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Comparison of Two Pre-prosthetic Surgical Techniques for Augmentation of Mandibular Vertical Ridge Defects

Primary Purpose

Alveolar Ridge Enlargement

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
customised ceramic sheets (Group 1)
modified sausage technique (Group 2)
Sponsored by
Lydia Nabil
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alveolar Ridge Enlargement

Eligibility Criteria

40 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • patients of both genders
  • with age range from 40 to 60 years,
  • having about 7 mm of vertical bone height in the posterior mandible above the inferior alveolar canal and
  • requiring prosthetic rehabilitation with dental implants.

Exclusion Criteria:

  • heavy smokers,
  • patients undergoing radiotherapy or chemotherapy,
  • those having infection or local lesions in the area of surgery, and
  • patients with bone diseases which may compromise the results

Sites / Locations

  • Faculty of Dentistry

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Active Comparator

Arm Label

Group 1(ceramic membrane)

Group 2 (modified sausage technique)

Arm Description

using customized ceramic membranes for augmentation of vertical mandibular ridge defects in preparation for implant placement

using tenting titanium screws in conjunction with particulate bone graft and collagen membrane (modified sausage technique) for augmentation of vertical mandibular ridge defects in preparation for implant placement

Outcomes

Primary Outcome Measures

mean percentage of change of alveolar bone height
change of alveolar bone height after surgery

Secondary Outcome Measures

Full Information

First Posted
April 29, 2020
Last Updated
November 2, 2020
Sponsor
Lydia Nabil
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1. Study Identification

Unique Protocol Identification Number
NCT04376320
Brief Title
Comparison of Two Pre-prosthetic Surgical Techniques for Augmentation of Mandibular Vertical Ridge Defects
Official Title
Comparison of Two Pre-prosthetic Surgical Techniques for Augmentation of Mandibular Vertical Ridge Defects
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
April 1, 2020 (Actual)
Primary Completion Date
September 30, 2020 (Actual)
Study Completion Date
October 4, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Lydia Nabil

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of this study is to compare two pre-prosthetic surgical techniques for augmentation of vertical mandibular ridge defects in preparation for implant placement, the first using customized ceramic membranes and the second using tenting titanium screws in conjunction with particulate bone graft and collagen membrane (modified sausage technique).
Detailed Description
Background: Expansion of the periosteum and soft tissue matrix by tenting has been described as a method of Guided Bone Regeneration (GBR) for reconstruction of atrophic alveolar ridges. Materials and Methods: The current study is a prospective controlled clinical trial, conducted on 14 patients, having about 7 mm of vertical bone height in the posterior mandible above the inferior alveolar canal. They are divided into 2 equal groups, each consisting of 7 patients. The first group receives customized ceramic membranes with a vertical height 5 mm above the crest of the ridge to tent out the soft tissue matrix, while in the second group, tenting of the soft tissue is done by fixation of two tenting screws, particulate bone graft is packed then covered by collagen membrane that is fixed by bone tacks (modified sausage technique).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alveolar Ridge Enlargement

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
14 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1(ceramic membrane)
Arm Type
Active Comparator
Arm Description
using customized ceramic membranes for augmentation of vertical mandibular ridge defects in preparation for implant placement
Arm Title
Group 2 (modified sausage technique)
Arm Type
Active Comparator
Arm Description
using tenting titanium screws in conjunction with particulate bone graft and collagen membrane (modified sausage technique) for augmentation of vertical mandibular ridge defects in preparation for implant placement
Intervention Type
Device
Intervention Name(s)
customised ceramic sheets (Group 1)
Intervention Description
guided bone regeneration
Intervention Type
Combination Product
Intervention Name(s)
modified sausage technique (Group 2)
Intervention Description
guided bone regeneration
Primary Outcome Measure Information:
Title
mean percentage of change of alveolar bone height
Description
change of alveolar bone height after surgery
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: patients of both genders with age range from 40 to 60 years, having about 7 mm of vertical bone height in the posterior mandible above the inferior alveolar canal and requiring prosthetic rehabilitation with dental implants. Exclusion Criteria: heavy smokers, patients undergoing radiotherapy or chemotherapy, those having infection or local lesions in the area of surgery, and patients with bone diseases which may compromise the results
Facility Information:
Facility Name
Faculty of Dentistry
City
Alexandria
ZIP/Postal Code
21411
Country
Egypt

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Comparison of Two Pre-prosthetic Surgical Techniques for Augmentation of Mandibular Vertical Ridge Defects

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