Temperature Changes in Cortical Bone after Implant Site Preparation Using a Single Bur versus Multiple Drilling Steps: An In Vitro Investigation

2013 ◽  
Vol 17 (4) ◽  
pp. 700-707 ◽  
Author(s):  
Sergio Alexandre Gehrke ◽  
Raphaél Bettach ◽  
Silvio Taschieri ◽  
Gilles Boukhris ◽  
Stefano Corbella ◽  
...  
2020 ◽  
Vol 9 (1) ◽  
pp. 148 ◽  
Author(s):  
Antonio Scarano ◽  
Felice Lorusso ◽  
Sammy Noumbissi

Background: The heat produced during implant site osteotomy can potentially interfere with and influence the osseointegration process of a dental implant. The objective of this in vitro investigation was to measure the temperature changes during simulated osteotomies in bovine rib bone. The measurements were made at the apical area of the osteotomies with steel implant drills compared to zirconia implant drills. Methods: Steel cylindrical drills (2 mm) and zirconia cylindrical drills (2 mm) were evaluated in vitro using bovine rib bone for a total of five groups based on the number of osteotomies performed with each drill: 10, 20, 40, 90, or 120 osteotomies. Bone and apical drill temperatures were measured by means of infrared thermography. The drilling time for each osteotomy was measured for each preparation. Results: Statistically significant differences were found in the temperature measurements in the bone and apical portion of the drills between the study groups (p < 0.05). A statistically significant difference was observed for drilling time preparation between steel cylindrical drill (2 mm) and zirconia cylindrical drills (2 mm) (p < 0.01). Conclusions: The drill material has an impact on the temperature changes that occur at its apical portion during bone preparation for implant placement.


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Luca Lamazza ◽  
Girolamo Garreffa ◽  
Domenica Laurito ◽  
Marco Lollobrigida ◽  
Luigi Palmieri ◽  
...  

Purpose. Various parameters can influence temperature rise and detection during implant site preparation. The aim of this study is to investigate local temperature values in cortical and corticocancellous bovine bone during early stages of piezoelectric implant site preparation.Materials and Methods. 20 osteotomies were performed using a diamond tip (IM1s, Mectron Medical Technology, Carasco, Italy) on two different types of bovine bone samples, cortical and corticocancellous, respectively. A standardized protocol was designed to provide constant working conditions. Temperatures were measured in real time at a fixed position by a fiber optic thermometer.Results. Significantly higher drilling time (154.90 sec versus 99.00 sec;p<0.0001) and temperatures (39.26°C versus 34.73°C;p=0.043) were observed in the cortical group compared to the corticocancellous group. A remarkable variability of results characterized the corticocancellous blocks as compared to the blocks of pure cortical bone.Conclusion. Bone samples can influence heat generation duringin vitroimplant site preparation. When compared to cortical bone, corticocancellous samples present more variability in temperature values. Even controlling most experimental factors, the impact of bone samples still remains one of the main causes of temperature variability.


2020 ◽  
Vol 10 (24) ◽  
pp. 8909
Author(s):  
Alberto Rebaudi ◽  
Federico Rebaudi ◽  
Fabrizio Barberis ◽  
Gilberto Sammartino ◽  
Gaetano Marenzi

Background: The conventional drill technique is the most commonly used for the implant site preparation of the desired diameter and length. Ultrasonic implant site preparation (UISP) can also be used to perform an implant site preparation of the desired dimensions. Methods: Implant sites were prepared in fresh bone ribs with two different implant site preparation techniques: implant surgical drills and piezoelectric tips. Samples were analyzed with scanning electron microscopy (SEM) for evaluating the peri-implant bone damage. Result: In the surgical drills group, the cortical bone surface showed several cracks and the bone vascular canals were hidden by a dense smear layer. Cancellous bone showed large irregularities and trabecular fractures. The piezoelectric group showed a clean and smooth cortical bone surface with opened bone vascular canals; the cancellous bone presented a regular morphology, and the trabecular spaces, clearly visible, were free of debris. Conclusions: Ultrasonic implant site preparation showed cleaner bone surfaces and lower bone trauma compared with the preparation using implant surgical drills.


2019 ◽  
Vol 45 (4) ◽  
pp. 259-266
Author(s):  
Claudio Stacchi ◽  
Matteo De Biasi ◽  
Lucio Torelli ◽  
Massimo Robiony ◽  
Roberto Di Lenarda ◽  
...  

The primary objective of the present in vitro study was to evaluate the influence of implant site preparation technique (drills vs ultrasonic instrumentation) on the primary stability of short dental implants with two different designs inserted in simulated low-quality cancellous bone. Eighty implant sites were prepared in custom-made solid rigid polyurethane blocks with two different low cancellous bone densities (5 or 15 pounds per cubic foot [PCF]), equally distributed between piezoelectric (Surgysonic Moto, Esacrom, Italy) and conventional drilling techniques. Two short implant systems (Prama and Syra, Sweden & Martina) were tested by inserting 40 fixtures of each system (both 6.0 mm length and 5.0 mm diameter), divided in the four subgroups (drills/5 PCF density; drills/15 PCF density; piezo/5 PCF density; piezo/15 PCF density). Insertion torque (Ncm), implant stability quotient values, removal torque (Ncm), and surgical time were recorded. Data were analyzed by 3-way ANOVA and Scheffé's test (α = 0.05). With slight variations among the considered dependent variables, overall high primary implant stability was observed across all subgroups. Piezoelectric instrumentation allowed for comparable or slightly superior primary stability in comparison with the drilling procedures in both implant systems. The Prama implants group showed the highest mean reverse torque and Syra implants the highest implant stability quotient values. Piezoelectric implant site preparation took prolonged operative time compared to conventional preparation with drills; among the drilling procedures, Syra system required fewer surgical steps and shorter operative time.


2003 ◽  
Vol 114 (4) ◽  
pp. 2379-2379
Author(s):  
Emmanuel Bossy ◽  
Maryline Talmant ◽  
Françoise Peyrin ◽  
Peter Cloetens ◽  
Leila Akrout ◽  
...  

Oral Surgery ◽  
2019 ◽  
Vol 13 (2) ◽  
pp. 108-116
Author(s):  
A. Lanata‐Flores ◽  
E.H.L. Nascimento ◽  
D.R. Goulart ◽  
F. Haiter‐Neto ◽  
M. Moraes ◽  
...  

Author(s):  
Janina Golob Deeb ◽  
Anja Frantar ◽  
George R. Deeb ◽  
Caroline K. Carrico ◽  
Ksenija Rener-Sitar

The aim of this randomized in vitro study was to compare the time and accuracy of implant site preparation and implant placement using a trephine drill versus a conventional drilling technique under dynamic navigation. A total of 42 implants were placed in simulation jaw models with the two drilling techniques by two operators with previous experience with dynamic navigation. The timing of each implant placement was recorded, and horizontal, vertical, and angulation discrepancies between the planned and placed implants were compared. There was no significant difference in time or accuracy between the trephine and conventional drilling techniques. Implant site preparation with a single trephine drill using dynamic navigation was as accurate under in vitro experimental conditions as a conventional drilling sequence.


2007 ◽  
Vol 20 (1_suppl) ◽  
pp. 23-26 ◽  
Author(s):  
A. Scarano ◽  
F. Carinci ◽  
A. Quaranta ◽  
D. Di Iorio ◽  
B. Assenza ◽  
...  

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