Comparing Piezo Surgery and Conventional Techniques for One Stage Ridge Splitting and Implant Placement in the Upper Jaw

What this Trial Is About

Researchers are evaluating two techniques for ridge splitting in the upper jaw maxilla to support dental implants. The study compares a conventional method using bone discs with an approach using piezo surgery, aiming to assess bone gain quality and healing outcomes in patients with specific bone conditions and missing teeth. This is an interventional trial sponsored by Cairo University involving adults aged 20 to 48 years. Both groups undergo similar surgical steps including local anesthesia, flap creation, bone exposure, and implant placement below the bone crest. The study group receives piezo surgery bone inserts to cut the crestal osteotomy, while the control group uses bone discs mounted on handpieces for the same purpose. Additional procedures include bone chiseling, implant drilling, bone smoothing, and placement of xenogenic bone particles into the surgical site. Closure is performed with a double line suture technique to ensure tension-free healing. Participants will have cone beam computed tomography CBCT scans before and four months after surgery to evaluate bone gain. Other assessments include evaluation of soft tissue healing one week after surgery. The study involves randomized allocation to one of the two surgical techniques with single blinding. Monitoring includes clinical evaluations of bone and soft tissue, with the primary outcome measured four months after ridge augmentation, and a total participation duration covering preoperative assessment through postoperative follow-up.

One Stage Ridge Splitting Using 2 Different Techniques in Maxilla