Magnetic Mallet and Densah Bur for Crestal Sinus Left
Magnetic Mallet Versus Densah Bur for Crestal Sinus Left With Implant Placement in Maxilla (Randomized Controlled Clinical Trial)
Hams Hamed Abdelrahman
18 participants
Jan 1, 2024
INTERVENTIONAL
Conditions
Summary
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
Inclusion Criteria5
- 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;
- Good oral hygiene.
Exclusion Criteria8
- Uncontrolled Diabetes.
- Coagulation disorders.
- Immunological disorders.
- Previous radiation of the head and neck region.
- Presence of chronic systemic diseases;
- Presence of acute or chronic sinus problems;
- Alcohol or drug abuse;
- Heavy smokers.
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Interventions
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.
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.
Locations(1)
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NCT06677125