Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement

N/AEnrolling By InvitationNCT07077915

Mohamad Ali Itani24 enrolled

Overview

Aim of the study is to analyze and compare the characteristic differences occurring in the surrounding bone in an immediate implant placed by osseodensification to immediate implants placed with the conventional technique

A bifurcation inter-radicular bone of 2 mm or more in a none restorable lower molar will be needed in order to successfully be able to drill the bone with conventional or Osseo densification burs, followed by placing the implant at this site. A xenograft bone material will be used to fill the extraction socket and a customized temporary abutment using flowable composite and a silicone mold will be fabricated and placed over it after polishing it.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Immediate Dental Implant Placement Conventional Drilling Technique Osseodensification Drilling Technique

Interventions

Osseodensification bursOTHER

Densah burs are osseodensification burs used to condense bone and prepare dental implant site, unlike conventional technique which cuts and removes the bone

Conventional bursOTHER

Preparation of dental implant site by the Conventional technique using Conventional burs that are subtractive

Eligibility

Sex: ALLMin age: 25 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patient age 25 to 45 years old 2. Systemically and periodontally healthy individuals. 3. Non-smokers or light smokers (Less than 5 cigarettes a day) (Schane 2010). 4. Good oral hygiene. 5. Healthy remaining dentition. 6. Adequate quality and quantity of bone 7. Interradicular septum ≥ 2 mm (Bleyan, 2022). 8. Mandibular non-restorable molars. 9. Type A or B socket (Smith and Tarnow, 2013). Exclusion Criteria: 1. Acute inflammation or infection in the implant region. 2. Patients with mental disorders who could not cooperate with treatment or communicate normally. 3. Patients who have severe systemic disorders (Uncontrolled Diabetes, Uncontrolled Hypertension, End stage kidney or liver diseases and Severe Heart diseases) . 4. Poor oral hygiene. 5. Active periodontal disease. 6. Uncooperative patients, not willing to adhere to post-surgical instructions and follow up visits.

Locations (1)

Beirut Arab University

Beirut, Lebanon

Outcomes

Primary Outcomes

Interradicular bone width

The width of the interradicular bone in the interradicular septum will be measured immediately before and after drilling is performed during surgery. Measurements will be taken using a UNC-15 periodontal probe and recorded in millimeters (mm).

Time frame: Intraoperative (at time of surgery)

Dental implant stability

Implant stability will be assessed using the Osstell device, which uses resonance frequency analysis to calculate an Implant Stability Quotient (ISQ). ISQ values range from 1 to 100, with higher values indicating greater implant stability.

Time frame: up to 4 months after dental implant placement

Secondary Outcomes

Marginal Bone Level

Bone levels will be estimated on the labial, palatal, distal, and mesial surfaces of each implant using cone-beam computed tomography (CBCT). Measurements will be taken from a fixed reference point at the implant shoulder to the bone crest. All measurements will be recorded in millimeters (mm).

Time frame: up to 7 months after the implantation

Bone density

Bone density will be measured in four regions around each dental implant: buccal, lingual, apical, and crestal. The mean grayscale value for each implant will be calculated based on these four areas. Bone density values will be obtained from cone-beam computed tomography (CBCT) and expressed in grayscale units.

Time frame: up to 7 months after dental implant placement

Data from ClinicalTrials.gov

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