Magnetic Mallet and Densah Bur for Crestal Sinus Left

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age30-60
SponsorHams Hamed Abdelrahman

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 volunteers

Qualifiers

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

Design model

Parallel

Treatments tested in this trial

  • Electrical Mallet

    Procedure/Surgery

    The 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/Surgery

    The 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

18 Participants
are divided into 2 treatment groups
Group A: Test GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in pain socres

pain will be examined using visual analogue scale (VAS) 0 means no pain 10 means extreme pain

Time frame
3rd day, 1 week and 10 days
2

change in implant stability

will be measured by the Resonance Frequency Analysis using osstel

Time frame
baseline and 4 months

Secondary outcomes

1

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.

Time frame
baseline and 4 months
2

change in bone density

it will be measured by CBCT

Time frame
baseline and 4 months
3

change in prescence of complications

patients will be followed up to assess the occurence of any clincial complications

Time frame
3rd day, 1 week and 10 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Hams Hamed Abdelrahman

Lead sponsor

Alexandria University

Sponsor institution