scholarly journals A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis

2019 ◽  
Vol 8 (2) ◽  
pp. 170 ◽  
Author(s):  
Chih-Hao Chen ◽  
Benjamin R. Coyac ◽  
Masaki Arioka ◽  
Brian Leahy ◽  
U. Serdar Tulu ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Rotational Velocity ◽  
Site Preparation ◽  
Osteogenic Potential ◽  
Osteotomy Site ◽  
Preparation Technique ◽  
Implant Site Preparation ◽  
Conventional Drilling ◽  
Drill Design ◽  
Practical Implications

The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.

Primary Stability of Short Implants Inserted Using Piezoelectric or Drilling Systems: An In Vitro Comparison

2019 ◽  
Vol 45 (4) ◽  
pp. 259-266
Author(s):  
Claudio Stacchi ◽  
Matteo De Biasi ◽  
Lucio Torelli ◽  
Massimo Robiony ◽  
Roberto Di Lenarda ◽  
...  
Keyword(s):  
Cancellous Bone ◽  
Operative Time ◽  
Primary Stability ◽  
Site Preparation ◽  
Preparation Technique ◽  
Implant Stability ◽  
Implant Stability Quotient ◽  
Custom Made ◽  
Implant Site Preparation

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.

Piezoelectric vs. conventional drilling in implant site preparation: pilot controlled randomized clinical trial with crossover design

2013 ◽  
Vol 25 (12) ◽  
pp. 1336-1343 ◽  
Author(s):  
Luigi Canullo ◽  
David Peñarrocha ◽  
Miguel Peñarrocha ◽  
Alonso-Gonzalez Rocio ◽  
Maria Penarrocha-Diago
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Site Preparation ◽  
Crossover Design ◽  
Implant Site Preparation ◽  
Conventional Drilling

In Vitro Comparison of Time and Accuracy of Implant Placement Using Trephine and Conventional Drilling Techniques Under Dynamic Navigation

2020 ◽  
Author(s):  
Janina Golob Deeb ◽  
Anja Frantar ◽  
George R. Deeb ◽  
Caroline K. Carrico ◽  
Ksenija Rener-Sitar
Keyword(s):  
In Vitro Study ◽  
Site Preparation ◽  
Experimental Conditions ◽  
Implant Placement ◽  
Significant Difference ◽  
Dynamic Navigation ◽  
Drilling Technique ◽  
Implant Site Preparation ◽  
Conventional Drilling

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.

Ultrasonic Implant Site Preparation Technique Using Piezosurgery ®

Dental News ◽  
2016 ◽  
Vol 23 (3) ◽  
pp. 72-77
Author(s):  
Claudio Stacchi ◽  
Alberto Rebaudi
Keyword(s):  
Site Preparation ◽  
Preparation Technique ◽  
Implant Site Preparation

Multistepped Drill Design for Single-Stage Implant Site Preparation: Experimental Study in Type 2 Bone

2014 ◽  
Vol 17 ◽  
pp. e472-e485 ◽  
Author(s):  
Marcus Abboud ◽  
Rafael Arcesio Delgado-Ruiz ◽  
Allan Kucine ◽  
Sihana Rugova ◽  
Julian Balanta ◽  
...  
Keyword(s):  
Experimental Study ◽  
Site Preparation ◽  
Single Stage ◽  
Implant Site Preparation ◽  
Drill Design

scholarly journals Conventional Drilling Versus Piezosurgery for Implant Site Preparation: A Meta-Analysis

2018 ◽  
Vol 44 (5) ◽  
pp. 400-405 ◽  
Author(s):  
Daniel Isaac Sendyk ◽  
Natacha Kalline de Oliveira ◽  
Claudio Mendes Pannuti ◽  
Maria da Graça Naclério-Homem ◽  
Ann Wennerberg ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Dental Implants ◽  
Site Preparation ◽  
Implant Stability ◽  
Controlled Clinical Trials ◽  
Randomized Controlled Clinical Trials ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Implant Site Preparation ◽  
Conventional Drilling

The aim of this study was to evaluate if the stability of dental implants varies between dental implants placed by piezosurgery compared with those placed by conventional drilling. An electronic search in MEDLINE, SCOPUS, and the Cochrane Library was undertaken until August 2016 and was supplemented by manual searches and by unpublished studies at OpenGray. Only randomized controlled clinical trials that reported implant site preparation with piezosurgery and with conventional drilling were considered eligible for inclusion in this review. Meta-analyses were performed to evaluate the impact of piezosurgery on implant stability. Of 456 references electronically retrieved, 3 were included in the qualitative analysis and quantitative synthesis. The pooled estimates suggest that there is no significant difference between piezosurgery and conventional drilling at baseline (weighted mean differences [WMD]: 2.20; 95% confidence interval [CI]: −5.09, 9.49; P = .55). At 90 days, the pooled estimates revealed a statistically significant difference (WMD: 3.63; 95% CI: 0.58, 6.67, P = .02) favoring piezosurgery. Implant stability may be slightly improved when osteotomy is performed by a piezoelectric device. More randomized controlled clinical trials are needed to confirm these findings.

Piezoelectric surgery versus conventional drilling for implant site preparation: a meta-analysis

2018 ◽  
Vol 62 (4) ◽  
pp. 391-396 ◽  
Author(s):  
Sara Amghar-Maach ◽  
Alba Sánchez-Torres ◽  
Octavi Camps-Font ◽  
Cosme Gay-Escoda
Keyword(s):  
Meta Analysis ◽  
Site Preparation ◽  
Piezoelectric Surgery ◽  
Implant Site Preparation ◽  
Conventional Drilling

scholarly journals Efficacy of low-dose local clindamycin in different times for microbial decontamination of autogenous particulate bone graft

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hassan Mohajerani ◽  
Gholamreza Irajian ◽  
Fatemeh Latifi ◽  
Faramarz Masjedian ◽  
Reza Tabrizi
Keyword(s):  
Bone Graft ◽  
Low Dose ◽  
Bone Cells ◽  
Site Preparation ◽  
Osteogenic Potential ◽  
Parallel Group ◽  
Significant Difference ◽  
The Mean ◽  
The Difference ◽  
Implant Site Preparation

Abstract Background Clindamycin in low concentration (20 μg/mL) is safe for vitality and osteogenic potential of bone cells. The aim of this study was to evaluate the efficacy of local clindamycin (20 μg/mL) in two different exposure times, for microbial decontamination of particulate bone graft, collected during implant site preparation. This non-randomized parallel-group study was conducted on samples from 17 patients. The particulate bone collected during implant site preparation was divided into three portions by weight: in group S1, the particulate bone was immersed in thioglycolate broth without any antibiotic treatment; in group S2, the collected particulate bone was irrigated with 100 mL clindamycin solution (20 μg/mL); and in group S3, the collected particulate bone was soaked in one ml clindamycin solution (20 μg/mL) for 3 min. Samples in the three groups were cultured in aerobic and anaerobic media and species and CFU count of isolated bacteria were determined. Results Analysis of the data demonstrated a significant difference among the three groups in the mean count of total microorganisms (P = 0.001). The difference in the mean count of anaerobic and aerobic microorganisms in the three groups was statistically significant as well (P = 0.001). Pseudomonas aeruginosa was the only microorganism that was not affected with the mentioned antibiotic. Conclusions Local use of low-dose clindamycin (20 μg/mL)—irrigation or 3 min immersing—is effective for the decontamination of particulate bone grafts.

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