Evidence map›Paper›PMID 40604890›Full record

Trial reportBMC oral health2025

Bone gain and accuracy assessment of computer-guided workflow for horizontal augmentation of atrophic anterior maxilla with symphyseal cortical plates: a randomized controlled trial.

Dina Ayman, Mohamed Shawky, Lobna Abdel Aziz Aly, Mohamed Mounir, Ahmed K Abo Zekry

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05311332 (Assessment of Horizontal Bone Gain Using Computer-guided vs. Conventional Cortical Shell Technique for Horizontal Maxillary Alveolar Ridge Augmentation), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05311332 nacompletednot on this map

Assessment of Horizontal Bone Gain Using Computer-guided vs. Conventional Cortical Shell Technique for Horizontal Maxillary Alveolar Ridge Augmentation

TypeinterventionalSponsorFuture University in EgyptRan2021 to 2022Enrolled14ConditionsAlveolar Bone Resorption, Horizontal Ridge DeficiencyArmsAugmentation of horizontal deficient anterior maxilla with a cortical shell harvested from a chin, Augmentation of horizontal deficient anterior maxilla with a cortical shell harvested from a chin using patient specific surgical guide then positioned with another guide
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dina AymanDepartment of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Future University in Egypt, Cairo, Egypt.
Mohamed ShawkyDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, PO Box 11553, Cairo, Egypt. m.shawky1993@gmail.com.
Lobna Abdel Aziz AlyDepartment of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Future University in Egypt, Cairo, Egypt.
Mohamed MounirDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, PO Box 11553, Cairo, Egypt.
Ahmed K Abo ZekryDepartment of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Future University in Egypt, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHorizontal augmentation of the anterior maxilla is a highly demanding and yet predictable procedure. This study aimed to investigate the efficiency and accuracy of a full computer-guided symphyseal shell harvesting and positioning approach versus the conventional procedure for the treatment of horizontally atrophic anterior maxillary ridges. PATIENTS AND

methodsTwenty patients with horizontally deficient anterior maxilla were randomly allocated into two groups, ten patients each. The study group received a fully guided horizontal augmentation of their atrophic anterior maxillary ridges using symphyseal shells. While the control group received the same treatment but without surgical guides. Bone gain was calculated for both groups and the accuracy of the computer guidance was investigated in the study group.

resultsAfter four months of graft consolidation, there was no statistically significant difference between both groups regarding the horizontal bone gain and the mean bone gain percent, measuring a mean of 3.66 ± 0.63 mm and 105.71% ± 29.75 mm in the guided group while for the control group, it measured 3.33 ± 1.07 mm and 90.41% ±31.77 mm respectively (P-values = 0.4 and 0.28). In the study group, there was no statistically significant difference between the planned and the achieved horizontal augmentation (p = 0.97).

conclusionDespite the lack of statistically significant difference between both groups with regard to horizontal bone gain, computer-guided cortical shell technique allowed for accurate, simple, and safe graft positioning and fixation; it is worth further investigations to explore its different applications.

trial registrationRetrospectively registered on www. CLINICALTRIALS: gov with ID: NCT05311332 on 27-03-2022. CLINICAL TRIALS: GOV REGISTERED ID: NCT05311332.

Indexed as

Alveolar Ridge AugmentationBone PlatesMaxillaSurgery, Computer-AssistedAdultAtrophyFemaleHumansMaleMiddle AgedWorkflowAlveolar bone lossBone platesBone shellBone transplantationComputer-aided designMandibleMaxillaRCT

Identifiers

PMID40604890
PMCPMC12224712

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.