Sinus Lift With Hydroxyapatite Nano Particles Versus Tenting Technique

Study Overview
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Brief Summary
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twenty recruited patients indicated for sinus augmentation and immediate implant placement will be divided into two groups (10 in each of the two groups), to compare bone formation and implant stability after shneiderian membrane elevation and augmentation with Hydroxyapatite Nano particles [Nanostreams] or augmentation with graft less tenting technique with simultaneous implant placement.

Official Title
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Schneiderian Membrane Elevation and Augmentation With Hydroxyapatite Nano Particles [ Nano Streams ] Versus Graft Less Tenting Technique With Simultaneous Implant Placement: Randomized Clinical Trial

Conditions
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Maxillary Sinus Lift

Intervention / Treatment
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* Procedure: sinus lift implant placement Hydroxyapatite Nano particles
* Procedure: sinus lift implant placement tenting


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with atrophic maxilla and pneumatization of the maxillary sinus with residual bone height at least 5mm of residual ridge as per MISCH criteria Both sexes Exclusion Criteria: Sinus pathology Heavy smokers more than 20 cigarettes per day Patients with systemic disease that may affect normal healing

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: sinus lift implant placement Hydroxyapatite Nano particles<br>shneiderian membrane elevation and augmentation with Hydroxyapatite Nano particles [Nanostreams] with simultaneous implant placement | Procedure: sinus lift implant placement Hydroxyapatite Nano particles<br>* shneiderian membrane elevation and augmentation with Hydroxyapatite Nano particles with simultaneous implant placement<br>|
| Active Comparator: sinus lift implant placement tenting<br>shneiderian membrane elevation and augmentation with graft less tenting technique with simultaneous implant placement | Procedure: sinus lift implant placement tenting<br>* shneiderian membrane elevation and augmentation with graft less tenting technique with simultaneous implant placement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| patient satisfaction | evaluation of post operative complications in terms of pain and edema using patient pain chart | 7 days post operative | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| implant stability | measurement of the implant stability using osstell device | will be measured intra-operative after implant insertion and will be measured one more time 6 months after the first operation at the time of implant exposure | 
| height of bone gain or loss around the implant | two cone beam CT will be taken for the patients, one immediate post operative and the other 6 months post-operative then the amount of bone gained or loss will be assessed by superimposing the same section in the two cone beam CT | 6 months post operative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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tenting Hydroxyapetite nano particles implant immediate