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Buccal Fat Pad vs. Palatal Rotation Scarf Grafts for Soft Tissue Management Around Zygomatic Implants

RecruitingNAAges 18 Years - anyAllCairo University
NCT06968780 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Over the past 20 years, the demand for oral rehabilitation among edentulous patients has steadily increased. Traditionally, individuals with edentulous maxillae were treated using removable complete dentures. However, these often result in poor patient satisfaction due to instability and functional limitations. Dental rehabilitation with implants in the maxillary arch presents unique challenges, primarily due to the anatomical complexity of the maxilla and the need for adequate residual ridge dimensions for successful implant placement. Following the extraction of maxillary teeth, patients experience rapid and progressive alveolar bone loss in both vertical and horizontal dimensions. This resorption is largely attributed to the absence of teeth and periodontal ligament fibers support, which are essential for transmitting mechanical forces that maintain bone homeostasis. In addition, the

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📋 Eligibility rules (as published)
Inclusion Criteria: 1. Patient of age 18 years or more, who can understand and sign an informed consent. 2. Patients with severely atrophic edentulous upper arch (Cawood \& Howell class IV, V, VI) that could not be restored by standard axial implants without augmentation. 3. Patients with severely atrophic edentulous upper arch (Bedrossian classification inadequate bone in zones II or III or all three zones) that could not be restored by standard axial implants without augmentation. 4. Good systemic health (ASA score I-II) 5. Highly motivated patients with good compliance to oral hygiene habits. Exclusion Criteria: 1. Patients with cardiovascular disease or pulmonary disease or medical systemic condition that does not permit the surgical procedure under general anesthesia (ASA III, IV, V and VI). 2. Patients with conditions contraindicating implant placement (e.g.: radiation to the head and neck, intra-venous bisphosphonates, uncontrolled Diabetes mellitus). 3. Heavy smokers. (\> 20 cigarettes daily) 4. Patient with psychiatric problems, severe bruxism, or other parafunctional habits. 5. Acute maxillary sinus infection or untreated maxillary sinus cyst. 6. Malignancy or pathology in Maxilla or Zygoma.
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What it tests

  • Buccal Fat Pad
  • Palatal Rotation Scarf Graft
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Where

1 site
Cairo University
Cairo, Egypt
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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