Implant Stability Using Densah Bur Versus Expander

Study Overview
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Brief Summary
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evaluating use of Densah bur in thin ridge enhance implant's primary stability when compared to screw expander.

Official Title
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Evaluation of Implant's Primary Stability Using Densah Bur Versus Expander in Patients With Missing Maxillary Premolar (A Randomized Clinical Trial)

Conditions
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Missing Maxillary Premolar

Intervention / Treatment
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* Other: Expansion


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with partial edentulous maxillary premolar area with crestal thickness ranging from 4 to 6 mm. Age 25 - 50 years. No intraoral soft tissue or hard tissue pathosis. No systemic condition contraindicating implant placement. Exclusion Criteria: Ridges thickness less than 4 mm. Coexisting vertical defect. Heavy smokers (more than 20 cigarettes per day). Patients with systemic disease that may affect normal healing. Patient with psychiatric problems. History of radiation therapy to the head and neck region.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

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: Expansion by Densah bur<br>Scrubbing and draping of the patient in a standard fashion for intra oral procedures followed by local anesthesia administration to the patient. A mid crestal flap will be reflected. For both groups the implant manufacturer's pilot drill will be used to perform a standard osteotomy of 10 mm depth. Sequential use of Densah bur under copious irrigation. An implant of 3.9*10 mm will be inserted. Smart peg will be placed on implant and Osstell will be used to record ISQ. Healing collars will be placed on implants. Flap will be prepared for closure and suturing. | Other: Expansion<br>* non invasive technique to increase thickness of thin ridge<br>|
| Active Comparator: Expander<br>Scrubbing and draping of the patient in a standard fashion for intra oral procedures followed by local anesthesia administration to the patient. A mid crestal flap will be reflected. For both groups the implant manufacturer's pilot drill will be used to perform a standard osteotomy of 10 mm depth. Sequential use of screw expanders. An implant of 3.9*10 mm will be inserted. Smart peg will be placed on implant and Osstell will be used to record ISQ. Healing collars will be placed on implants. Flap will be prepared for closure and suturing. | Other: Expansion<br>* non invasive technique to increase thickness of thin ridge<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| implant's primary stability | After implant placement, Implant stability will be measured by Ostell device. | intraoperative at time of surgery | 
| implant's primary stability | Implant stability will be measured by Ostell device. | Implant stability will be measured at second week | 
| implant's primary stability | Implant stability will be measured by Ostell device. | Implant stability will be measured at fourth week | 
| implant's primary stability | Implant stability will be measured by Ostell device. | Implant stability will be measured at sixth week | 
| implant's primary stability | Implant stability will be measured by Ostell device. | Implant stability will be measured at eighth week |