Pain and Anxiety Associated With Osseodensification

Ordu University72 enrolled

Overview

Primary stability is a key determinant of dental implant success, particularly in low-density bone. Osseodensification (OD) is a non-subtractive drilling technique designed to preserve and compact bone during osteotomy preparation, potentially improving implant stability while maintaining patient comfort. However, clinical evidence regarding its influence on postoperative pain and dental anxiety remains limited. In this prospective randomized clinical trial, 72 patients receiving 337 dental implants were assigned to conventional drilling or osseodensification groups. Postoperative pain was assessed using a Visual Analog Scale (VAS) at immediate, 24-hour, 72-hour, and 10-day intervals. Dental anxiety was evaluated using the Modified Dental Anxiety Scale (MDAS). Implant stability was measured using insertion torque and implant stability quotient (ISQ) values at placement and after 3 months.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Osseodensification Drilling Technique Dental Implants

Interventions

Osseodensification techniquesPROCEDURE

Osteotomies prepared using densifying burs (Densah® burs, Versah, USA) operated in counterclockwise (densifying) mode at 1200 rpm with constant saline irrigation.

Conventional drilling techniquePROCEDURE

Standard sequential osteotomy performed using gradually increasing diameter drills at 800 rpm under copious irrigation

Osseodensification techniquePROCEDURE

Osteotomies prepared using densifying burs (Densah® burs, Versah, USA) operated in counterclockwise (densifying) mode at 1200 rpm with constant saline irrigation.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * at least 18 years old, * requiring implant-supported tooth restorations, * with adequate alveolar bone volume, * with bone density classified as D1-D4 according to Lekholm and Zarb classification, * who provided written informed consent to participate in the study. Exclusion Criteria: * uncontrolled systemic disease, * smoking more than 10 cigarettes per day, * parafunctional habits (e.g., bruxism), * bisphosphonate use, * previous grafting at the implant site.

Locations (1)

Ordu University, Ordu, Ordu 52100

Ordu, Ordu University,, Turkey (Türkiye)

Outcomes

Primary Outcomes

Pain perception

Presence of pain perception on the Visual Analog Scale (VAS) pain scores (0: no pain, 1: minimal pain, 10: severe pain)

Time frame: Baseline

Pain perception

Presence of pain perception on the Visual Analog Scale (VAS) pain scores (0: no pain, 1: minimal pain, 10: severe pain)

Time frame: 1st day after surgery

Pain perception

Presence of pain perception on the Visual Analog Scale (VAS) pain scores (0: no pain, 1: minimal pain, 10: severe pain)

Time frame: 3th day after surgery

Pain perception

Presence of pain perception on the Visual Analog Scale (VAS) pain scores (0: no pain, 1: minimal pain, 10: severe pain)

Time frame: 10th day after surgery

Implant Stability Quotient (ISQ)

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

Time frame: Baseline

Implant Stability Quotient (ISQ)

Time frame: 3 rd smonth after surgery

Secondary Outcomes

Dental Anxiety (MDAS)

Dental anxiety will be assessed using the Modified Dental Anxiety Scale (MDAS). Total MDAS scores range from 5 to 25, with higher scores indicating greater levels of dental anxiety.

Data from ClinicalTrials.gov

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