Osseodensification
Conditions
Keywords
Osseodensification, Alveolar ridge splitting
Brief summary
Osseodensification is a method of biomechanical bone preparation where specially designed burs increase density of bone as they expand an osteotomy. These osseodensifying burs combine advantages of osteotome bone preservation with the standard traditional drilling burs speed and tactile control. The investigators compared ridge splitting followed by osseodensification versus osseodensification in terms of buccolingual ridge expansion both clinically and radiographically.
Detailed description
Sixteen patients will be randomly allocated into two groups. Ridge splitting followed by osseodensification will be performed with simultaneous implant placement in group I. Osseodensification will be performed with simultaneous implant placement in group II. Alveolar ridge width and Implant stability will be assessed clinically. Alveolar ridge width and bone density will be assessed radiographically.
Interventions
Ridge splitting followed by ossedensificaion with osseodensifying burs.
Pilot drill is used to make the initial osteotomy to the desired depth, then osseodensifying burs will be used in sequence, gradually wider diameter in a counterclockwise rotation and bouncing motion under profuse saline irrigation
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients suffering from missing single or multiple maxillay anterior and /or premolar with at least 8 mm alveolar ridge height, with 4-6mm alveolar buccolingual (BL) ridge width. * Patients should be systemically healthy. * Patients available during follow up periods.
Exclusion criteria
* Pregnant females. * Smokers. * Poor oral hygiene. * Vulnerable patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment of gain in alveolar ridge width | before surgery and immediately after surgery | Radiographically |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| bone density | before surgery and immediately after surgery | radiographically |
| primary implant stability | at the end of surgery | Implant stability quotient measured by ostell |