Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement

Mohamad Ali Itani

Status: Invitation-only

Conditions: Immediate Dental Implant Placement; Osseodensification Drilling Technique; Conventional Drilling Technique

Treatments: Other: Osseodensification burs; Other: Conventional burs

Study type: Interventional

Funder types: Other

Identifiers

NCT07077915

2025-H-0162-D-M-0696

Details and patient eligibility

About

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

Full description

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.

Enrollment: 24 estimated patients

Sex: All

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patient age 25 to 45 years old
2. Systemically and periodontally healthy individuals.
3. Non-smokers or light smokers (Less than 5 cigarettes a day) (Schane 2010).
4. Good oral hygiene.
5. Healthy remaining dentition.
6. Adequate quality and quantity of bone
7. Interradicular septum ≥ 2 mm (Bleyan, 2022).
8. Mandibular non-restorable molars.
9. Type A or B socket (Smith and Tarnow, 2013).

Exclusion criteria

1. Acute inflammation or infection in the implant region.
2. Patients with mental disorders who could not cooperate with treatment or communicate normally.
3. Patients who have severe systemic disorders (Uncontrolled Diabetes, Uncontrolled Hypertension, End stage kidney or liver diseases and Severe Heart diseases) .
4. Poor oral hygiene.
5. Active periodontal disease.
6. Uncooperative patients, not willing to adhere to post-surgical instructions and follow up visits.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

24 participants in 2 patient groups

Osseodensification burs

Experimental group

Treatment:

Other: Osseodensification burs

Conventional Burs

Active Comparator group

Treatment:

Other: Conventional burs