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Implant Stability Changes Using Different Technique in Posterior Maxilla With Early Loading Protocol

Implant Stability Changes Using Densah Burs Versus Magnetic Mallet Technique in Posterior Maxilla With Early Loading Protocol: A Randomized Clinical Trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07442604
Enrollment
60
Registered
2026-03-02
Start date
2025-10-01
Completion date
2026-02-01
Last updated
2026-03-02

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

Conditions

Tooth Loss

Brief summary

60 implants were placed in patients seeking implantation of their lost posterior maxillary teeth (premolar and molars) with normal bone height beneath the floor of the maxillary sinus. The patients were selected from those attending the outpatient clinic of the Oral & Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University. 60 implants will be randomly and uniformly divided into two equal groups: Group 1: It was consisted of 20 inserted dental implants by Densah burs into healed posterior maxillary alveolar ridge with an early loading pattern. Group 2: It was consisted of 20 inserted dental implants by Magnetic Mallet technique into healed posterior maxillary alveolar ridge with an early loading pattern. Group 3: It was consisted of 20 inserted dental implants by Conventional Drilling technique into healed posterior maxillary alveolar ridge with an early loading pattern.

Interventions

PROCEDUREDensah burs

20 inserted dental implants by Densah burs into healed posterior maxillary alveolar ridge with an early loading pattern.

PROCEDUREMagnetic Mallet technique

20 inserted dental implants by Magnetic Mallet technique into healed posterior maxillary alveolar ridge with an early loading pattern.

PROCEDUREConventional Drilling technique

20 inserted dental implants by Conventional Drilling technique into healed posterior maxillary alveolar ridge with an early loading pattern.

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 60 Years
Healthy volunteers
Yes

Inclusion criteria

1. Patient with missing one or more posterior maxillary teeth. 2. Patients in the age group between 18 and 60 years old. 3. 10 mm or more vertical bone height is present. 4. No gender preface in selection of the patients. 5. Good oral hygiene. 6. Non-smokers. 7. Patients willing to be present during the study follow up intervals. 8. Patients free from any systemic diseases. 9. 6 mm or more ridge width is present. 10. Crown height space of at least 8 mm. 11. Patients without any para-functional habits (bruxism and clenching).

Exclusion criteria

1. Patients with any pathological lesion or root tips at the planned surgical site. 2. Patients with systemic diseases that contra-indicate the surgical procedure or affect bone healing process such as uncontrolled diabetes mellitus, bleeding disorders, serious osseous disorders, and mental disorders. 3. Patient taking drugs that could affect bone healing process as in immunosuppressive drugs and bisphosphonates. 4. Alcoholism. 5. Untreated periodontal disease or bad oral hygiene. 6. Pregnancy.

Design outcomes

Primary

MeasureTime frameDescription
Implant stability2 monthsImplant stability was assessed at the time of implant insertion, 1 month and 2 months after surgery. The analysis of resonance frequency analysis (RFA) was made using an Osstell Mentor apparatus. The smart peg was attached to the dental implant. The RFA value was measured 4 times in 4 directions (every 90°). The results were expressed as implant stability quotient (ISQ) and averaged for each implant. The ISQ scale ranges from 0 to 100. The values less than 60 indicate low implant stability, values from 60 to 69 indicate medium stability, while values from 70 to 79 indicate high stability.

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 3, 2026