Palavras-chave
Osteotomy
Temperature
Harm Reduction
Surgery
Threshold Limit Values
Como Citar
Resumo
ABSTRACT
Introduction: The predictability of osseointegration depends on a non-traumatic surgical technique that maintains cell viability. It is known that during the drilling osteotomy for implant placement occurs heat generation, being able to influence osseointegration due to thermal damage. The objective of this research was to evaluate and compare the heat generated by the drills during the preparation of surgical sites for implant placement between two different techniques: simplified (Simplified Drilling, SD) and conventional, in an in vitro model.
Material and methods: Fifty implant site preparations were performed in segments of bovine ribs, divided into two groups, with the respective drill sequences: control group, conventional preparation, Ø2.0mm spear drill and Ø2.15mm, Ø2.85mm, Ø3.35mm, Ø3.85mm twist drills; SD group, Ø2.15mm and Ø3.85mm twist drills. The measurement of the temperature variation generated by each drill in each group was performed by an infrared thermal camera at three points in the bovine rib segment.
Results: The temperature variations at one and thirteen millimeters below the drilling site were, respectively, 0.51±0.64°C and 0.46±0.59°C for the control group, and 0.62±0.76°C and 0.5±0.86°C for the SD group. No statistically significant differences were found between the control and SD groups in relation to heat generation in any of the evaluated points; p=0.288 and p=0.584, respectively for analyzes one and thirteen millimeters below the drilling site.
Discussion: The technique of implant site preparation can be simplified, using only two drills in this modality, without showing significant differences in relation to heat generation when compared to the conventional preparation technique.
Referências
Albrektsson T, Brånemark PI, Hansson HA, Lindström J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981;52(2):155–70.
Raj R, Manju V, Kumar-Gopal V, Eswar M. Analysis of factors determining thermal changes at osteotomy site in dental implant placement - An in-vitro study. J Clin Exp Dent. 2021;13(3):e234–9.
Eriksson RA, Albrektsson T, Magnusson B. Assessment of bone viability after heat trauma. A histological, histochemical and vital microscopic study in the rabbit. Scand J Plast Reconstr Surg. 1984;18(3):261–8.
Eriksson RA, Albrektsson T. The effect of heat on bone regeneration: an experimental study in the rabbit using the bone growth chamber. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 1984;42(11):705–11.
Möhlhenrich SC, Modabber A, Steiner T, Mitchell DA, Hölzle F. Heat generation and drill wear during dental implant site preparation: systematic review. Br J Oral Maxillofac Surg. 2015;53(8):679–89.
Wang M, Wang WR, Li MW, Chang XF, He LL. Clinical trial of simplified drilling method for dental implant site preparation. Chin J Stomatol. 2018;53(6):404–7.
Kim HM, Cho J-Y, Ryu J. Evaluation of implant stability using different implant drilling sequences. J Dent Sci. 2019;14(2):152–6.
Sarendranath A, Khan R, Tovar N, Marin C, Yoo D, Redisch J, et al. Effect of low speed drilling on osseointegration using simplified drilling procedures. Br J Oral Maxillofac Surg. 2015;53(6):550–6.
Giro G, Tovar N, Marin C, Bonfante EA, Jimbo R, Suzuki M, et al. The effect of simplifying dental implant drilling sequence on osseointegration: an experimental study in dogs. Int J Biomater. 2013;2013:230310.
Jimbo R, Giro G, Marin C, Granato R, Suzuki M, Tovar N, et al. Simplified drilling technique does not decrease dental implant osseointegration: a preliminary report. J Periodontol. 2013;84(11):1599–605.
El-Kholey KE, Ramasamy S, Kumar R S, Elkomy A. Effect of Simplifying Drilling Technique on Heat Generation During Osteotomy Preparation for Dental Implant. Implant Dent. 2017;26(6):888–91.
El-Kholey KE, Elkomy A. Effect of the Drilling Technique on Heat Generation During Osteotomy Preparation for Wide-Diameter Implants. Implant Dent. 2016;25(6):825–8.
Calvo-Guirado JL, Delgado-Peña J, Maté-Sánchez JE, Mareque Bueno J, Delgado-Ruiz RA, Romanos GE. Novel hybrid drilling protocol: evaluation for the implant healing--thermal changes, crestal bone loss, and bone-to-implant contact. Clin Oral Implants Res. 2015;26(7):753–60.
Gil LF, Sarendranath A, Neiva R, Marão HF, Tovar N, Bonfante EA, et al. Bone Healing Around Dental Implants: Simplified vs Conventional Drilling Protocols at Speed of 400 rpm. Int J Oral Maxillofac Implants. 2017;32(2):329–36.
Jimbo R, Janal MN, Marin C, Giro G, Tovar N, Coelho PG. The effect of implant diameter on osseointegration utilizing simplified drilling protocols. Clin Oral Implants Res. 2014;25(11):1295–300.
Marheineke N, Scherer U, Rücker M, von See C, Rahlf B, Gellrich N-C, et al. Evaluation of accuracy in implant site preparation performed in single- or multi-step drilling procedures. Clin Oral Investig. 2018;22(5):2057–67.
Scarano A, Carinci F, Quaranta A, Di Iorio D, Assenza B, Piattelli A. Effects of Bur Wear during Implant Site Preparation: An in Vitro Study. Int J Immunopathol Pharmacol. 2007;20(1_suppl):23–6.
Allsobrook OFL, Leichter J, Holborrow D, Swain M. Descriptive study of the longevity of dental implant surgery drills. Clin Implant Dent Relat Res. 2011;13(3):244–54.
Chacon GE, Bower DL, Larsen PE, McGlumphy EA, Beck FM. Heat production by 3 implant drill systems after repeated drilling and sterilization. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2006;64(2):265–9.
Alevizakos V, Mitov G, Ahrens AM, von See C. The Influence of Implant Site Preparation and Sterilization on the Performance and Wear of Implant Drills. Int J Oral Maxillofac Implants. 2021;36(3):546–52.
Ercoli C, Funkenbusch PD, Lee H-J, Moss ME, Graser GN. The influence of drill wear on cutting efficiency and heat production during osteotomy preparation for dental implants: a study of drill durability. Int J Oral Maxillofac Implants. 2004;19(3):335–49.
jamovi [Internet]. 2021. (The jamovi project). Available from: https://www.jamovi.org
Oh HJ, Wikesjö UM, Kang H-S, Ku Y, Eom T-G, Koo K-T. Effect of implant drill characteristics on heat generation in osteotomy sites: a pilot study. Clin Oral Implants Res. 2011;22(7):722–6.
Kim S-J, Yoo J, Kim Y-S, Shin S-W. Temperature change in pig rib bone during implant site preparation by low-speed drilling. J Appl Oral Sci Rev FOB. 2010;18(5):522–7.
Scarano A, Piattelli A, Assenza B, Carinci F, Di Donato L, Romani GL, et al. Infrared thermographic evaluation of temperature modifications induced during implant site preparation with cylindrical versus conical drills. Clin Implant Dent Relat Res. 2011;13(4):319–23.
Kniha K, Heussen N, Weber E, Möhlhenrich SC, Hölzle F, Modabber A. Temperature Threshold Values of Bone Necrosis for Thermo-Explantation of Dental Implants—A Systematic Review on Preclinical In Vivo Research. Materials. 2020;13(16):3461.
Bernabeu-Mira JC, Pellicer-Chover H, Peñarrocha-Diago M, Peñarrocha-Oltra D. In Vitro Study on Bone Heating during Drilling of the Implant Site: Material, Design and Wear of the Surgical Drill. Materials. 2020;13(8):1921.
Oliveira N, Alaejos-Algarra F, Mareque-Bueno J, Ferrés-Padró E, Hernández-Alfaro F. Thermal changes and drill wear in bovine bone during implant site preparation. A comparative in vitro study: twisted stainless steel and ceramic drills. Clin Oral Implants Res. 2012;23(8):963–9.
Koo K-T, Kim M-H, Kim H-Y, Wikesjö UME, Yang J-H, Yeo I-S. Effects of Implant Drill Wear, Irrigation, and Drill Materials on Heat Generation in Osteotomy Sites. J Oral Implantol. 2015;41(2):e19–23.
Cordioli G, Majzoub Z. Heat generation during implant site preparation: an in vitro study. Int J Oral Maxillofac Implants.1997;12(2):186–93.
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Thierry Jacomo, Débora Serrano Macedo, Ellen Christine Rodrigues de Abreu, Angélica Castro Pimentel, Heloísa Fonseca Marão, Wilson Roberto Sendyk