Radiographic Assessment of Bone Gain Following Sinus Lifting With Simultaneous Implant Placement Using Crestal Approach With Membrane Control Technique for Bone Augmentation of Atrophied Maxillary Posterior Ridge

NCT06446687 | Not Yet Recruiting

• 1 other identifier: 99522504
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to evaluate the quantity and quality of the native and the newly bone around dental implants that's simultaneously installed with sinus lifting

Conditions

Implant Site Reaction; Maxillary Deficiency

Keywords

Closed Sinus lifting; Bone Gain

Outcome Measures

Primary Outcomes (1)

• Cone beam computed tomography (CBCT) bone height formation around dental implants

  Calculate bone height and formation around dental implants.

  Patients will be evaluated after 3 days and weekly for the first month and then once monthly up to 4 months for signs of dehiscence. then cone-beam computed tomography 4 months postoperatively to calculate the amount of vertical bone gain.

Secondary Outcomes (1)

• Cone beam computed tomography (CBCT) density formation around dental implants

  Patients will be evaluated after 3 days and weekly for the first month and then once monthly up to 4 months for signs of dehiscence. then cone-beam computed tomography 4 months postoperatively to calculate the amount of vertical bone gain.

Study Arms (1)

Sinus Lifting by Using Crestal approach with membrane control technique.

EXPERIMENTAL

Sinus Lifting with simultaneously implant placement.

Procedure: Dental implant with sinus lifting.

Interventions

Dental implant with sinus lifting. PROCEDURE

Surgery will be performed under local infiltration anaesthesia. Flap will be done. For maxillary sinus lifting by using Crestal approach with Membrane Control Technique by Wang (Wang, 2017) will be employed. After reflecting on the flap, Magic Split will be used to confirm bone quality clinically. This will be followed by site preparation using Magic Marking Drill. Bone drilling will then be performed by Magic Drill shorter by 2 mm from the sinus floor. This will be followed by sinus lifting by using Magic Sinus Lifter (MSL). The 3mm space of the apex of the Sinus Lifter instrument enables direct control of the bone-block and consequently the membrane, which is connected to the bone-block. the fixture will be installed in the conventional method. Then cover the fixture with the cover screw. The flap will be sutured. An immediate CBCT will be requested to ensure the implant is in its proper position.

Sinus Lifting by Using Crestal approach with membrane control technique.

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients required dental implant treatment in the posterior maxilla, in the premolar and molar regions ( both sexes).
• Residual bone height 4-8mm in the estimated implant positions.
• The bone width of the alveolar ridge is at least 5mm in estimated implant positions.
• The edentulous ridges are covered with optimal thickness of mucoperiosteum.

You may not qualify if:

• Patients with a systemically diseases or inflammation whether local or generalized.
• Patients with bleeding disorders.
• Subjected to irradiation in the head and neck area less than 1 year before implantation.
• Poor oral hygiene and motivation.
• Pregnant or nursing.
• Severe bruxism or clenching.
• Active infection or severe inflammation in the area intended for implant placement.
• Unable to open mouth sufficiently to accommodate the surgical tooling.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Retrognathia

Interventions

Dental Implants

Condition Hierarchy (Ancestors)

Jaw Abnormalities; Jaw Diseases; Musculoskeletal Diseases; Maxillofacial Abnormalities; Craniofacial Abnormalities; Musculoskeletal Abnormalities; Stomatognathic Diseases; Mandibular Diseases; Stomatognathic System Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Dental Materials; Biomedical and Dental Materials; Dental Prosthesis; Prosthodontics; Dentistry; Prostheses and Implants; Equipment and Supplies; Manufactured Materials; Technology, Industry, and Agriculture

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Affiliation oral and maxillofacial surgery master candidate at cairo university

Study Record Dates

• First Submitted: May 13, 2024
• First Posted: June 6, 2024
• Study Start: June 1, 2024
• Primary Completion: October 1, 2024
• Study Completion: February 1, 2025
• Last Updated: June 6, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share