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Implants will be placed in posterior maxilla using two drilling methods; the osseodensification technique and conventional drilling protocols. Implant stability will be measured after implant placement , 1,2,3,4,6 and 8 weeks and 3 months later. Insertion torque will be evaluated at the termination of implant placement and crestal bone loss will be measured post-implant insertion, after 3 months and after 6 and 12 months of loading. Post-operative pain and patients' satisfaction will be assessed as well. implant survival will be assessed at the end of the follow up period
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Densah burs | Experimental | Osseodensification using Densah burs |
|
| Standard drills | Active Comparator | conventional drilling using standard drills |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Densah Burs | Device | osseodensification method |
| |
| Standard drills |
| Measure | Description | Time Frame |
|---|---|---|
| Implant stability | Implant stability will be measured using Osstell (Resonance Frequency Analysis). the measurement unit is Implant stability quotient (ISQ) (range 1-100) | immediately post-implant insertion, 1,2,3,4,6,8 weeks and 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Crestal bone loss | Standardized periapical digital radiographs | immediately post-implant insertion - 3 months- 6 and 12 months post-loading |
| Insertion torque | torque wrench |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Omnia Aboul Dahab | Professor, Faculty of Dentistry, Cairo University | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41016918 | Derived | Abdelraouf SA, Dahab OA, Mostafa B, Kenawy SM, Tawfik OK. Implant stability in the posterior maxilla: clinical and radiographic comparison of osseodensification and conventional drilling: a randomized clinical trial. Clin Oral Investig. 2025 Sep 29;29(10):480. doi: 10.1007/s00784-025-06526-8. |
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the statistician will be masked
| Device |
conventional drilling |
|
| at the termination of implant insertion |