Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement: A Randomized Controlled Clinical and Radiographic Study
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 24
- 试验地点
- 1
- 主要终点
- Interradicular bone width
研究概览
简要总结
Aim of the study is to analyze and compare the characteristic differences occurring in the surrounding bone in an immediate implant placed by osseodensification to immediate implants placed with the conventional technique
详细描述
A bifurcation inter-radicular bone of 2 mm or more in a none restorable lower molar will be needed in order to successfully be able to drill the bone with conventional or Osseo densification burs, followed by placing the implant at this site. A xenograft bone material will be used to fill the extraction socket and a customized temporary abutment using flowable composite and a silicone mold will be fabricated and placed over it after polishing it.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient age 25 to 45 years old
- •Systemically and periodontally healthy individuals.
- •Non-smokers or light smokers (Less than 5 cigarettes a day) (Schane 2010).
- •Good oral hygiene.
- •Healthy remaining dentition.
- •Adequate quality and quantity of bone
- •Interradicular septum ≥ 2 mm (Bleyan, 2022).
- •Mandibular non-restorable molars.
- •Type A or B socket (Smith and Tarnow, 2013).
排除标准
- •Acute inflammation or infection in the implant region.
- •Patients with mental disorders who could not cooperate with treatment or communicate normally.
- •Patients who have severe systemic disorders (Uncontrolled Diabetes, Uncontrolled Hypertension, End stage kidney or liver diseases and Severe Heart diseases) .
- •Poor oral hygiene.
- •Active periodontal disease.
- •Uncooperative patients, not willing to adhere to post-surgical instructions and follow up visits.
研究组 & 干预措施
Osseodensification burs
干预措施: Osseodensification burs (Other)
Conventional Burs
干预措施: Conventional burs (Other)
结局指标
主要结局
Interradicular bone width
时间窗: Intraoperative (at time of surgery)
The width of the interradicular bone in the interradicular septum will be measured immediately before and after drilling is performed during surgery. Measurements will be taken using a UNC-15 periodontal probe and recorded in millimeters (mm).
Dental implant stability
时间窗: up to 4 months after dental implant placement
Implant stability will be assessed using the Osstell device, which uses resonance frequency analysis to calculate an Implant Stability Quotient (ISQ). ISQ values range from 1 to 100, with higher values indicating greater implant stability.
次要结局
- Marginal Bone Level(up to 7 months after the implantation)
- Bone density(up to 7 months after dental implant placement)
研究者
Mohamad Ali Itani
Master of Science candidate in Periodontics
Beirut Arab University