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Implant Stability Changes Using Underdrilling Versus Osseodensification Protocols for Posterior Dental Implants

Implant Stability And Changes In Ridge Width Using Underdrilling Versus Osseodensification Protocols For Posterior Dental Implant- A Randomized Clinical Trial

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06989684
Enrollment
38
Registered
2025-05-25
Start date
2025-09-30
Completion date
2027-02-28
Last updated
2025-05-25

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

Conditions

Dental Implant Stability

Keywords

secondary implant stability

Brief summary

This clinical trial aims to compare two drilling protocols Underdrilling and Osseodensification for placing dental implants in patients with low bone density. The purpose is to compare which technique provides better primary and secondary implant stability in the posterior regions of the jaw with low bone density. The hypothesis is that there is no significant difference in implant stability between the two protocols.

Detailed description

Achieving sufficient primary stability becomes difficult in areas with low bone density. One technique commonly used is Underdrilling protocol.With the Underdrilling technique, the final osteotomy is smaller than the diameter of the implant to be placed.A relatively new Osseodensification protocol, introduced by Huwais in 2013, employs specially designed bur that smoothly compact the bone as they expand an osteotomy. This may prove to be particularly helpful in cases with low bone quality.This clinical trial aims to compare the implant stability using these drilling protocols

Interventions

Osseodensification uses specially designed burs to densify osteotomy site

PROCEDUREUnderdrilling

In underdrilling the osteotomy is smaller than implant diameter to be placed

Sponsors

Postgraduate Institute of Dental Sciences Rohtak
Lead SponsorOTHER

Study design

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

Masking description

Double blinding will be performed. The patient, the outcome assessor and data analyst will be blinded to the allocation

Eligibility

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

Inclusion criteria

1. Patient partially edentulous ridge after extraction of more than 6 months and with low bone density. 2. Systemically healthy patients ≥18 years of age.

Exclusion criteria

1. Smokers. 2. Pregnant or lactating females. 3. Uncontrolled systemic disease like diabetes, hypertension, hormonal therapy and hematologic diseases. 4. History of Maxillary sinus pathology.

Design outcomes

Primary

MeasureTime frameDescription
Implant stability12-18 monthsIt compares Primary stability and Secondary stability after implant placement. Primary stability is recorded by insertion torque values from manual torque wrench. Secondary stability is recorded by resonance frequency analysis.

Countries

India

Contacts

Primary ContactChain Shilpa, MDS
www.dalbirsingh047@gmail.com+91 9814272797
Backup ContactDr.Sanjay Tewari, MDS
principal.pgids@uhsr.ac.in01262-297876

Outcome results

None listed

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