Preimplant Site Augmentation Using MPM Versus Autogenous Bone Graft

Study Overview
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Brief Summary
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Using growth factors obtained from patient's venous blood mixed with particulate autogenous bone the study compares bone gain by implant with gold standards.

Detailed Description
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To study the effectiveness of MPM in ridge augmentation with implant insertion compared with autogenous bone graft. -PICO- Population (P): Patients with defective maxillary alveolar ridge requiring implant insertion. Intervention (I): Ridge augmentation with MPM. Comparator (C): Autogenous bone graft. Outcome (O): Patient satisfaction - Implant stability.

Official Title
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Implant Insertion in Defective Anterior Maxillary Ridge Augmented Using Mineralized Plasmatic Matrix Versus Autogenous Bone Graft

Conditions
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Bone Resorption

Intervention / Treatment
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* Other: Mineralized plasmatic matrix (MPM).
* Other: Autogenous bone graft (gold standard).


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Medically free patients. Evaluated bone height on CBCT to be (0-4 mm buccal bone dehiscence) and width (not less than 4.5 mm) Patients with Anterior maxillary defective partially edentulous ridge. Age between 18 and 40 years. Both sexes. Patients physically able to tolerate surgical and restorative procedures. Patients with an opposing tooth to the pre-implant site. Good oral hygiene. Highly motivated patients. Exclusion Criteria: Patients allergic to local anesthetic agent. Pregnant or lactating females. Presence of any pathosis in the pre-implant site. Presence of any mucosal disease. Presence of parafunctional habits. History of oral radiotherapy. History of prolonged steroids use. Psychological disorders.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 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: Autogenous bone graft (Gold Standard).<br>Patients with defective maxillary alveolar ridges requiring implant insertion will have Autogenous bone graft (Gold standard) and collagen membrane to be used for bone augmentation around exposed threads of inserted dental implants. | Other: Autogenous bone graft (gold standard).<br>* Exposed implant threads are to be covered with autogenous bone and collagen membrane.<br>* Other names: Autobone.;|
| Active Comparator: MPM Augmentation.<br>Mineralized plasmatic matrix (MPM) to be used without collagen membrane to augment the defect in the maxillary bone and cover the exposed threads of the dental implants. | Other: Mineralized plasmatic matrix (MPM).<br>* By using venoud blood from the patient, together with bone graft, a centrifuge will be used to obtain the top layer after centrifuging blood at 3000 RPM, for 10 minutes , Which will result if sticky bone graft consistency after mixing.<br>* Other names: Sticky bone graft.;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient Satisfaction regarding esthetic results , outcome will be measure using questionnaire. |  | 5 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Stability of dental implants , this will be measured using Ostell device in ISQ units. |  | 5 months. |