An interventional study of Osseodensification burs and Conventional burs in Immediate Dental Implant Placement, Conventional Drilling Technique and Osseodensification Drilling Technique, sponsored by Mohamad Ali Itani. Enrolling by invitation at 1 site in Lebanon. Open to participants aged 25 Years to 45 Years. Per ClinicalTrials.gov, last updated 2025-07-28.
Sponsored by Mohamad Ali Itani · Not applicable, Interventional, and Treatment
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.
This is the only study on the registry with Mohamad Ali Itani as lead sponsor.
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Exclusion Criteria:
Other: Osseodensification burs
Other: Conventional burs
Densah burs are osseodensification burs used to condense bone and prepare dental implant site, unlike conventional technique which cuts and removes the bone
Preparation of dental implant site by the Conventional technique using Conventional burs that are subtractive
Interradicular bone width
The width of the interradicular bone in the interradicular septum will be measured immediately before and after drilling is performed during surgery. Measurements will be taken using a UNC-15 periodontal probe and recorded in millimeters (mm).
Time frame: Intraoperative (at time of surgery)
Dental implant stability
Implant stability will be assessed using the Osstell device, which uses resonance frequency analysis to calculate an Implant Stability Quotient (ISQ). ISQ values range from 1 to 100, with higher values indicating greater implant stability.
Time frame: up to 4 months after dental implant placement
Marginal Bone Level
Bone levels will be estimated on the labial, palatal, distal, and mesial surfaces of each implant using cone-beam computed tomography (CBCT). Measurements will be taken from a fixed reference point at the implant shoulder to the bone crest. All measurements will be recorded in millimeters (mm).
Time frame: up to 7 months after the implantation
Bone density
Bone density will be measured in four regions around each dental implant: buccal, lingual, apical, and crestal. The mean grayscale value for each implant will be calculated based on these four areas. Bone density values will be obtained from cone-beam computed tomography (CBCT) and expressed in grayscale units.
Time frame: up to 7 months after dental implant placement
Plan to share: No
Started Jul 2025 (actual). Primary completion is estimated for Dec 2025, 5 months after the start.
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