Immediate Dental Implant Placement, Conventional Drilling Technique, Osseodensification Drilling Technique
Conditions
Keywords
immediate dental implant, immediate dental implant with bone graft, osseodensification, conventional drilling, densah burs
Brief summary
Aim of the study is to analyze and compare the characteristic differences occurring in the surrounding bone in an immediate implant placed by osseodensification to immediate implants placed with the conventional technique
Detailed description
A bifurcation inter-radicular bone of 2 mm or more in a none restorable lower molar will be needed in order to successfully be able to drill the bone with conventional or Osseo densification burs, followed by placing the implant at this site. A xenograft bone material will be used to fill the extraction socket and a customized temporary abutment using flowable composite and a silicone mold will be fabricated and placed over it after polishing it.
Interventions
OTHEROsseodensification burs
Densah burs are osseodensification burs used to condense bone and prepare dental implant site, unlike conventional technique which cuts and removes the bone
OTHERConventional burs
Preparation of dental implant site by the Conventional technique using Conventional burs that are subtractive
Sponsors
Beirut Arab University
Mohamad Ali Itani
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
1. Patient age 25 to 45 years old 2. Systemically and periodontally healthy individuals. 3. Non-smokers or light smokers (Less than 5 cigarettes a day) (Schane 2010). 4. Good oral hygiene. 5. Healthy remaining dentition. 6. Adequate quality and quantity of bone 7. Interradicular septum ≥ 2 mm (Bleyan, 2022). 8. Mandibular non-restorable molars. 9. Type A or B socket (Smith and Tarnow, 2013).
Exclusion criteria
1. Acute inflammation or infection in the implant region. 2. Patients with mental disorders who could not cooperate with treatment or communicate normally. 3. Patients who have severe systemic disorders (Uncontrolled Diabetes, Uncontrolled Hypertension, End stage kidney or liver diseases and Severe Heart diseases) . 4. Poor oral hygiene. 5. Active periodontal disease. 6. Uncooperative patients, not willing to adhere to post-surgical instructions and follow up visits.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Interradicular bone width | Intraoperative (at time of surgery) | The width of the interradicular bone in the interradicular septum will be measured immediately before and after drilling is performed during surgery. Measurements will be taken using a UNC-15 periodontal probe and recorded in millimeters (mm). |
| Dental implant stability | up to 4 months after dental implant placement | Implant stability will be assessed using the Osstell device, which uses resonance frequency analysis to calculate an Implant Stability Quotient (ISQ). ISQ values range from 1 to 100, with higher values indicating greater implant stability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Marginal Bone Level | up to 7 months after the implantation | Bone levels will be estimated on the labial, palatal, distal, and mesial surfaces of each implant using cone-beam computed tomography (CBCT). Measurements will be taken from a fixed reference point at the implant shoulder to the bone crest. All measurements will be recorded in millimeters (mm). |
| Bone density | up to 7 months after dental implant placement | Bone density will be measured in four regions around each dental implant: buccal, lingual, apical, and crestal. The mean grayscale value for each implant will be calculated based on these four areas. Bone density values will be obtained from cone-beam computed tomography (CBCT) and expressed in grayscale units. |
Countries
Lebanon
Outcome results
None listed