An interventional study of Osteotomy technique - 50 Rpm and Osteotomy technique - 300 Rpm in Dental Implant Surgery and Osteotomy Protocols, sponsored by Sercan Küçükkurt. Completed at 1 site in Turkey (Türkiye). Open to participants aged 20 Years to 78 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-18.
Sponsored by Sercan Küçükkurt · Not applicable, Interventional, and Treatment
This clinical trial is studying different methods of preparing bone for dental implants. When a tooth is missing, a small titanium screw called a dental implant can be placed in the jaw to replace it. The stability of the implant during the first weeks after surgery is very important for long-term success.
In this study, 100 patients each received a single dental implant. They were randomly assigned to one of five surgical methods: drilling at 50, 300, or 800 revolutions per minute (rpm), bone densification using special burs, or bone condensation using condenser drills. The goal was to compare how these techniques affect implant stability, measured by insertion torque and resonance frequency analysis, as well as the patient's anxiety before and after surgery.
This research aims to find which technique provides the best balance between bone healing and patient comfort. All participants were healthy adults, and the study was approved by the institutional ethics committee.
This prospective randomized controlled clinical trial was conducted at Istanbul Aydın University, Department of Oral and Maxillofacial Surgery, between 2019 and 2023. A total of 100 systemically healthy adults requiring a single dental implant in a healed edentulous ridge were enrolled. Patients were randomly assigned (n = 20 per group) to one of five osteotomy protocols:
Sequential drilling at 50 rpm without irrigation
Sequential drilling at 300 rpm with irrigation
Sequential drilling at 800 rpm with irrigation
Osseodensification with densifying burs at 1200 rpm (counterclockwise, irrigated)
Bone condensation using condenser drills at 50 rpm (clockwise, non-irrigated, following pilot drilling)
The same tapered titanium implant system was used in all patients. Primary outcomes were insertion torque (Ncm) and implant stability quotient (ISQ) measured at placement and at 1 week, 1 month, 2 months, and 3 months. The secondary outcome was patient-reported anxiety assessed on a visual analog scale (VAS) pre- and postoperatively.
Bone density was evaluated preoperatively using cone-beam computed tomography (CBCT, expressed as Hounsfield Unit Equivalents) and intraoperatively classified by Misch criteria. Patients with insertion torque \< 25 Ncm were excluded from stability analysis and allowed to heal submerged.
The trial followed the CONSORT statement and adhered to the Declaration of Helsinki. Ethical approval was obtained (IAU 2023/141). Results are expected to clarify whether moderate-speed drilling, high-speed drilling, ultra-low-speed drilling, or non-subtractive approaches (osseodensification, condensation) provide the most favorable outcomes in terms of implant stability and patient psychological response.
Sercan Küçükkurt is the lead sponsor of 2 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Sequential osteotomy drilling at 50 rpm without irrigation, followed by implant placement.
Procedure: Osteotomy technique - 50 Rpm
Sequential osteotomy drilling at 300 rpm with external irrigation, followed by implant placement.
Procedure: Osteotomy technique - 300 Rpm
Sequential osteotomy drilling at 800 rpm with external irrigation, followed by implant placement.
Procedure: Osteotomy technique - 800 Rpm
Osteotomy prepared with Densah® burs (Versah, USA) at 1200 rpm counterclockwise with irrigation, following pilot drilling.
Procedure: Osteotomy technique - DNS (Osseodensification)
Osteotomy prepared with condenser drills (Surgident, South Korea) at 50 rpm clockwise without irrigation, following pilot drilling at 800 rpm.
Procedure: Osteotomy technique - CDS (Bone Condensation)
Ultra-low-speed sequential drilling at 50 rpm without irrigation.
Moderate-speed sequential drilling at 300 rpm with irrigation.
High-speed sequential drilling at 800 rpm with irrigation.
Osseodensification using Densah® burs at 1200 rpm counterclockwise with irrigation.
Bone condensation with condenser drills at 50 rpm clockwise without irrigation.
Insertion Torque at Implant Placement
Maximum insertion torque (Ncm) recorded at implant placement using a calibrated surgical motor and confirmed with a manual torque wrench when needed.
Time frame: At the time of implant placement.
Implant Stability Quotient (ISQ)
Implant stability measured by resonance frequency analysis (RFA) using the Osstell Mentor™ device. Mean of buccolingual and mesiodistal measurements recorded.
Time frame: At baseline, 1 week, 1 month, 2 months, and 3 months after implant placement.
Change in Patient-Reported Anxiety (VAS)
Visual analog scale (0-10; 0 = no fear, 10 = extreme fear). Difference between preoperative and immediate postoperative scores.
Time frame: Preoperative (within 30 minutes before surgery) and immediate postoperative (within 30 minutes after surgery).
Procedure-Related Adverse Events
Number of participants with any procedure-related adverse event (e.g., postoperative infection, sensory disturbance, early implant failure requiring removal, wound dehiscence). Events assessed clinically and recorded at each visit.
Time frame: From surgery to 3 months.
Plan to share: No
This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Sercan Küçükkurt