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CTRI Number  CTRI/2025/08/093893 [Registered on: 29/08/2025] Trial Registered Prospectively
Last Modified On: 31/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry
Other (Specify) [IMPLANT]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   a study to find out which way is better for placing dental implants, with a guide or by hand. 
Scientific Title of Study   Comparative evaluation of the accuracy of single implant placement using static pilot guide versus freehand technique through CBCT-A randomized clinical study 
Trial Acronym  RCT 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Akhrienuo Kiso 
Designation  Post graduate student 
Affiliation  Government dental college and hospital,Mumbai 
Address  215, DEPARTMENT OF PERIODONTOLOGY , GOVERNMENT DENTAL COLLEGE AND HOSPITAL, ST. GEORGE HOSPITAL CAMPUS

Mumbai
MAHARASHTRA
400001
India 
Phone  9089368118  
Fax    
Email  akhrienuo1450@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh Gaikwad  
Designation  PROFFESOR (ACADEMIC) 
Affiliation  Government dental college and hospital, Mumbai 
Address  215, DEPARTMENT OF PERIODONTOLOGY , GOVERNMENT DENTAL COLLEGE AND HOSPITAL, ST. GEORGE HOSPITAL CAMPUS

Mumbai
MAHARASHTRA
400001
India 
Phone  9821098772  
Fax    
Email  perioraja@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajesh Gaikwad  
Designation  PROFFESOR (ACADEMIC) 
Affiliation  Government dental college and hospital, Mumbai 
Address  215, DEPARTMENT OF PERIODONTOLOGY , GOVERNMENT DENTAL COLLEGE AND HOSPITAL, ST. GEORGE HOSPITAL CAMPUS

Mumbai
MAHARASHTRA
400001
India 
Phone  9821098772  
Fax    
Email  perioraja@gmail.com  
 
Source of Monetary or Material Support
Modification(s)  
Room 215, Dept. of Periodontology, Government Dental College and Hospital, Mumbai, Fort, PD Mello road, Maharashtra, 400001 
 
Primary Sponsor  
Name  Dr Akhrienuo Kiso 
Address  215, DEPARTMENT OF PERIODONTOLOGY, GOVERNMENT DENTAL COLLEGE AND HOSPITAL, ST GEORGE HOSPITAL CAMPUS 
Type of Sponsor  Other [SELF SPONSERED] 
 
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 AKHRIENUO KISO  GOVERNMENT DENTAL COLLEGE AND HOSPITAL, MUMBAI  215, DEPARTMENT OF PERIODONTOLOGY , GOVERNMENT DENTAL COLLEGE AND HOSPITAL, ST. GEORGE HOSPITAL COMPOUND ,
Mumbai
MAHARASHTRA 
9089368118

akhrienuo1450@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
GOVERNMENT DENTAL COLLEGE AND HOSPITAL,MUMBAI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: K068||Other specified disorders of gingiva and edentulous alveolar ridge,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  freehand implant placement  freehand implant placement of single missing tooth based on pre-surgical CBCT implant placement planning ,day 1, implant placement and after 2 weeks, postsurgical implant position CBCT Edit || Delete  
Intervention  static pilot guide  Static pilot guide used for the initial pilot drill for single missing tooth implant placement based on pre-surgical CBCT implant placement planning ,day 1, implant placement and after 2 weeks, postsurgical implant position CBCT  
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Healthy patients (21-65 years) and/or patients with systemic conditions (example- diabetes and/or hypertension) which is under control and opting dental implants for replacement of single missing teeth.
2. Good oral hygiene and periodontal status; having a score of 0-2 in the gingival index
and a score of 0-2 in the plaque index.
3. Adequate amount of bone volume and adequate density at implant site allowing to
perform the surgery.
 
 
ExclusionCriteria 
Details  1. Patients with systemic diseases that contraindicates the surgery; immune
compromised patients.
2. Patients with mouth opening of fewer than three fingers, which might pose a
problem to the placement of a surgical guide.
3. Patients with missing teeth at the free end.
4. Patients not willing to participate in the study 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the accuracy of implant placement by using static pilot guide versus freehand in single tooth implants through CBCT evaluation.  Day 1 (CBCT before surgery for implant placement planning)
2 weeks(CBCT after implant placement) 
 
Secondary Outcome  
Outcome  TimePoints 
a. To evaluate the angular deviation measured in degrees.
b. To evaluate implant platform deviation measured in degrees.
c. To evaluate deviation at implant apex measured in millimeter.
d. To evaluate depth deviation in millimeter.
e. To compare accuracy and efficiency between planned and placed implants using static pilot guide versus freehand in maxillary versus mandibular single tooth implants. 
Day 1 (CBCT before surgery for implant placement planning)
2 weeks(CBCT after implant placement) 
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   08/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   This randomized controlled trial compares the accuracy of single-tooth implant placement using a static pilot guide versus freehand technique. Thirty-two patients are randomly assigned to two groups, with equal maxillary and mandibular distribution. The test group uses a pilot-guided drill; the control group uses a freehand approach. Pre- and post-operative CBCT scans assess placement accuracy. Key metrics include angular, platform, apex, and depth deviations, along with efficiency across arches. The study aims to determine whether pilot guides improve precision in implantology. 
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