The goal of this randomized clinical trial is to compare osseodensification and conventional drilling for immediate dental implant placement in mandibular molar extraction sockets in adults requiring extraction and implant replacement.
The main questions it aims to answer are:
Does osseodensification improve primary and secondary implant stability compared with conventional drilling? Does osseodensification result in better clinical and radiographic peri-implant outcomes, including marginal bone loss, peri-implant bone density, probing depth, plaque and bleeding indices, during the healing period?
Researchers will compare immediate implant placement performed using osseodensification drilling with immediate implant placement performed using conventional drilling to determine whether osseodensification provides superior implant stability and peri-implant tissue outcomes.
Participants will:
Undergo atraumatic extraction of a mandibular molar followed by immediate implant placement.
Be randomly assigned to receive implant site preparation using either osseodensification or conventional drilling.
Receive the same implant system and standardized surgical and prosthetic protocols.
Attend scheduled follow-up visits for clinical examinations, implant stability measurements using resonance frequency analysis (ISQ), and radiographic evaluation of marginal bone loss and peri-implant bone density during healing and after prosthetic restoration.
Inclusion Criteria:
Adults aged 20 years - 50 years. Patients requiring extraction of a mandibular first or second molar with immediate implant placement.
Presence of sufficient interradicular and apical bone to achieve primary implant stability following immediate implant placement.
Adequate bone dimensions to accommodate the planned dental implant without the need for extensive bone augmentation.
Good oral hygiene and willingness to comply with the study protocol and follow-up visits.
Ability to understand the study procedures and provide written informed consent.
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Exclusion Criteria:
Uncontrolled systemic diseases or medical conditions contraindicating oral surgery or implant placement.
Pregnancy or lactation. Current smokers or tobacco users. Untreated active periodontal disease or poor oral hygiene. Acute infection or extensive pathology at the implant site that would preclude immediate implant placement.
History of radiotherapy to the head and neck region or treatment with intravenous bisphosphonates or other medications known to adversely affect bone healing.
Bruxism or parafunctional habits likely to compromise implant success. Inability or unwillingness to attend scheduled follow-up visits or comply with study requirements.
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Immediate implant placement using osseodensification drilling for implant osteotomy preparation.
Immediate implant placement using the conventional drilling protocol for implant osteotomy preparation.
Riyadh, 11512, Saudi Arabia
Clinical and Radiographic Evaluation of Immediate Implant Placement Using Osseodensification Versus Traditional Drilling Protocol
"Osseodensification Efficacy on Molar Septum Expansion in Immediate Molar Implant Placement
Osseo-densification Versus Conventional Drilling for Dental Implant Placement
Clinical and Radiographic Evaluation of Implant Stability in Healed Maxillary Posterior Sites Comparing Osteotome, Osseodensification and Conventional Drilling Implant Placement Techniques
Osseodensification Versus Conventional Drilling for Implant Site Preparation
Osseodensification vs Conventional Drilling for Immediate Dental Implant Placement
The Effect of Osseodensification on Implant Stability in Posterior Maxilla
Osseodensification Versus Conventional Drilling Effect on Implant Stability