Evaluation of Osseodensification Versus Osseodensification With Ridge Splitting in Horizontally Deficient Ridge

Study Overview
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Brief Summary
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Osseodensification is a method of biomechanical bone preparation where specially designed burs increase density of bone as they expand an osteotomy. These osseodensifying burs combine advantages of osteotome bone preservation with the standard traditional drilling burs speed and tactile control. The investigators compared ridge splitting followed by osseodensification versus osseodensification in terms of buccolingual ridge expansion both clinically and radiographically.

Detailed Description
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Sixteen patients will be randomly allocated into two groups. Ridge splitting followed by osseodensification will be performed with simultaneous implant placement in group I. Osseodensification will be performed with simultaneous implant placement in group II. Alveolar ridge width and Implant stability will be assessed clinically. Alveolar ridge width and bone density will be assessed radiographically.

Official Title
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Evaluation of Osseodensification Versus Osseodensification With Ridge Splitting in Horizontally Deficient Ridge (A Randomized Clinical Study)

Conditions
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Osseodensification

Intervention / Treatment
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* Procedure: Ridge splitting followed by ossedensificaion
* Procedure: Osseodensification


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients suffering from missing single or multiple maxillay anterior and /or premolar with at least 8 mm alveolar ridge height, with 4-6mm alveolar buccolingual (BL) ridge width. Patients should be systemically healthy. Patients available during follow up periods. Exclusion Criteria: Pregnant females. Smokers. Poor oral hygiene. Vulnerable patients

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Osseodensification with ridge splitting<br>Ridge splitting followed by osseodensification using osseodensifying burs . | Procedure: Ridge splitting followed by ossedensificaion<br>* Ridge splitting followed by ossedensificaion with osseodensifying burs.<br>Procedure: Osseodensification<br>* Pilot drill is used to make the initial osteotomy to the desired depth, then osseodensifying burs will be used in sequence, gradually wider diameter in a counterclockwise rotation and bouncing motion under profuse saline irrigation<br>|
| Active Comparator: Osseodensification<br>osseodensification will be performed using osseodensifying burs. | Procedure: Osseodensification<br>* Pilot drill is used to make the initial osteotomy to the desired depth, then osseodensifying burs will be used in sequence, gradually wider diameter in a counterclockwise rotation and bouncing motion under profuse saline irrigation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| assessment of gain in alveolar ridge width | Radiographically | before surgery and immediately after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| primary implant stability | Implant stability quotient measured by ostell | at the end of surgery | 
| bone density | radiographically | before surgery and immediately after surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osseodensification, Alveolar ridge splitting