Accuracy of Computer Guided Versus Conventional Ridge Splitting of Horizontal Deficient in Maxillary Anterior Alveolar Ridge

Study Overview
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Brief Summary
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In patient with horizontal deficiency in alveolar ridge of the anterior maxilla, Dose computer Guided stent enhance the accuracy and clinical outcome vs conventional ridge splitting surgery????

Detailed Description
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PICO P- Horizontal deficient alveolar ridge in Anterior Maxillary Region I- Computer guided surgical cutting guide C- Conventional alveolar ridge splitting O- Clinical outcome and radiographic outcomes Primary outcome: Accuracy In computer Guided: CBCT will performed pre-operative and post-operative for measure the difference of degree in superimposition after ridge splitting. In conventional method: Ridge mapping will applied in preoperative clinical evaluation, and measure in post-operative, the difference in splitting will calculate in millimeter (mm) Secondary outcome: Thickness of buccal cortical plate In both technique CBCT will performed and measuring the Both Buccal and palatal cortical bone in millimeter(mm)

Official Title
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Accuracy of Computer Guided Versus Conventional Ridge Splitting of Horizontal Deficient in Maxillary Anterior Alveolar Ridge (Randomized Clinical Trial)

Conditions
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Ridge Deficency

Intervention / Treatment
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* Procedure: Computer guided surgical cutting guide
* Procedure: Conventional alveolar ridge splitting


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Partial edentulous in the aesthetic zone. Patient with bucco-lingual bone width is 3 mm or greater but < 6mm Normal alveolar bone height Adequate oral hygiene Free of soft tissue or dental pathology Patients accepting to participate in the study Exclusion Criteria: Patient medically compromised. Uncooperative patient. Poor oral hygiene and periodontal disease. Patients who smoked and pregnant women Systemic disease directly affecting bone healing Atrophic ridges (1.5 mm or less) History of radiotherapy & treatment with bisphosphonates.

Ages Eligible for Study
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Minimum Age: 16 Years
Maximum Age: 55 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: Single Group Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: computer guided<br>Group (A): comprised 6 patient undergoing surgical alveolar ridge splitting using computer guided surgical cutting stent. . | Procedure: Computer guided surgical cutting guide<br>* comprised 6 patient undergoing surgical alveolar ridge splitting using computer guided surgical cutting stent<br>|
| Active Comparator: conventional<br>Group (B) comprised 6 patient undergoing surgical alveolar ridge splitting using conventional technique | Procedure: Conventional alveolar ridge splitting<br>* comprised 6 patient undergoing surgical alveolar ridge splitting using conventional technique.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Accuracy | In computer Guided: CBCT will performed pre-operative and post-operative for measure the difference of degree in superimposition after ridge splitting. In conventional method: Ridge mapping will applied in preoperative clinical evaluation, and measure in post-operative, the difference in splitting will calculate in millimeter (mm) In computer Guided: CBCT will performed pre-operative and post-operative for measure the difference of degree in superimposition after ridge splitting. In conventional method: Ridge mapping will applied in preoperative clinical evaluation, and measure in post-operative, the difference in splitting will calculate in millimeter (mm) | up to 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thickness of buccal cortical plate | In both technique CBCT will performed and measuring the Both Buccal and palatal cortical bone in millimeter(mm) | up to 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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horizontal defect, Anterior maxillary