Comparative evaluation of clinical success of implants placed using conventional bone drilling and osteotome techniques

Objectives: To compare the clinical success of dental implants placed using conventional bone drilling and osteotome techniques based on clinical and radiographic parameters. Methods: Forty patients with missing teeth in the maxillary premolar region were randomly allocated to receive implants using either conventional drilling or osteotome techniques. Clinical parameters including periodontal probing depth, bleeding index, pain, mobility, and peri-implant radiolucency were evaluated at 3- and 6-month follow-up visits. Statistical analysis was performed using Mann–Whitney U test and Chi-square test. Results: Participants ranged in age from 18 to 50 years. No statistically significant differences were observed between the two groups for any evaluated clinical parameters (p > 0.05). However, a higher percentage of implant success was observed in the osteotome group. Conclusions: Both conventional drilling and osteotome techniques demonstrated comparable short-term clinical success. Selection of implant placement technique should be based on clinician preference, anatomical considerations, and case-specific requirements.