Ascending Ramus Versus Chin Cortical Plates for Reconstruction of Atrophic Maxilla

NCT03629860 | Unknown

• 1 other identifier: Ahmed yousri
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

Assessment of ascending ramus cortical plate for reconstruction of atrophic maxillary ridges versus chin cortical plates (Randomized clinical trial)

Conditions

Atrophy of Edentulous Maxillary Alveolar Ridge

Keywords

Atrophic, augmetation, bone regeneration

Outcome Measures

Primary Outcomes (1)

• width and height of the bone gained by the procedure and the new measures from a physiologic vital structures e.g( nasal floor, maxillary sinus or even occlusal plan)

  new bone formation

  6 months

Secondary Outcomes (1)

• Histomorphometric analysis bone area percent

  6 months

Study Arms (2)

ascending ramus group

ACTIVE COMPARATOR

* Local anesthesia will be given to the patient * flap will be reflected to expose the facial wall of the maxilla then The ascending ramus is accessed. * A disc bur will be used to make a rectangular osteotomy * The block bone graft is removed from ascending ramus to recipient site the fixed by mini screws * Doner site flap is closed by using interrupted internal sutures. * after atrophic maxillary alveolar ridge augmentation,sub mucosal periosteal releasing cuts is done * Post-operative medications will be prescribed as follows: amoxicillin/clavulanic acid tablets 10mg/kg every 12 hours for 7 days, metronidazole 5 mg/kg every 8 hours for 7 days

Procedure: Atrophic maxillary alveolar ridge augmentation

Chin Group

ACTIVE COMPARATOR

* Local anesthesia will be given to the patient * flap will be reflected to expose the facial wall of the maxilla then The chin is accessed. * A disc bur will be used to make a rectangular osteotomy * The block bone graft is removed from chin to recipient site the fixed by mini screws * Doner site flap is closed by using interrupted internal sutures * after atrophic maxillary alveolar ridge augmentation,submucosal periosteal releasing cuts is done * Post-operative medications will be prescribed as follows: amoxicillin/clavulanic acid tablets 10mg/kg every 12 hours for 7 days, metronidazole 5 mg/kg every 8 hours for 7days

Procedure: Atrophic maxillary alveolar ridge augmentation

Interventions

Atrophic maxillary alveolar ridge augmentation PROCEDURE

Autogenous bone blocks from chin and ascending ramus are obtained and used for reconstruction of atrophic maxillary ridges

Chin Group; ascending ramus group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with atrophic maxilla with residual bone height from 3 to 4mm.
• Both sexes

You may not qualify if:

• Intraoral soft and hard tissue pathology.
• Systemic condition that contraindicate implant basement.
• Psychiatric problems

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Dentistry, Cairo University

Cairo, Al-Manial, 11553, Egypt

RECRUITING

Related Publications (10)

• Ali SA, Karthigeyan S, Deivanai M, Kumar A. Implant rehabilitation for atrophic maxilla: a review. J Indian Prosthodont Soc. 2014 Sep;14(3):196-207. doi: 10.1007/s13191-014-0360-4. Epub 2014 Apr 22.

  PMID: 25183902 BACKGROUND

• Sorni M, Guarinos J, Garcia O, Penarrocha M. Implant rehabilitation of the atrophic upper jaw: a review of the literature since 1999. Med Oral Patol Oral Cir Bucal. 2005 Apr 1;10 Suppl 1:E45-56. English, Spanish.

  PMID: 15800467 BACKGROUND

• Dym H, Huang D, Stern A. Alveolar bone grafting and reconstruction procedures prior to implant placement. Dent Clin North Am. 2012 Jan;56(1):209-18, x. doi: 10.1016/j.cden.2011.09.005.

  PMID: 22117951 BACKGROUND

• Bellini CM, Romeo D, Galbusera F, Agliardi E, Pietrabissa R, Zampelis A, Francetti L. A finite element analysis of tilted versus nontilted implant configurations in the edentulous maxilla. Int J Prosthodont. 2009 Mar-Apr;22(2):155-7.

  PMID: 19418861 BACKGROUND

• Bidra AS, Almas K. Mini implants for definitive prosthodontic treatment: a systematic review. J Prosthet Dent. 2013 Mar;109(3):156-64. doi: 10.1016/S0022-3913(13)60035-9.

  PMID: 23522364 BACKGROUND

• Chiriac G, Herten M, Schwarz F, Rothamel D, Becker J. Autogenous bone chips: influence of a new piezoelectric device (Piezosurgery) on chip morphology, cell viability and differentiation. J Clin Periodontol. 2005 Sep;32(9):994-9. doi: 10.1111/j.1600-051X.2005.00809.x.

  PMID: 16104964 BACKGROUND

• Enneking WF, Eady JL, Burchardt H. Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. J Bone Joint Surg Am. 1980 Oct;62(7):1039-58.

  PMID: 7000788 BACKGROUND

• Menini M, Signori A, Tealdo T, Bevilacqua M, Pera F, Ravera G, Pera P. Tilted implants in the immediate loading rehabilitation of the maxilla: a systematic review. J Dent Res. 2012 Sep;91(9):821-7. doi: 10.1177/0022034512455802. Epub 2012 Jul 31.

  PMID: 22851285 BACKGROUND

• Peleg M, Mazor Z, Garg AK. Augmentation grafting of the maxillary sinus and simultaneous implant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants. 1999 Jul-Aug;14(4):549-56.

  PMID: 10453671 BACKGROUND

• Topolovec-Vranic J, Canzian S, Innis J, Pollmann-Mudryj MA, McFarlan AW, Baker AJ. Patient satisfaction and documentation of pain assessments and management after implementing the adult nonverbal pain scale. Am J Crit Care. 2010 Jul;19(4):345-54; quiz 355. doi: 10.4037/ajcc2010247.

  PMID: 20595216 BACKGROUND

MeSH Terms

Conditions

Atrophy

Condition Hierarchy (Ancestors)

Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Study Officials

• Ahmed Y Yousri, Bsd

  Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Ahmed Y Zayed, BSD

CONTACT

00201111634311; ahmed.zayed@dentistry.cu.edu.eg

Ahmed Y Usry, BSD

CONTACT

00201140425144; ahmed.zayed.imlantology@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Assessment of ascending ramus cortical plate for reconstruction of atrophic maxillary ridges versus chin cortical plates (Randomized clinical trial)
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: B.D.S,Principal investigator,dentist

Model Details: Assessment of ascending ramus cortical plate for reconstruction of atrophic maxillary ridges versus chin cortical plates (Randomized clinical trial)

Study Record Dates

• First Submitted: August 6, 2018
• First Posted: August 14, 2018
• Study Start: May 1, 2018
• Primary Completion: February 8, 2019
• Study Completion: April 9, 2019
• Last Updated: August 14, 2018

Record last verified: 2018-08

Locations

EG (1)