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CTRI Number  CTRI/2024/11/076283 [Registered on: 05/11/2024] Trial Registered Prospectively
Last Modified On: 30/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Dentistry 
Study Design  Cluster Randomized Trial 
Public Title of Study   To evaluate and compare the implant primary stability between Ridge Split technique and Osseodensification technique. 
Scientific Title of Study   Comparative evaluation of primary stability of dental implants in Conventional Ridge Split technique and Osseodensification in narrow mandibular ridge. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Meghna Agarwal 
Designation  2nd yr post graduate 
Affiliation  ACPM DENTAL COLLEGE, DHULE 
Address  Department of Prosthodontics, Crown and Bridge and Implantology , floor 1 , department no 7, Acpm dental college, Dhule

Dhule
MAHARASHTRA
424001
India 
Phone  08291999387  
Fax    
Email  drmeghnaagarwal26@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Girija Dodamani 
Designation  Professor of Department of Prosthodontics Crown and Bridge 
Affiliation  ACPM DENTAL COLLEGE, DHULE 
Address  Department of Prosthodontics, Crown and Bridge and Implantology , floor 1 , department no 7, Acpm dental college, Dhule


MAHARASHTRA
424001
India 
Phone  7020966944  
Fax    
Email  girijadodamani9999@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meghna Agarwal 
Designation  2nd yr post graduate 
Affiliation  ACPM DENTAL COLLEGE, DHULE 
Address  Department of Prosthodontics, Crown and Bridge and Implantology , floor 1 , department no 7, Acpm dental college, Dhule


MAHARASHTRA
424001
India 
Phone  08291999387  
Fax    
Email  drmeghnaagarwal26@gmail.com  
 
Source of Monetary or Material Support  
ACPM Dental College, Sakri road, Dhule , Maharashtra Pincode- 424001 
 
Primary Sponsor  
Name  DR MEGHNA AGARWAL 
Address  Department of Prosthodontics, Crown and Bridge and Implantology , floor 1 , department no 7, ACPM dental college, Dhule, Maharashtra Pincode- 424001 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Meghna Agarwal  Acpm Dental College  Department of Prosthodontics, Crown and Bridge and Implantology , floor 1 , Department no 7
Dhule
MAHARASHTRA 
08291999387

drmeghnaagarwal26@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE JMF ACPM DENTAL COLLEGE, DHULE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K089||Disorder of teeth and supporting structures, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Densah® Bur VT1525 2.0-mm (Versah)  Group II: Comprising 7 implant sites, this group will undergo the osseodensification technique, followed by the subsequent placement of 2 implants each. The duration is one month. 
Comparator Agent  ridgesplit surgery unit (Dentium)  Group I: This consisted of 7 implant sites that will undergo the ridgesplit technique, followed by the placement of 2 implants each. The duration is one month. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1 Dental Condition: The presence of good oral hygiene.
2 Patients with extended posterior edentulous mandibular areas, encompassing a minimum of two missing teeth ie 36/37 or 46/47
3 Patients willing to actively participate in the study.
4 Minimum bone height of 12mm measured from the crest of the ridge to the upper border of the inferior alveolar canal.
5 Minimum ridge thickness of 3mm, with measurements less than 5mm at the crestal region.
6 Implant sites in consideration included both compact bone and cancellous bone.
 
 
ExclusionCriteria 
Details  1. Uncontrolled systemic conditions.
2. Systemic disorders that could compromise osseointegration.
3. Use of medications, such as steroids, that could impact bone metabolism.
4 Smokers was excluded from the study.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcome used in sample size calculation reveal a moderate yet statistically significant difference favoring Group II primary stability. This signifies that the osseodensification technique would led to superior outcomes compared to the ridge splitting technique.  The outcome will be assessed/ estimated immediately after implant placement and prosthesis will be given after 3 months. 
 
Secondary Outcome  
Outcome  TimePoints 
The compelling evidence from this study would strongly support the superiority of the osseodensification technique. This preference is attributed to the techniques capacity to enhance bone density, thereby contributing to an overall improvement in implant primary stability.   The outcome will be assessed/estimated immediately after implant placement & prosthesis will be given after 3 months. 
 
Target Sample Size   Total Sample Size="14"
Sample Size from India="14" 
Final Enrollment numbers achieved (Total)= "14"
Final Enrollment numbers achieved (India)="14" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/12/2024 
Date of Study Completion (India) 28/12/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 28/12/2024 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

AIM:

The aim of the study was to evaluate and compare the primary stability of implants in Osseo densification and conventional ridge split technique in narrow mandibular ridge

Materials and Methods: The study involved the division of 28 implants into two distinct groups. Group I comprised 14 implants subjected to the RIDGESPLIT technique, while Group II included 14 implants treated with the osseodensification technique. Subsequently, a comprehensive evaluation was conducted. Clinical evaluation of primary stability after implant insertion was performed using the Osstell Mentor magnetic resonance device.

Results: An unpaired t-test was employed to compare the two groups, revealing a moderate statistically significant difference in Group II when compared with Group I in primary stability.

Conclusion: Primary stability is affected by the osteotomy technique. Dental implants installed after osseodensification presented higher levels of insertion torque than ridgesplit technique.

The results strongly favor the osseodensification technique, suggesting that it enhances bone density, thereby contributing to improved implant primary stability.


 
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