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

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.

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.