- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03613415
Implant Stability Using Densah Bur Versus Expander
August 2, 2018 updated by: Ahmed Hisham Mahmoud Riad, Cairo University
Evaluation of Implant's Primary Stability Using Densah Bur Versus Expander in Patients With Missing Maxillary Premolar (A Randomized Clinical Trial)
evaluating use of Densah bur in thin ridge enhance implant's primary stability when compared to screw expander.
Study Overview
Study Type
Interventional
Enrollment (Anticipated)
20
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
25 years to 50 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with partial edentulous maxillary premolar area with crestal thickness ranging from 4 to 6 mm.
- Age 25 - 50 years.
- No intraoral soft tissue or hard tissue pathosis.
- No systemic condition contraindicating implant placement.
Exclusion Criteria:
- Ridges thickness less than 4 mm.
- Coexisting vertical defect.
- Heavy smokers (more than 20 cigarettes per day).
- Patients with systemic disease that may affect normal healing.
- Patient with psychiatric problems.
- History of radiation therapy to the head and neck region.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Expansion by Densah bur
|
non invasive technique to increase thickness of thin ridge
|
|
Active Comparator: Expander
Scrubbing and draping of the patient in a standard fashion for intra oral procedures followed by local anesthesia administration to the patient.
|
non invasive technique to increase thickness of thin ridge
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
implant's primary stability
Time Frame: intraoperative at time of surgery
|
After implant placement, Implant stability will be measured by Ostell device.
|
intraoperative at time of surgery
|
|
implant's primary stability
Time Frame: Implant stability will be measured at second week
|
Implant stability will be measured by Ostell device.
|
Implant stability will be measured at second week
|
|
implant's primary stability
Time Frame: Implant stability will be measured at fourth week
|
Implant stability will be measured by Ostell device.
|
Implant stability will be measured at fourth week
|
|
implant's primary stability
Time Frame: Implant stability will be measured at sixth week
|
Implant stability will be measured by Ostell device.
|
Implant stability will be measured at sixth week
|
|
implant's primary stability
Time Frame: Implant stability will be measured at eighth week
|
Implant stability will be measured by Ostell device.
|
Implant stability will be measured at eighth week
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Tatum H Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am. 1986 Apr;30(2):207-29.
- Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994 Feb;15(2):152, 154-6, 158 passim; quiz 162.
- Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155-70. doi: 10.3109/17453678108991776.
- Branemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983 Sep;50(3):399-410. doi: 10.1016/s0022-3913(83)80101-2. No abstract available.
- Laurie SW, Kaban LB, Mulliken JB, Murray JE. Donor-site morbidity after harvesting rib and iliac bone. Plast Reconstr Surg. 1984 Jun;73(6):933-8. doi: 10.1097/00006534-198406000-00014.
- Huwais S, Meyer EG. A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. Int J Oral Maxillofac Implants. 2017 Jan/Feb;32(1):27-36. doi: 10.11607/jomi.4817. Epub 2016 Oct 14.
- Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: In Vivo Evaluation in Sheep. Implant Dent. 2016 Feb;25(1):24-31. doi: 10.1097/ID.0000000000000358.
- Urban IA, Nagursky H, Lozada JL, Nagy K. Horizontal ridge augmentation with a collagen membrane and a combination of particulated autogenous bone and anorganic bovine bone-derived mineral: a prospective case series in 25 patients. Int J Periodontics Restorative Dent. 2013 May-Jun;33(3):299-307. doi: 10.11607/prd.1407.
- Misch CM. Comparison of intraoral donor sites for onlay grafting prior to implant placement. Int J Oral Maxillofac Implants. 1997 Nov-Dec;12(6):767-76.
- Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III: Problems and complications encountered. J Prosthet Dent. 1990 Aug;64(2):185-94. doi: 10.1016/0022-3913(90)90177-e.
- Branemark PI, Svensson B, van Steenberghe D. Ten-year survival rates of fixed prostheses on four or six implants ad modum Branemark in full edentulism. Clin Oral Implants Res. 1995 Dec;6(4):227-31. doi: 10.1034/j.1600-0501.1995.060405.x.
- Marquezan M, Osorio A, Sant'Anna E, Souza MM, Maia L. Does bone mineral density influence the primary stability of dental implants? A systematic review. Clin Oral Implants Res. 2012 Jul;23(7):767-74. doi: 10.1111/j.1600-0501.2011.02228.x. Epub 2011 Jun 2.
- Trisi P, De Benedittis S, Perfetti G, Berardi D. Primary stability, insertion torque and bone density of cylindric implant ad modum Branemark: is there a relationship? An in vitro study. Clin Oral Implants Res. 2011 May;22(5):567-70. doi: 10.1111/j.1600-0501.2010.02036.x. Epub 2010 Nov 19.
- Turkyilmaz I, Aksoy U, McGlumphy EA. Two alternative surgical techniques for enhancing primary implant stability in the posterior maxilla: a clinical study including bone density, insertion torque, and resonance frequency analysis data. Clin Implant Dent Relat Res. 2008 Dec;10(4):231-7. doi: 10.1111/j.1708-8208.2008.00084.x. Epub 2008 Apr 1.
- Adell R, Lekholm U, Grondahl K, Branemark PI, Lindstrom J, Jacobsson M. Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int J Oral Maxillofac Implants. 1990 Fall;5(3):233-46.
- Nedir R, Bischof M, Briaux JM, Beyer S, Szmukler-Moncler S, Bernard JP. A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clin Oral Implants Res. 2004 Apr;15(2):150-7. doi: 10.1111/j.1600-0501.2004.00978.x.
- Menoni A, Bernardello F, Spinato S, Zaffe D. Full-arch vertical reconstruction of an extremely atrophic mandible with "box technique". A novel surgical procedure: a clinical and histologic case report. Implant Dent. 2013 Feb;22(1):2-7. doi: 10.1097/ID.0b013e318278fa1c.
- Khoury, F. and Khoury, C.H., 2007. Mandibular bone block grafts: diagnosis, instrumentation, harvesting techniques and surgical procedures. In Bone augmentation in oral implantology. Quintessence, Berlin.
- Simion M, Baldoni M, Zaffe D. Jawbone enlargement using immediate implant placement associated with a split-crest technique and guided tissue regeneration. Int J Periodontics Restorative Dent. 1992;12(6):462-73.
- Takahashi T, Funaki K, Shintani H, Haruoka T. Use of horizontal alveolar distraction osteogenesis for implant placement in a narrow alveolar ridge: a case report. Int J Oral Maxillofac Implants. 2004 Mar-Apr;19(2):291-4.
- Felice P, Pistilli R, Lizio G, Pellegrino G, Nisii A, Marchetti C. Inlay versus onlay iliac bone grafting in atrophic posterior mandible: a prospective controlled clinical trial for the comparison of two techniques. Clin Implant Dent Relat Res. 2009 Oct;11 Suppl 1:e69-82. doi: 10.1111/j.1708-8208.2009.00212.x. Epub 2009 Aug 3.
- Nkenke E, Schultze-Mosgau S, Radespiel-Troger M, Kloss F, Neukam FW. Morbidity of harvesting of chin grafts: a prospective study. Clin Oral Implants Res. 2001 Oct;12(5):495-502. doi: 10.1034/j.1600-0501.2001.120510.x.
- Young VL, Schuster RH, Harris LW. Intracerebral hematoma complicating split calvarial bone-graft harvesting. Plast Reconstr Surg. 1990 Oct;86(4):763-5. doi: 10.1097/00006534-199010000-00029.
- Demarosi F, Leghissa GC, Sardella A, Lodi G, Carrassi A. Localised maxillary ridge expansion with simultaneous implant placement: a case series. Br J Oral Maxillofac Surg. 2009 Oct;47(7):535-40. doi: 10.1016/j.bjoms.2008.11.012. Epub 2009 Jan 15.
- Flanagan D. Labyrinthine concussion and positional vertigo after osteotome site preparation. Implant Dent. 2004 Jun;13(2):129-32. doi: 10.1097/01.id.0000127527.44561.b8.
- Siddiqui AA, Sosovicka M. Lateral bone condensing and expansion for placement of endosseous dental implants: a new technique. J Oral Implantol. 2006;32(2):87-94. doi: 10.1563/786.1.
- Cortes AR, Cortes DN. Nontraumatic bone expansion for immediate dental implant placement: an analysis of 21 cases. Implant Dent. 2010 Apr;19(2):92-7. doi: 10.1097/ID.0b013e3181d46f46.
- Lee EA, Anitua E. Atraumatic ridge expansion and implant site preparation with motorized bone expanders. Pract Proced Aesthet Dent. 2006 Jan-Feb;18(1):17-22.
- Nishioka RS, Souza FA. Bone spreading and standardized dilation of horizontally resorbed bone: technical considerations. Implant Dent. 2009 Apr;18(2):119-25. doi: 10.1097/ID.0b013e318198e517.
- Trisi P, Perfetti G, Baldoni E, Berardi D, Colagiovanni M, Scogna G. Implant micromotion is related to peak insertion torque and bone density. Clin Oral Implants Res. 2009 May;20(5):467-71. doi: 10.1111/j.1600-0501.2008.01679.x.
- Todisco M, Trisi P. Bone mineral density and bone histomorphometry are statistically related. Int J Oral Maxillofac Implants. 2005 Nov-Dec;20(6):898-904.
- Lahens B, Neiva R, Tovar N, Alifarag AM, Jimbo R, Bonfante EA, Bowers MM, Cuppini M, Freitas H, Witek L, Coelho PG. Biomechanical and histologic basis of osseodensification drilling for endosteal implant placement in low density bone. An experimental study in sheep. J Mech Behav Biomed Mater. 2016 Oct;63:56-65. doi: 10.1016/j.jmbbm.2016.06.007. Epub 2016 Jun 10.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
September 1, 2018
Primary Completion (Anticipated)
September 1, 2019
Study Completion (Anticipated)
February 1, 2020
Study Registration Dates
First Submitted
July 23, 2018
First Submitted That Met QC Criteria
August 2, 2018
First Posted (Actual)
August 3, 2018
Study Record Updates
Last Update Posted (Actual)
August 3, 2018
Last Update Submitted That Met QC Criteria
August 2, 2018
Last Verified
July 1, 2018
More Information
Terms related to this study
Other Study ID Numbers
- Expansion by densah bur
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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-
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