About this trial
Background: Implant placement in the posterior maxilla is problematic procedure, not only due to inferior properties of bone but also due to loss of vertical bone height, which happens after extraction of posterior teeth. When the required additional height is few millimeters, indirect transcrestal sinus lifting is recommended. Aim: The aim of this study is to evaluate Densah bur versus Magnetic mallet in transcrestal sinus lifting procedure in edentulous molar and premolar maxillary region.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient seeking replacement of missing maxillary posterior teeth by dental implant procedure.
Residual bone height is (5-7) mm measured from crestal bone to sinus floor.
Both genders.
Good general health;
Disqualifiers
Uncontrolled Diabetes.
Coagulation disorders.
Immunological disorders.
Previous radiation of the head and neck region.
Trial design
Parallel
Treatments tested in this trial
Electrical Mallet
Procedure/SurgeryThe osteotome will be directly attached and pushed by magnetic mallet and a shock wave will be pushed on their tip. The electrical mallet will be imparted to osteotomes a longitudinal movement along a central axis moving up and down toward pilot bone hole providing a driving mechanism of longitudinal movements. Then the sinus lift instruments (Sweden and Martina) will be used to slowly lift the sinus. After that implant will be placed with the help of implant drilling device.
Densah bur
Procedure/SurgeryThe implant motor will be adjusted on reverse-densifying mode with 800 to 1200 rpm. According to the desired implant dimension, it will be started with the smallest densah bur. The first densah bur will advanced in densifying mode with bouncing motion in and out movement with copious irrigation until.
Treatment groups
Trial outcomes
Primary outcomes
Change in pain socres
pain will be examined using visual analogue scale (VAS) 0 means no pain 10 means extreme pain
change in implant stability
will be measured by the Resonance Frequency Analysis using osstel
Secondary outcomes
change in implant protrusion length
Immediate post- operative CBCT (T1) will be done to measure the implant protrusion length (IPL) which is the length of the implant extending into the maxillary sinus.
change in bone density
it will be measured by CBCT
change in prescence of complications
patients will be followed up to assess the occurence of any clincial complications
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Hams Hamed Abdelrahman
Lead sponsor
Alexandria University
Sponsor institution