Horizontal Ridge Reconstruction of Atrophic Anterior Maxillary Ridges Using Customized Xenograft Bone Shell With 1 :1 Mixture of Autogenous and Xenograft Bone Particulate
Study Details
Study Description
Brief Summary
Using customized Xenograft bone shell with mixture of autogenous and xenograft particulate in modified cortical shell technique. by 3D printed model from The CT scans segmentation by special software
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Using customized Xenograft bone shell by 3D printed model from The CT scans segmentation by special software ( Mimics ) . All surgeries were performed by the same surgeon .
All surgical procedures were performed under strict aseptic conditions, all patients received infiltration local anesthesia (Articaine 4% 1:100 000 epinephrine).
a midcrestal incision was made in the anterior region using No. 15 blade. A full thickness mucoperiosteal flap was raised to expose the underlying alveolar ridge. The residual remaining bone in the area was minimal, with a maximum measured ridge thickness of 3 or 4 mm. 'To reconstruct the lost alveolar bone, an xenograft bone shell approximately 1 to 2 mm thick was shaped, after 3D print the bone shell were fixed to the buccal defect, using screws . 'The space between the plate and the existing palatal bone wall was then filled using a combination of autograft bone chips and xenograft bone particles
. Periosteal releasing incision is done to obtain stress free primary closure. The flap will then be closed using interrupted 4/0 resorbable sutures. After 4 month will insert implant . After 3 month will insert final restoration which will be mostly PMF .
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Other: Atrophic Anterior Maxillary Ridges participants Using customized Xenograft bone shell with equal mixture of autogenous and xenograft particulate bone as a graft with the modified cortical shell technique, with atrophic anterior maxilla with less than 5 mm Bucco-lingual |
Procedure: Atrophic Anterior Maxillary Ridges
Use of modified cortical shell technique grafted with customized Xenograft bone shell
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Outcome Measures
Primary Outcome Measures
- Bucco-lingual bone width gain. [4 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients with atrophic Anterior Maxillary Ridges
Exclusion Criteria:
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Heavy smokers
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Uncontrolled diabetic patients.
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Pregnant patients. Psychiatric patient
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pathology related to bone.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Manal Ahmed Hassan Ahmed
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PER 6-3-1