Simultaneous Implant Placement With Vertical and Horizontal Bone Augmentation

Study Results

Results pending

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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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-15

Study Completion Date

2026-05-18

Brief Summary

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The purpose of this study was to report the clinical and radiographical outcomes of using autogenous cortical bone plates combined with sticky allogenic bone graft for augmenting maxillary anterior atrophic combined horizontal and vertical ridge defects with simultaneous versus staged implant placement.

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Detailed Description

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Sufficient alveolar ridge is a prerequisite for successful implant stability, atrophic ridges defects make the placement of regular implants challenging. A variety of materials and surgical techniques are available for bone augmentation procedures prior implant placement. The present study evaluated the effect of sticky allogenic bone graft for the horizontal and vertical ridge augmentation with simultaneous implant placement using autogenous cortical bone plates in maxillary anterior atrophic ridge defects.

Forty-two patients, with severe maxillary anterior horizontal and vertical atrophic ridge deficiencies were randomly assigned to two groups: staged approach group and simultaneous implant placement group. The two groups were grafted using bone plated buccally and palatally and the defect between plates was grafted by sticky allogenic bone graft. Radiographic examination was performed immediately before bone grafting procedure and at 6, 12 months postoperatively, to evaluate the change of bone width and height.

Conditions

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Alveolar Bone Loss Dental Implant Failed

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

single-center, prospective, single-blinded, randomized parallel two-arm controlled clinical trial

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

The present clinical trial was single-blinded one as the evaluator and the statistician were both blinded. While both the implantologist or the participant were not blinded as the interventions were dissimilar.

Study Groups

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Staged implant placement approach

the bone defect was grafted using bone plates buccally and palatally and the defect between plates was grafted by sticky allogenic bone graft. 6 months later the implant was placed in the grafted site.

Group Type EXPERIMENTAL

implant placement 6 months after ridge augmentation

Intervention Type PROCEDURE

the deficient ridge was grafted first followed by implant placement after 6-monthes

Simultaneous implant placement approach

the bone defect was grafted using bone plates buccally and palatally and the defect between plates was grafted by sticky allogenic bone graft combined with simultaneous implant placement.

Group Type EXPERIMENTAL

implant placement Simultaneously with ridge augmentation

Intervention Type PROCEDURE

the deficient ridge was grafted and followed by implant placement simultaneously

Interventions

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implant placement 6 months after ridge augmentation

the deficient ridge was grafted first followed by implant placement after 6-monthes

Intervention Type PROCEDURE

implant placement Simultaneously with ridge augmentation

the deficient ridge was grafted and followed by implant placement simultaneously

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Good general health at the time of surgery
* At least 3 months of healing after tooth extraction
* Horizontally and vertical compromised alveolar ridges

Exclusion Criteria

* Thick cortex in the labial/buccal with less cancellous bone inside;
* Obvious undercut on the labial/buccal side
* Uncontrolled periodontal conditions or other oral disorders;
* history of radiotherapy in the head and neck region

Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes