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https://doi.org/10.23805/JO.2026.771

Effect Of Osteotomy Technique On Peri-Implant Bone Loss And Bone Density: Piezoelectric Inserts Versus Twist Drills - A Randomized Controlled Trial

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Published: 16 September 2026
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Health, Piezoelectric surgery, Osteotomy preparation, Crestal bone loss , Peri-implant bone density

Authors

Soumya Sharma
Department of Periodontology and Implantology, Swami Vivekanand Subharti University, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India.
Mayur Kaushik
Professor & Head, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Sameer Ahmed
Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Shivi Khattri
Associate Professor & PhD Research Scholar, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
soamya gandhi
soamyagandhi@gmail.com
Department of Periodontology and Implantology, Swami Vivekanand Subharti University, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India.
Deepesh Saxena
Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Prajesh Dubey
Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.
Sumit Goel
Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India.

Purpose To evaluate the effect of Piezoelectric inserts vs. conventional twist drills in osteotomy site preparation on the crestal bone loss (CBL) & Peri implant Bone Density (PIBD)  around dental implants.

Methodology Prospective randomized controlled trial included 20 patients requiring replacement of a single missing posterior tooth. Patients were randomly allocated into two groups: in one group, the osteotomy site was prepared using Piezosurgery (test group), and in the second group, the osteotomy site was prepared by conventional drilling (control group), followed by i-Fix® implant placement. The prosthesis was delivered after 3 months. A CBL and bone density evaluation was done after 9 months of implant placement using cone-beam computed tomography (CBCT).

Result Reduced amount of CBL was observed in the osteotomy site prepared by the piezoelectric device. However, intergroup comparison revealed no statistically significant CBL or PIBD between the two osteotomy techniques.

Conclusion Within the limitations of this randomized controlled clinical trial, implant site preparation using piezoelectric inserts did not show statistically significant superiority over conventional twist drills in preserving crestal bone or enhancing PIBD.

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Citations

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Soumya Sharma, Department of Periodontology and Implantology, Swami Vivekanand Subharti University, Subharti Dental College and Hospital, Meerut, Uttar Pradesh

Consultant Periodontist

Shivi Khattri , Associate Professor & PhD Research Scholar, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh

Associate Professor, PhD Research Scholar, Department of Periodontology

Deepesh Saxena , Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh

Professor, Department of Prosthodontics and Crown & Bridge

Prajesh Dubey, Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh

  Professor, Department of Oral & Maxillofacial Surgery

Sumit Goel, Professor, Subharti Dental College & Hospital Swami Vivekanand Subharti University, Meerut, Uttar Pradesh

Professor, Department of Oral Medicine & Radiology

How to Cite



Effect Of Osteotomy Technique On Peri-Implant Bone Loss And Bone Density: Piezoelectric Inserts Versus Twist Drills - A Randomized Controlled Trial. (2026). Journal of Osseointegration. https://doi.org/10.23805/JO.2026.771
Copyright (c) 2026 Soumya Sharma, Mayur Kaushik, Sameer Ahmed, Shivi Khattri , soamya gandhi, Deepesh Saxena , Prajesh Dubey, Sumit Goel Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.