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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT06200077
Other study ID # A01051021
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date December 1, 2021
Est. completion date October 1, 2023

Study information

Verified date November 2021
Source Mansoura University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aims to evaluate the clinical and radiographic outcomes of different staged ridge-splitting techniques for management of severely resorbed lower jaws in the posterior region. The study is designed as a clinical trial, so that three different interventions would be compared for a conclusion highlighting the relative best of them.


Description:

In the context of the care of severely resorbed lower jaws in the posterior region, the purpose of this study is to evaluate the clinical and radiographic outcomes of several stepwise ridge-splitting procedures. The study is supposed to be a clinical trial, with the purpose of comparing three distinct therapies in order to get a result that highlights which of them is the most effective in comparison to the others.


Recruitment information / eligibility

Status Completed
Enrollment 18
Est. completion date October 1, 2023
Est. primary completion date June 1, 2023
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 25 Years to 50 Years
Eligibility Inclusion Criteria: - Patients were free from any relevant systemic diseases according to American society of Anesthesiologists classifications. - Patients of single or multiple missing teeth in the posterior mandible. - A ridge width of minimum 4mm and a 10 mm ridge height with 2mm minimum above Inferior Alveolar Nerve (IAN) were present in CBCT images. - Absence of buccal concavities at the planned implant site. Exclusion Criteria: - History of any systemic diseases or medication that alters bone metabolism. - Poor oral hygiene. - Heavy smoker (more than 20 cigarettes/day) or alcoholic patients. - Chemotherapy or radiation therapy to the head and neck region in the last 12 months prior to the proposed implant therapy. - Patients currently on or with a history of bisphosphonate therapy.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Modified Ridge-Splitting
Unlike the conventional ridge-splitting where bone grafting is done in the same visit after ridge splitting, modified ridge splitting involves splitting the ridge only at the first visit, then bone grafting is done either alone afterwards in the second visit (Modified 3-Staged Ridge-Splitting Group) and dental implants will be placed in the third visit, or, as in the Modified 2-Staged Ridge-Splitting Group, bone grafting and dental implants placement will be done in the second visit.

Locations

Country Name City State
Egypt Faculty of Dentistry, Mansoura University Mansoura Dakahlyia

Sponsors (1)

Lead Sponsor Collaborator
Mansoura University

Country where clinical trial is conducted

Egypt, 

References & Publications (1)

Hu GH, Froum SJ, Alodadi A, Nose F, Yu YP, Suzuki T, Cho SC. A Three-Stage Split-Crest Technique: Case Series of Horizontal Ridge Augmentation in the Atrophic Posterior Mandible. Int J Periodontics Restorative Dent. 2018 July/August;38(4):565-573. doi: 10.11607/prd.2907. Epub 2018 Mar 13. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Alveolar ridge width Radiographically via Cone-beam Computed Tomography (CBCT), the width of the alveolar bone was measured horizontally from the buccal to lingual cortex below the crest of the alveolar bone from 3 levels at 1 mm, 3 mm and 6 mm on three cross-sections by the CBCT software (OnDemand, Cybermed Inc, Korea). immediately after implant placement, immediately after implant loading and six months after implant loading
Secondary Implant stability Smartpeg was installed in the dental implant fixture. From both buccal and lingual directions, an analyzer probe was located closer to the Smartpeg, and the implant stability quotient (ISQ) values were obtained from the Osstell Monitor immediately after implant placement, immediately after implant loading and six months after implant loading
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