Different Surgical Drilling Protocols in Posterior Maxilla

March 21, 2024 updated by: Heba Elsheikh, Mansoura University

Clinical Outcomes of Two Different Surgical Drilling Protocols of Immediate Loaded Dental Implant in Posterior Maxilla

Sixteen dental implants inserted in sixteen patients who were selected from the outpatient clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Mansoura University, for the rehabilitation of missed single maxillary posterior tooth by an immediately loaded dental implants

Study Overview

Status

Active, not recruiting

Conditions

Intervention / Treatment

Detailed Description

16 dental implants were inserted in 16 patients were divided into two groups: Group A: 8 dental implants were inserted using undersized drilling technique and Group B: 8 dental implants were inserted using single drilling technique. then the dental implants were assessed for 6 months regarding

Clinical Evalution: regarding these parameters after immediately dental implants loading,3 months and 6 months.

implant stability, implant probing depth, bleeding index.

Radiographic evaluation: immediately after implant loading and 6 months after loading regarding bone density and marginal bone loss.

Study Type

Interventional

Enrollment (Actual)

16

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.

Study Locations

  • Egypt
      • Mansoura, Egypt
        • Heba elsheikh

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Patients with missed one or more posterior maxillary tooth.
  • Be older than 18 years and of residual bone height more than10 mm.
  • Patients with good oral hygiene and willing to participate in the follow-up sessions.
  • Patients with adequate mesio-distal width and inter-arch space.
  • Patients without any para-functional habits such as clenching and bruxism.

Exclusion Criteria:

  • Patients whose proposed surgical site had any pathological lesion or root tips.
  • Drug or alcohol abuse.
  • Patients with uncontrolled systemic diseases.
  • Pregnant patients.
  • Tobacco use more than fourteen cigarettes daily.

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: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A dental implant placement by undersized drilling technique.
8 dental implants placed in the healed alveolar posterior maxillary ridge using undersized drilling technique
Procedure: undersized drilling technique
In group A The implant site preparation was made according to the protocol of the manufacturer except that the final drill was omitted. The drilling was done using a low speed reduction, high torque with coolant contra-angle hand piece with surgical motor unit. Speed of drilling was 800-1200 rpm.
Experimental: Group B dental implant placement by single drilling technique
8 dental implants placed in the healed alveolar posterior maxillary ridge using singledrilling technique
Procedure: single drilling technique
In group B The implant bed was prepared using the new specially designed drills. First, the use of the guide drill of length 3.5mm with speed of 800 rpm and torque of 35 nm, then the use of the one drill of the same diameter of the selected implant size to the full length of the osteotomy site.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
bone density measurement
Time Frame: 6 month
cbct will be done to evaluate difference in bone density
6 month
marginal bone loss
Time Frame: 6 month
cbct will be done to evaluate marginal bone loss
6 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mansoura University

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 (Actual)

June 29, 2023

Primary Completion (Actual)

December 30, 2023

Study Completion (Estimated)

June 30, 2024

Study Registration Dates

First Submitted

March 21, 2024

First Submitted That Met QC Criteria

March 21, 2024

First Posted (Actual)

March 27, 2024

Study Record Updates

Last Update Posted (Actual)

March 27, 2024

Last Update Submitted That Met QC Criteria

March 21, 2024

Last Verified

March 1, 2024

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • A02040230S

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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