CClinicalTrials.gg
CompletedNCT06689969Updated Nov 15, 2024

Effect of Osseodensification on the Peri-implant Condition

A Phase 2 interventional study of conventional implant placement method and Osseodensification to implant placement using densah bur kit in Implant Therapy, sponsored by Al-Azhar University. Completed at 1 site in Egypt. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by Al-Azhar University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 10 months after the study started (first participant enrolled Jan 2022, registered Nov 2024).
Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the effects of osseodensification vs. traditional implant site preparation clinically , radiographically, bio-chemically. in patients of both sexes, ages 25 to 45, who had bilaterally missed maxillary teeth. The main questions it aims to answer are :which technique was the better results give at implant placement? Researchers will compare Osseodensification maneuver in implant placement to see if implant stability increased also peri-implant tissue accurately formed or the same in traditional implant site preparation. Participants will receiving dental implants in narrow maxillary posterior ridge via small diameter implant in conventional method in first entity while in second entity implant by osseodensification technique using densah bur.

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Conditions studied

  • Implant Therapy

Keywords

  • Osseodensification
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In context

Lead sponsor

Al-Azhar University is the lead sponsor of 505 studies on the registry; 167 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • All patients were free from any systemic diseases
  • Individuals above age of 18 who have thin ridges and missing bilateral maxillary posterior teeth

Exclusion criteria

Exclusion Criteria:

  • Severe skeletal discrepancy.
  • Para functional habits.
  • Patients who had already received or lost implants in the potential implantation site.
  • Smoker patients.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
16 participants (actual)

Study arms

  • Active comparator
    patients with narrow ridge received small diameter implant in conventional method.

    Procedure: conventional implant placement method

  • Active comparator
    patients with narrow ridge received implant by OD technique using densah bur.

    Procedure: Osseodensification to implant placement using densah bur kit

Interventions

  • Procedureconventional implant placement method

    Site marking was the first step in preparing the place for implantation. Subsequently, using a high speed surgical handpiece and a surgical motor, a pilot drill was revolved at 1200 RPM in a clockwise rotation to the desired depth, creating a 1.5 mm first pilot osteotomy. An X-ray was obtained using paralleling pins to validate the angle between the surrounding teeth and the implants. Eventually the implant's precise placement was established. To prepare the osteotomy site to the desired diameter, drills are used sequentially at 1200 RPM in a clockwise motion. Gradually bigger drill diameters were used for incremental drilling. Based on the diameter of the desired implant, bur sizes were utilized in ascending order

  • ProcedureOsseodensification to implant placement using densah bur kit

    Beginning with site marking, the area was prepared for implantation. A high speed surgical handpiece and a surgical motor (surgic pro® NSK, Japan) were then used to construct a 1.5 mm initial pilot osteotomy using a pilot drill spun at 1200 RPM in a clockwise rotation to the desired depth. In order to verify the angle between the surrounding teeth and the implants, paralleling pins were used to capture an X-ray. After it was determined that the implant was in the proper location, OD was used to extend the osteotomy using a Densah® Bur VT1525 2.0-mm (VersahTM, LLC, USA) in non-cutting anticlockwise rotation at 1200 RPM (Densifying Mode). The osteotomy was expanded to the desired diameter by repeatedly using a DensahTM Bur operating in a non-cutting anticlockwise (CCW) direction at 1200 RPM (Densifying Mode). Gradually increasing drill diameters were used for incremental drilling. Based on the diameter of the desired implant, bur sizes (diameters) were utilised in ascending order

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What researchers measure

Primary outcomes

  1. Implant primary stability

    Osstell® Mentor magnetic resonance instrument used to measure primary stability

    Time frame: A single time point (once immediately after implant placement)

  2. Bone density

    Measuring of bone density (BD) through using the image J analysis software application

    Time frame: From enrollment to the end of treatment at 24 weeks" (at the beginning, one, three-, and six-months following implant insertion)

  3. Assessment of interleukin -6

    Time frame: From enrollment to the end of treatment at 24 weeks" (at the beginning, one, three-, and six-months following implant insertion)

  4. Assessment of Vascular endothelial growth factor

    Time frame: [Time Frame: From enrollment to the end of treatment at 24 weeks" (at the beginning, one, three-, and six-months following implant insertion)]

Secondary outcomes

  1. Peri-implant probing depth

    Time frame: From enrollment to the end of treatment at 24 weeks" (at the beginning, three-, and six-months following implant insertion)

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Study locations

1 site
  • Faculty of dental medicine, Al-Azhar University (Assiut branch)
    Assiut, 71524, Egypt
08

References and documents

Publications

  • Strietzel FP, Nowak M, Kuchler I, Friedmann A. Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: results of a retrospective study. Clin Oral Implants Res. 2002 Oct;13(5):508-13. doi: 10.1034/j.1600-0501.2002.130510.x. PubMed 12453128 ↗
  • Johnson RB, Serio FG, Dai X. Vascular endothelial growth factors and progression of periodontal diseases. J Periodontol. 1999 Aug;70(8):848-52. doi: 10.1902/jop.1999.70.8.848. PubMed 10476891 ↗
  • Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. New Osseodensification Implant Site Preparation Method to Increase Bone Density in Low-Density Bone: In Vivo Evaluation in Sheep. Implant Dent. 2016 Feb;25(1):24-31. doi: 10.1097/ID.0000000000000358. PubMed 26584202 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06689969
Lead sponsor
Al-Azhar University
Responsible party
Asem Mohammed Kamel Ali (Director, Al-Azhar University) — Principal investigator
First posted
Nov 15, 2024
Start date
Jan 3, 2022
Primary completion
Oct 29, 2023
Completion
Mar 15, 2024
Last update
Nov 15, 2024

Oversight

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

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