Innovation of clockwise osseodensification technique for primary stability in dental implant: a low-density bone cadaveric study

These findings indicate that OD produces more consistent stability values and a stronger IT-ISQ relationship than SD, potentially enhancing the reliability of resonance frequency analysis in low-density bone. Unlike conventional counterclockwise OD, Clockwise OD uses densifying burs in the cutting direction at moderate speeds (800 rpm), offering a simpler, less technique-sensitive alternative without sacrificing the benefits of bone condensation. Within the limitations of a cadaveric model, OD demonstrated consistent stability values and a trend toward improved primary mechanical outcomes compared with SD. Further <i>in vivo</i> studies are required to confirm these findings and evaluate long-term biological effects.