Evaluation of Dental Implants After Using Several Bone Splitting Techniques

Study Overview
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Brief Summary
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In both full and partial tooth loss, the usage of dental implants for an artificial replacement for missing teeth is a well-known and reasonable treatment modality that leads to high patient satisfaction and enhanced life quality. (1) In both full and partial tooth loss, the usage of dental implants for an artificial replacement for missing teeth is a well-known and reasonable treatment modality that leads to high patient satisfaction and enhanced life quality Because there is insufficient bone volume to support the dimensions of the implants, the horizontal deficiencies of the alveolar ridge obstruct implant-supported rehabilitation, which has an impact on the ultimate prosthetic outcome from both a functional and cosmetic standpoint (2). The split crest technique reduces treatment time, the number of surgical procedures required, and even the risk of complications for the patients, making it more readily accepted by them. It also allows dental implants to be installed in the same surgical procedure and does not require a donor area to remove the graft. (3) In this study, patients underwent rehabilitation of posterior missing teeth in the narrow mandibular ridge by dental implant after ridge splitting by osseodensification, piezosurgery, or magnetic mallet.

Detailed Description
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The study's objective is to compare ridge width gain after osseodensification, piezosurgery, or magnetic mallet after ridge splitting with simultaneous implant implantation in individuals with narrow alveolar ridges. 24 patients will be randomly allocated into three groups. Ridge splitting followed by piezo and bone expander will be performed with simultaneous implant placement in group 1. osseodensification bure will be performed after ridge splitting with simultaneous implant placement in group 2. magnetic mallet will be performed after ridge splitting with simultaneous implant placement in group 3.

Official Title
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Evaluation of Clinical and Radiographic Outcomes of Immediate Dental Implants After Using Three Bone Splitting Techniques in Narrow Mandibular Alveolar Ridges: A Randomized Controlled Clinical Study

Conditions
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Jaw, Edentulous

Intervention / Treatment
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* Procedure: Osseodensification
* Procedure: Magnetic mallet
* Procedure: Piezo-surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who can to follow-up appointments. Alveolar ridge width of at least 3 mm with sufficient height to place a regular implant. Availability of spongy bone with at least 1 mm in width between the cortical plates. Free of any underlying conditions that can impact bone metabolism. Exclusion Criteria: The presence of severe concavity on the vestibular or palatal side of the alveolar ridge. Patients with uncontrolled periodontal diseases. Patients who have undergone radiotherapy in the head and neck area. Smokers or patients with parafunction habits.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Osseodensification group:<br>Ridge splitting by piezosurgery and osseodensification bur | Procedure: Osseodensification<br>* Procedure: the horizontal and vertical osteotomy will make by Piezo and bone splitting will do by osseodensification bur. After that Immediate implantation will be done.<br>|
| Experimental: Magnetic mallet group:<br>Ridge splitting by piezosurgery and chisels by magnetic mallet | Procedure: Magnetic mallet<br>* Procedure: the horizontal and vertical osteotomy will do by Piezo and bone splitting will make by chisels of magnetic mallet. Immediate implantation will be done after splitting.<br>|
| Experimental: Piezo-surgery group<br>Ridge splitting by inserts of piezosurgery and bone expander | Procedure: Piezo-surgery<br>* Procedure: the horizontal and vertical osteotomy will do by Piezo and bone splitting will make by inserts of piezosurgery and bone expander. Finally, immediate implantation will be placed.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The bone width gain | The change in bone width radiographically after ridge splitting. The radiographic measurement by using cone beam computed tomography. | (Time Frame: Baseline, immediately after surgery, and after 4 months of surgery) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implant stability quotients | The score on a scale represents the degree of osseointegration and stability in dental implants by using MEGA Implant Stability Quotient. The scale ranges from 1 to 100, which indicates higher values meaning more excellent stability. | (Time Frame: at the time of surgery and 4 months after surgery) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Osseodensification, Piezosurgery, Magnetic mallet