Interchangeable Guide in Ridge Splitting Flapless Technique for Implant Placement

Study Overview
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Brief Summary
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A clinical trial was conducted to evaluate the accuracy of dental implant placement in narrow ridges after ridge splitting flapless technique using an interchangeable guide.

Detailed Description
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A sample was selected conveniently to fulfill a list of inclusion and exclusion criteria. Then the selected participants underwent ridge splitting with the aid of interchangeable guide. After ridge splitting, all patients had simultaneous implant placement followed by clinical and radiographical evaluation over a period of 6 months.

Official Title
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Evaluation of Interchangeable Guide in Flapless Ridge Splitting With Simultaneous Implant Placement (Clinical Study)

Conditions
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Anterior Maxillary Narrow Ridge

Intervention / Treatment
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* Procedure: ridge splitting flapless technique using interchangeable guide followed by implant placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with anterior maxillary narrow ridge Patients with adequate alveolar ridge bone height Age ranging from 20-40 years. Patients should have adequate oral hygiene Patients should be free of soft tissue or oral dental pathology Patients who accept to participate in the study. Exclusion Criteria: Patients suffering from relevant systemic and/or metabolic diseases Patients suffering from immunosuppressive and/or autoimmune diseases Heavy smokers.

Ages Eligible for Study
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Minimum Age: 20 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ridge splitting flapless technique using interchangeable guide<br>Fabrication of interchangeable surgical guide stent: Optical scanning of the dental casts was done using Ceramill map 400 The treatment plan and the surgical stent were designed using Mimics Innovation Suite 19 ™ software Series of creating and designing special 3D virtual guide slits and boxes that can accommodate and precisely fit the tools used for the ridge splitting technique. | Procedure: ridge splitting flapless technique using interchangeable guide followed by implant placement<br>* An informed consent is taken from all the patients I. Presurgical phase: Proper dental and medical history. Scaling and oral hygiene measurements. Clinical examination. Radiographic examination. Clinical bucco-lingual measurements was done using calipers to ensure the patients would meet our initial inclusion criteria prior to further investigations. III. Fabrication of interchangeable surgical guide stent from primary impression: Optical scanning of the dental casts was done using Ceramill map 400 surgical stent was designed using Mimics Innovation Suite 19 ™ software. Series of creating and designing special 3D virtual guide slits and boxes that can accommodate and precisely fit the tools used for the ridge splitting technique. All patients will be operated under local anesthesia, stent was placed on ridge and adapted well after disinfection osteotomy was done using piezotome splitting tips Implant-insertion was started immediately<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical evaluaion | post operative complication (presence or absence of any sign of swelling or infection) | After 1 week | 
| Postoperative Pain | Visual Analouge Scale (VAS) 0=no pain mild pain; it is easily tolerated moderate pain; it is causing discomfort but bearable. severe pain; it is causing discomfort, hardly tolerated and unbearable. | After 1 week | 
| Change of bone width from baseline measurements | Cone beam computed tomography (CBCT) was used to evaluate bone width and density to all patients by doing CBCT at time intervals | Baseline, 1 week, 3 months and 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| operation time | Evaluation of the operating time | During the procedure |