Dental Implant, Osseodensification
Conditions
Brief summary
: Implant placement in the inter radicular septum is usually considered the best option for an immediate molar implant, not only in terms of correct 3D positioning, but also regarding implant survival, Osseodensification was shown to enhance implant primary stability, due to the compaction auto-grafting and the associated spring-back effect. Piezoelectric implant site preparation (PISP) has been proposed as an alternative technique to improve surgical control, safety, and bone healing response Aim of the work: To evaluate and compare stability changes using insertion torque values (ITV) and Implant Stability Quotient values (ISQ) for immediately placed implants in molar septum using Osseodensification technique and Piezoelectric implant site preparation (PISP) technique.
Interventions
OTHERPiezotome
Four Intra-lift diamond tips were used for drilling the osteotomy, increasing diameters till a final diameter of 2.8 mm is reached for placement of 3.5 mm diameter and 10-12 mm length implant.
OTHERDensah burs
implant drilling procedures will be done using the surgical drills of the supplier kit of densah burs. Surgical drills of increasing diameters will be used till a final drill diameter of 3 mm for placement of a 3.5 mm diameter.
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
the statistician will be blinded to the treatment groups
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients with hopeless mandibular molar teeth in the posterior region in need of implant placement . * A fully intact facial bone wall at the extraction site. * Systemically healthy, received no head and neck radiation for cancer treatment. * Absence of periapical pathologies or suppuration at the time of installing the implants. * Septal bone after atraumatic extraction not less than 3 mm.
Exclusion criteria
* Systemic conditions that would prevent successful healing or implant osseointegration; examples are uncontrolled Diabetes Mellitus, metabolic bone disorders, autoimmune diseases, or Bisphosphonate therapy. * Heavy smoker patients. * Presence of preapical bone loss related to extracted tooth. * Patient is not indicated for immediate implant placement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in implant stability | Baseline and 3 months | The implant stability quotient (ISQ) will be measured using the Osstell device- resonance frequency analysis test at 3 months post-surgery to all the installed fixtures. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in bone density | Baseline and 3 months | Using CBCT |
Countries
Egypt
Outcome results
None listed