Clinical trial NCT06254378: Evaluation of the Efficacy of Allograft Versus Tenting Technique in Open Sinus Lifting With Immediate Implant Placement
Official title: Evaluation of the Efficacy of Allograft Versus Tenting Technique in Open Sinus Lifting With Immediate Implant Placement A Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Sinus; Dental
Implant Complication
Surgery-Complications
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2024-02-12
Enrollment: 20
Sex: ALL
Minimum age (years): 30
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Implant placement in deficient posterior maxilla is a challenging clinical situation that necessitates appropriate treatment options to restore this area.

-Aim of the study: To compare allograft vs tenting technique in terms of implant stability and bone height.

Detailed description: Rationale for carrying out the trial:

The research population will be divided into two groups. Group1 will be treated by allograft with immediate implant technique, Group2 will be treated by tenting technique with immediate implant technique. Allograft has been effective in augmenting bone growth and has been proven to be a vital asset in sinus lifting.

Eligibility criteria: Inclusion Criteria:

1. Patient with missing upper pre molar , molar teeth
2. Patients in need of bone grafting of the maxillary sinus to house an implant.
3. Patients with residual alveolar crest of at least 3-4mm in height and 5mm in width distal to the canine as measured on CBCT scan
4. Patients with adequate inter-arch space

Exclusion Criteria:

1. Patients suffering from any sinus pathosis.
2. Patients who are heavy smokers (\>10 cigarettes/day).
3. Patient under psychiatric therapy or unrealistic expectations
4. Patients of systemic conditions that may interfere with carrying out the surgical procedure.
5. Lack of opposite occluding dentition/prosthesis in the area intended for implant placement
6. Severe bruxism or clenching
7. Poor oral hygiene (full mouth bleeding on probing and full mouth plaque index \>25%)

Primary outcomes:
measure: Implant stability
timeFrame: During the implant placement procedure and after 6 months
Secondary outcomes:
measure: Bone hight
timeFrame: Before surgery and after 6 months
Other outcomes:
Locations:
Study officials:
References:
citation: Fouad W, Osman A, Atef M, Hakam M. Guided maxillary sinus floor elevation using deproteinized bovine bone versus graftless Schneiderian membrane elevation with simultaneous implant placement: Randomized clinical trial. Clin Implant Dent Relat Res. 2018 Jun;20(3):424-433. doi: 10.1111/cid.12601. Epub 2018 Mar 25.
citation: Karagah A, Tabrizi R, Mohammadhosseinzade P, Mirzadeh M, Tofangchiha M, Lajolo C, Patini R. Effect of Sinus Floor Augmentation with Platelet-Rich Fibrin Versus Allogeneic Bone Graft on Stability of One-Stage Dental Implants: A Split-Mouth Randomized Clinical Trial. Int J Environ Res Public Health. 2022 Aug 4;19(15):9569. doi: 10.3390/ijerph19159569.