitored and recorded.
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