Comparison of Osseodensification and Conventional Drilling on the Stability of Tapered and Cylindrical Implants.
NCT ID: NCT07244185
Last Updated: 2025-11-24
Study Results
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Basic Information
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ACTIVE_NOT_RECRUITING
NA
36 participants
INTERVENTIONAL
2024-12-03
2026-03-11
Brief Summary
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Detailed Description
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Traditional (conventional) drilling techniques used for implant site preparation are subtractive in nature, meaning they remove bone to create space for the implant. However, this process may reduce bone density at the osteotomy walls, particularly in low-density bone, potentially compromising initial stability.
Osseodensification (OD) is a relatively new, non-subtractive drilling technique introduced by Huwais and colleagues. Instead of removing bone, OD uses specially designed, counterclockwise rotating burs (Densah burs) that laterally compact and densify bone along the walls of the osteotomy.
mplant macrodesign-particularly whether the implant is tapered or cylindrical-also influences stability outcomes.
Tapered implants typically provide higher primary stability due to their wedging effect and better adaptation in underprepared osteotomies, especially in soft bone.
Cylindrical implants, while providing more uniform stress distribution, may rely more heavily on bone density and precise site preparation for achieving optimal stability.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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tapered implant with conventional preparation
The osteotomy will be performed following the manufacturer's standard drilling sequence without osseodensification.
This group will serve to evaluate the effect of conventional implant site preparation on the primary and secondary stability of tapered implants
Dental Implant Placement with Osseodensification or Conventional Drilling
Placement of tapered or cylindrical dental implants using osseodensification (bone-compacting technique) or conventional drilling to evaluate implant stability.
tapered with osseodensification
The osteotomy will be prepared with densifying burs operated in a non-subtractive, counterclockwise direction to compact and preserve bone tissue.
This approach aims to enhance bone density and improve the primary and secondary stability of the tapered implants
Dental Implant Placement with Osseodensification or Conventional Drilling
Placement of tapered or cylindrical dental implants using osseodensification (bone-compacting technique) or conventional drilling to evaluate implant stability.
cylindrical implant with conventional preparation
The osteotomy will be performed following the standard sequential drilling protocol recommended by the manufacturer, without applying osseodensification.
This group will be used to assess the effect of conventional implant site preparation on the primary and secondary stability of cylindrical implants
Dental Implant Placement with Osseodensification or Conventional Drilling
Placement of tapered or cylindrical dental implants using osseodensification (bone-compacting technique) or conventional drilling to evaluate implant stability.
cylindrical with osseodensification
The osteotomy will be performed using densifying burs in a non-subtractive, counterclockwise direction, which compacts and preserves the surrounding bone tissue.
This method is intended to increase bone density and improve both primary and secondary implant stability for cylindrical implants
Dental Implant Placement with Osseodensification or Conventional Drilling
Placement of tapered or cylindrical dental implants using osseodensification (bone-compacting technique) or conventional drilling to evaluate implant stability.
Interventions
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Dental Implant Placement with Osseodensification or Conventional Drilling
Placement of tapered or cylindrical dental implants using osseodensification (bone-compacting technique) or conventional drilling to evaluate implant stability.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
2. Systemic conditions (medically compromised patient) such as uncontrolled diabetes, coagulation disorders, immune compromised patient, patient treated with bisphosphate drugs, psychiatric problems or unrealistic expectations, pregnant women, any medical condition that affect bone healing.
3. Clinical evidence of parafunctional habits.
4. Active periodontitis.
5. Heavy smokers (≥20 cigarettes a day).
6. Advanced and complicated cases.
7. Patients who not able to follow the treatment protocol or lost during the study period.
8. Patient with history of radiotherapy to the head and neck -
18 Years
ALL
Yes
Sponsors
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Teaching Hospital
UNKNOWN
Worood Adnan Akram
OTHER
Responsible Party
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Worood Adnan Akram
The Effect of Osseodensification Versus Conventional Implant Site Preparation on the Primary Stability of Tapered and Cylindrical Dental Implant
Locations
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university of baghdad college of dentistry Teaching hospital
Baghdad, Baghdad Governorate, Iraq
Countries
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Other Identifiers
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974124-2024
Identifier Type: -
Identifier Source: org_study_id
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