Evaluation of the Bone Volume in Horizontal Atrophic Ridges Augmentation Using Tenting Grafting Technique Versus Khoury Technique in Mandibular Molar and Premolar Region: Randomized Clinical Trial

NCT06889558 | Not Yet Recruiting

• 1 other identifier: dental Tenting Graft technique
• Study Type: interventional
• Target: 20
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this study is to compare the effectiveness of the Tenting Grafting Technique and the Khoury Technique for horizontal augmentation of atrophic alveolar ridges in mandibular molar and premolar regions in dental implant procedures. Hypothesis: We hypothesis that the tenting grafting technique is more effective for augmenting atrophic ridges with horizontal bone deficiency, whereas the Khoury technique will yield superior results for severely atrophic ridges, where both vertical and horizontal bone augmentation is required.

Conditions

Augmentation, Alveolar Ridge

Outcome Measures

Primary Outcomes (1)

• Horizontal bone gain and volume by CBCT

  measurement of bone volume by CBCT in cubic centimeter ( cc3 )

  baseline

Study Arms (2)

Khoury technique

ACTIVE COMPARATOR

technique use for bone augmentation in atrophic ridges

Procedure: tenting titanium screw

tenting technique

EXPERIMENTAL

technique used for increase bone volume

Procedure: tenting titanium technique

Interventions

tenting titanium technique PROCEDURE

technique used to increase bone augmentation and increase bone volume

Also known as: tenting screw

tenting technique

tenting titanium screw PROCEDURE

technique used for increase bone voliume

Khoury technique

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥ 18 years.
• Both sexes.
• Cooperative and likely to maintain good dental health.
• Adequate bone height for placement of implants with a minimum length of 10 mm.
• Totally or partially edentulous alveolar ridges.
• Placement Patients with insufficient bone for an implant.

You may not qualify if:

• Presence of any local or systemic factors that might contraindicate oral surgery.
• Poor oral hygiene. Conditions that complicate wound healing such as uncontrolled diabetes, smoking (10 cigarettes a day), pregnancy, a history of drug or alcohol abuse, and an inability or unwillingness to return for follow ups after occlusal loading
• Pathological lesions in the defect site.
• Patients with habits that may jeopardize the implant longevity and affect the results of the study such as alcoholism or para-functional habits.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (1)

• De Angelis P, Cavalcanti C, Manicone PF, Liguori MG, Rella E, De Rosa G, Palmieri A, D'Addona A. A Comparison of Guided Bone Regeneration vs. the Shell Technique Using Xenogeneic Bone Blocks in Horizontal Bone Defects: A Randomized Clinical Trial. Dent J (Basel). 2024 May 9;12(5):137. doi: 10.3390/dj12050137.

  PMID: 38786535 BACKGROUND

Central Study Contacts

ABDULRAHMAN rajab Masoud

CONTACT

00218917232565; abdulrahman.rajab@dentistry.cu.edu.eg

Ahmed Mohamed Yousef

CONTACT

00201067941236

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Evaluation of the bone volume in Horizontal Atrophic Ridges Augmentation Using Tenting Grafting Technique versus Khoury Technique in mandibular molar and premolar region: Randomized Clinical Trial.

Study Record Dates

• First Submitted: March 16, 2025
• First Posted: March 21, 2025
• Study Start: April 1, 2025
• Primary Completion: October 1, 2025
• Study Completion: November 1, 2025
• Last Updated: March 21, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share