NCT04618588

Brief Summary

The study group included 12 patients that were treated using the low window lateral sinus lift technique with simultaneous implant placement. This was facilitated using a CAD-CAM generated surgical guide. Subjective assessment on postoperative pain and swelling as well as objective assessment of implant stability, vertical bone height gained and complications such as Schneiderian membrane perforation rates and bleeding.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
12

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2019

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2019

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 17, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 17, 2019

Completed
11 months until next milestone

First Submitted

Initial submission to the registry

November 1, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

November 6, 2020

Completed
Last Updated

November 6, 2020

Status Verified

November 1, 2020

Enrollment Period

12 months

First QC Date

November 1, 2020

Last Update Submit

November 1, 2020

Conditions

Keywords

sinus augmentation

Outcome Measures

Primary Outcomes (2)

  • Presence or absence of intra or postoperative complications

    * Schneiderian membrane perforation occurrence is noted intraoperatively * Intra/post operative bleeding, postoperative sinusitis, periimplantitis

    6 months

  • Postoperative pain

    This was assessed using a 10-point Visual Analogue Scale (VAS) in the 1st week postoperatively. (0-1=None, 2-4=Mild-Moderate, 8-10= Severe)

    1 week

Secondary Outcomes (5)

  • Implant stability

    6 months

  • Postoperative edema

    1 week

  • Bone Density

    6 months

  • Vertical bone height gained

    6 months

  • Marginal bone loss

    6 months

Study Arms (1)

Sinus elevation using "Low Window Sinus Lift" technique

EXPERIMENTAL
Procedure: Low Window Sinus Lift technique

Interventions

Preoperative CBCT of surgical site and Fabrication CAD/CAM surgical stent, Sinus elevation using "Low Window Sinus Lift" technique, Implant, bone graft and membrane placement

Sinus elevation using "Low Window Sinus Lift" technique

Eligibility Criteria

Age20 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Patients requiring implant placement in the posterior maxilla (Kennedy Classification: Class 1 and Class 2).
  • Age between 20-60 years irrespective of the gender.
  • Tooth extractions at the implant sites were performed at least 4 months before surgery.
  • Residual bone height between the alveolar bone crest and the sinus floor ranges from 4 to 6 mm.
  • Patients who are willing and fully capable to comply with the study protocol.

You may not qualify if:

  • Maxillary sinus pathologies (sinusitis, long standing nasal obstruction).
  • Any disease contraindicating surgery (e.g. uncontrolled diabetes).
  • Heavy smokers.
  • Acute oral infections.
  • Untreated periodontal disease.
  • Poor oral hygiene.
  • A history of radiotherapy or chemotherapy of the head and neck region.
  • Pregnancy.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University

Alexandria, Egypt

Location

Related Publications (35)

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    PMID: 19885432BACKGROUND
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    PMID: 6993637BACKGROUND
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    PMID: 30088551BACKGROUND
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    PMID: 11307560BACKGROUND
  • Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofac Surg. 2016 Sep;54(7):724-30. doi: 10.1016/j.bjoms.2016.05.008. Epub 2016 May 25.

    PMID: 27235382BACKGROUND
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    PMID: 11280366BACKGROUND
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    PMID: 17695343BACKGROUND
  • Fugazzotto PA. The modified trephine/osteotome sinus augmentation technique: technical considerations and discussion of indications. Implant Dent. 2001;10(4):259-64. doi: 10.1097/00008505-200110000-00009.

    PMID: 11813667BACKGROUND
  • Hwang D, Wang HL. Medical contraindications to implant therapy: Part II: Relative contraindications. Implant Dent. 2007 Mar;16(1):13-23. doi: 10.1097/ID.0b013e31803276c8.

    PMID: 17356368BACKGROUND
  • Jivraj S, Chee W. Treatment planning of implants in posterior quadrants. Br Dent J. 2006 Jul 8;201(1):13-23. doi: 10.1038/sj.bdj.4813766.

    PMID: 16829878BACKGROUND
  • Johnson C. Measuring Pain. Visual Analog Scale Versus Numeric Pain Scale: What is the Difference? J Chiropr Med. 2005 Winter;4(1):43-4. doi: 10.1016/S0899-3467(07)60112-8.

    PMID: 19674646BACKGROUND
  • Liddelow G, Klineberg I. Patient-related risk factors for implant therapy. A critique of pertinent literature. Aust Dent J. 2011 Dec;56(4):417-26; quiz 441. doi: 10.1111/j.1834-7819.2011.01367.x.

    PMID: 22126353BACKGROUND
  • Lum AG, Ogata Y, Pagni SE, Hur Y. Association Between Sinus Membrane Thickness and Membrane Perforation in Lateral Window Sinus Augmentation: A Retrospective Study. J Periodontol. 2017 Jun;88(6):543-549. doi: 10.1902/jop.2017.160694. Epub 2017 Feb 26.

    PMID: 28398119BACKGROUND
  • Mandelaris GA, Rosenfeld AL. A novel approach to the antral sinus bone graft technique: the use of a prototype cutting guide for precise outlining of the lateral wall. A case report. Int J Periodontics Restorative Dent. 2008 Dec;28(6):569-75.

    PMID: 19146052BACKGROUND
  • Marin S, Kirnbauer B, Rugani P, Payer M, Jakse N. Potential risk factors for maxillary sinus membrane perforation and treatment outcome analysis. Clin Implant Dent Relat Res. 2019 Feb;21(1):66-72. doi: 10.1111/cid.12699. Epub 2018 Nov 26.

    PMID: 30475442BACKGROUND
  • Monje A, Monje F, Gonzalez-Garcia R, Suarez F, Galindo-Moreno P, Garcia-Nogales A, Wang HL. Influence of atrophic posterior maxilla ridge height on bone density and microarchitecture. Clin Implant Dent Relat Res. 2015 Feb;17(1):111-9. doi: 10.1111/cid.12075. Epub 2013 Apr 22.

    PMID: 23607367BACKGROUND
  • Osman AH, Mansour H, Atef M, Hakam M. Computer guided sinus floor elevation through lateral window approach with simultaneous implant placement. Clin Implant Dent Relat Res. 2018 Apr;20(2):137-143. doi: 10.1111/cid.12559. Epub 2017 Dec 1.

    PMID: 29194927BACKGROUND
  • Pal US, Sharma NK, Singh RK, Mahammad S, Mehrotra D, Singh N, Mandhyan D. Direct vs. indirect sinus lift procedure: A comparison. Natl J Maxillofac Surg. 2012 Jan;3(1):31-7. doi: 10.4103/0975-5950.102148.

    PMID: 23251055BACKGROUND
  • Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000. 2008;47:51-66. doi: 10.1111/j.1600-0757.2008.00267.x. No abstract available.

    PMID: 18412573BACKGROUND
  • Shah SA, Khan I, Shah HS. Effectiveness of submucosal dexamethasone to control postoperative pain & swelling in apicectomy of maxillary anterior teeth. Int J Health Sci (Qassim). 2011 Jul;5(2):156-65.

    PMID: 23267293BACKGROUND
  • Simsek Kaya G, Daltaban O, Kaya M, Kocabalkan B, Sindel A, Akdag M. The potential clinical relevance of anatomical structures and variations of the maxillary sinus for planned sinus floor elevation procedures: A retrospective cone beam computed tomography study. Clin Implant Dent Relat Res. 2019 Feb;21(1):114-121. doi: 10.1111/cid.12703. Epub 2018 Dec 17.

    PMID: 30556642BACKGROUND
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    PMID: 28494033BACKGROUND
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    PMID: 22117952BACKGROUND
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    PMID: 8055503BACKGROUND
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    PMID: 3516738BACKGROUND
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    PMID: 8510868BACKGROUND
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    PMID: 22092804BACKGROUND
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    PMID: 10440632BACKGROUND
  • Zaniol T, Zaniol A. A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift. Case Rep Dent. 2017;2017:7610607. doi: 10.1155/2017/7610607. Epub 2017 Feb 26.

    PMID: 28337349BACKGROUND
  • Zaniol T, Zaniol A, Tedesco A, Ravazzolo S. The Low Window Sinus Lift: A CAD-CAM-Guided Surgical Technique for Lateral Sinus Augmentation: A Retrospective Case Series. Implant Dent. 2018 Aug;27(4):512-520. doi: 10.1097/ID.0000000000000776.

    PMID: 29847458BACKGROUND
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    PMID: 18498582BACKGROUND

Study Officials

  • Nagy H Elprince, pHd

    Alexandria University

    STUDY DIRECTOR
  • Riham M Fliefel, pHd

    Alexandria University

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant lecturer of DPH and Clinical statistician

Study Record Dates

First Submitted

November 1, 2020

First Posted

November 6, 2020

Study Start

January 1, 2019

Primary Completion

December 17, 2019

Study Completion

December 17, 2019

Last Updated

November 6, 2020

Record last verified: 2020-11

Data Sharing

IPD Sharing
Will not share

Locations