Vertical Ramus Osteotomy With Iliac Graft Versus Sagittal Split Osteotomy

Fayoum University

Status: Enrolling

Conditions: Mandibular Deficiency

Treatments: Procedure: vertical ramus osteotomy with iliac graft; Procedure: bilateral sagittal splitting osteotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06850194

111

Details and patient eligibility

About

• Patients will be collected from faculty of dentistry
• bilateral vertical ramus osteotomy (VRO )with iliac graft group (group I):- 10 patients will be treated via VRO and iliac crest or
• bilateral sagital spilt osteotomy (BSSO) group (group II):- 10 patients will be treated via BSSO
• All patients will be studied by comprehensive clinical oral and maxillofacial examination and lateral cephalometric radiographic analyses, within 1 week before the surgery (T0), immediately after the surgery (T1), and 6 months after surgery (T2).
• All lateral cephalometric radiographs and clinical photographs must be standardized for all cases.
• After pre-surgical orthodontic treatment , a lateral cephalograph Will be obtained for planning the surgical movement of both jaws
• Surgical models and surgical stent will be fabricated.
• All surgical procedures will be performed under nasal intubation and general anesthesia to surgically reposition the maxilla in standard LeFort I setback fosteotomy; the BSSO group will be underwent BSSO, and VRO group will be underwent VRO
• The bony segments will be fixed in the new position with the use of custom made plates (specific for each patient )

Enrollment: 20 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with age above 18 years old suffered from skeletal class II with severe mandibular deficiency

Exclusion criteria

• patients with chin deviation,
• severe temporomandibular joint (TMJ) symptoms.
• Sever periodontal disease
• pregnancy,
• previous mandibular surgery,
• inability to follow-up for the study protocol

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

Bilateral Sagittal Split Osteotomy Group

Active Comparator group

Treatment:

Procedure: bilateral sagittal splitting osteotomy

vertical ramus osteotomy with iliac graft group

Experimental group

Treatment:

Procedure: vertical ramus osteotomy with iliac graft