Comparison of Osseodensification and Conventional Drilling on the Stability of Tapered and Cylindrical Implants.

NCT07244185 | Active Not Recruiting DMC

• 1 other identifier: 974124-2024
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The effect of osseodensification versus conventional implant site preparation on implant stability for tapered and cylindrical dental implants.

Conditions

Tooth Absence

Outcome Measures

Primary Outcomes (1)

• primary stability

  Primary stability refers to the mechanical stability of a dental implant (or any bone implant) immediately after placement, before bone healing or osseointegration occurs. It mainly depends on bone quality and density, implant design, and surgical technique.it measured using the osstell through Resonance Frequency Analysis,Higher ISQ values indicate greater primary stability.more than 70 ISQ is considerd high stability. Achieving good primary stability is crucial for implant success, as it helps prevent micromovements and supports proper secondary (biological) stability during healing,

  at the time of surgery

Secondary Outcomes (1)

• secondary stability

  after 12 weeks

Study Arms (4)

tapered implant with conventional preparation

EXPERIMENTAL

The osteotomy will be performed following the manufacturer's standard drilling sequence without osseodensification. This group will serve to evaluate the effect of conventional implant site preparation on the primary and secondary stability of tapered implants

Procedure: Dental Implant Placement with Osseodensification or Conventional Drilling

tapered with osseodensification

EXPERIMENTAL

The osteotomy will be prepared with densifying burs operated in a non-subtractive, counterclockwise direction to compact and preserve bone tissue. This approach aims to enhance bone density and improve the primary and secondary stability of the tapered implants

Procedure: Dental Implant Placement with Osseodensification or Conventional Drilling

cylindrical implant with conventional preparation

EXPERIMENTAL

The osteotomy will be performed following the standard sequential drilling protocol recommended by the manufacturer, without applying osseodensification. This group will be used to assess the effect of conventional implant site preparation on the primary and secondary stability of cylindrical implants

Procedure: Dental Implant Placement with Osseodensification or Conventional Drilling

cylindrical with osseodensification

EXPERIMENTAL

The osteotomy will be performed using densifying burs in a non-subtractive, counterclockwise direction, which compacts and preserves the surrounding bone tissue. This method is intended to increase bone density and improve both primary and secondary implant stability for cylindrical implants

Procedure: Dental Implant Placement with Osseodensification or Conventional Drilling

Interventions

Dental Implant Placement with Osseodensification or Conventional Drilling PROCEDURE

Placement of tapered or cylindrical dental implants using osseodensification (bone-compacting technique) or conventional drilling to evaluate implant stability.

cylindrical implant with conventional preparation; cylindrical with osseodensification; tapered implant with conventional preparation; tapered with osseodensification

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients who are willing to comply with the study and give their consent. 2-Ability to tolerate conventional surgical and restorative procedure. 3- Healthy patients over 18 years of either gender, having single or multiple missing teeth in the maxilla and/or mandible

You may not qualify if:

• Active infection or inflammation in implant area or neighboring zone.
• Systemic conditions (medically compromised patient) such as uncontrolled diabetes, coagulation disorders, immune compromised patient, patient treated with bisphosphate drugs, psychiatric problems or unrealistic expectations, pregnant women, any medical condition that affect bone healing.
• Clinical evidence of parafunctional habits.
• Active periodontitis.
• Heavy smokers (≥20 cigarettes a day).
• Advanced and complicated cases.
• Patients who not able to follow the treatment protocol or lost during the study period.
• Patient with history of radiotherapy to the head and neck -

Sponsors & Collaborators

• Worood Adnan Akram: lead
• Teaching Hospital: collaborator

Study Sites (1)

university of baghdad college of dentistry Teaching hospital

Baghdad, Baghdad Governorate, 10001, Iraq

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: The Effect of Osseodensification Versus Conventional Implant Site Preparation on the Primary Stability of Tapered and Cylindrical Dental Implant

Study Record Dates

• First Submitted: November 13, 2025
• First Posted: November 24, 2025
• Study Start: December 3, 2024
• Primary Completion: December 11, 2025
• Study Completion: March 11, 2026
• Last Updated: November 24, 2025

Record last verified: 2025-11

Locations

IR (1)