Clinical Evaluation of Biological Drilling Osteotomy Protocol Versus Conventional Drilling Osteotomy Protocol

Cairo University (CU)

Status: Not yet enrolling

Conditions: Low Speed Drilling; Implant Stability

Treatments: Procedure: Biological drilling osteotomy protocol; Procedure: Conventional drilling osteotomy protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT06992557

mazenmostafasayedali@@15121987

Details and patient eligibility

About

This study aims to evaluate the effect of biological drilling osteotomy protocol compared to conventional osteotomy protocol in delayed implant placement in the posterior mandible regarding implant stability Type of study design: Randomized Clinical Trial In patient indicated for delayed implant placement in the lower posterior mandible will the use of biological drilling protocol osteotomy compared to conventional drilling protocol osteotomy differ regarding implant stability at three months?

Enrollment: 28 estimated patients

Sex: All

Ages: 21 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Systemically healthy male and female patients, aged 21 to 60 years old,
• Indicated for delayed implant placement in the posterior mandibular arch.
• Good oral health.
• Willingness to sign the informed consent form.

Exclusion criteria

• Heavy smoker (> 10 cigarettes/day)
• Pregnant females
• Contraindication for Implant surgery.
• Patients with poor oral hygiene.
• A history of radiotherapy in the head or neck region.
• Patients with systemic disease like uncontrolled diabetes mellitus, coagulation disorders, alcohol or drug abuse not suitable for implantation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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28 participants in 2 patient groups

Biological drilling osteotomy protocol

Experimental group

Description:

* Local infiltration anesthesia will be applied to all the patients participating in this study. * Full thickness mucoperiosteal flap reflection with 15c blade. * Osteotomy site preparation through sequential biologic drilling in healed bony site with a pilot drill at 800 rpm with irrigation initiates the drilling process, which is then followed by drills of different sizes and shapes at low speeds at 150rpm without irrigation. * The implant will be positioned in the osteotomy site and a healing collar will be placed. * The mucoperiosteal flap will be sutured in an interrupted manner with 5-0 proline suture material

Treatment:

Procedure: Biological drilling osteotomy protocol

Conventional drilling osteotomy protocol

Active Comparator group

Description:

* Local infiltration anesthesia will be applied to all the patients participating in this study. * Full thickness mucoperiosteal flap reflection with 15c blade. * Preparation for osteotomy site with conventional sequential drilling in healed bony site at 1200 rpm with irrigation. * The implant will be positioned in the osteotomy site and a healing collar will be placed. * The mucoperiosteal flap will be sutured in an interrupted manner with 5-0 proline suture material.

Treatment:

Procedure: Conventional drilling osteotomy protocol