Bone Augmentation Using Calvarial Versus Iliac Crest Bone Blocks.

Beni-Suef University

Status: Enrolling

Conditions: Bone Atrophy

Treatments: Procedure: Autogenous bone augmentation

Study type: Interventional

Funder types: Other

Identifiers

NCT06434441

13

Details and patient eligibility

About

This study aims to evaluate and compare the quantity of the radiographic horizontal bone gain of severely deficient complete maxillary ridges reconstructed by bone block harvest from the iliac crest versus the calvarial bones

Full description

Although the calvarial bones represent a nearby donor site for maxillary augmentation of matching bone origin, the excessive volume of bone needed to reconstruct a severely deficient arch, the limited cancellous bone volume, and the arciform pattern of the skull cap that yield the curvatures of the harvested cortical blocks incompatible with the topography of the maxillary arch, all represent limitations for the calvarial graft.

The anterior iliac crest is frequently used for free bone grafting by being subcutaneous and generous to afford ample bone blocks of favorable curvatures. However, the minute cortical overlay and its endochondral origin contribute to excessive graft resorption. Pikos et al. demonstrated that a reasonable amount of graft resorption could occur with atraumatic surgical intervention and intimate graft fixation.

This study aims to evaluate and compare the quantity of the radiographic horizontal bone gain of severely deficient complete maxillary ridges reconstructed by bone block harvest from the iliac crest versus the calvarial bones.

Enrollment: 10 estimated patients

Sex: All

Ages: 20 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with the clinical and radiographic interpretation of horizontal maxillary ridge deficiency of less than 5 mm

Exclusion criteria

• Any previous maxillary reconstructive or dental implant treatment.
• Any local pathologic lesion or systemic disease that would affect the typical pattern of bone healing.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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10 participants in 2 patient groups

Study group:

Active Comparator group

Description:

The patients will receive calverial grafts, to reconstruct the deficient maxillary ridge

Treatment:

Procedure: Autogenous bone augmentation

Control group:

Active Comparator group

Description:

The patients will receive iliac crestgrafts, to reconstruct the deficient maxillary ridge

Treatment:

Procedure: Autogenous bone augmentation