One-stage ridge splitting in the upper jaw using piezo surgery or a bone-disc technique

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Participants are randomized to one-stage ridge splitting in the maxilla performed either with piezoelectric bone inserts or with a bone-disc osteotomy, followed by bone chisels, drills, expanders and implant placement. All participants receive baseline CBCT, diagnostic wax-up and stent fabrication, and repeat CBCT at four months to document bone changes. Procedures are performed under local infiltration anesthesia with a full-thickness mucoperiosteal pyramidal flap and periosteal releasing incisions for tension-free closure. The protocol measures ridge width gain and implant site readiness after four months.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients with maxilla residual alveolar bone height not less than 8 mm.
* Alveolar bone width from 5mm to 3mm.
* Both genders.
* At least single missing tooth.
* Previous failed implants.
* Tapered or cylinder cross sectioned alveolar bone defect pattern.

Exclusion Criteria:

* Heavy smokers more than 20 cigarettes per day.
* Patients with bone disease that may affect normal healing, example; hyperparathyroidism.
* Patients had radiotherapy and chemotherapy in head and neck.
* Patients had neoplasms in sites to be grafted.
* Patients with Metabolic diseases uncontrolled diabetic patients, Glycated hemoglobin (Hb A1c) more than 7 mg\\dl.
* Pregnant females.
* Patients with Para functional habits, apprehensive and non-cooperative.
* Bone pathology related to the site to be grafted.
* Psychological problems, stress situation (socially or professionally), emotional instability, and unrealistic patients' expectations.
* Intraoral soft and hard tissue pathology.
* Systemic condition that contraindicates implant placement.
* Under the age of 18 years.
* Hourglass defects or defects with bone concavities and or undercuts.

Where it's running

• Faculty of Dentistry Cairo University
  Cairo, Egypt Recruiting

Study contacts

• Study coordinator: Mohannad A. Ismail, MSc.
• Email: mohannadahmed@hotmail.com
• Phone: 01222968444

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.