Effect of undersized drilling on the stability of immediate tapered implants in the anterior maxillary sector. A randomized clinical trial / Efecto de una perforación de tamaño insuficiente sobre la estabilidad de los implantes cónicos inmediatos en el sector anterior del maxilar. Un ensayo clínico aleatorizado

ABSTRACT

Background: To evaluate the effect of undersized drilling on the primary and secondary stability of immediateimplants placed in the anterior maxilla.Material and methods: A comparative randomized clinical trial was carried out in 30 healthy adults. Thirty ta-pered implants, 16 involving conventional drilling and 14 undersized drilling, were placed immediately afteranterior maxillary tooth removal. Insertion torque and implant stability assessed by resonance frequency analysis(RFA) were evaluated at three different timepoints at implant placement and 6 and 12 weeks post-implantation.The results were compared using parametric statistical tests.Results: All implants showed adequate stability during follow-up. At implant placement, the undersized drillinggroup exhibited greater insertion torque values than the conventional drilling group, but stability assessed by RFAshowed greater mean values in the conventional group. After 6 and 12 weeks of follow-up, both groups showedimproved stability, though the RFA values remained comparatively higher in the conventional group. The differ-ences were not statistically significant.Conclusions: Based on the results obtained, undersized drilling does not appear to afford significantly improvedstability of immediate implants placed in the anterior zone of the maxilla during the osseointegration period.(AU)