Vertical Ramus Osteotomy With Iliac Graft Versus Sagittal Split Osteotomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorFayoum University

About this trial

* 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 )

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

patients with chin deviation,

severe temporomandibular joint (TMJ) symptoms.

Sever periodontal disease

pregnancy,

Trial design

Design model

Parallel

Treatments tested in this trial

  • vertical ramus osteotomy with iliac graft

    Procedure/Surgery

    in the VRO group all patient will undergo vertical ramus osteotomy surgery with iliac graft to correct the sever mandibular defficiency

  • bilateral sagittal splitting osteotomy

    Procedure/Surgery

    all patients in this group will undergo to bilateral sagittal split osteotomy to correct the sever mandibular deficiency

Treatment groups

20 Participants
are divided into 2 treatment groups
Group A: Bilateral Sagittal Split Osteotomy GroupActive comparator 1 intervention
Group B: vertical ramus osteotomy with iliac graft groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

skeletal stability

Skeletal stability will be assessed by lateral cephalometric x-ray. It will be done pre operatively, immediate postoperative, and 6 months later

Time frame
6 months

Secondary outcomes

Other outcomes

Locations

1

Map coordinates are unavailable for these locations. Locations are shown below instead.

Beni-Suief UniversityRecruiting02, Beni-seuf, EgyptEgyptEgypt

Sponsors and contacts

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