Autogenous Ramus Bone Block Harvesting With Piezosurgery

Marmara University

Status: Completed

Conditions: Alveolar Bone Resorption

Treatments: Device: Bone harvesting from ramus area with conventional burs for autogenous bone augmentation; Device: Bone harvesting from ramus area with piezosurgery for autogenous bone augmentation

Study type: Interventional

Funder types: Other

Identifiers

NCT05548049

MUDHF_FB_002

Details and patient eligibility

About

The aim of this randomized prospective clinical trial was to evaluate the outcome of bone block harvesting from the retromolar region using the Conventional and Piezosurgery Method.

The study was planned on 19 patients (13F,6M) on 31 donor sites. In patients with bilateral bone harvesting, the donor site and the surgical method to be used were determined by the randomization protocol, while in patients with bone harvesting from a single site, the donor site was determined by considering parameters such as proximity to the operation site and distance to the inferior alveolar nerve. Clinical parameters such as operation time, pain, swelling, trismus, nerve damage were evaluated.

Enrollment: 19 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• ASA I-II
• The main inclusion criteria were severe alveolar ridge atrophy in the horizontal plane (≤4 mm) and no accompanying vertical defect, according to preoperative CBCT scans.

Exclusion criteria

• Individuals who had systemic disease affecting bone or soft tissue metabolism
• Smokers (more than 10 cigarettes a day
• Alcohol dependent
• Systemic disease affecting bone or soft tissue metabolism
• Donor field in the mouth of another region (simfiz, tuber etc.) or any extra-oral field is planned to be used
• Patients with cleft lip-palate or defect exceeding the alveolar crest
• Grafts applied to defects caused by tumors, osteoradionecrosis, or congenital malformations
• Patients with an unstable systemic condition such as metabolic bone disease, uncontrolled diabetes, or untreated hypothyroidism, as well as smokers, patients undergoing radiation therapy or chemotherapy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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19 participants in 2 patient groups

Piezosurgery Group

Experimental group

Description:

In the experimental group, a piezosurgical device was used to harvest the bone block from the ramus area.

Treatment:

Device: Bone harvesting from ramus area with piezosurgery for autogenous bone augmentation

Conventional Group

Active Comparator group

Description:

In the experimental group, a conventional burr was used to harvest the bone block from the ramus area.

Treatment:

Device: Bone harvesting from ramus area with conventional burs for autogenous bone augmentation