Clinical Evaluation of Stability of Implants Placed in Partially Edentulous Maxilla With Poor Bone Quality Via New Reverse Drilling Technique Versus Osteotome Technique.

Cairo University28 enrolled

Overview

The study will compare between osteotome technique and New Reverse Drilling Technique in the placement of dental implant in posterior maxilla , primary outcome will be Implant stability that will be measured by Periotest device . follow up for 6 month. secondary outcomes will be crestal bone loss , pain and swelling.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Dental Implant

Interventions

New Reverse Drilling techniquePROCEDURE

a new technique of dental implant drilling that promote osseodensification by rotating the drills anti-clockwise rather than clockwise to promote bone condensation rather than bone cutting

osteotome techniquePROCEDURE

a technique for dental implant placement by using the osteotome to condense the bone and create an osteotome rather than cutting the bone

Eligibility

Sex: ALLMin age: 21 YearsMax age: 50 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion criteria: 1. Partially edentulous patients in the maxillary posterior region. 2. Systemically healthy patient. 3. Presence of proper inter-arch space for placement of the implant prosthetic part. 4. Sufficient bone height and width for implant placement (bone height ≥10mm and bone width ≥6mm). 5. Non-smoker. 6. Patients who are ≥ 20 years old. 7. Good oral hygiene. 8. Acceptance of a one year follow-up period. 9. Informed consent is provided by the patient. Exclusion criteria: 1. Patients with systemic conditions that may interfere with implant stability, 2. Patients with local pathological defects related to the area of interest. 3. Unmotivated, uncooperative patients with poor oral hygiene. 4. Patients with habits that may jeopardize the implant longevity and affect the results of the study such as alcoholism or parafunctional habits. 5. Inadequate inter-arch space for implant prosthetic part

Outcomes

Primary Outcomes

implant stability

the stability of the dental implant when placed in the maxilla of the patient and it will be measured by periotest

Time frame: 6 months

Secondary Outcomes

crestal bone loss

amount of bone loss around the implant . measured in MM with CBVT radiograph

Time frame: 6 monthz

Data from ClinicalTrials.gov

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