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Different Surgical Drilling Protocols in Posterior Maxilla

Clinical Outcomes of Two Different Surgical Drilling Protocols of Immediate Loaded Dental Implant in Posterior Maxilla

Status
Active, not recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06334081
Enrollment
16
Registered
2024-03-27
Start date
2023-06-29
Completion date
2024-06-30
Last updated
2024-03-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Missing Teeth

Brief summary

Sixteen dental implants inserted in sixteen patients who were selected from the outpatient clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University, for the rehabilitation of missed single maxillary posterior tooth by an immediately loaded dental implants

Detailed description

16 dental implants were inserted in 16 patients were divided into two groups: Group A: 8 dental implants were inserted using undersized drilling technique and Group B: 8 dental implants were inserted using single drilling technique. then the dental implants were assessed for 6 months regarding Clinical Evalution: regarding these parameters after immediately dental implants loading,3 months and 6 months. implant stability, implant probing depth, bleeding index. Radiographic evaluation: immediately after implant loading and 6 months after loading regarding bone density and marginal bone loss.

Interventions

PROCEDUREundersized drilling technique

In group A The implant site preparation was made according to the protocol of the manufacturer except that the final drill was omitted. The drilling was done using a low speed reduction, high torque with coolant contra-angle hand piece with surgical motor unit. Speed of drilling was 800-1200 rpm.

PROCEDUREsingle drilling technique

In group B The implant bed was prepared using the new specially designed drills. First, the use of the guide drill of length 3.5mm with speed of 800 rpm and torque of 35 nm, then the use of the one drill of the same diameter of the selected implant size to the full length of the osteotomy site.

Sponsors

Mansoura University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Patients with missed one or more posterior maxillary tooth. * Be older than 18 years and of residual bone height more than10 mm. * Patients with good oral hygiene and willing to participate in the follow-up sessions. * Patients with adequate mesio-distal width and inter-arch space. * Patients without any para-functional habits such as clenching and bruxism.

Exclusion criteria

* Patients whose proposed surgical site had any pathological lesion or root tips. * Drug or alcohol abuse. * Patients with uncontrolled systemic diseases. * Pregnant patients. * Tobacco use more than fourteen cigarettes daily.

Design outcomes

Primary

MeasureTime frameDescription
bone density measurement6 monthcbct will be done to evaluate difference in bone density
marginal bone loss6 monthcbct will be done to evaluate marginal bone loss

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026