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Computer - Guided Inferior Alveolar Nerve Lateralization With Simultaneous Prosthetic Driven Implant Placement Will be Performed on 10 Surgical Sides (Mandibular Quadrants) to Evaluate the Postoperative Neurosensory Disturbances Following Guided Inferior Alveolar Nerve Lateralization
Sponsor: AYMAN M. ARAKEEP, MSc, PhD researcher
Summary
The aim of this clinical trial is to primarily evaluate the postoperative neurosensory disturbances following guided inferior alveolar nerve lateralization with simultaneous implant placement in 10 surgical sides (mandibular quadrants distal to the mental foramen) either in males or females with age range from 30 to 75 years. The main questions it aims to answer are: 1. Will the postoperative neurosensory disturbances after the surgical intervention fade out and if not, will it be annoying to the patient? 2. Can we consider inferior alveolar nerve lateralization efficient substitute to short implants? 3. will the inserted implants going to be properly ossteointegrated at the site of osteotomy for lateralization?
Official title: Computer - Guided Inferior Alveolar Nerve Lateralization With Simultaneous Prosthetic Driven Implant Placement
Key Details
Gender
All
Age Range
30 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
10
Start Date
2024-02-21
Completion Date
2026-12
Last Updated
2025-05-07
Healthy Volunteers
No
Interventions
Guided Inferior Alveolar Nerve Lateralization with Simultaneous Implant Placement
All patients will be operated on under general anesthesia. A para-crestal incision will be done and a mucoperiosteal flap will be reflected exposing the alveolar ridge and the buccal cortex. The surgical guide will be fitted and fixed in place and the outline of the window will be drawn by the aid of the surgical guide using the piezotome then the guide will be removed. Once the osteotomy is completed the bone window will be mobilized for exposure of the neurovascular bundle. The diamond tips will be used for removal of any remaining bone around the nerve. The neurovascular bundle will be dissected and retracted properly. a surgical guide will be inserted for implant osteotomy. The bone block which was removed for the buccal window will be crushed to be particulates and will be mixed with autologous fibrin glue for preparation of sticky bone, the sticky bone will be packed gently in the window area around the neurovascular bundle then will be covered by platelet rich fibrin.
Locations (1)
Faculty of Dentistry, Tanta University, Egypt
Tanta, Gharbia Governorate, Egypt