Implant Stability Changes Using Underdrilling Versus Osseodensification Protocols for Posterior Dental Implants

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-30

Study Completion Date

2027-02-28

Brief Summary

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This clinical trial aims to compare two drilling protocols Underdrilling and Osseodensification for placing dental implants in patients with low bone density. The purpose is to compare which technique provides better primary and secondary implant stability in the posterior regions of the jaw with low bone density. The hypothesis is that there is no significant difference in implant stability between the two protocols.

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Detailed Description

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Achieving sufficient primary stability becomes difficult in areas with low bone density. One technique commonly used is Underdrilling protocol.With the Underdrilling technique, the final osteotomy is smaller than the diameter of the implant to be placed.A relatively new Osseodensification protocol, introduced by Huwais in 2013, employs specially designed bur that smoothly compact the bone as they expand an osteotomy. This may prove to be particularly helpful in cases with low bone quality.This clinical trial aims to compare the implant stability using these drilling protocols

Conditions

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Dental Implant Stability

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Double blinding will be performed. The patient, the outcome assessor and data analyst will be blinded to the allocation

Study Groups

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Osseodensification

Osseodensification uses special densa burs for osteotomy site compaction

Group Type ACTIVE_COMPARATOR

Osseodensification

Intervention Type PROCEDURE

Osseodensification uses specially designed burs to densify osteotomy site

Underilling

In Underdrilling the osteotomy is smaller than implant diameter to be placed

Group Type ACTIVE_COMPARATOR

Underdrilling

Intervention Type PROCEDURE

In underdrilling the osteotomy is smaller than implant diameter to be placed

Interventions

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Osseodensification

Osseodensification uses specially designed burs to densify osteotomy site

Intervention Type PROCEDURE

Underdrilling

In underdrilling the osteotomy is smaller than implant diameter to be placed

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patient partially edentulous ridge after extraction of more than 6 months and with low bone density.
2. Systemically healthy patients ≥18 years of age.

Exclusion Criteria

1. Smokers.
2. Pregnant or lactating females.
3. Uncontrolled systemic disease like diabetes, hypertension, hormonal therapy and hematologic diseases.
4. History of Maxillary sinus pathology.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes