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prospective comparison of minimal Invasive Crestal Sinus Technique Using Autologous Fibrin Glue Vs Sticky Bone with simultaneous implant insertion.
The aim of this study is to evaluate the clinical and radiographic outcomes of applying fibrin glue versus sticky bone in conjunction with crestal sinus lift technique associated with simultaneous implant insertion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fibrin glue group | Experimental | Maxillary sinus augmentation using autologous fibrin glue with simultaneous implant placement |
|
| sticky bone group | Experimental | Maxillary sinus augmentation using mixture of autologous fibrin glue with bone graft with simultaneous implant placement |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maxillary sinus augmentation using autologous fibrin glue with simultaneous implant placement | Procedure | Maxillary sinus augmentation using autologous fibrin glue with simultaneous implant placement |
| Measure | Description | Time Frame |
|---|---|---|
| Implant stability | implant stability using The Ostell ISQ scale: The ISQ scale ranges from 0 to 100 that measures implant stability. The values less than 60 indicate low implant stability; values from 60 to 69 indicate medium stability where values between 70 and 79 indicate high stability. 6 implants from each group will be assessed regarding implant stability at 3 months post-operative using this ISQ scale to determine implant stability and data will be analyzed statistically for significance. | 3 months |
| Bleeding | Peri-implant mucosal bleeding will be graded using criteria of modified sulcus bleeding index (mBI).
| 3 months |
| Radiographic evaluation | Cone beam computed tomography scan will be taken at preoperative visit to assess:Residual bone height (RBH) which is the distance from the alveolar crest to the floor of the maxillary sinus at the intended implant placement site.
| immediate postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| implant stability | implant stability using The Ostell ISQ scale: The ISQ scale ranges from 0 to 100 that measures implant stability. The values less than 60 indicate low implant stability; values from 60 to 69 indicate medium stability where values between 70 and 79 indicate high stability. 6 implants from each group will be assessed regarding implant stability at 3 months post-operative using this ISQ scale to determine implant stability and data will be analyzed statistically for significance. |
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Inclusion Criteria:
- a) Patients should be willing to be present for regular timely follow up. b) Residual bone height range from 5 to 9mm c) Patent ostium of maxillary sinus. d) Patients having missing maxillary posterior teeth. e) Patient cooperation and compliance are indispensible for a predictable clinical outcome.
f) Patients free from any systemic disease
Exclusion Criteria:
1) Patients with systemic disease that prevent surgical intervention or bone healing.
2) Patients with acute or chronic maxillary sinusitis. 3) Patients with cyst, tumor or root tips at the planned surgical site. 4) Heavy smoker patients. 5) Elderly patients (over 60 years). 6) Patients with Poor oral hygiene or aggressive periodontal diseases. 7) Lack of motivation or inability to maintain oral hygiene.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura University | Al Mansurah | Dakahlya | 35516 | Egypt |
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| Maxillary sinus augmentation using mixture of autologous fibrin glue with bone graft with simultaneous implant placement | Procedure | Maxillary sinus augmentation using mixture of autologous fibrin glue with bone graft with simultaneous implant placement |
|
| 6 months |
| Bleeding | Peri-implant mucosal bleeding will be graded using criteria of modified sulcus bleeding index (mBI). | 6 months |
| Radiographic evaluation | Cone beam computed tomography scan will be taken at preoperative visit to assess:Residual bone height (RBH) which is the distance from the alveolar crest to the floor of the maxillary sinus at the intended implant placement site.
| 6 months |
| ID | Term |
|---|---|
| D016025 | Bone Transplantation |
| ID | Term |
|---|---|
| D016378 | Tissue Transplantation |
| D064987 | Cell- and Tissue-Based Therapy |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
| D014180 | Transplantation |
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