Internal Irrigation Surgery
Evaluation of an Internal Irrigation Surgical Guide to Reduce Heat Generation During Dental Implant Surgery
1 other identifier
interventional
40
1 country
1
Brief Summary
Heat generated during osteotomy and implant placement may cause thermal injury to bone and adversely affect healing and osseointegration. External irrigation is commonly used to reduce heat generation; however, cooling may be less effective at the drill-bone interface, particularly during guided implant surgery. Surgical guides with integrated irrigation channels have been developed to deliver coolant more directly to the osteotomy site, but clinical evidence regarding their effectiveness remains limited. This study will evaluate whether an internal irrigation surgical guide system reduces heat generation during osteotomy compared with a conventional guided implant surgery approach. The study will also assess clinical outcomes associated with implant placement. The findings may help inform safer and more effective protocols for guided dental implant surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2026
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
First Submitted
Initial submission to the registry
July 16, 2026
CompletedFirst Posted
Study publicly available on registry
July 20, 2026
CompletedStudy Start
First participant enrolled
September 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2028
Study Completion
Last participant's last visit for all outcomes
December 31, 2028
July 20, 2026
July 1, 2026
1.8 years
July 16, 2026
July 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Early Implant Failure
Number and percentage of dental implants demonstrating clinical mobility or implant loss before prosthetic loading.
From implant placement through 6 months postoperatively
Secondary Outcomes (4)
Early Marginal Bone Level Change
Implant placement, approximately 3 months postoperatively, and 6 months postoperatively
Peri-implant Radiolucency
Through 6 months postoperatively
Persistent Peri-implant Pain or Suppuration
Through 6 months postoperatively
Clinician-Reported Ease of Use
Immediately after implant placement
Study Arms (2)
Conventional Surgical Guide With External Irrigation
ACTIVE COMPARATORImplant osteotomy and implant placement will be performed using a conventional surgical guide with standard external sterile saline irrigation.
Irrigation-Integrated Surgical Guide
EXPERIMENTALImplant osteotomy and implant placement will be performed using a surgical guide incorporating an internal irrigation channel designed to direct sterile saline to the drill-bone interface.
Interventions
Guided implant osteotomy using a surgical guide with an integrated irrigation channel for delivery of sterile saline to the osteotomy site.
Conventional guided implant osteotomy using external sterile saline irrigation.
Eligibility Criteria
You may qualify if:
- Patients aged 25+
- Patients requiring a dental implant in the maxilla or mandible
- Patients with sufficient bone volume for implant placement.
- Patients classified as ASA I or II based on the American Society of Anesthesiologists (ASA) physical status classification system.
- Patients capable of providing informed consent and willing to adhere to study procedures and follow-up appointments.
- Patients with adequate interarch space to accommodate guided implant surgery.
- No history of implant placement at the experimental or control site.
You may not qualify if:
- ASA class 3 or higher
- Currently undergoing or history of bisphosphonate or antiresorptive therapy
- Patients who have received prior radiation therapy to the head and neck.
- Patients with contraindications for implant placement, such as active infections or severe periodontal disease.
- Pregnant or breastfeeding
- Patients with psychiatric or cognitive conditions impairing informed consent or compliance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Maryland School of Dentistry
Baltimore, Maryland, 21201, United States
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 16, 2026
First Posted
July 20, 2026
Study Start (Estimated)
September 1, 2026
Primary Completion (Estimated)
June 30, 2028
Study Completion (Estimated)
December 31, 2028
Last Updated
July 20, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share