COMPARATIVE ASSESSMENT OF BMP-9 LEVELS AND CLINICAL IMPLANT PARAMETERS IN IMMEDIATELY RESTORED IMPLANTS USING BONE COMPACTION DRILLING VERSUS CONVENTIONAL DRILLING: A RANDOMIZED CONTROLLED STUDY

Background:This study aimed to compare the effects of bone compaction drilling and conventional drilling techniques on bone marker BMP-9 and clinical implant parameters.

Materials and Methods: Forty-two participants were randomized into two groups (n = 21 each): OD and CD. Randomization was computer-generated with allocation concealment, and both participants and outcome assessors were blinded. Over a 6-month follow-up, peri-implant crevicular fluid (PICF) levels of bone morphogenetic protein-9 (BMP-9), implant stability and crestal bone loss were evaluated.

Conclusion: Bone compaction drillingor osseodensificationusing Densah burs demonstrated enhanced secondary healing, as indicated by increased BMP-9 levels, along with improved implant stability and reduced crestal bone loss compared to conventional drilling. These findings indicate a potential biomechanical advantage for implant placement.