Comparing Implant Stability Using Two Accepted Techniques for Implant Sites
A Randomized Controlled Clinical Study Comparing Implant Stability Using Osteotome vs. Conventional Drilling Techniques by Resonance Frequency Analysis
1 other identifier
interventional
17
1 country
1
Brief Summary
The study will be conducted to compare two alternative techniques for dental implant placement. Both of the techniques - Osteotome and Conventional Drilling Techniques for the preparation of the implant sites (osteotomies) are accepted standards of care. The goal of the study will be to compare implant stabilities achieved with two techniques by measuring resonance frequency for each implant placed using the diagnostic device, the Osstell machine, that measures "stiffness" of the bone/implant system non-invasively. The data are represented in a quantitative value - implant stability quotient (ISQ), where a higher value indicated a higher implant stability. Since it has been well documented in the scientific literature that primary (at the time of implant placement) implant stability is a strong prerequisite for implant success (osseointegration and subsequent function on loading), the results of this study will guide the implant team in choosing the right surgical treatment protocol - the protocol that will be aimed for higher implant stability, and, therefore, for higher long-term implant success.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2010
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
March 18, 2014
CompletedFirst Posted
Study publicly available on registry
March 26, 2014
CompletedMarch 26, 2014
March 1, 2014
2.5 years
March 18, 2014
March 25, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Necessary stability to insert prosthesis by RFA units
Stability to be measured by RFA units
90 days
Study Arms (2)
Osteotome preparation
EXPERIMENTALProcedure/Surgery: Preparing the osteotomy to accept a standard implant device
Drill preparation
ACTIVE COMPARATORPreparing the osteotomy to accept a standard implant device
Interventions
Preparing the osteotomy with one of two randomly assigned protocols
Eligibility Criteria
You may qualify if:
- One maxillary implant fixture per patient indicated by the treatment plan.
- No previous implant attempted in the area
- No previous GBR or sinus lift done
- No GBR or sinus lift needed
- A minimum of 7mm of horizontal bone and a minimum of 12mm of vertical height will be needed to accommodate a 4x10mm fixture.
You may not qualify if:
- History of diabetes, HIV+, radiation therapy, smoking, oral/intravenous bisphosphonates intake.
- Pregnant women
- Maxillary bone density of Type D1/Type D2, as determined by a preoperative three-dimensional imaging.
- No grafted sites.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Rutgers School of Dental Medicine
Newark, New Jersey, 07101, United States
Related Publications (4)
Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium. 1994 Feb;15(2):152, 154-6, 158 passim; quiz 162.
PMID: 8055503BACKGROUNDBuchter A, Kleinheinz J, Wiesmann HP, Kersken J, Nienkemper M, Weyhrother Hv, Joos U, Meyer U. Biological and biomechanical evaluation of bone remodelling and implant stability after using an osteotome technique. Clin Oral Implants Res. 2005 Feb;16(1):1-8. doi: 10.1111/j.1600-0501.2004.01081.x.
PMID: 15642025BACKGROUNDStavropoulos A, Nyengaard JR, Lang NP, Karring T. Immediate loading of single SLA implants: drilling vs. osteotomes for the preparation of the implant site. Clin Oral Implants Res. 2008 Jan;19(1):55-65. doi: 10.1111/j.1600-0501.2007.01422.x. Epub 2007 Oct 22.
PMID: 17956566BACKGROUNDDevlin H, Horner K, Ledgerton D. A comparison of maxillary and mandibular bone mineral densities. J Prosthet Dent. 1998 Mar;79(3):323-7. doi: 10.1016/s0022-3913(98)70245-8.
PMID: 9553887BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Howard J Drew, DMD
Rutgers School of Dental Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 18, 2014
First Posted
March 26, 2014
Study Start
October 1, 2010
Primary Completion
April 1, 2013
Study Completion
April 1, 2013
Last Updated
March 26, 2014
Record last verified: 2014-03