Augmenting the Posterior Mandible Using Xenografts: A Randomized Clinical Trial

Saleh, Mohamed Sobhy; Mostafa, Moataz Mohamed Bahaa ElDin; Ghanem, Amr Amin; AbdelMohsen, Karim Mohamed

doi:10.21608/asdj.2024.331554.1628

Augmenting the Posterior Mandible Using Xenografts: A Randomized Clinical Trial

Document Type : Original articles

Authors

¹ Oral and maxillofacial surgery department, Ain Shams university, Cairo, Egypt

² Lecturer oral and Maxillofacial department, British university in Egypt, Cairo, Egypt

³ Professor of Oral and Maxillofacial Surgery, Ain Shams University, Cairo, Egypt

⁴ Associate Professor of Oral and Maxillofacial Surgery, Ain Shams University, Cairo, Egypt

10.21608/asdj.2024.331554.1628

Abstract

Aim: ‎To assess the vertical height gain in atrophic posterior mandible using different forms of ‎xenograft through an interpositional bone grafting procedure (sandwich technique).
Materials and methods: Patient ‎were separated into two groups, Group A (Study Group): received augmentation through ‎the use of an organic bovine bone particulate. Group B (Control Group): received ‎augmentation through the application of an organic bovine bone block. This ‎study was conducted on 16 patients suffering from posterior mandibular partial edentulism ‎with an inadequate bone height enough for favorable implant placement. The alveolar ‎vertical dimension measured ranges from or equal to 5-8 mm from roof of the inferior ‎alveolar canal to the alveolar crest. Both groups had equal percentages of both genders. ‎
Results: The mean age of the participants in the block group was (35.36±2.62) years, in the ‎particulate group it was (36.07±7.23), and the variation was not significant (p=0.798). ‎Measured bone height in the block group was greater than the particulate group with the ‎distinction being significant after the end of the follow-up interval (p<0.001). Bone height ‎gain measured in the block group (3.83±0.31) (mm) was significantly greater than that ‎measured in the particulate group (3.56±0.14) (p=0.047).
Conclusion: Bone height gain ‎measured in block group was significantly higher than that measured in particulate group.

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