Anterior Maxilla Augmentation Using Chin Bone Ring With Implant Placement

Study Overview
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Brief Summary
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The study aims toward using autogenous bone grafts to solve decreased bone quantity in anterior maxilla while allowing the patient to recieve implants simultaneously (same time of grafting).

Detailed Description
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Chin bone ring will be harvested from patient's(10 in number) chin to augment the recent extraction socket with buccal bone defect, followed by implant placement. The process of harvesting and placement of ring will be computer guided which adds lots of accuracy to the bone ring required size from the donor site and the proper placement of both the ring and the implant at the recipient site

Official Title
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Computer Guided Simultaneous Implant Placement With Ridge Augmentation Using Autogenous Bone Ring Transplant in Defective Maxillary Anterior Sockets

Conditions
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Ridge Augmentation

Intervention / Treatment
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* Procedure: Ridge augmentation using chin bone ring with simultaneous implant placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with non-restorable teeth in the maxillary anterior region with insufficient buccal bone height or buccal bone defect. Patients who have given their consent for this trial. Both genders males and females will be included. Exclusion Criteria: • Untreated periodontitis. Poor oral hygiene and motivation. Uncontrolled diabetes. Pregnant or nursing.

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interventional arm (Ridge augmentation with simultaneous implant placement)<br>Chin bone ring is harvested using surgical guide to augment anterior maxillary defective recent extraction sockets OR remaining roots that need extraction and are accompanied with labial bone loss Associated with simultaneous implant placement with the aid of surgical guides | Procedure: Ridge augmentation using chin bone ring with simultaneous implant placement<br>* surgical guides are to be used to harvest chin bone ring, the rings are to be used for bone augmentation in extraction sockets (salama and salama classsification type II),simultaneously implant placement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bone quantity (crestal bone) height) | Cone beam | 3 months after operation day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bone quality (bone density at the ring alveolus interface) | In Hounsfield units making use of ROI region of intrest tool included in the software | 3 months after operation day |