Guided Bone Regeneration of an Atrophic Maxilla Using Heterologous Cortical Lamina.
Carlos Polis-Yanes, Carla Cadenas-Sebastián, Patricia Gual-Vaqués...
https://pubmed.ncbi.nlm.nih.gov/31308978/Actively Recruiting
Led by Cairo University · Updated on 2025-02-19
20
Participants Needed
1
Research Sites
17 weeks
Total Duration
This research evaluates two bone regeneration techniques for patients needing ridge augmentation or bone augmentation in the upper jaw. It compares a mixture of autogenous and xenogenic bone covered either by a polytetrafluoroethylene PTFE membrane or a native collagen membrane. Patients are randomly assigned to one of these two groups to study the effectiveness of these membranes in bone healing after ridge augmentation. Both groups undergo similar surgical procedures involving local anesthesia, creation of a mucoperiosteal flap, harvesting autogenous bone using an auto chip maker, and mixing it with xenogenic bone in a 11 ratio. This bone mixture is placed in the recipient site and fixed with titanium bone tacks. The control groups bone assembly is covered with a PTFE membrane, while the study groups assembly is covered with a resorbable collagen membrane. After surgery, the flap is closed carefully to ensure tension-free healing. Participants have diagnostic CBCT scans for the upper arch before surgery and again four months after the procedure to measure bone gain. They receive diagnostic wax-up and stent fabrication as part of the preparation. Researchers monitor soft tissue healing starting one week after surgery, noting any wound dehiscence. The main outcome measured is the quantity of bone gained after four months. The entire study period spans from initial screening through four months of follow-up.
CONDITIONS
Reconstruction of Deficient Atrophic Ridges Using Guide Bone Regeneration Technique
M
Mohannad A. Ismail, MSc.
Z
Zeyad adel Mostafa., MSc.
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Cairo University
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 day
Participants undergo guided bone regeneration surgery with a particulate bone mixture covered by either a native collagen membrane or polytetrafluoroethylene membrane, followed by immediate post-operative care including flap preparation, bone grafting, and wound closure.
1 surgical visit (in-person)
Duration - 4 months
Participants are monitored for soft tissue healing and possible complications such as soft tissue dehiscence starting from the first week after surgery.
Approximately weekly visits during the first month, then periodic visits up to 4 months
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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