Effect of Laser Biostimulation With Mandibular Ridge Splitting and Peek Overdenture

Study Overview
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Brief Summary
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This study was conducted to determine the effectiveness of two-implant retained polyetheretherketone (PEEK) overdentures on reducing the transmitted forces on implants placed with ridge splitting either treated with laser biostimulation or not.

Detailed Description
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This randomised controlled trial was executed on 18 completely edentulous patients from the Outpatient Clinic of the Faculty of Dentistry at Mansoura University in Egypt.

Official Title
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Effect of Laser Bio-stimulation on Peri-implant Tissue Health for Mandibular Knife-edge Ridges Managed With One- Stage Ridge Splitting and Two- Implant Mandibular PEEK Overdentures. A One -Year Randomized Controlled Trial

Conditions
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Ridge Splitting

Intervention / Treatment
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* Procedure: ridge splitting with implant placement


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - eligible patients must have mandibular knife edge ridge Exclusion Criteria: contraindicated any systemic disease preventing surgical intervention such as bone metabollic disease , diabetes mellitus

Ages Eligible for Study
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Minimum Age: 50 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: control group<br>patients had ridge splitting without laser bio stimulation and received two implants supported peek overdenture | Procedure: ridge splitting with implant placement<br>* ridge splitting of mandibular denture followed by two implant placement<br>|
| Active Comparator: study group<br>patients had ridge splitting with laser bio stimulation and received two implants supported peek overdenture | Procedure: ridge splitting with implant placement<br>* ridge splitting of mandibular denture followed by two implant placement<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| crestal bone loss | measuring marginal bone loss arround dental implants in mm by digital radiograph | one year | 
| plaque index | score 0 = no plaque; score1 = plaque only detected with a probe; score 2 = plaque visible to the naked eye; score 3 = abundant plaque1111 | One year | 
| bleeding index | score 0: no bleeding when using a periodontal probe; score1: isolated bleeding spots visible; score 2: a confluent red line of blood along the mucosal margin; score 3: heavy or profuse bleeding). | one year | 
| gingival index | Score 0: normal peri implant mucosa; score 1: mild inflammation, slight colour change, and slight edoema; score 2: moderate inflammation, redness, edoema, and glazing; and score 3: severe inflammation, marked redness and edoema, and ulceration. | one year | 
| probing depth | A periodontal probe was used to measure pocket depth (PD). The distance between the marginal border of the mucosa and the tip of the periodontal probe at the base of the gingival sulcus was scored as the probing depth. | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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peek , laser