Dental Implants, Osseodensification Drilling Technique
Conditions
Keywords
Osseodensification, Dental implants, Implant stability quotient
Brief summary
Primary stability is a key determinant of dental implant success, particularly in low-density bone. Osseodensification (OD) is a non-subtractive drilling technique designed to preserve and compact bone during osteotomy preparation, potentially improving implant stability while maintaining patient comfort. However, clinical evidence regarding its influence on postoperative pain and dental anxiety remains limited.
Detailed description
Primary stability is a key determinant of dental implant success, particularly in low-density bone. Osseodensification (OD) is a non-subtractive drilling technique designed to preserve and compact bone during osteotomy preparation, potentially improving implant stability while maintaining patient comfort. However, clinical evidence regarding its influence on postoperative pain and dental anxiety remains limited. In this prospective randomized clinical trial, 72 patients receiving 337 dental implants were assigned to conventional drilling or osseodensification groups. Postoperative pain was assessed using a Visual Analog Scale (VAS) at immediate, 24-hour, 72-hour, and 10-day intervals. Dental anxiety was evaluated using the Modified Dental Anxiety Scale (MDAS). Implant stability was measured using insertion torque and implant stability quotient (ISQ) values at placement and after 3 months.
Interventions
PROCEDUREOsseodensification techniques
Osteotomies prepared using densifying burs (Densah® burs, Versah, USA) operated in counterclockwise (densifying) mode at 1200 rpm with constant saline irrigation.
PROCEDUREConventional drilling technique
Standard sequential osteotomy performed using gradually increasing diameter drills at 800 rpm under copious irrigation
PROCEDUREOsseodensification technique
Osteotomies prepared using densifying burs (Densah® burs, Versah, USA) operated in counterclockwise (densifying) mode at 1200 rpm with constant saline irrigation.
Sponsors
Ordu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* at least 18 years old, * requiring implant-supported tooth restorations, * with adequate alveolar bone volume, * with bone density classified as D1-D4 according to Lekholm and Zarb classification, * who provided written informed consent to participate in the study.
Exclusion criteria
* uncontrolled systemic disease, * smoking more than 10 cigarettes per day, * parafunctional habits (e.g., bruxism), * bisphosphonate use, * previous grafting at the implant site.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain perception | Baseline | Presence of pain perception on the Visual Analog Scale (VAS) pain scores (0: no pain, 1: minimal pain, 10: severe pain) |
| Implant Stability Quotient (ISQ) | Baseline | Implant stability will be assessed using resonance frequency analysis with the Osstell Implant Stability Quotient (ISQ) device. ISQ scores range from 1 to 100, with higher scores indicating greater implant stability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dental Anxiety (MDAS) | baseline | Dental anxiety will be assessed using the Modified Dental Anxiety Scale (MDAS). Total MDAS scores range from 5 to 25, with higher scores indicating greater levels of dental anxiety. |
| Insertion Torque (IT) | baseline | Primary implant stability assessed by insertion torque values (Ncm) recorded during implant placement using a calibrated torque wrench. |
Countries
Turkey (Türkiye)
Outcome results
None listed