Literature DB >> 19925988

Effect of surgical drill guide on heat generated from implant drilling.

A Ferhat Misir1, Mahmut Sumer, Murat Yenisey, Erol Ergioglu.   

Abstract

PURPOSE: The purpose of this study was to evaluate the heat generated in bone by 2 implant drill systems in vitro with and without using surgical drill guides.
MATERIALS AND METHODS: Temperature was measured with K type thermocouple in vitro using the bovine femoral cortical bone model. A constant drill load of 2.0 kg was applied throughout the drilling procedures via a drilling rig at a speed of 1,500 rpm. Two different implant drill systems-System A (with external irrigation) and System B (with both external and internal irrigation)-were evaluated. The samples were divided into 4 groups. System A test group 1 (TG1) included the following: 20 samples for drilling with surgical drill guides; control group 1 (CG1): 20 samples for classical implant site preparation. System B test group 2 (TG2) included the following: 20 samples for drilling with surgical drill guides; control group 2 (CG2): 20 samples for classical implant site preparation. Heat was measured at the final drill in the drilling sequence (4.2 and 4.4 mm). Thermocouples were placed at a 1-mm distance from the osteotomy area at depths of 3, 6, and 9 mm. Heat measurements were recorded out to 50 uses by a software program. Data were subjected to the Mann-Whitney U and Kruskal-Wallis tests. The alpha level was set a priori at 0.05.
RESULTS: The mean maximum temperatures at the depths of 3, 6, and 9 mm using surgical drill guides were 34.2 degrees , 39.7 degrees , and 39.8 degrees C, respectively, although without using surgical drill guides the values were 28.8 degrees , 30.7 degrees , and 31.1 degrees C. A statistically significant difference was found at the depths of 3, 6, and 9 mm between using surgical drill guides and classical drilling procedure.
CONCLUSIONS: From a heat generation standpoint, we conclude that preparing an implant site with using surgical drill guides generates heat more than classical implant site preparation regardless of the irrigation type.

Entities:  

Mesh:

Year:  2009        PMID: 19925988     DOI: 10.1016/j.joms.2009.07.056

Source DB:  PubMed          Journal:  J Oral Maxillofac Surg        ISSN: 0278-2391            Impact factor:   1.895


  18 in total

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4.  Digital implant planning and guided implant surgery - workflow and reliability.

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Review 5.  Drilling of bone: A comprehensive review.

Authors:  Rupesh Kumar Pandey; S S Panda
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6.  Influence of bone density and implant drill diameter on the resulting axial force and temperature development in implant burs and artificial bone: an in vitro study.

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Review 7.  Heat Development During Medical Drilling: Influencing Factors and Examination Methods - Overview and First Results.

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8.  A survey of the satisfaction of patients who have undergone implant surgery with and without employing a computer-guided implant surgical template.

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9.  Temperature change in pig rib bone during implant site preparation by low-speed drilling.

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10.  Infrared Thermographic Assessment of Cooling Effectiveness in Selected Dental Implant Systems.

Authors:  Karol Kirstein; Maciej Dobrzyński; Piotr Kosior; Aleksander Chrószcz; Krzysztof Dudek; Katarzyna Fita; Olga Parulska; Zbigniew Rybak; Aleksandra Skalec; Magdalena Szklarz; Maciej Janeczek
Journal:  Biomed Res Int       Date:  2016-03-15       Impact factor: 3.411

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