Influence of Alveolar Bone Drilling and Anatomical Position on Integration

NCT07589140 | Not Yet Recruiting

• 1 other identifier: Nr. 2026/4-1756-1203
• Study Type: interventional
• Target: 124
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn if alveolar bone drilling and anatomical position of an immediately placed dental implant has influence on the primary stability, osseointegration and function. The main questions it aims to answer are:

• Is absence of alveolar drilling before implant placement gives the same result as traditional osteotomy with apical drilling?
• Is palatinal root position of implant as succesful as central position? Researchers will compare crestal bone levels and primary stability of the implant after insertion is the groups. Subjects will be assigned to groups, acoording to clinical situation. Study groups:
• Dental implants will be placed in the extraction socket with an apical osteotomy.
• Dental implants will be placed in the extraction socket without performing an osteotomy.
• Dental implants will be placed in the centre of the extracted maxillary molar socket.
• Dental implants will be placed into the palatal root socket of the extracted maxillary molar.

Conditions

Dental Implant; Bone Grafting; Immediate Dental Implant Placement

Keywords

dental implant

Outcome Measures

Primary Outcomes (1)

• Implant success

  Implant will be considered integrated if implant will meet criteria (Buser et al, 1990) •. The implant is in its original position. * There are no persistent complaints. * There is no peri-implant inflammation. * There is no implant loosening. * There is no peri-implant radiolucency.

  16 weeks after implant placement

Secondary Outcomes (2)

• Marginal bone stability after one year post-treatment

  1 year after delivery of final crown on an implant

• Implant insertion primary stability

  At "Day 1" of implant placement

Study Arms (4)

Apical osteotomy

EXPERIMENTAL

Megagen dental implants will be placed in the extraction socket with an apical osteotomy after atraumatic tooth extraction

Procedure: dental implant placement; Device: Dental implant

Mesiodistal stability

EXPERIMENTAL

Megagen BlueDiamond implants will be placed in the extraction socket without performing an osteotomy.

Procedure: dental implant placement; Device: Dental implant

Center molar

EXPERIMENTAL

Megagen BlueDiamond implants will be placed in the centre of the extracted maxillary molar socket.

Procedure: dental implant placement; Device: Dental implant

Palatinal molar

EXPERIMENTAL

Megagen BlueDiamond implants will be placed into the palatal root socket of the extracted maxillary molar.

Procedure: dental implant placement; Device: Dental implant

Interventions

dental implant placement PROCEDURE

After tooth extraction, dental implant is placed

Apical osteotomy; Center molar; Mesiodistal stability; Palatinal molar

Dental implant DEVICE

Small sterile titanium screw-type with rough surface placed it into the jawbone - just underneath the gum. The titanium implant will fuse over the bone (also known as osseointegration), forming an anchor for a replacement tooth.

Apical osteotomy; Center molar; Mesiodistal stability; Palatinal molar

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• ≥ 18 years old.
• healthy patients without medical contraindications for dental implantation surgery.
• removable and non-molar teeth indicated for extraction in both jaws
• healthy soft tissues (bleeding on probing \< 20%, plaque index \< 25%);
• intact alveolar bone walls post-extraction
• signed informed consent form and permission to use the obtained data for research purposes.

You may not qualify if:

• Smokers (≥ 10 cigarettes per day);
• history of uncontrolled periodontitis;
• uncontrolled diabetes/alcoholism;
• use of drugs that may affect healing;
• persons who, due to health status, cannot be considered capable of reasonably assessing their interests;

Sponsors & Collaborators

• Lithuanian University of Health Sciences: lead

Study Sites (1)

UAB "Panevėžio burnos chirurgijos centras"

Panevezys, Lithuania

Location

MeSH Terms

Interventions

Dental Implants

Intervention Hierarchy (Ancestors)

Dental Materials; Biomedical and Dental Materials; Dental Prosthesis; Prosthodontics; Dentistry; Prostheses and Implants; Equipment and Supplies; Manufactured Materials; Technology, Industry, and Agriculture

Study Officials

• Tomas Linkevicius

  Lithuanian University of Health Sciences

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Tomas Linkevicius, PhD

CONTACT

+37068772840; tomas.linkevicius@lsmu.lt

Rokas Kuprys

CONTACT

info@picklinika.lt

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: April 29, 2026
• First Posted: May 15, 2026
• Study Start: April 1, 2026
• Primary Completion (Estimated): January 1, 2028
• Study Completion (Estimated): May 1, 2028
• Last Updated: May 15, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

LI (1)