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CompletedNCT05283928Updated Nov 29, 2024Results posted

Implant Primary Stability and Ridge Dimensional Changes Utilizing the Osseodensification Protocol

An interventional study of OsseoDensification (OD) protocol and standard drilling (SD) protocol (NobelReplace® Conical) in Dental Implants, sponsored by The University of Texas Health Science Center, Houston. Completed at 1 site in United States. Open to participants aged 22 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-29.

Sponsored by The University of Texas Health Science Center, Houston · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
22 Years and older
Sex
All
01

Study summary

The purpose of this study is to compare ridge dimensional changes between densification and standard drilling protocols and to compare primary and secondary stability of implants placed by bone densification and standard drilling protocols

02

Conditions studied

  • Dental Implants

Keywords

  • osseodensification
  • ridge expansion
03

In context

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 880 studies on the registry; 209 are open to participants now.

Of its 170 completed or terminated interventional studies of FDA-regulated products, 140 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Patients who understand and agree to this study.
  • Adequate Oral hygiene
  • One or more edentulous spaces, which are 10 weeks or longer after extractions

Exclusion criteria

Exclusion Criteria:

  • Pregnancy.
  • Smoking of more than 5 cigarettes/day.
  • History of alcoholism or drug abuse during the last 5 years.
  • Uncontrolled Hypertension or diabetes.
  • Patient with malignant tumor.
  • Patients on daily dose of steroids.
  • Patients with history of chemotherapy or radiation for the last 12 months.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    OsseoDensification (OD) protocol

    Device: OsseoDensification (OD) protocol

  • Active comparator
    standard drilling (SD) protocol

    Device: standard drilling (SD) protocol (NobelReplace® Conical)

Interventions

  • DeviceOsseoDensification (OD) protocol

    Osseodensification is a drilling process by which bone is being compacted and auto-grafted in an outwardly expanding direction from the osteotomy. When the osseodensification drills are being rotated in a reversed, non-cutting direction a strong and dense layer of bone is formed along the walls and base of the osteotomy.

  • Devicestandard drilling (SD) protocol (NobelReplace® Conical)

    osteotomy preparation through bone excavation is necessary in implant site development for the placement of dental implants. The process involves a forward cutting process with removal of bone tissue creating appropriate size osteotomy for the dental implant.

06

What researchers measure

Primary outcomes

  1. Change in Bone Ridge Width at Crest

    bone ridge width will be measured using a Caliper

    Time frame: day of implant surgery

  2. Change in Bone Ridge Width at 5mm Apical From Crest

    bone ridge width will be measured using a Caliper

    Time frame: day of implant surgery

  3. Change in Bone Ridge Width at 10mm Apical From Crest

    bone ridge width will be measured using a Caliper

    Time frame: day of implant surgery

Secondary outcomes

  1. Primary Stability of the Implants as Measured by the Insertion Torque Values

    Insertion torque refers to the force used to insert an implant into bone, and it is reported in units of Newton-Centimeters (N-cms).

    Time frame: day of implant surgery

  2. Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter Baseline(After Implant Placement)

    The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

    Time frame: baseline(after implant placement)

  3. Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 3 Weeks After Implant Placement

    The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

    Time frame: 3 weeks after implant placement

  4. Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 6 Weeks After Implant Placement

    The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

    Time frame: 6 weeks after implant placement

  5. Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 12 Weeks After Implant Placement

    The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

    Time frame: 12 weeks after implant placement

  6. Volume of the Ridge as Assessed by the Cone Beam Computer Tomography (CBCT)

    Time frame: 6 months post implantation

  7. Percent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 1.5 mm From the Implant Platform

    The buccal bone thickness (BBT) was measured using cone beam computed tomography (CBCT). The percentage change in BBT was calculated by comparing the post-implant measurements to baseline values, with positive percentages indicating an increase in thickness and negative percentages indicating a decrease in thickness.

    Time frame: 6 months post implantation

  8. Percent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 5 mm From the Implant Platform

    The buccal bone thickness (BBT) was measured using cone beam computed tomography (CBCT). The percentage change in BBT was calculated by comparing the post-implant measurements to baseline values, with positive percentages indicating an increase in thickness and negative percentages indicating a decrease in thickness.

    Time frame: 6 months post implantation

07

Results

Posted Nov 29, 2024

Participant flow

Participant flow — Overall Study
MilestoneOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Started1515
Completed1515
Not completed00

Outcome measures

PrimaryChange in Bone Ridge Width at Crest

bone ridge width will be measured using a Caliper

Time frame:
day of implant surgery
Reported as:
Mean · millimeters
Change in Bone Ridge Width at Crest
millimetersOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Change in Bone Ridge Width at Crest0.84 ± 0.590.01 ± 0.45
PrimaryChange in Bone Ridge Width at 5mm Apical From Crest

bone ridge width will be measured using a Caliper

Time frame:
day of implant surgery
Reported as:
Mean · millimeters
Change in Bone Ridge Width at 5mm Apical From Crest
millimetersOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Change in Bone Ridge Width at 5mm Apical From Crest0.62 ± 0.650.11 ± 0.64
PrimaryChange in Bone Ridge Width at 10mm Apical From Crest

bone ridge width will be measured using a Caliper

Time frame:
day of implant surgery
Reported as:
Mean · millimeters
Change in Bone Ridge Width at 10mm Apical From Crest
millimetersOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Change in Bone Ridge Width at 10mm Apical From Crest0.29 ± 0.760.01 ± 0.46
SecondaryPrimary Stability of the Implants as Measured by the Insertion Torque Values

Insertion torque refers to the force used to insert an implant into bone, and it is reported in units of Newton-Centimeters (N-cms).

Time frame:
day of implant surgery
Reported as:
Mean · Newton-centimeters
Primary Stability of the Implants as Measured by the Insertion Torque Values
Newton-centimetersOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Primary Stability of the Implants as Measured by the Insertion Torque Values57.7 ± 23.445 ± 25.5
SecondaryPrimary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter Baseline(After Implant Placement)

The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

Time frame:
baseline(after implant placement)
Reported as:
Mean · score on a scale
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter Baseline(After Implant Placement)
score on a scaleOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter Baseline(After Implant Placement)73.7 ± 7.2367.0 ± 8.26
SecondaryPrimary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 3 Weeks After Implant Placement

The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

Time frame:
3 weeks after implant placement
Reported as:
Mean · score on a scale
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 3 Weeks After Implant Placement
score on a scaleOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 3 Weeks After Implant Placement75 ± 6.8769.8 ± 7.99
SecondaryPrimary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 6 Weeks After Implant Placement

The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

Time frame:
6 weeks after implant placement
Reported as:
Mean · score on a scale
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 6 Weeks After Implant Placement
score on a scaleOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 6 Weeks After Implant Placement75.3 ± 6.1670.8 ± 9.25
SecondaryPrimary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 12 Weeks After Implant Placement

The Implant Stability Quotient (ISQ) value is a measurement used to assess the stability of dental implants. It is obtained by resonance frequency analysis and ranges from 1 to 100, with higher values indicating greater stability.

Time frame:
12 weeks after implant placement
Reported as:
Mean · score on a scale
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 12 Weeks After Implant Placement
score on a scaleOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Primary Stability of the Implants as Indicated by the Implant Stability Quotient (ISQ) as Measured by the Resonance Frequency Analysis Using the Ostell ISQ Meter 12 Weeks After Implant Placement76.8 ± 5.1873.3 ± 7.31
SecondaryVolume of the Ridge as Assessed by the Cone Beam Computer Tomography (CBCT)
Time frame:
6 months post implantation

No measurements were reported for this outcome.

SecondaryPercent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 1.5 mm From the Implant Platform

The buccal bone thickness (BBT) was measured using cone beam computed tomography (CBCT). The percentage change in BBT was calculated by comparing the post-implant measurements to baseline values, with positive percentages indicating an increase in thickness and negative percentages indicating a decrease in thickness.

Time frame:
6 months post implantation
Reported as:
Mean · percent change
Percent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 1.5 mm From the Implant Platform
percent changeOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Percent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 1.5 mm From the Implant Platform6.24 ± 31.8-21.3 ± 20.3
SecondaryPercent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 5 mm From the Implant Platform

The buccal bone thickness (BBT) was measured using cone beam computed tomography (CBCT). The percentage change in BBT was calculated by comparing the post-implant measurements to baseline values, with positive percentages indicating an increase in thickness and negative percentages indicating a decrease in thickness.

Time frame:
6 months post implantation
Reported as:
Mean · percent change
Percent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 5 mm From the Implant Platform
percent changeOsseoDensification (OD) ProtocolStandard Drilling (SD) Protocol
Percent Change of Buccal Bone Thickness as Assessed by the Cone Beam Computer Tomography at 5 mm From the Implant Platform8.61 ± 25.3-15.1 ± 21.6

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
OsseoDensification (OD) Protocol0/15 (0%)0/15 (0%)0/15 (0%)
Standard Drilling (SD) Protocol0/15 (0%)0/15 (0%)0/15 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)All Study Participants
Mean50.67 ± 14.80
Sex: Female, Male
Sex: Female, Male(Participants)All Study Participants
Female9
Male6
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)All Study Participants
Region of Enrollment
Region of Enrollment(participants)All Study Participants
United States15
08

Study locations

1 site
  • The University of Texas Health Science Center at Houston
    Houston, Texas 77054, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Sep 12, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05283928
Lead sponsor
The University of Texas Health Science Center, Houston
Responsible party
Popi Stylianou (Clinical Associate Professor, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Mar 17, 2022
Start date
Aug 1, 2022
Primary completion
Nov 16, 2023
Completion
Mar 4, 2024
Results posted
Nov 29, 2024
Last update
Nov 29, 2024

Study contacts

Popi Stylianou, DDS,MS
principal investigator · The University of Texas Health Science Center, Houston

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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