Low Bone Density
Conditions
Keywords
osseodensification, ridge expansion screw
Brief summary
the use of osseodensification technique compared to ridge expansion screws in low bone quality
Detailed description
using Densah burs in preparation of implant osteotomy compared to ridge expansion screws in low quality bone
Interventions
using Densah burs to prepare implant osteotomy
using Ridge expansion screws to prepare implant osteotomy
Sponsors
Study design
Eligibility
Inclusion criteria
* • Single tooth missing in the maxillary region with D3 (350-850 HU) and D4 (150-350 HU) bone (Sultana et al., 2020). * A minimum of 4 mm residual buccolingual bone width at site of implant placement (Koutouzis et al., 2019). * The recipient site of the implant should be free from any pathological conditions. * No diagnosed bone disease or medication known to affect bone metabolism. * Patients who are cooperative, motivated and hygiene conscious. * Patients having adequate inter-occlusal space of 8-10 mm (Fernández et al., 2017)
Exclusion criteria
* Systemic conditions/diseases that contraindicate surgery (Jarikian et al., 2021). * Patients who have any habits that might jeopardize the osseointegration process, such as current smokers (Vollmer et al., 2020). * Patients with parafunctional habits that produce overload on implant, such as bruxism and clenching (Sultana et al., 2020). * Alcohol or drug abuse (Ibrahim et al., 2020). * Pregnant and lactating women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant stability | change from baseline at 3 month | assessing the stability using Osstell |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radiographic bone density | change from baseline at 3 month | using CBCT in mm |
| Change in crestal bone level | change from baseline at 3 month | using CBCT in mm |
| Change in buccolingual bone width | change from baseline at 3 month | using CBCT in mm |
| Patient reported outcomes | at time of surgery | 10 mm Visual analogue scale from 1 to 10 with 1 minimal pain and 10 worst pain experience |
Countries
Egypt