COMPARATIVE EVALUATION OF OSSEODENSIFICATION VERSUS CONVENTIONAL OSTEOTOMY TECHNIQUE FOR IMMEDIATE IMPLANT PLACEMENT IN MANDIBULAR MOLAR REGION (RANDOMIZED CONTROLLED CLINICAL TRIAL) | ||
| Alexandria Dental Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 06 October 2025 PDF (681.84 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2025.357504.1591 | ||
| Authors | ||
| Mahmoud Ibrahim Kassem* 1; Ahmad Sharara2; Gaffar Nabil El Halawani3; Adham Ahmed Alashwah4; Mohammed Saber El-Sayed5 | ||
| 1Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
| 2Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University. | ||
| 3department of Oral and Maxillofacial Surgery Faculty of Dentistry , Alexandria University , Alexandria ,Egypt | ||
| 4Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
| 5Assistant professor, Department of oral | ||
| Abstract | ||
| Introduction: Numerous strategies, including as the osteotomes utilization and smaller implant site preparation, have been proposed to increase primary stability of implants in areas with low bone density. In order to create a layer of compact bone along the inner surface of the osteotomy and preserve the bone while improving the peri-implant density of the implant, the volume percentage, and mechanical stability, osseodensification (OD) depends on the compaction and autographing of the bone in the prepared site. Objectives: to compare the effects of the osseodensification technique and the conventional implant osteotomy procedure on implant stability in immediately placed mandibular molar. Materials and methods: Twenty patients with unrestorable mandibular molars received dental implants. Innovative OD drilling approach was used to treat 10 patients (group A) with immediate implant insertion, while the standard drilling technique was used to treat the other 10 (group B). Both immediately after surgery and six months after surgery, the patients were clinically assessed for implant stability. They were also radiographically assessed for peri-implant bone density and crestal bone loss at these same times. Results: OD Group showed statistically significant higher primary and secondary stability and Bone density compared with the Conventional Group. Morever, Bone crestal level after six months was statistically significantly lower in the OD Group compared with the Conventional Drilling. Conclusion: The study concluded that immediate implant placement in mandibular molar using OD is an effective and reliable method for replacing severely damaged mandibular molars. | ||
| Keywords | ||
| Immediate Dental Implant Loading; Dental Prosthesis Implant-Supported; Crestal bone loss | ||
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