About this trial
This prospective case series is designed to evaluate the effect of autologous bone marrow aspirate concentrate applied around zygomatic implants placed via the intrasinus approach. The study will include adult patients with severe maxillary atrophy requiring zygomatic implant rehabilitation. BMAC will be prepared from iliac crest aspirate and loaded on gelatin sponge at the implant site. Peri-implant bone density will be assessed using CBCT at baseline and 6 months postoperatively. Secondary implant stability will be measured using resonance frequency analysis. (Recruitment has not started yet)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients over 18 years old.
Patients requiring rehabilitation with zygomatic implants in the posterior maxilla.
Patients who are willing to participate and able to provide informed consent.
Disqualifiers
Pregnant women.
Individuals with history of radiation therapy or other contraindications for surgery.
Patients with bone marrow diseases.
Patients with local infections at intraoral surgical site or bone marrow aspiration site.
Trial design
Single group
Treatments tested in this trial
zygomatic implants placement
Procedure/Surgeryplacement of zygomatic implants via the intrasinus approach in the posterior maxilla of patients with severely atrophied maxilla. Bone marrow aspirate concentrate prepared by double centrifugation of bone marrow aspirated from anterior iliac crest of the patient then loaded on gelatine sponge and applied around the zygomatic implants. Conventional implants may be placed in the anterior maxilla. Procedure performed under general anaesthesia with propofol induction and sevoflurane maintenance.
Treatment groups
Trial outcomes
Primary outcomes
Bone density around zygomatic implants
Bone density measured using Cone Beam Computed Tomography (CBCT) and expressed in Hounsfield Units (HU)
Secondary outcomes
secondary stability of zygomatic implants
Implant stability measured using Resonance Frequency Analysis (RFA) device (Osstell) and expressed as Implant Stability Quotient (ISQ)
Sponsors and contacts
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