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Enrolling by Invitation

NCT Number: NCT07077915

Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement

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

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Key information

Conditions

Immediate Dental Implant Placement Conventional Drilling Technique Osseodensification Drilling Technique

Age range

25 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Beirut Arab University

Beirut, Lebanon

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient age 25 to 45 years old
  • Systemically and periodontally healthy individuals.
  • Non-smokers or light smokers (Less than 5 cigarettes a day) (Schane 2010).
  • Good oral hygiene.
  • Healthy remaining dentition.
  • Adequate quality and quantity of bone
  • Interradicular septum ≥ 2 mm (Bleyan, 2022).
  • Mandibular non-restorable molars.
  • Type A or B socket (Smith and Tarnow, 2013).

Exclusion criteria

  • Acute inflammation or infection in the implant region.
  • Patients with mental disorders who could not cooperate with treatment or communicate normally.
  • Patients who have severe systemic disorders (Uncontrolled Diabetes, Uncontrolled Hypertension, End stage kidney or liver diseases and Severe Heart diseases) .
  • Poor oral hygiene.
  • Active periodontal disease.
  • Uncooperative patients, not willing to adhere to post-surgical instructions and follow up visits.

Treatment and study plan

Osseodensification burs

Other

Densah burs are osseodensification burs used to condense bone and prepare dental implant site, unlike conventional technique which cuts and removes the bone

Conventional burs

Other

Preparation of dental implant site by the Conventional technique using Conventional burs that are subtractive

Primary outcomes

  1. Interradicular bone width

    Time frame: 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).

  2. Dental implant stability

    Time frame: 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 outcomes

  1. Marginal Bone Level

    Time frame: 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).

  2. Bone density

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Mohamad Ali Itani

Other

Collaborators

  • Beirut Arab University

Registry information

Official study title

Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement: A Randomized Controlled Clinical and Radiographic Study

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jul 22, 2025
Registry last updated
Jul 28, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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