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Conventional Flap Versus Vestibular Flap in Bone Augmentation
Sponsor: Cairo University
Summary
two groups of patients both have alveolar bone deficiency in anterior maxilla, one group will be subjected to khoury bone augmentation with conventional flap the other with vestibular shifted flap
Official title: Assessment of Vestibular Shifted Flap Versus Conventional Flap on Ridge Augmentation in Patients With Anterior Maxillary Bony Deficiency: a Randomized Control Trial
Key Details
Gender
All
Age Range
21 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
24
Start Date
2026-08-15
Completion Date
2027-06-15
Last Updated
2026-06-23
Healthy Volunteers
Yes
Interventions
vestibular shifted flap for bone augmentation
The procedure begins with preoperative preparation, including patient positioning in a semi supine position with appropriate head support, induction of local anesthesia, and meticulous surgical site sterilization. * Full thickness Vestibular flap and 2 horizontal releasing incision are made (Key Concept: The vestibular shifted flap provides additional flap length by translating vestibular mucosa coronally while preserving keratinized tissue and blood supply) * Flap elevation: Full thickness flap in the Donor site * Using piezoelectric device, thin cortical bone blocks (1-1.5 mm thick) are harvested. * Blocks are carefully shaped into flat "plates." * The shell Graft placed, adapted and fixed with microscrews to restore desired horizontal dimension . • The space between the host bone and the fixed cortical plates is filled with bone particles. * Tension free bilayered suturing.
conventional flap
The procedure begins with preoperative preparation, including patient positioning in a semi supine position with appropriate head support, induction of local anesthesia, and meticulous surgical site sterilization. * Full thickness conventional flap and 2 horizontal releasing incision are made * Flap elevation Full thickness flap in the Donor site * Using piezoelectric device, thin cortical bone blocks (1-1.5 mm thick) are harvested. * Blocks are carefully shaped into flat "plates." * The shell Graft placed, adapted and fixed with microscrews to restore desired horizontal dimension. * The space between the host bone and the fixed cortical plates is filled with bone particles. * Tension free bilayered suturing
Locations (1)
faculty of oral and dental medicine ,Cairo university
Cairo, Giza Governorate, Egypt