Evaluation of Dental Implants After Using Several Bone Splitting Techniques

Last updated: January 11, 2026
Sponsor: Damascus University
Overall Status: Completed

Phase

N/A

Condition

N/A

Treatment

Osseodensification

Piezo-surgery

Magnetic mallet

Clinical Study ID

NCT05720143
UDDS-OMFS-01-2023
  • Ages 18-60
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

In both complete and partial tooth loss, the use of dental implants as artificial replacements for missing teeth is a well-established and effective treatment modality, leading to high patient satisfaction and improved quality of life (1).

Horizontal deficiencies of the alveolar ridge can hinder implant-supported rehabilitation due to insufficient bone volume to support implant dimensions, negatively affecting the final prosthetic outcome from both functional and esthetic perspectives (2).

The split-crest technique reduces treatment time, the number of required surgical procedures, and the risk of complications, making it more acceptable to patients. Additionally, it allows for dental implant placement during the same surgical procedure and eliminates the need for a donor site for graft harvesting (3).

In this study, patients with posterior tooth loss in a narrow mandibular ridge underwent dental implant rehabilitation following alveolar ridge splitting and expansion performed using osseodensification, piezosurgery, or a magnetic mallet.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patients able to attend follow-up appointments.

  2. Alveolar ridges with sufficient height for the placement of a standard dentalimplant.

  3. Presence of spongy bone with at least 1 mm of width between the cortical plates.

  4. Absence of systemic or local conditions that could affect bone metabolism.

Exclusion

Exclusion Criteria:

  1. Severe concavity on the vestibular or palatal side of the alveolar ridge.

  2. Uncontrolled periodontal disease.

  3. History of radiotherapy in the head and neck region.

  4. Smokers or patients with parafunctional habits.

Study Design

Total Participants: 39
Treatment Group(s): 3
Primary Treatment: Osseodensification
Phase:
Study Start date:
January 25, 2023
Estimated Completion Date:
June 28, 2025

Study Description

The objective of this study is to compare ridge width gain following ridge splitting and expansion with simultaneous implant placement using osseodensification, piezosurgery, or a magnetic mallet in individuals with narrow mandibular alveolar ridges.

Thirty-nine patients will be randomly allocated into three groups. In Group 1, ridge splitting and expansion will be performed using piezosurgery and bone expanders, followed by simultaneous implant placement.

In Group 2, osseodensification burs will be used after ridge splitting, with simultaneous implant placement.

In Group 3, a magnetic mallet will be used after ridge splitting, with simultaneous implant placement.

Connect with a study center

  • University of Damascus

    Damascus 170654,
    Syria

    Site Not Available

  • University of Damascus

    Damascus,
    Syrian Arab Republic

    Site Not Available

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