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Osseo-densification Versus Conventional Drilling for Dental Implant Placement
Sponsor: Gulf Medical University
Summary
Primary implant stability and bone preservation are critical determinants of successful osseointegration, particularly in sites with low bone density. Conventional drilling removes bone and may reduce stability, whereas osseo-densification is a non-subtractive technique that compacts bone to enhance its density and strength. Objective: To compare osseo-densification and conventional drilling techniques in terms of implant primary stability, peri-implant bone density, and marginal bone loss during early healing. Methods: A double-blinded, randomized split-mouth clinical trial was conducted on eight participants requiring bilateral maxillary implants (n = 16 sites). Each patient received one implant using the osseo-densification technique (Densah burs, counterclockwise mode) and one using conventional sequential drilling. Cone-beam computed tomography (CBCT) was used to evaluate bone density and marginal bone levels at baseline, three, and six-months post-placement. Implant stability was measured immediately after insertion using resonance frequency analysis (Osstell ISQ). Data were analysed using t-tests and repeated-measures ANOVA (p \< 0.05).
Official title: Osseo-densification Versus Conventional Drilling for Dental Implant Placement: A Double-Blinded Randomized Split-Mouth Clinical Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
16
Start Date
2024-01-01
Completion Date
2026-02-01
Last Updated
2026-04-29
Healthy Volunteers
Yes
Conditions
Interventions
Osseodensification
osseo-densification is a recently introduced, non-subtractive drilling technique that utilizes specially designed densifying burs in a counterclockwise (densifying) mode to laterally compact and autograft bone along the osteotomy walls.\[9\] This compaction of trabecular bone increases bone density, enhances primary stability, and may improve long-term bone-to-implant contact.
Conventional drilling
Traditionally, implant osteotomies are prepared using conventional subtractive drilling, which removes bone to create space for implant insertion.
Locations (1)
Suez Canal University
Ismailia, Ismalia, Egypt