Split Crest Procedure: Is It Necessary to Fill the Gap?
NCT07272694 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2025-12-09
Summary
This prospective controlled clinical study evaluates the effectiveness of adding bone graft or dentin graft material during the split crest (alveolar ridge splitting) procedure for horizontal ridge augmentation with simultaneous implant placement.
The study includes patients with narrow alveolar ridges requiring implant-supported rehabilitation. Participants are divided into three groups: split crest without grafting, split crest with bone graft, and split crest with dentin graft. The aim is to determine whether the addition of graft material to the osteotomy gap improves bone width, bone density, and primary implant stability compared to the split crest technique alone.
Clinical and radiographic assessments are performed using cone-beam computed tomography (CBCT) and implant stability measurements (ISQ values) before surgery, immediately after implant placement, and three months postoperatively. All patients are monitored over a one-year follow-up period to evaluate healing progression and treatment outcomes.
This study seeks to identify the most effective approach for horizontal ridge augmentation and to improve clinical decision-making in implant dentistry. The findings aim to contribute to optimizing surgical protocols, enhancing implant stability, and improving long-term functional outcomes for patients.
Participation is voluntary, and all procedures are conducted in accordance with approved ethical standards and clinical guidelines.
Conditions
- Alveolar Bone Resorption
- Alveolar Bone Grafting
- Bone Expansion
Interventions
- PROCEDURE
-
Split Crest Technique
A surgical split crest (alveolar ridge splitting) procedure performed to increase horizontal alveolar bone width and enable simultaneous dental implant placement. A controlled osteotomy is created along the crest of the ridge, followed by gradual expansion of the buccal cortical plate to form an osteotomy gap for implant insertion.
Sponsors & Collaborators
-
Vladimir Biocanin
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-03-13
- Primary Completion
- 2024-06-18
- Completion
- 2025-03-14
Countries
- Serbia
Study Locations
More Related Trials
-
One Stage Ridge Splitting Using 2 Different Techniques in Maxilla
NCT06891261 ·Status: RECRUITING ·Phase: NA
-
Socket Evaluation System to Predict Labial Bone Formation Around Immediate Implants. A Retrospective Cone Beam Computed Tomography Analysis.
NCT06246253 ·Status: COMPLETED
-
Ridge Splitting Using Autogenous Bone Wedge Versus the Conventional Intercortical Augmentation Technique in Horizontally Deficient Anterior Maxilla
NCT06529653 ·Status: RECRUITING ·Phase: NA
-
Immediate Implant Placement With Deproteinized Bovine Bone vs Deproteinized Bovine Bone With HAM Gel
NCT06916026 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Ridge Expansion by Osseodensification Simultaneously With Implant Placement in Narrow Alveolar Ridges
NCT03592381 ·Status: UNKNOWN ·Phase: NA
-
COMPARATIVE STUDY OF BONE IMPLANT CONTACT (BIC) ON NEW BONE REGENERATED WITH AUTOGENOUS DENTIN AND NATIVE BONE
NCT06226116 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
The Effectiveness of Hyaluronic Acid in Bone Regeneration
NCT07031895 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
GBR and Autogenous Bone Chips
NCT03946020 ·Status: COMPLETED ·Phase: NA
-
Tooth Roots for Lateral Alveolar Ridge Augmentation
NCT04678674 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Post-extraction Socket Preservation With Camelline Versus Bovine Deproteinized Xenograft
NCT03677479 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Alveolar Management Following Teeth Extraction
NCT03089619 ·Status: TERMINATED ·Phase: PHASE4
-
Vertical Augmentation With Osteon at Dental Implant Placement
NCT01162629 ·Status: UNKNOWN
-
The Effect of IPD on Lateral Bone Augmentation
NCT06999915 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Alveolar Ridge Preservation After Tooth Extraction Using Autologous Dentin Matrix
NCT06541236 ·Status: RECRUITING ·Phase: NA
-
Osseodensification Versus Alveolar Ridge Splitting
NCT06728202 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Alveolar Ridge Preservation Using Collagen Material and Allograft
NCT04321109 ·Status: COMPLETED ·Phase: NA
-
Comparison of Two Types of Bone Grafts in Patients Who Need One of Their Front Teeth Removed and Replaced With an Implant
NCT06722482 ·Status: RECRUITING ·Phase: NA
-
The Efficiency of Computer Guided Ridge Splitting Using Piezosurgery in Horizontally Deficient Posterior Mandible
NCT03748615 ·Status: UNKNOWN ·Phase: NA
-
Piezosurgical Buccal Plate Repositioning Technique for Horizontal Alveolar Ridge Augmentation
NCT05317039 ·Status: UNKNOWN ·Phase: NA
-
Peri-implantitis Surgical Regenerative Therapy Using Bovine Bone Substitute With Hyaluronic Acid
NCT05171582 ·Status: UNKNOWN ·Phase: NA
-
Lateral Ridge Augmentation Using Two Graft Combination and a Cross-linked Collagen Membrane
NCT06523686 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluation of Platelet Rich Fibrin / Biphasic Calcium Phosphate Effect Versus Autogenous Bone Graft on Reconstruction of Alveolar Cleft
NCT03302429 ·Status: COMPLETED ·Phase: NA
-
Simultaneous Implant Placement With Vertical and Horizontal Bone Augmentation
NCT06313229 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Sticky Bone Grafting With Concentrated Growth Factor Membrane for Repair of Unilateral Alveolar Cleft
NCT07066293 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Marginal Bone Loss Using Computer Guided Ridge Splitting Technique With Simultaneous Implant Placement.
NCT03989193 ·Status: UNKNOWN ·Phase: NA