Ridge Splitting Using Autogenous Bone Wedge Versus the Conventional Intercortical Augmentation Technique in Horizontally Deficient Anterior Maxilla

NCT ID: NCT06529653

Last Updated: 2024-07-31

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-30

Study Completion Date

2024-12-30

Brief Summary

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The current study aimed to evaluate both the quality and quantity of gained and maintained bone width after ridge splitting utilizing autogenic bone wedges versus mixed bone particles for horizontal ridge augmentation in the anterior esthetic zone.

Detailed Description

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This randomized clinical study included 20 patients with a horizontally deficient ridge in the esthetic region. Two groups were divided according to the type of intercortical bone graft used after ridge splitting: 10 patients for each. (The intervention group) had grafting with autogenous bone wedges harvested from the chin, and (the control group) had mixed (autogenic and xenogenic) bone particles.

Conditions

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Horizontal Ridge Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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intervention group

the group using an autogenous bone wedge harvested from the chin interpositioned between split cortices in the anterior maxilla to manage the horizontal deficiency of the ridge.

Group Type OTHER

autogenous bone wedge

Intervention Type PROCEDURE

autogenous bone block harvested from chin and adjusted to be wedged intercortical in split ridge

control group

the group used mixed autogenic and xenogenic bone particles that interposed between split cortices in anterior maxilla to manage the horizontal deficiency of the ridge

Group Type OTHER

autogenous bone wedge

Intervention Type PROCEDURE

autogenous bone block harvested from chin and adjusted to be wedged intercortical in split ridge

Interventions

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autogenous bone wedge

autogenous bone block harvested from chin and adjusted to be wedged intercortical in split ridge

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. All patients possessed partially edentulous anterior maxillary ridge with the following criteria

1. The anterior maxillary vertical dimension was more than ten mm measured from the alveolar crest to the basal bone of the maxilla.
2. The horizontal alveolar dimension varies from 3-5 mm at the crest and 6-8 mm at the basal part of the ridge measured from the labial cortex to the lingual cortex.
2. All patients were free from any medical conditions that may affect bone healing .
3. No local pathosis that may interfere with bone healing.
4. No previous grafting procedures at the indicated edentulous ridge.

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Exclusion Criteria

1- Patients suffering from any systemic disease that may affect bone healing. 2- Patients with less than 3mm labio palatal alveolar ridge width. 3- Ridge with inadequate vertical bone height. 4- Presence of any local pathosis that may interfere with bone healing. 5- Patients unable to continue the whole follow up.

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Minimum Eligible Age

25 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Mohammed Abdel Salam Ibrahim Omara

masiomara

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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oral and maxillo facial Surgery Department; Faculty of dentistry, Cairo University.

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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yasmin ahmed, B.D.S

Role: CONTACT

01065273456

Mohamed Omara, PHD

Role: CONTACT

01144452862

Facility Contacts

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yasmin ahmed, B.D.S

Role: primary

01065273456

References

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Atef M, Osman AH, Hakam M. Autogenous interpositional block graft vs onlay graft for horizontal ridge augmentation in the mandible. Clin Implant Dent Relat Res. 2019 Aug;21(4):678-685. doi: 10.1111/cid.12809. Epub 2019 Jul 1.

Reference Type BACKGROUND
PMID: 31260166 (View on PubMed)

Omara M, Mekhemer S, Mansour S, Ahmed Y. Ridge splitting using autogenous bone wedge versus the conventional intercortical augmentation technique in horizontally deficient anterior maxilla: a randomized clinical trial. BMC Oral Health. 2025 Jun 21;25(1):955. doi: 10.1186/s12903-025-06345-z.

Reference Type DERIVED
PMID: 40544250 (View on PubMed)

Related Links

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Other Identifiers

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ridge splitting

Identifier Type: -

Identifier Source: org_study_id

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