Osseodensification versus conventional site preparation in cylindrical implants: A randomized controlled trial.

gov ID: NCT06034067 PLAIN LANGUAGE SUMMARY: This study demonstrated that both osseodensification (OD) and conventional drilling (CD) techniques yield comparable outcomes in terms of implant stability for cylindrical implants and patient-reported postoperative experience. Although OD has been proposed to enhance implant stability by preserving and compacting bone in conical/tapered implants, the findings of this randomized controlled trial suggest that its clinical advantage over CD is limited. The lack of significant differences in insertion torque, implant stability quotient (ISQ), or postoperative discomfort indicates that either technique can be reliably used, regardless of the anatomical site. These results support a more individualized approach to surgical planning, where the choice of osteotomy preparation technique can be guided by clinician preference, bone quality, implant macrogeometry and case-specific considerations, rather than the assumption that OD universally improves implant outcomes.