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Not yet recruiting NCT07664098

Conventional Flap Versus Vestibular Flap in Bone Augmentation

No phase Interventional Anterior Maxilla Alveolar Bone Deficiency

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: vestibular shifted flap for bone augmentation, conventional flap.
Who it may be relevant to
Registry conditions: Anterior Maxilla Alveolar Bone Deficiency. Basic parameters: 21 years — 75 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Egypt
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

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Official title

Assessment of Vestibular Shifted Flap Versus Conventional Flap on Ridge Augmentation in Patients With Anterior Maxillary Bony Deficiency: a Randomized Control Trial

Overview

two groups of patients both have alveolar bone deficiency in anterior maxilla, one group will be subjected to khoury bone augmentation with conventional flap the other with vestibular shifted flap

Detailed description

The procedure begins with preoperative preparation, including patient positioning in a semi supine position with appropriate head support, induction of local anesthesia, and meticulous surgical site sterilization.

* Full thickness Vestibular flap and 2 horizontal releasing incision are made (Key Concept: The vestibular shifted flap provides additional flap length by translating vestibular mucosa coronally while preserving keratinized tissue and blood supply) in a group and conventional flap in the other group * Flap elevation: Full thickness flap in the Donor site * Using piezoelectric device, thin cortical bone blocks (1-1.5 mm thick) are harvested. * Blocks are carefully shaped into flat "plates." * The shell Graft placed, adapted and fixed with microscrews to restore desired horizontal dimension * The space between the host bone and the fixed cortical plates is filled with bone particles. * Tension free bilayered suturing

Interventions

  • Procedure vestibular shifted flap for bone augmentation
    The procedure begins with preoperative preparation, including patient positioning in a semi supine position with appropriate head support, induction of local anesthesia, and meticulous surgical site sterilization. * Full thickness Vestibular flap and 2 horizontal releasing incision are made (Key Concept: The vestibular shifted flap provides additional flap length by translating vestibular mucosa coronally while preserving keratinized tissue and blood supply) * Flap elevation: Full thickness fla
  • Procedure conventional flap
    The procedure begins with preoperative preparation, including patient positioning in a semi supine position with appropriate head support, induction of local anesthesia, and meticulous surgical site sterilization. * Full thickness conventional flap and 2 horizontal releasing incision are made * Flap elevation Full thickness flap in the Donor site * Using piezoelectric device, thin cortical bone blocks (1-1.5 mm thick) are harvested. * Blocks are carefully shaped into flat "plates." * The shell

Primary outcome measures

  • Horizontal Bone Gain Assessed in millimeters by Cone-Beam Computed Tomography (CBCT) [Time frame: 6 months]
Secondary outcome measures (1)
  • Width of Keratinized Tissue Assessed by Periodontal Probe [Time frame: 6 months]

Eligibility criteria

Inclusion criteria

  • Adult patients with horizontal bone defects in anterior maxilla
  • Mixed dentition age (21-75)
  • Good periodontal health
  • Non smokers
  • Both genders males and females will be included

Exclusion criteria

  • Uncontrolled systemic disease
  • General contraindications to surgery.
  • Patients participating in other studies, if the present protocol could not be properly followed.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Single blind
Primary purpose
Treatment

Study locations

Egypt · 1 center
  • faculty of oral and dental medicine ,Cairo university — Cairo

Identifiers

NCT: NCT07664098 · vestibular & conventional flap

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗