"Computer-Guided vs Freehand Zygomatic Implant Placement
NCT06925438 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 8
Last updated 2025-04-16
Summary
This randomized trial compares computer-guided versus free-hand zygomatic implant placement in patients with atrophic maxillae or maxillary defects. Participants receive either 3D-navigated implants (using stereolithographic guides) or conventional free-hand placement. Primary outcomes measure accuracy through apical angular deviation (°), apical/coronal linear deviations (mm) relative to MSP/FHP/CP planes (CT-based), while secondary outcomes assess implant stability (ISQ) and complications (sinusitis/infection) over 6 months. The study evaluates whether guided surgery improves precision in complex maxillary rehabilitation.
Conditions
- Dental Implants
- Maxillary Diseases
Interventions
- PROCEDURE
-
Computer-guided zygomatic implant system
Preoperative digital planning (DICOM data) to fabricate guides with metal sleeves for drill alignment
- PROCEDURE
-
free-hand zygomatic implant placement
Standard placement using sequential drills (2.8-3.6mm) under saline irrigation
Sponsors & Collaborators
-
Al-Azhar University
lead OTHER
Principal Investigators
-
Bahaa El-Din Abd Raboo, phd · Al-Azhar University, faculty of dentistry ,Oral & Maxillofacial Surgery Dept
-
Mohamed Abdel Akhar, PhD · Al-Azhar University, faculty of dentistry, Oral & Maxillofacial Surgery Dept
-
Abdelfattah Moawad, BDS, MSc · Al-Azhar University, faculty of dentistry, Oral & Maxillofacial Surgery Dept
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-10
- Primary Completion
- 2025-01-15
- Completion
- 2025-03-12
Countries
- Egypt
Study Locations
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