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* this study aims to evaluate accuracy of fixation of the bone shells by a calculated distance which is always a challenging step for inexperienced surgeons to fix a cortical shells at the ideal position in the conventional protocol.
the fixation guides used to make the shells precisely fixed at the proper position and angulation the problem is if it fixed with insufficient distance with proposed volume loss leads to totally insufficient volume gain for future implant placement
this study aims to evaluate accuracy of fixation of the bone shells by a calculated distance which is always a challenging step for inexperienced surgeons to fix a cortical shells at the ideal position in the conventional protocol.
the fixation guides used to make the shells precisely fixed at the proper position and angulation the problem is if it fixed with insufficient distance with proposed volume loss leads to totally insufficient volume gain for future implant placement
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| computer guide cortical shell technique in anterior mandible 3d defect | Experimental | in study group there are bone harvesting guide and two fixation guides |
|
| free hand cortical shell technique in anterior 3d defect | Active Comparator | in control group, the bone harvesting and shells fixation will done with free hand technique |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| horizontal and vertical bone augmentation using computer guided cortical shell technique | Procedure | Computer-guided cortical shell technique in anterior mandible 3d defect using bone harvesting guide and fixation guides |
| Measure | Description | Time Frame |
|---|---|---|
| accuracy of the implanted bone blocks |
| immediately post operative |
| Measure | Description | Time Frame |
|---|---|---|
| bone gain vertical and horizontal | CBCT volumetric change of deficient alveolar ridge after augmentation | 6 months |
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Inclusion Criteria:
Patients free from any systemic conditions and bone metabolism diseases that might interfere with the surgical intervention, soft tissue or hard tissue healing.
Edentulous anterior mandible with a horizontally deficient alveolar ridge that is less than 3mm in width and with a vertically defect at least 3mm in height.
The minimum number of missing teeth in the anterior mandible alveolar ridge is two adjacent teeth.
Exclusion Criteria:
Previous grafting procedures in the edentulous area
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ahmed Salah Ahmed Salah Sayed | Contact | +20 010207395 | ahmed.ibrahem@dentistry.cu.edu.eg |
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| free hand cortical shell technique in anterior 3d defect | Procedure | vertical and horizontal ridge augmentation in anterior mandible using free hand cortical shell technique |
|
| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| ID | Term |
|---|---|
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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