Effect of Different Drilling Techniques on Primary Stability and Marginal Bone Loss of Extra Short Implants

Erzincan University30 enrolled

Overview

Our aim in this study is to compare the effects of low-speed drilling surgery technique without irrigation and conventional implant surgery technique with irrigation on extra short implants. The criteria to be taken into consideration when investigating the effect of these techniques on implants are as follows: evaluation of osseointegration at the end of three months, evaluation of marginal bone loss at the end of three months, initial insertion torque values (maximum insertion torque and final insertion torque), ISQ values obtained with a radiofrequency analyzer (Osstel) at the beginning and at the end of three months.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Different Surgical Techniques in Dental Implant Surgery

Interventions

Low Speed Drilling Without IrrigationPROCEDURE

It is performed to reconstruct lost teeth. These are surgical procedures performed to place dental implants in the jaw bones. To prepare the implant socket, drilling is performed at a speed of 50 rpm without serum irrigation.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * There must be toothless space in the maxillary and mandibular posterior region (distal part of the canine in each quadrant). * The edentulous space should not require additional bone grafting. * Bleeding areas on probing should be less than 10% * There should be no pathological periodontal pockets * Patients who do not smoke or smoke less than 10 cigarettes * There should be no bruxism * At least 6 months must have passed since the last tooth extracted from the toothless space where the implant is planned. * There should be no diabetes. Exclusion Criteria: * Having psychological problems * Smoking more than 10 cigarettes * Alcohol and drug use * Pregnancy

Outcomes

Primary Outcomes

Evaluation of the status of osseointegration

Fusion of the dental implant with the bone at the microscopic level. Osseointegration will be evaluated as successful or unsuccessful. Successful osseointegration is defined by no mobility in the implant, no radiolucency around the implant on radiography, and no pain in the implant. Otherwise, the osseointegration of the implant is considered unsuccessful.

Time frame: Three months after the implant is placed in the bone. At the end of three months

Marginal bone lose

It defines the change in the marginal bone level in the neck area of the implant. It is determined by radiographic examination. The initial radiograph is compared with the radiograph at the end of three months. In measurements where the implant platform is the reference point, bone level changes are calculated in mm.

Time frame: Three months after the implant is placed in the bone. At the end of three months

Secondary Outcomes

Insertion Torque value

It is the amount of compression of the implant when screwed into the bone. The value detected by the electronic device that screws the implant into the bone cavity during screwing. It is expressed in Newtons.

Time frame: Surgical stage where the implant is placed

Implant Stability Quotient (ISQ Value)

The value obtained by the resonance frequency analysis (RFA) device used to measure the primary stability of dental implants. The RFA technique is based on continual excitation of the implant through dynamic vibration analysis. A transducer is connected to an implant, which is excited over a range of sound frequencies with subsequent measurement of the vibratory oscillation of the implant. It is a non-invasive technique.

Time frame: 1- Surgical stage where the implant is placed; 2- Three months after the implant is placed in the bone. At the end of three months