The Effect of Osseodensification on Implant Stability and Marginal Bone Levels: A Randomized Control Clinical Trial

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical and Experimental Dental Research Pub Date : 2025-04-10 DOI:10.1002/cre2.70126

Ioanna Politi, Bahman Honari, Lewis Winning, Ioannis Polyzois

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引用次数: 0

Abstract

Objectives

To compare the implant stability quotient values (ISQ) of implants placed using implant-specific drills (CD) and osseodensification drills (OD) at three different time points and to determine the effect of both drilling techniques on marginal bone levels.

Material and Methods

38 subjects were recruited and ISQ values and radiographic marginal bone levels were recorded after surgery (T1), and also at 3 (T2) and 4–5 months (T3). Clinical and radiographic marginal bone levels were also recorded.

Results

At T1, mean ISQ values ranged from 65.5 to 81 for the CD group and 29 to 80 for the OD group. For the CD group, ISQ values were 72.20 ± 2.6 (95% CI) at T1, 75.0 ± 2.0 at T2, and 74.8 ± 2.3 at T3. The corresponding ISQ values for the OD group were 68.1 ± 5.6, 71.9 ± 1.6, and 72.2 ± 2.4, respectively. Implants placed using CD drills showed greater stability at 3 months but not at placement or at 4–5 months. No statistically significant differences were identified regarding marginal bone levels between the two groups.

Conclusions

There was a notable increase in implant stability over time for both treatment modalities. At T2, implants inserted into osteotomies made with standard drills exhibited significantly greater stability compared to those placed using OD drills. However, the clinical relevance of this difference is questionable, as it was not observed at T3. Marginal bone levels were comparable for both groups over all time points.

Trial Registration

ClinicalTrials.gov identifier: NCT05376020

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.