Purpose: The objective of this study was to compare the osseodensification drilling technique used with Densah implant drills (Versah) to standard drilling by evaluating their contribution to primary implant stability.

Materials and methods: A total of 21 mandibles dissected from cadavers were selected. Axiom drills (Anthogyr) were used for 29 standard drilling (SD) protocols in the control group. In the test group, the Densah profile drills were used to perform 29 osteotomies (OD). Implant placement was performed for 58 of these procedures. The insertion torque (IT) and implant stability quotient (ISQ) were recorded. High-resolution CBCT allowed for a postoperative analysis of the peri-drilling bone tissue. For 16 osteotomies without implant placement, Mann-Whitney U test was used for comparison of IT and ISQ values between groups. Spearman rank correlation coefficient was used between IT and ISQ values. The significance level was α = .05.

Results: The IT values for OD and SD were, respectively, 34.9 Ncm ± 19.1 and 23.6 Ncm ± 9.8. The IT was significantly higher in the OD group compared to the SD group (P = .036). A moderate positive correlation (ρ = 0.527) between IT and ISQ was observed, as well as a significant increase (P = .026) in bone density.

Conclusion: There was a significant increase in IT and bone density following an osseodensification procedure compared to standard drilling.