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This study aims to evaluate the tissue biotype and bone density around dental implants in patients with narrow alveolar ridge. Ridge splitting with simultaneous implant placement covered with concentrated growth factor (CGF) membranes will be performed. Clinical and radiographic evaluation will be done using periodontal probe and CBCT. Pain will also be assessed using visual analogue scale (VAS) during follow-up period.
This study is a case series conducted at the outpatient clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University. It aims to evaluate the tissue biotype and bone density around dental implants in adult patients with narrow alveolar ridge.
Alveolar ridge resorption and soft tissue shrinkage after tooth extraction represent a major problem affecting both aesthetics and function. Therefore, preserving alveolar bone and improving soft tissue conditions are essential for successful implant placement. The use of concentrated growth factor (CGF) membranes combined with ridge splitting and simultaneous implant placement may enhance healing, reduce postoperative pain, and improve tissue biotype and bone density.
All patients will undergo clinical and radiographic assessment before the procedure. Preoperative CBCT will be used for surgical planning. Tissue thickness will be measured using a periodontal probe. During surgery, ridge splitting will be performed followed by implant placement, and CGF membranes will be applied over the grafted area. Autologous bone chips will be used for augmentation.
Postoperative evaluation will include assessment of tissue biotype, bone density using CBCT, and pain using visual analogue scale (VAS). Follow-up will be carried out immediately after surgery and up to 4 months postoperatively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ridge Splitting with Simultaneous Implant Placement and CGF | Experimental | Patients with narrow alveolar ridge will undergo ridge splitting with simultaneous implant placement. Concentrated growth factor (CGF) membranes will be prepared from the patient's blood and placed over the grafted area. Autologous bone chips will be used for augmentation. Clinical and radiographic evaluation will be performed to assess tissue biotype, bone density, and pain during follow-up period. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ridge splitting | Procedure | Patients with narrow alveolar ridge will undergo ridge splitting procedure using chisel to allow implant placement. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain (VAS score) | Pain will be assessed using Visual Analogue Scale (VAS) ranging from 0 to 10. | 1st day and 3rd day postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Tissue biotype thickness | Tissue biotype will be assessed using a periodontal probe and measured in millimeters. | Immediately postoperative and after 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| Bone density | Bone density will be evaluated using CBCT and measured in Hounsfield units (HU). | Immediately postoperative and after 4 months |
Inclusion Criteria:
-
Patients with narrow alveolar ridge indicated for implant placement Age between 20 and 50 years Good general health Patients with adequate oral hygiene
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tasneem Farrag Ayoub, Master | Contact | +201125888649 | +201146245469 | tasneem.farrag@dentistry.cu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| Hesham Said Said, Professor | Cairo University | Study Chair |
| Abdelmoez Mohamed El-Sharkawy, Associate professor | Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo university | Cairo | Egypt |
|
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| Dental implant placement | Procedure | Intervention Description: Dental implants will be inserted simultaneously after ridge splitting in the prepared alveolar ridge. |
|
| Concentrated Growth Factor (CGF) | Biological | CGF membranes will be prepared from patient venous blood and placed over the grafted area to enhance healing and tissue regeneration. |
|
| Faculty of Dentistry, Cairo University | Cairo | Egypt |
|
| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
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