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Recruiting NCT06968780

NCT06968780 Buccal Fat Pad vs. Palatal Rotation Scarf Grafts for Soft Tissue Management Around Zygomatic Implants

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Clinical Trial Summary
NCT ID NCT06968780
Status Recruiting
Phase
Sponsor Cairo University
Condition Zygomatic Implants
Study Type INTERVENTIONAL
Enrollment 8 participants
Start Date 2025-06-01
Primary Completion 2026-07-01

Eligibility & Interventions

Sex All sexes
Min Age 18 Years
Max Age N/A
Study Type INTERVENTIONAL
Interventions
Buccal Fat PadPalatal Rotation Scarf Graft

Eligibility Fast-Check

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What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

This trial targets 8 participants in total. It began in 2025-06-01 with a primary completion date of 2026-07-01.

⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.

Brief Summary

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 loss of maxillary molars accelerates pneumatization/expansion of the maxillary sinus, further reducing available bone volume. Contributing factors such as ill-fitting dentures and systemic health conditions can exacerbate this process, complicating implant placement even further. To overcome these limitations, oral and maxillofacial surgeons have developed a range of advanced techniques, including tilted implants, sinus floor elevation, short implants, pterygoid implants, and most notably, zygomatic implants. Zygomatic implants bypass the atrophic alveolar ridge entirely by anchoring into the dense zygomatic bone, offering a reliable solution for patients with severely resorbed maxillae who are not candidates for conventional implant therapy.

Eligibility Criteria

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.

Contact & Investigator

Central Contact

Khaled M Allam, DDS

✉ khaled-allam@dentistry.cu.edu.eg

📞 +201122189816

Principal Investigator

Ramy R El-Beialy, PhD

STUDY DIRECTOR

Cairo University

Frequently Asked Questions

Who can join the NCT06968780 clinical trial?

This trial is open to participants of all sexes, aged 18 Years or older, studying Zygomatic Implants. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.

Is NCT06968780 currently recruiting?

Yes, NCT06968780 is actively recruiting participants. Contact the research team at khaled-allam@dentistry.cu.edu.eg for enrollment information.

Where is the NCT06968780 trial being conducted?

This trial is being conducted at Cairo, Egypt.

Who is sponsoring the NCT06968780 clinical trial?

NCT06968780 is sponsored by Cairo University. The principal investigator is Ramy R El-Beialy, PhD at Cairo University. The trial plans to enroll 8 participants.

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