Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement

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

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

Study Overview

• Status: Enrolling by invitation
• Conditions: Immediate Dental Implant Placement; Conventional Drilling Technique; Osseodensification Drilling Technique
• Intervention / Treatment: Other: Osseodensification burs; Other: Conventional burs

Detailed Description

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.

• Study Type: Interventional
• Enrollment (Estimated): 24
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Lebanon
  • Beirut, Lebanon
    • Beirut Arab University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

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

Exclusion Criteria:

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Osseodensification burs	Other: Osseodensification burs; Densah burs are osseodensification burs used to condense bone and prepare dental implant site, unlike conventional technique which cuts and removes the bone
Active Comparator: Conventional Burs	Other: Conventional burs; Preparation of dental implant site by the Conventional technique using Conventional burs that are subtractive

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Interradicular bone width	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).	Intraoperative (at time of surgery)
Dental implant stability	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.	up to 4 months after dental implant placement

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Marginal Bone Level	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).	up to 7 months after the implantation
Bone density	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.	up to 7 months after dental implant placement

Collaborators and Investigators

• Sponsor: Mohamad Ali Itani
• Collaborators: Beirut Arab University
• Investigators: Study Chair: Nayer Aboelsaad, Phd, Beirut Arab Univeristy; Study Director: Rania Abdelaziz, Phd, Beirut Arab University; Study Director: Hani Arakji, Phd, Beirut Arab University

Publications and helpful links

General Publications

• https://omx.journals.ekb.eg/article_140845_40c7deeba68c3279a9d3dffaed37c3fd.pdf

Helpful Links

• This article includes information about the success and stability achieved by using osseodensification technique
• This article includes information regarding stability of dental implants in narrow ridges when using conventional burs and osseodensifications burs
• This study includes information about marginal bone level and dental implant stability in conventional vs osseodensification techniques

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2025
• Primary Completion (Estimated): December 23, 2025
• Study Completion (Estimated): December 23, 2025

Study Registration Dates

• First Submitted: July 12, 2025
• First Submitted That Met QC Criteria: July 12, 2025
• First Posted (Actual): July 22, 2025

Study Record Updates

• Last Update Posted (Actual): July 28, 2025
• Last Update Submitted That Met QC Criteria: July 23, 2025
• Last Verified: July 1, 2025

More Information

Terms related to this study

• Keywords: immediate dental implant; osseodensification; conventional drilling; immediate dental implant with bone graft; densah burs
• Other Study ID Numbers: 2025-H-0162-D-M-0696

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: Yes