Ascending Ramus Versus Chin Cortical Plates for Reconstruction of Atrophic Maxilla
NCT ID: NCT03629860
Last Updated: 2018-08-14
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
12 participants
INTERVENTIONAL
2018-05-01
2019-04-09
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
CROSSOVER
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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ascending ramus group
* 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
Atrophic maxillary alveolar ridge augmentation
Autogenous bone blocks from chin and ascending ramus are obtained and used for reconstruction of atrophic maxillary ridges
Chin Group
* 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
Atrophic maxillary alveolar ridge augmentation
Autogenous bone blocks from chin and ascending ramus are obtained and used for reconstruction of atrophic maxillary ridges
Interventions
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Atrophic maxillary alveolar ridge augmentation
Autogenous bone blocks from chin and ascending ramus are obtained and used for reconstruction of atrophic maxillary ridges
Eligibility Criteria
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Inclusion Criteria
* Both sexes
Exclusion Criteria
* Systemic condition that contraindicate implant basement.
* Psychiatric problems
ALL
Yes
Sponsors
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Cairo University
OTHER
Responsible Party
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ahmed yousri said zayed
B.D.S,Principal investigator,dentist
Principal Investigators
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Ahmed Y Yousri, Bsd
Role: PRINCIPAL_INVESTIGATOR
Cairo University
Locations
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Faculty of Dentistry, Cairo University
Cairo, Al-Manial, Egypt
Countries
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Central Contacts
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Facility Contacts
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References
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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Other Identifiers
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Ahmed yousri
Identifier Type: -
Identifier Source: org_study_id
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