Effect of Different Drilling Techniques on Primary Stability and Marginal Bone Loss of Extra Short Implants

Not Applicable

Not yet recruiting

• Conditions: Different Surgical Techniques in Dental Implant Surgery
• Interventions: Procedure: Low Speed Drilling Without Irrigation; Procedure: Conventional dental implant surgery

• Registration Number: NCT06234566
• Lead Sponsor: Erzincan University

Brief Summary

Our aim in this study is to compare the effects of low-speed drilling surgery technique without irrigation and conventional implant surgery technique with irrigation on extra short implants. The criteria to be taken into consideration when investigating the effect of these techniques on implants are as follows: evaluation of osseointegration at the end of three months, evaluation of marginal bone loss at the end of three months, initial insertion torque values (maximum insertion torque and final insertion torque), ISQ values obtained with a radiofrequency analyzer (Osstel) at the beginning and at the end of three months.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Status Verified: 2024-01
• Study First Submitted: 2024-01-18
• Study First Submitted QC: 2024-01-28
• Last Update Submitted: 2024-01-28
• Study First Posted: 2024-01-31
• Last Update Posted: 2024-01-31
• Study Start: 2024-03-01
• Primary Completion: 2024-07-15
• Study Completion: 2024-12-27

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• There must be toothless space in the maxillary and mandibular posterior region (distal part of the canine in each quadrant).
• The edentulous space should not require additional bone grafting.
• Bleeding areas on probing should be less than 10%
• There should be no pathological periodontal pockets
• Patients who do not smoke or smoke less than 10 cigarettes
• There should be no bruxism
• At least 6 months must have passed since the last tooth extracted from the toothless space where the implant is planned.
• There should be no diabetes.

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Exclusion Criteria

• Having psychological problems
• Smoking more than 10 cigarettes
• Alcohol and drug use
• Pregnancy

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Low Speed Drilling Without Irrigation	Low Speed Drilling Without Irrigation	-
Conventional Drilling with Irrigation	Conventional dental implant surgery	-

Primary Outcome Measures

Name	Time	Method
Evaluation of the status of osseointegration	Three months after the implant is placed in the bone. At the end of three months	Fusion of the dental implant with the bone at the microscopic level. Osseointegration will be evaluated as successful or unsuccessful. Successful osseointegration is defined by no mobility in the implant, no radiolucency around the implant on radiography, and no pain in the implant. Otherwise, the osseointegration of the implant is considered unsuccessful.
Marginal bone lose	Three months after the implant is placed in the bone. At the end of three months	It defines the change in the marginal bone level in the neck area of the implant. It is determined by radiographic examination. The initial radiograph is compared with the radiograph at the end of three months. In measurements where the implant platform is the reference point, bone level changes are calculated in mm.

Secondary Outcome Measures

Name	Time	Method
Implant Stability Quotient (ISQ Value)	1- Surgical stage where the implant is placed; 2- Three months after the implant is placed in the bone. At the end of three months	The value obtained by the resonance frequency analysis (RFA) device used to measure the primary stability of dental implants. The RFA technique is based on continual excitation of the implant through dynamic vibration analysis. A transducer is connected to an implant, which is excited over a range of sound frequencies with subsequent measurement of the vibratory oscillation of the implant. It is a non-invasive technique.
Insertion Torque value	Surgical stage where the implant is placed	It is the amount of compression of the implant when screwed into the bone. The value detected by the electronic device that screws the implant into the bone cavity during screwing. It is expressed in Newtons.