Clinical Evaluation of Stability of Implants Placed in Partially Edentulous Maxilla With Poor Bone Quality Via New Reverse Drilling Technique Versus Osteotome Technique.

Study Overview
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Brief Summary
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The study will compare between osteotome technique and New Reverse Drilling Technique in the placement of dental implant in posterior maxilla , primary outcome will be Implant stability that will be measured by Periotest device . follow up for 6 month. secondary outcomes will be crestal bone loss , pain and swelling.

Official Title
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Clinical Evaluation of Stability of Implants Placed in Partially Edentulous Maxilla With Poor Bone Quality Via New Reverse Drilling Technique Versus Osteotome Technique: A Randomized Controlled Clinical Trial

Conditions
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Dental Implant

Intervention / Treatment
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* Procedure: New Reverse Drilling technique
* Procedure: osteotome technique


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Partially edentulous patients in the maxillary posterior region. Systemically healthy patient. Presence of proper inter-arch space for placement of the implant prosthetic part. Sufficient bone height and width for implant placement (bone height ≥10mm and bone width ≥6mm). Non-smoker. Patients who are ≥ 20 years old. Good oral hygiene. Acceptance of a one year follow-up period. Informed consent is provided by the patient. Exclusion criteria: Patients with systemic conditions that may interfere with implant stability, Patients with local pathological defects related to the area of interest. Unmotivated, uncooperative patients with poor oral hygiene. Patients with habits that may jeopardize the implant longevity and affect the results of the study such as alcoholism or parafunctional habits. Inadequate inter-arch space for implant prosthetic part

Ages Eligible for Study
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Minimum Age: 21 Years
Maximum Age: 50 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: osteotome group<br> | Procedure: osteotome technique<br>* a technique for dental implant placement by using the osteotome to condense the bone and create an osteotome rather than cutting the bone<br>|
| Experimental: New Reverse Drilling technique<br> | Procedure: New Reverse Drilling technique<br>* a new technique of dental implant drilling that promote osseodensification by rotating the drills anti-clockwise rather than clockwise to promote bone condensation rather than bone cutting<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| implant stability | the stability of the dental implant when placed in the maxilla of the patient and it will be measured by periotest | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| crestal bone loss | amount of bone loss around the implant . measured in MM with CBVT radiograph | 6 monthz |