Implant Placement Using a Newly Designed Single Drill Versus Conventional Sequential Drills

Study Overview
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Brief Summary
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dental implants are usually placed by sequential set of drills which could increase the time of the surgery and could raise the temperature of the osteotomy preparation so a new drill was designed to place the implants fast and easy way

Detailed Description
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Dental implant success is evident nowadays with the predictable functional and aesthetic results obtained . Simplified techniques and approaches are preferred for the convenience of both the patients and operators . Current research is focusing on decreasing the number of instruments used, shortening of the operation time and performing flapless approaches for implant placement whenever possible. This is done to reduce the postoperative complaints, such as pain, swelling and bleeding; thus decreasing the need for analgesics and minimising the occurrence of morbidity .

Official Title
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Single Drill Vrs Sequential Drill Dental Implants Placement

Conditions
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Implant Complication

Intervention / Treatment
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* Other: drill


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The inclusion criteria : implant recipient sites free from any pathological conditions. Patients who were cooperative, motivated and hygiene conscious were selected. non smoker patients exclusion criteria : Patients unable to undergo minor oral surgical procedures patients with a history of drug abuse or catabolic drugs were not included. Patients with a history of psychiatric disorder and those with unrealistic expectations about the aesthetic outcome of implant therapy were also excluded. Patients with insufficient vertical inter-arch space, on centric occlusion, to accommodate the available restorative components . Uncontrolled diabetic patients Patient who had any systemic condition that may contraindicate implant therapy (impaired wound healing - bleeding disorders patients who had any habits that might jeopardise the osseointegration process, such as heavy smoking and alcoholism. Patients with para-functional habits that produce overload on the implant, such as bruxism and clenching were excluded.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: single drill<br>one drill to place the implants 3.25mm diameter stainless steel drill was used. | Other: drill<br>* single 3.25 mm stainless steel drill<br>|
| Active Comparator: sequential drills<br>For the control group, four drills (2.2mm, 2.75mm, 3.25mm and 4mm diameter), | Other: drill<br>* single 3.25 mm stainless steel drill<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| osseointegration of the dental implants | healing and union of the dental implants with the surrounding bone measured by torque wrench exceeds 30 N/CM | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mobility | the fixation of the implants checked by perio test M (-8- 0) INDICATES nonmobile | 6 months | 
| bone loss | by periapical xray the bone loss measured from the platform of the implant if present unit of measurement : mm | 6 months , 1 ,2 and 3 years after function | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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implants