Ridge Splitting With Implant Placement Using Autogenous Tooth Graft
Condition: Dental Implant Failure Nos; Alveolar Bone Loss; Peri-Implantitis
MeSH terms: Alveolar Bone Loss; Peri-Implantitis
Study type: Interventional

Summary: 
      The aim of this study is to evaluate the radiographic and the clinical outcomes of
      application of the alveolar ridge splitting (ARS) in combination with ATG, associated with
      immediate implant placement versus ARS in combination with autogenous bone graft, associated
      with immediate implant placement in patients with horizontal bony insufficiency of alveolar
      ridges.
    

Detailed description: 
      In cases of a narrow ridge, the alveolar ridge expansion technique by means of hand
      osteotomes with gradually increasing dimensions was introduced by Tatum and modified by
      Summers and it can be used regardless of the bone quality.

      Searching for absolute biocompatible material and taking into account the features of the
      enamel and dentin, using the tooth as an autologous grafting material was first advocated.
      Tooth and bone are sharing many characteristics, which supports the idea that tooth could be
      used as a grafting material. In fact, hydroxyapatite crystals make up the tooth inorganic
      composition (65%). Moreover, Collagen (mostly type I) and non-collagenic proteins comprised
      up the tooth organic component (35%). In addition, because autologous tooth graft (ATG) is
      denser than bone, minimal resorption rates were found to be advantageous to autobone. For the
      purpose of employing ATG as a grafting material, various methods and techniques have been
      suggested for developing undemineralized, demineralized or partially demineralized ATG.The
      outcomes of utilizing undemineralized autologous tooth graft (UATG) around SDIP following
      RSEA have not yet been evaluated. Therefore, the current trial aimed to assess the clinical
      and radiological performances of UATG for the treatment of horizontal alveolar ridge
      deficiencies using RSEA with SDIP.

      The aim of this study is to evaluate the radiographic and the clinical outcomes of
      application of the alveolar ridge splitting (ARS) in combination with ATG, associated with
      immediate implant placement versus ARS in combination with autogenous bone graft, associated
      with immediate implant placement in patients with horizontal bony insufficiency of alveolar
      ridges.
    

Intervention name(s): autogenous tooth graft; autogenous bone graft
Intervention type(s): Procedure; Procedure
Intervention description(s): undemineralized autogenous tooth graft will augment the gap between the splitted ridge and the simultaneously [laced implant fixture; autogenous bone graft will augment the gap between the splitted ridge and the simultaneously [laced implant fixture
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: single-center, prospective, single-blinded, randomized parallel two-arm controlled clinical trial
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Ridge splitting; Autogenous Tooth Graft; simultaneous implant placement