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OpenTrials
Completed

NCT Number: NCT06957860

Septal Bone Expansion Using Osseodensification Versus Piezoelectric Implant Site Preparation

: Implant placement in the inter radicular septum is usually considered the best option for an immediate molar implant, not only in terms of correct 3D positioning, but also regarding implant survival, Osseodensification was shown to enhance implant primary stability, due to the compaction auto-grafting and the associated spring-back effect. Piezoelectric implant site preparation (PISP) has been proposed as an alternative technique to improve surgical control, safety, and bone healing response Aim of the work: To evaluate and compare stability changes using insertion torque values (ITV) and Implant Stability Quotient values (ISQ) for immediately placed implants in molar septum using Osseodensification technique and Piezoelectric implant site preparation (PISP) technique.

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Key information

Conditions

Dental Implant Osseodensification

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Outpatient Clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University

Alexandria, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult patients with hopeless mandibular molar teeth in the posterior region in need of implant placement .
  • A fully intact facial bone wall at the extraction site.
  • Systemically healthy, received no head and neck radiation for cancer treatment.
  • Absence of periapical pathologies or suppuration at the time of installing the implants.
  • Septal bone after atraumatic extraction not less than 3 mm.

Exclusion criteria

  • Systemic conditions that would prevent successful healing or implant osseointegration; examples are uncontrolled Diabetes Mellitus, metabolic bone disorders, autoimmune diseases, or Bisphosphonate therapy.
  • Heavy smoker patients.
  • Presence of preapical bone loss related to extracted tooth.
  • Patient is not indicated for immediate implant placement

Treatment and study plan

Piezotome

Other

Four Intra-lift diamond tips were used for drilling the osteotomy, increasing diameters till a final diameter of 2.8 mm is reached for placement of 3.5 mm diameter and 10-12 mm length implant.

Densah Burs

Other

implant drilling procedures will be done using the surgical drills of the supplier kit of densah burs. Surgical drills of increasing diameters will be used till a final drill diameter of 3 mm for placement of a 3.5 mm diameter.

Primary outcomes

  1. Change in implant stability

    Time frame: Baseline and 3 months

    The implant stability quotient (ISQ) will be measured using the Osstell device- resonance frequency analysis test at 3 months post-surgery to all the installed fixtures.

Secondary outcomes

  1. Change in bone density

    Time frame: Baseline and 3 months

    Using CBCT

Sponsors and collaborators

Lead sponsor

Hams Hamed Abdelrahman

Other

Registry information

Official study title

Septal Bone Expansion Using Osseodensification Versus Piezoelectric Implant Site Preparation for Immediate Implant Placement in Mandibular Molars [Randomized Clinical Trial]

Important dates

Study start
2023
Primary completion
2024
Study completion
2024
First posted
May 5, 2025
Registry last updated
May 5, 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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