For the purpose of the study, patients will be divided into two groups, i.e., Group A and Group B. In Group (A), 14 immediate implants will be placed using traditional drilling technique, while in Group (B), 14 immediate implants will be placed using OD drilling technique Osseodensification is a system for implant osteotomy preparation, it compresses the cancellous bone around the revolving drills. It largely improves low bone volume by physically increasing the interlocking between the bone and the implant surface. The Densah burs enhances bone density while generating the least amount of heat.
Traditional oversized drilling is the regular manufacturer recommended technique of drilling. It functions by cutting the bone during osteotomy preparation by sharp fluted drills. The undersizing of the preparation allows the implant to partially compact the bone during insertion.
The objective of the current study is to compare between osseodensification drilling protocol versus traditional undersized drilling protocol in immediate implant placement in anterior maxillary region in terms of implant stability.
Patients in need of extraction of a single, unrestorable tooth in the esthetic zone including maxillary anteriors and premolars
Age range between 20-60 years old
An intact buccal plate of bone after extraction
Medically free patients (Brightman. 1994)
Acute infection in the implant site
Patients incapable of maintaining oral hygiene
Pregnant and nursing female patients
Smokers (more than 5 cigarettes per day)