Comparing Osseodensification and Osteotome Internal Sinus Lift Techniques for Delayed Implant Placement in Adults with Maxillary Sinus Floor Augmentation

What this Trial Is About

Researchers are evaluating two techniques for sinus floor augmentation in patients with a partially edentulous maxillary posterior ridge. The study compares Osseodensification and Osteotome internal sinus lifting methods, focusing on their effectiveness and clinical outcomes. The goal is to assess bone gain, bone density, implant stability, and patient satisfaction after delayed implant placement. Twenty patients aged 18 to 40 years with residual alveolar ridge height between 4 to 6 mm will be randomly assigned to one of two groups Osseodensification sinus lift or Osteotome internal sinus lift, both using sticky bone as a graft material. Procedures involve careful preparation and elevation of the sinus membrane to place implants, followed by suturing. Patients receive pre- and post-surgical medications including anti-inflammatory steroids, antibiotics or alternatives if allergic, and pain relievers. Immediate postoperative CBCT scans will assess bone changes. Participants will undergo assessments including implant primary stability measured by torque wrench and Osstell device during surgery. Postoperative pain and patient satisfaction will be evaluated one week after surgery using questionnaires and a Visual Analogue Scale. The operators satisfaction with the techniques will be recorded one year later. This trial includes monitoring bone height and density changes from before to immediately after surgery, with follow-up extending up to one year for operator feedback.

Osseodensification Versus Osteotome Internal Sinus Lifting in Delayed Implant Placement