Septal Bone Expansion Using Osseodensification Versus Piezoelectric Implant Site Preparation

NCT ID: NCT06957860

Last Updated: 2025-05-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-23
• Study Completion Date: 2024-08-24

Brief Summary

: Implant placement in the inter radicular septum is usually considered the best option for an immediate molar implant, not only in terms of correct 3D positioning, but also regarding implant survival, Osseodensification was shown to enhance implant primary stability, due to the compaction auto-grafting and the associated spring-back effect. Piezoelectric implant site preparation (PISP) has been proposed as an alternative technique to improve surgical control, safety, and bone healing response Aim of the work: To evaluate and compare stability changes using insertion torque values (ITV) and Implant Stability Quotient values (ISQ) for immediately placed implants in molar septum using Osseodensification technique and Piezoelectric implant site preparation (PISP) technique.

Conditions

Dental Implant; Osseodensification

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

piezoelectric group

Group Type: EXPERIMENTAL

Piezotome

Intervention Type: OTHER

Four Intra-lift diamond tips were used for drilling the osteotomy, increasing diameters till a final diameter of 2.8 mm is reached for placement of 3.5 mm diameter and 10-12 mm length implant.

osseodensification

Group Type: EXPERIMENTAL

Densah burs

Intervention Type: OTHER

implant drilling procedures will be done using the surgical drills of the supplier kit of densah burs. Surgical drills of increasing diameters will be used till a final drill diameter of 3 mm for placement of a 3.5 mm diameter.

Interventions

Piezotome

Four Intra-lift diamond tips were used for drilling the osteotomy, increasing diameters till a final diameter of 2.8 mm is reached for placement of 3.5 mm diameter and 10-12 mm length implant.

Intervention Type: OTHER

Densah burs

implant drilling procedures will be done using the surgical drills of the supplier kit of densah burs. Surgical drills of increasing diameters will be used till a final drill diameter of 3 mm for placement of a 3.5 mm diameter.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Adult patients with hopeless mandibular molar teeth in the posterior region in need of implant placement .
• A fully intact facial bone wall at the extraction site.
• Systemically healthy, received no head and neck radiation for cancer treatment.
• Absence of periapical pathologies or suppuration at the time of installing the implants.
• Septal bone after atraumatic extraction not less than 3 mm.

Exclusion Criteria

• Systemic conditions that would prevent successful healing or implant osseointegration; examples are uncontrolled Diabetes Mellitus, metabolic bone disorders, autoimmune diseases, or Bisphosphonate therapy.
• Heavy smoker patients.
• Presence of preapical bone loss related to extracted tooth.
• Patient is not indicated for immediate implant placement

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hams Hamed Abdelrahman

OTHER

Sponsor Role: lead

Responsible Party

Hams Hamed Abdelrahman

Lecturer of Dental Public Health and biostatistical consultanat

Responsibility Role: SPONSOR_INVESTIGATOR

Locations

Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University

Alexandria, , Egypt

Countries

Egypt

Other Identifiers

0716-06/2023

Identifier Type: -

Identifier Source: org_study_id