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CTRI Number  CTRI/2025/10/095982 [Registered on: 13/10/2025] Trial Registered Prospectively
Last Modified On: 10/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Dentistry 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparision of positional accuracy in placing Dental Implants using two differnt drilling methods with the help of a Computer Guided System 
Scientific Title of Study   Comparative Evaluation of Positional Accuracy of Dental Implants Placed with Conventional Drill Osteotomy and Piezoelectric Osteotomy using Dynamic Navigation System 
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 P Ambica 
Designation  Post Graduate student 
Affiliation  Vishnu Dental College 
Address  Pg Clinic room no: 8, Department of Prosthodontics, Block 2, First floor, Vishnu Dental College,Vishnupur,Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  8309308427  
Fax    
Email  ambica.putti@vdc.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr G Narasimha Rao 
Designation  Associate Professor 
Affiliation  Vishnu Dental College 
Address  Pg Clinic room no: 8, Department of Prosthodontics, Block 2, First floor, Vishnu Dental College,Vishnupur,Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9491715620  
Fax    
Email  narasimhag@vdc.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr G Narasimha Rao 
Designation  Associate Professor 
Affiliation  Vishnu Dental College 
Address  Pg Clinic room no: 8, Department of Prosthodontics, Block 2, First floor, Vishnu Dental College,Vishnupur,Bhimavaram

West Godavari
ANDHRA PRADESH
534202
India 
Phone  9491715620  
Fax    
Email  narasimhag@vdc.edu.in  
 
Source of Monetary or Material Support  
Vishnu Dental College,Vishnupur,Bhimavaram, West Godavari,AndhraPradesh,India 534202 
 
Primary Sponsor  
Name  Dr P Ambica 
Address  Vishnu Dental College,Sri Vishnu Educational Society,Bhimavaram,west Godavari,Andhra Pradesh, India 534202 
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 P Ambica  Vishnu Dental College  Pg Clinic room no: 8, Department of Prosthodontics, Block 2, First floor, Vishnu Dental College,Vishnupur,Bhimavaram,534202, Andhra Pradesh, India
West Godavari
ANDHRA PRADESH 
08309308427

ambica.putti@vdc.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Vishnu Dental College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K082||Atrophy of edentulous alveolar ridge,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Conventional drill osteotomy  Implant osteotomy site preparation using conventional implant drills for 20 to 30 minutes followed by implant placement and assesing positional accuracy using Evalunav software immediately on Day Zero 
Intervention  Piezo Electric Osteotomy  Implant osteotomy site preparation using piezo electric tips for 30 to 45 minutes followed by implant placement and positional accuracy assessment using evalunav software immediately on day Zero  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of age between 20-60 years.
Missing anterior teeth and premolars
ASA I
Patients willing to comply with the study 
 
ExclusionCriteria 
Details  Limited mouth opening
Teeth with active infections or inflammations
Poor comprehense to oral hygiene and Chronic smokers.
ASA II,III,IV,V
Patients subjected to radiotherapy of head and neck. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Positional Accuracy  Base line and Day zero 
 
Secondary Outcome  
Outcome  TimePoints 
Primary stability
Insertion Torque 
Day Zero 
 
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   N/A 
Date of First Enrollment (India)   22/10/2025 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   The study methodology involves obtaining Institutional Review Board approval followed by informed consent from the patient. Diagnostic impressions will be made, and models will be prepared. Surface scans will be taken in STL format, and preoperative CBCT will be obtained to generate DICOM files. The DICOM and STL files will be merged, and implant planning will be carried out using specialized software. The total sample size will be 32, divided into two groups of 16 each. Group 1 will undergo conventional drill osteotomy using Dynamic navigation system, while Group 2 will undergo piezo electric osteotomy using  dynamic navigation system. In Group 1, a supracrestal incision will be given, followed by elevation of a full-thickness mucoperiosteal flap, and implant placement will be performed with conventional drills using Dynamic Navigation system. In Group 2 a supracrestal incision incision will be given,followed by elevation of full thickness mucoperiosteal flap,and implant placement with piezo electric tips using Dynamic Navigation system. Postoperative CBCT will be obtained for both groups, and positional accuracy is compared using Evalunav software. 
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