Marcus Abboud1, Rafael Arcesio Delgado-Ruiz1, Allan Kucine2, Sihana Rugova1, Julian Balanta3, Jose Luis Calvo-Guirado4. 1. Department of Prosthodontics and Digital Technology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA. 2. Department of Oral Surgery, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA. 3. Department of Prosthodontics, Faculty of Dentistry, Universidad del Valle, Cali, Colombia. 4. Implant Dentistry, Faculty of Medicine and Dentistry, Murcia University, Murcia, Spain.
Abstract
PURPOSE: To evaluate an experimental multistepped drill for single-stage implant site preparation by means of real-time analysis of thermal variations during and postdrilling, and by implant stability evaluation. MATERIALS AND METHODS: Temperature and time were recorded in real time by paired microprobe thermocouples during simulated osteotomy in type 2 bone similes at the cortical and cancellous zones. Three different drilling groups with a new multistepped drill design were compared: Control (2-mm diameter pilot drill + 3.3-mm three-stepped drill + 4.1-mm three-stepped drill); Test A (3.3-mm three-stepped drill); and Test B (4.1-mm three-stepped drill). Implants were inserted, and implant stability was evaluated with the Perio Test Value (PTV). Two-way anova was used to test the independent effects of osteotomy and implant diameter on temperature and stability. RESULTS: All the drills induced thermal changes without significant differences between groups (p > .05). Drilling in cortical bone produced significant increase of the temperatures in a range of 1.8 ± 0.9°C compared with drilling in cancellous bone (p < .05). ΔT temperatures were significantly higher for test groups in cortical and cancellous bone (p < .05); ΔT10 for all groups showed a reduction of the temperature in a range of 1.7 ± 0.3°C without significant differences between groups (p > .05); the mean time to accomplish drilling was significantly longer in the control group (p < .05); test groups took 10 ± 0.3 seconds less to reach the required drilling depth. PTV values were higher in test groups compared with controls (p < .05). CONCLUSIONS: The multistepped drills used for single-stage implant site preparation Increase temperature as in comparison with a conventional incremental protocol; Induce the temperature increment in cortical bone compared with the cancellous bone; Reduce drilling time when a multistepped drill is used alone; and Increase implant stability twofold compared with a conventional incremental protocol.
PURPOSE: To evaluate an experimental multistepped drill for single-stage implant site preparation by means of real-time analysis of thermal variations during and postdrilling, and by implant stability evaluation. MATERIALS AND METHODS: Temperature and time were recorded in real time by paired microprobe thermocouples during simulated osteotomy in type 2 bone similes at the cortical and cancellous zones. Three different drilling groups with a new multistepped drill design were compared: Control (2-mm diameter pilot drill + 3.3-mm three-stepped drill + 4.1-mm three-stepped drill); Test A (3.3-mm three-stepped drill); and Test B (4.1-mm three-stepped drill). Implants were inserted, and implant stability was evaluated with the Perio Test Value (PTV). Two-way anova was used to test the independent effects of osteotomy and implant diameter on temperature and stability. RESULTS: All the drills induced thermal changes without significant differences between groups (p > .05). Drilling in cortical bone produced significant increase of the temperatures in a range of 1.8 ± 0.9°C compared with drilling in cancellous bone (p < .05). ΔT temperatures were significantly higher for test groups in cortical and cancellous bone (p < .05); ΔT10 for all groups showed a reduction of the temperature in a range of 1.7 ± 0.3°C without significant differences between groups (p > .05); the mean time to accomplish drilling was significantly longer in the control group (p < .05); test groups took 10 ± 0.3 seconds less to reach the required drilling depth. PTV values were higher in test groups compared with controls (p < .05). CONCLUSIONS: The multistepped drills used for single-stage implant site preparation Increase temperature as in comparison with a conventional incremental protocol; Induce the temperature increment in cortical bone compared with the cancellous bone; Reduce drilling time when a multistepped drill is used alone; and Increase implant stability twofold compared with a conventional incremental protocol.
Authors: R A Delgado-Ruiz; E Velasco Ortega; G E Romanos; S Gerhke; I Newen; J L Calvo-Guirado Journal: Clin Oral Investig Date: 2017-04-22 Impact factor: 3.573
Authors: Nadine Marheineke; Uta Scherer; Martin Rücker; Constantin von See; Björn Rahlf; Nils-Claudius Gellrich; Marcus Stoetzer Journal: Clin Oral Investig Date: 2017-12-17 Impact factor: 3.573
Authors: Juan Carlos Bernabeu-Mira; Hilario Pellicer-Chover; Miguel Peñarrocha-Diago; David Peñarrocha-Oltra Journal: Materials (Basel) Date: 2020-04-19 Impact factor: 3.623