Clinical trial NCT06054204: Retrieval of Displaced Root in the Maxillary Sinus Via Lateral Bony Window Using the Piezoelectric Device
Official title: Lecturer of Oral &Maxillofacial Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Oroantral Fistula
Displaced Tooth
Keywords: displaced root
maxillary sinus
lateral bony window
piezoelectric device
Lead sponsor: Tanta University
Sponsor class: OTHER
First posted: 2023-09-26
Enrollment: 10
Sex: ALL
Minimum age (years): 20
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: single group assignment patients
Primary purpose: TREATMENT

Brief summary: Ten patients with displaced root in maxillary sinus will be included in this study. the root will be recieved via lateral bony window in maxillary sinus wall using peizoelectric device then the bony window will be repositioned in its place.The patients will be received, clinically and radiologically examined, managed and followed up at the Oral and Maxillofacial surgery Department, Faculty of Dentistry, Tanta University

Detailed description: Purpose: This study is designed to allow removal of displaced root from maxillary sinus with minimal surgical injury and simultaneous preservation of the integrity of the lateral wall of maxillary sinus by repositioning of osteotomized lateral bony window.

Materials \& Methods: Ten patients with displaced root in maxillary sinus will be included in this study.

surgical procedure: A full thickness flap will be elevated to expose the lateral wall of the sinus and a rectangular bony window will be done, then the sinus lining will be incised, the displaced root will be delivered, the bony window will be repositioned, and the flap will be sutured.

Preoperative evaluation: The patients will be evaluated clinically for presence of inflammation, infection or oroantral communication and radiographically using computed tomography (CT) scan to identify the position of the displaced root.

Postoperative evaluation: The patients will be evaluated clinically each week for one month regarding to healing, presence of infection, inflammation. Radiographically, immediate panoramic view to evaluate the position of bony window and four months later to evaluate bone healing CT scan.

Eligibility criteria: Inclusion Criteria:

root displaced in maxillary sinus absence of infection

Exclusion Criteria:

* • patients taking medications that affect bone healing
* patients underwent head and neck radiotherapy

Primary outcomes:
measure: 1. degree of pain evaluated clinically
timeFrame: one-two weeks
measure: soft tissue healing evaluated clinically
timeFrame: one- two week
measure: the position of bony window evaluated radiographically
timeFrame: one week
measure: bony window osteointegration and density evaluated radiographically
timeFrame: four months
Secondary outcomes:
measure: inflammation clinically
timeFrame: one week
Other outcomes:
Locations:
city: Tanta
country: Egypt
facility: Faculty of Dentistry, Tanta University
Study officials:
affiliation: Tanta University
name: mona s sheta, lecturer
role: PRINCIPAL_INVESTIGATOR
affiliation: Tanta University
name: marwa t Ibrahim, lecturer
role: PRINCIPAL_INVESTIGATOR
References: