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Low Speed Drilling Versus Conventional Drilling Technique on Crestal Bone Level in Maxilla.(Group A ) A Randomized Controlled Clinical Trial

Not Applicable
Conditions
Bone Resorption
Interventions
Procedure: Drilling at low speed
Procedure: Conventional drilling at high speed
Registration Number
NCT03220815
Lead Sponsor
Cairo University
Brief Summary

20 patients were selected requiring implant placement and divided randomly into two groups (10 in each group)

* for the study group, starter drill is used to locate the point of insertion as planned then pilot drill is also used to the full desired working length after that all other sequential drills are used at a low speed (50-70 rpm) without irrigation .

* In the study group: implant will be inserted in the low speed osteotomy site. • In the control group: implants will be inserted in the conventional prepared osteotomy site.

* For both groups there is no surgical guide used.

* The flap will then be copiously irrigated with saline in preparation for closure.

* The flap will then be closed using interrupted 4/0 resorbable sutures.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Patients restoring missing maxillary teeth with implant placement.
  • Both sexes.
  • Age: 25-45
  • Mesio-distal dimensions: Not less than 6 mm
  • Bone Height: Not less than 12 mm
  • Bucco-lingual dimensions: Not less than 8mm
  • All measures will be assessed using CBCT.
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Exclusion Criteria
  • Sites needing bone grafting or augmentation.
  • Heavy smokers more than 20 cigarettes per day.
  • Patients with systemic disease that may affect normal healing.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Biologic drilling drilling at low speedDrilling at low speed-
conventional drilling drilling at high speedConventional drilling at high speed-
Primary Outcome Measures
NameTimeMethod
crestal bone loss[Time Frame: 6 month]

measurement from radiographic analysis using digital periapical x-ray

Secondary Outcome Measures
NameTimeMethod
patient morbidity after procedure[Time Frame: 1 day]

pain value on pain scale

Implant stability value[Time Frame: 3 month]

resonance frequency analysis using osstell

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