Effect of Changing Grafting Sequences During Sinus Lifting & Simultaneous Implant Placement in the Gained Bone Using Customized Surgical Guide
Effect of Changing Grafting Sequences During Sinus Lifting & Simultaneous Implant Placement in the Gained Bone Using Customized Surgical Guide: A Randomized Clinical Trial
연구 개요
상세 설명
Maxillary sinus floor augmentation (MSFA) is a common procedure to restore vertical bone defects in the posterior maxilla to allow for oral rehabilitation using dental implants. However, traditional techniques can have demerits such as increased operative time, liability to infection, and increased complication rates. Despite advancements made to improve the surgical technique, several complications can yet arise which may compromise the success of the operation.
This study aims to enhance surgical sequences and compare the efficacy of sinus elevation, implant, and bone graft procedures using a customized surgical guide. The guide includes a lateral window for sinus elevation and a drill guiding hole for implant replacement. The study hypothesizes that the modified sequence (sinus elevation, bone graft, implant) is more accurate and provides better outcomes regarding bone density, stability, and height of the gained bone compared to the traditional sequence (sinus elevation, implant, bone graft).
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Ahmed Atito Said Sayed, B. D. S
- 전화번호: +201026794490
- 이메일: ahmed.atito@dentistry.cu.edu.eg
연구 장소
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Cairo, 이집트
- 모병
- Faculty of Dentistry, Cairo University
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연락하다:
- Hesham El-Hawary, Professor
- 전화번호: +201144446373
- 이메일: hesham.elhawary@dentistry.cu.edu.eg
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수석 연구원:
- Hesham El-Hawary, Phd
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Age more than 18 years.
- Both sexes.
- Patients eligible for maxillary sinus elevation, implant, and bone graft procedures.
- Adequate general health for dental interventions.
- Vertical bone measurement of 5 mm or slightly more.
Exclusion Criteria:
- Systemic conditions affecting implant success.
- Patients with vertical bone measurement less than 5 mm.
- Previous sinus surgery or dental implant failure.
- Medication that can impair or interfere with normal bone metabolism.
- History of head and neck radiotherapy.
- Pregnancy.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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활성 비교기: Group A
Traditional sequence following standard protocols (sinus elevation, implant, bone graft) using a customized surgical guide.
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Sinus elevation is performed, followed by implant placement, and finally packing the opened lateral window with bone graft, all using a customized surgical guide.
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실험적: Group B
Modified sequence (sinus elevation, bone graft, and subsequent implant placement) using a customized surgical guide.
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Sinus elevation is performed, followed by packing the sinus with bone graft, and then implant osteotomies are drilled, all using a customized surgical guide.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Bone density
기간: 3 months and 6 months postoperative
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Assessed using Cone-beam computed tomography (CBCT) and measured in Hounsfield Units (HU)
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3 months and 6 months postoperative
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Vertical bone height gained
기간: 3 months and 6 months postoperative
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Evaluated using Cone-beam computed tomography (CBCT) and measured in millimeters (mm)
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3 months and 6 months postoperative
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Bone volume
기간: 3 months and 6 months postoperative
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Computed using Cone-beam computed tomography (CBCT) and measured in cubic centimeters (cm3)
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3 months and 6 months postoperative
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Implant stability
기간: Immediately following implant placement and after 6 months postoperatively
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Measured by an implant stability meter (OsstellISQ®) in ISQ VALUE
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Immediately following implant placement and after 6 months postoperatively
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공동 작업자 및 조사자
스폰서
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
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