• Najih J. Alaridhy, Faaiz Y. Alhamdani, Faten Ben Amor
  • Ibn Eljazzar Faculty of Medicine, University of Sousse, Sousse, Tunisia.
  • Email: Alardhynajih@gmail.com.
  • College of Dentistry, Ibn Sina University of Medical and Pharmaceutical Sciences, Baghdad, Iraq.
  • Email: faaiz@ibnsina.edu.iq.
  • Monastir University, Faculty of Dentistry, Oral Health and Rehabilitation Research, Monastir, Tunisia.
  • Email: Faten.benamor@yahoo.fr.


Background: In traditional dental implant surgery, a sequential drilling strategy is used to ensure primary implant stability through press-fit. This technique may cause a certain degree of stress to the bone surrounding the implant. Other surgical procedures have been proposed. One of these methods involves implementing the Peripheral-Bone-Removal (PBR) protocol and relies on the morphological connection between the implant and the adjacent bone. This concept has been newly introduced. This approach is hypothesised to reduce bone damage and promote bone repair. The objective of this study is to investigate the impact of a minimally traumatic technique on both implant stability and bone density. Methodology: A total of twenty-five patients who met the inclusion criteria were assigned randomly to two groups. Group (A) consisted of 12 patients who received 50 IBS implants, while Group (B) consisted of 13 patients who received 50 Medentika implants. Both the primary stability and secondary stability were evaluated through clinical assessment. CBCT was used to measure both primary and secondary bone density for both systems before and 2 months after implant implantation. Results: The results of the Mann-Whitney Test indicate a highly significant difference in both primary and secondary bone density, as well as primary and secondary implant stability, for both dental implant systems (P=0.000). Group A exhibited significantly higher secondary stability compared to Group B (P=0.000). Group A implants exhibit a considerably greater amount of secondary bone density in comparison to Group B implants, as indicated by a P-value of 0.009. Conclusion: The use of the minimally invasive socket preparation technique, known as the PBR protocol, along with the morphologic contact concept, appears to enhance the success of dental implant treatment by improving bone quality and implant stability.

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