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Guided Bone Regeneration With Particulate Versus Block Graft

23. august 2018 opdateret af: Zekeriya Tasdemir, TC Erciyes University

Guided Bone Regeneration With Particulate Versus Block Graft: Evaluation of the Two Techniques From the Point of View of the Physician and the Patient

The aim of present study was to compare two bone augmentation techniques (Guided Bone Regeneration, GBR, with autogenous block graft and GBR with particulate autograft plus xenograft) in terms of efficacy, complications, operational parameters (cost of the materials used, time for patient preparation, time for surgery, fatigue of the physician caused by surgery) tolerability by the patient and patient comfort.

Studieoversigt

Status

Afsluttet

Betingelser

Detaljeret beskrivelse

The aim of present study was to compare two bone augmentation techniques (Guided Bone Regeneration, GBR, with autogenous block graft and GBR with particulate autograft plus xenograft) in terms of efficacy, complications, operational parameters (cost of the materials used, time for patient preparation, time for surgery, fatigue of the physician caused by surgery) tolerability by the patient and patient comfort. 30 systemically healthy individuals with inadequate alveolar bone crest width who requested implant placement (15 Female and 15 Male) participated in this study. After an initial examination, 15 patients were assigned to GBR with block graft (GBR-BG) and 15 were assigned to GBR particulate autograft plus xenograft (GBR-AX). Bone thickness was recorded before surgery and at a post-operative 6th month. Complications as Bleeding, Hematoma, Flap dehiscence, Infection, Numbness were evaluated. Patients were requested to record pain and swelling via visual analog scale (VAS) at 3rd, 7th and 14th days after surgery. The swelling was also recorded by an experienced clinician at 3rd, 7th and 14th days after surgery. Cost, time for patient preparation, time for surgery, fatigue of the physician caused by surgery were also determined.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

30

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

30 år til 62 år (Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

All patients admitted to the clinic with a complaint of tooth loss and inadequate alveolar crest (crest width <4mm) and requested of dental implant placement were examined. Patients with any systemic disease , smoking or alchol habits and medications did not included into the study due to avoid any possible effects on our results

Beskrivelse

Inclusion Criteria:

  • 30 to 62 years of age
  • systemically health
  • no smoking
  • no use of medications for previous 6 months
  • no pregnancy and lactation
  • no contraindications for periodontal surgery.

Exclusion Criteria:

  • <30 and >62 years of age
  • patients with systemic disease
  • smoking habit ( current or past)
  • any medication
  • acute illness
  • pregnancy or lactation

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Guided Bone Regeneration with Particulate graft
patients who had inadequate alveolar crest (crest width <4mm) and requested of dental implant placement, treated with guided bone regeration with particulate graft
Guided Bone Regeneration with block graft
patients who had inadequate alveolar crest (crest width <4mm) and requested of dental implant placement, treated with guided bone regeration with block graft

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
bone gain
Tidsramme: 6 month after surgery
Bone gain was calculated by cone beam computerized tomography
6 month after surgery

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pain
Tidsramme: Post-operative pain was assessed at 3, 7, and 14 days.
Pain was evaluated by visual analog scale Visual analog scale (VAS) consist of 10 units, in combination with a graphic rating scale. On the VAS, the left and right end of the graphic represented the absence of pain (score 0) and the most severe pain (score 10), respectively. Patients were warned to fulfill the VAS, taking into consideration the intensity of their pain in the previous 24 hours on all recall days.
Post-operative pain was assessed at 3, 7, and 14 days.

Samarbejdspartnere og efterforskere

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Datoer for undersøgelser

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Studer store datoer

Studiestart (Faktiske)

10. januar 2017

Primær færdiggørelse (Faktiske)

10. januar 2018

Studieafslutning (Faktiske)

10. april 2018

Datoer for studieregistrering

Først indsendt

21. august 2018

Først indsendt, der opfyldte QC-kriterier

23. august 2018

Først opslået (Faktiske)

24. august 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. august 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

23. august 2018

Sidst verificeret

1. august 2018

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • Zek

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