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Bone Mineral DensityNCT07899606

Digital Eye®-Assisted Bone Density Classification and Primary Dental Implant Stability.

A study testing R2GATE Digital EYE-Assisted Site-Specific Drilling Protocol, R2GATE® Digital EYE® Implant Planning Software and MEGA ISQ® - Implant Stability Measurement Device in people with Bone Mineral Density and Primary Implant Stability, run by King Abdullah University Hospital at 1 site in Jordan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Dental implants are used nowadays to replace extracted teeth. They provide a successful substitute for lost teeth. Accurate planning prior to implant placement is very important. Reduced bone density at the site of dental implant placement can affect the success of dental implants. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
R2GATE Digital EYE-Assisted Site-Specific Drilling Protocol, R2GATE® Digital EYE® Implant Planning Software and MEGA ISQ® - Implant Stability Measurement Device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteJordan
Study dates
1 Apr 2025to 30 Jan 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients were included if they met the following criteria:
  • Age ≥18 years.
  • Absence of systemic conditions contraindicating implant surgery.
  • Non-smokers or light smokers (less than 10 Cig/Day).
  • healthy and stable periodontal tissues.
  • Having a single tooth bounded edentulous area.
Show all 20Show fewer
  • Availability of sufficient bone height and width to allow implant placement without the need for simultaneous or staged bone augmentation procedures as evaluated on CBCT
  • Provision of written informed consent. Exclusion Criteria
  • Patients were excluded if any of the following conditions were present:
  • Local or systemic infection at the time of implant placement.
  • Metabolic or osseous diseases affecting bone metabolism, including osteoporosis and osteopetrosis.
  • Renal disease, oncologic disease, or disorders affecting calcium metabolism.
  • Benign or malignant pathology involving the maxillary or mandibular bones.
  • Previous implant or prosthetic treatment at the study site.
  • Previous or current bisphosphonate therapy.
  • History of head and neck radiotherapy.
  • Multiple tooth or unbounded edentulous area.
  • Requirement for bone augmentation before or during implant placement.
  • Periodontitis patients.
  • Age <18 years.

Who cannot join

None listed.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Reem Sami Abdel-Hafez, A. Prof of Periodontology contact

00962799497779

rsabdelhafez@just.edu.jo

Hana Abdulmouin Rahhal, MClinDent in Periodontology contact

00962795662361

harahhal23@den.just.edu.jo

Jordan1 site, 1 recruiting
  • Jordan University of Science and Technology

    Irbid

    Reem Abdel-Hafez, MSc (Clin) Periodontology, 00962799497779, rsabelhafez@just.edu.jo

    Hana Rahhal, MClinDent in Periodontology

    Recruiting

Other trials in Jordan

About this study

Official title: SITE SPECIFIC DRILLING PROTOCOL BASED ON DIGITAL EYE®-ASSISTED BONE DENSITY CLASSIFICATION AND PRIMARY DENTAL IMPLANT STABILITY. SINGLE- ARM PROSPECTIVE CLINICAL STUDY

Dental implants are used nowadays to replace extracted teeth. They provide a successful substitute for lost teeth. Accurate planning prior to implant placement is very important. Reduced bone density at the site of dental implant placement can affect the success of dental implants. Thus, accurate evaluation of the density is an important aspect in planning. This prospective, single-arm clinical study investigate the clinical applicability of site-specific bone-density assessment and software-recommended drilling in relation to primary implant stability in adults requiring a single implant in a healed premolar or molar site.

Read the detailed description

Primary stability is the mechanical fixation of a dental implant in the surrounding bone immediately after placement. It is influenced by several factors, including local bone characteristics, implant design, and the preparation of the implant site. Conventional bone classification systems describe bone quality broadly and may not fully represent variations in bone characteristics within the specific area intended to receive an implant. An assessment that focuses more closely on the planned implant site may therefore provide additional information for individualized surgical planning.

The R2GATE® Digital EYE® feature provides a color-coded representation of bone characteristics on cone-beam computed tomography (CBCT) images. In this study, a site-specific classification was developed based on the distribution of the software-generated colors in the bone surrounding the virtually planned implant. This classification was used to guide the application of the software-recommended drilling protocol. The recommended drilling sequence may be fully mandatory or may include an optional final drill, allowing the protocol to account for the software recommendation and the clinical drilling sequence used during surgery.

The digital workflow integrates CBCT data with digital intraoral scans to create a three-dimensional model for prosthetically guided implant planning. The planned implant position is assessed in relation to the intended restoration and relevant anatomical structures, and a surgical guide is designed to transfer the digital plan to the clinical setting. The R2GATE® Digital EYE® software is used to assess bone density at the planned implant site and generate a site-specific drilling protocol. Primary implant stability is measured immediately after placement using insertion torque and resonance frequency analysis, reported as the implant stability quotient (ISQ).

The study aims to investigate the clinical applicability of site-specific bone-density assessment and software-recommended drilling in relation to primary implant stability and implant placement accuracy. There is no randomized comparison group. The study also assesses the agreement between bone-density classifications generated by R2GATE® and ACTEON® Imaging Suite, examines the relationship between implant diameter and primary stability, and evaluates the accuracy of implant depth transfer from digital planning to surgery using sleeved and sleeveless surgical guides.

The findings may help inform future research into individualized implant site preparation. The proposed classification and software-recommended drilling approach should not be considered independently validated, and the study does not establish their effects on long-term implant survival or success.

Being tested
R2GATE Digital EYE-Assisted Site-Specific Drilling Protocol, R2GATE® Digital EYE® Implant Planning Software, MEGA ISQ® - Implant Stability Measurement Device, Insertion Torque Measurement, UNC-15 Probe Depth Measurement Device
Keywords
Bone Mineral Density, Dental implants, Validity, Cone Beam CT, Primary implant stability, Insertion torque, Resonance frequency analysis, Computer-guided implant surgery, ISQ, Site-specific drilling protocol, R2GATE, Digital Eye

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • R2GATE Digital EYE-Assisted Site-Specific Drilling ProtocolProcedure or surgery

    Digitally guided implant placement will be planned and performed for thirty bounded edentulous maxillary and thirty mandibular molar healed sites. Pre-operative CBCT Images of the maxillary and mandibular jaws of the recruited patients will be acquired. Images will be obtained in DICOM format and exported to the software for pre-operative digital implant planning.

    R2GATE® Digital EYE® is used to assess bone density at the planned implant site and generate a site-specific drilling recommendation. The osteotomy is prepared according to the software-recommended drilling sequence, with the use or omission of an optional final drill recorded when applicable. Primary implant stability is measured immediately after placement using insertion torque and resonance frequency analysis, reported as the implant stability quotient (ISQ). A digitally designed surgical guide is used to guide placement of a MegaGen AnyRidge® dental implant.

  • R2GATE® Digital EYE® Implant Planning SoftwareDevice

    R2GATE® Digital EYE® software is used to assess bone density at the planned implant site and generate a site-specific drilling recommendation. Preoperative CBCT images are imported into the software for digital implant planning. The recommended osteotomy drilling sequence is followed during implant placement.

  • MEGA ISQ® - Implant Stability Measurement DeviceDevice

    The MEGA ISQ® device is used to assess primary dental implant stability immediately after implant placement using resonance frequency analysis (RFA). Measurements are recorded as implant stability quotient (ISQ) values in the specified measurement directions, and the readings are averaged to obtain the mean ISQ for each implant.

  • Insertion Torque MeasurementDevice

    A dental implant surgical motor (MEG Engine® II ) with torque measurement is used during implant placement to record insertion torque, expressed in N·cm, as an indicator of primary implant stability. The insertion torque value is recorded for each implant immediately after placement.

  • UNC-15 Probe Depth Measurement DeviceDevice

    The UNC-15 Probe is used to assess the clinically achieved implant placement depth. The measured clinical depth is recorded and compared with the digitally planned implant depth to evaluate the accuracy of implant placement and the discrepancy between planned and achieved depths.

Study groups in NCT07899606
Study groupRoleWhat they receive
R2GATE Digital EYE-Guided Implant PlacementExperimentalAll participants undergo digitally guided dental implant placement using a site-specific drilling protocol based on bone-density assessment with R2GATE® Digital EYE®. The software generates a recommended drilling sequence for the planned implant site. The final drill is recorded. Primary implant stability is measured immediately after placement using insertion torque and resonance frequency analysis, reported as the implant stability quotient (ISQ). Implant placement is performed using a digitally planned surgical guide.
Receives: Procedure: R2GATE Digital EYE-Assisted Site-Specific Drilling Protocol; Device: R2GATE® Digital EYE® Implant Planning Software; Device: MEGA ISQ® - Implant Stability Measurement Device; Device: Insertion Torque Measurement; Device: UNC-15 Probe Depth Measurement Device

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Resulted Insertion torque according to R2GATE Digital EYE bone-density classification and its site specific drilling protocol.

    Insertion torque is the maximum torque recorded by the implant motor during implant insertion, expressed in Ncm. Values will be summarized and evaluated in relation to the R2GATE® Digital EYE® site-specific bone-density categories and the software-recommended drilling protocol and clinical drilling sequence.

    Measured: At the time of final implant seating, when the implant reached its planned position (postoperative)

  2. Mean implant stability quotient (ISQ) according to R2GATE Digital EYE bone-density classification and its site specific drilling protocol.

    Primary implant stability is assessed using resonance frequency analysis (RFA). Five directional ISQ readings are obtained for each implant from the mesial, distal, occlusal, lingual/palatal, and buccal directions. The mean of these five readings is calculated for each implant and evaluated in relation to the R2GATE® Digital EYE® site-specific bone-density categories and the software-recommended drilling protocol and clinical drilling sequence.

    Measured: Immediately after implant placement , when the implant reached its planned position (postoperative)

Secondary outcomes (5)
  1. Agreement between R2GATE Digital EYE and ACTEON Imaging Suite bone-density classifications

    Agreement between the site-specific bone-density classifications obtained using R2GATE® Digital EYE® and ACTEON® Imaging Suite will be assessed using the percentage of exact agreement and linearly weighted Cohen's kappa with a 95% confidence interval.

    Measured: During preoperative digital implant planning, before implant placement.

  2. Assessment of the primary stability according to implant diameter (4.0 mm versus 4.5 mm)

    Insertion torque, expressed in Ncm, and mean ISQ, calculated from five directional resonance frequency measurements per implant, will be compared between implants with diameters of 4.0 mm and 4.5 mm.

    Measured: At final implant seating and immediately after implant placement (postoperative)

  3. Implant placement depth accuracy with sleeved and sleeveless surgical guides

    The absolute difference, in millimeters, between the digitally planned and clinically achieved crest-to-implant-platform distances will be calculated at the mid-buccal and mid-lingual/palatal aspects. Absolute depth deviations will be compared between implants placed using sleeved and sleeveless surgical guides.

    Measured: At the preoperative digital plan and clinical measurements recorded immediately after placement at final implant seating (postoperative).

  4. Agreement between digitally planned and clinically achieved implant depth

    The discrepancy between the clinically achieved and digitally planned crest-to-implant-platform distances will be assessed in millimeters at the mid-buccal and mid-lingual/palatal aspects. Agreement will be evaluated using the mean bias and 95% limits of agreement from Bland-Altman analysis, with paired comparisons of planned and achieved measurements.

    Measured: At implant placement, comparing the preoperative digital plan with clinical measurements recorded immediately after placement (postoperative).

  5. Correlation between insertion torque and mean implant stability quotient

    The association between insertion torque, expressed in Ncm, and mean ISQ, calculated from five directional resonance frequency measurements per implant, will be assessed using Spearman's rank correlation coefficient.

    Measured: During implant placement and immediately after placement, when insertion torque and ISQ measurements are obtained, respectively when the implant reached its planned position (postoperative).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Oct 2026
  2. Study start1 Apr 2025
  3. Primary completion30 Jan 2027 (estimated)
  4. Study completion30 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single- arm study in which all participants undergo digitally guided dental implant placement using the R2GATE® Digital EYE®-assisted, site-specific bone-density assessment and software-recommended drilling workflow. Preoperative cone-beam computed tomography (CBCT) images and digital intraoral scans are integrated for implant planning. The software-generated drilling recommendation guides site preparation, while the use or omission of an optional final drill is recorded. Primary implant stability is measured immediately after placement using insertion torque and resonance frequency analysis, reported as the implant stability quotient (ISQ).
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07899606
Sponsor's protocol ID
804-2024
Status last verified
Oct 2026
First submitted
9 Oct 2026
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is currently no plan to make individual participant data (IPD), including data dictionaries, available to other researchers. Participant confidentiality and the ethical requirements governing the use of clinical and radiographic data will be maintained. Study findings will be reported in scientific publications.

Questions about this trial

What is this clinical trial studying?

A study testing R2GATE Digital EYE-Assisted Site-Specific Drilling Protocol, R2GATE® Digital EYE® Implant Planning Software and MEGA ISQ® - Implant Stability Measurement Device in people with Bone Mineral Density and Primary Implant Stability, run by King Abdullah University Hospital at 1 site in Jordan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 20 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Jordan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Reem Sami Abdel-Hafez, A. Prof of Periodontology (00962799497779, rsabdelhafez@just.edu.jo), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Resulted Insertion torque according to R2GATE Digital EYE bone-density classification and its site specific drilling protocol. (time frame: At the time of final implant seating, when the implant reached its planned position (postoperative)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2026.

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