Comparison of peri-implant bone loss between conventional drilling with irrigation versus low-speed drilling without irrigation

  1. Hilario Pellicer Chover 1
  2. David Peñarrocha Oltra 2
  3. Amparo Aloy Prósper 3
  4. José Carlos Sanchis González 4
  5. María Peñarrocha Diago 5
  6. Miguel Peñarrocha Diago 6
  1. 1 DDS. Collaborating Professor of the Master in Oral Surgery and Implant Dentistry. Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  2. 2 PhD, DDS. Assistant Professor of Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  3. 3 PhD, DDS. Associate Professor of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
  4. 4 DDS. Master in Oral Surgery and Implant Dentistry, Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  5. 5 MD, PhD, DDS. Full Professor of Oral surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  6. 6 MD, PhD. Chairman of Oral Surgery and Director of the Master in Oral Surgery and Implant Dentistry, Oral surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
Mostrar afiliaciones +
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2017

Volumen: 22

Número: 6

Páginas: 12

Tipo: Artículo

DOI: 10.4317/MEDORAL.21694 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

To compare the technique of high speed drilling with irrigation and low speed drilling without irrigation in order to evaluate the success rate and peri-implant bone loss at 12 months of follow-up. A randomized, controlled, parallel-group clinical trial was carried out in patients requiring dental implants to rehabilitate their unitary edentulism. Patients were recruited from the Oral Surgery Unit of the University of Valencia (Spain) between September 2014 and August 2015. Patients who met the inclusion criteria were randomized to two groups: group A (high-speed drilling with irrigation) and group B (low-speed drilling without irrigation). The success rate and peri-implant bone loss were recorded at 12 months of follow-up. Twenty-five patients (9 men and 16 women) with 30 implants were enrolled in the study: 15 implants in group A and 15 implants in group B. The mean bone loss of the implants in group A and group B was 0.83 ± 0.73 mm and 0.62 ± 0.70 mm, respectively (p > 0.05). In the maxilla, the bone loss was 1.04 ± 0.63 mm in group A and 0.71 ± 0.36 mm in group B (p > 0.05), while bone loss in the mandible was 0.59 ± 0.80 mm in group A and 0.69 ± 0.77 mm in group B (p > 0.05). The implant success rate at 12 months was 93.3% in group A and 100% in group B. Within the limitations of the study, the low-speed drilling technique presented peri-implant bone loss outcomes similar to those of the conventional drilling technique at 12 months of follow-up.

Referencias bibliográficas

  • Augustin, G, Davila, S, Mihoci, K, Udiljak, T, Vedrina, DS, Antabak, A. (2008). Thermal osteonecrosis and bone drilling parameters revisited. Archives of Orthopaedic and Trauma Surgery. 128. 71
  • Misir, AF, Sumer, M, Yenisey, M, Ergioglu, E. (2009). Effect of surgical drill guide on heat generated from implant drilling. J Oral Maxillofac Surg. 67. 2663
  • Scarano, A, Piattelli, A, Assenza, B, Carinci, F, Di Donato, L, Romani, GL. (2011). Infrared thermographic evaluation of temperature modifications induced during implant site preparation with cylindrical versus conical drills. Clin Implant Dent Relat Res. 13. 319
  • Stelzle, F, Frenkel, C, Riemann, M, Knipfer, C, Stockmann, P, Nkenke, E. (2014). The effect of load on heat production, thermal effects and expenditure of time during implant site preparation – an experimental ex vivo comparison between piezosurgery and conventional drilling. Clin Oral Implants Res. 25. 40
  • Benington, IC, Biagioni, PA, Briggs, J, Sheridan, S, Lamey, PJ. (2002). Thermal changes observed at implant sites during internal and external irrigation. Clin Oral Implants Res. 13. 293
  • Marković, A, Mišić, T, Miličić, B, Calvo-Guirado, JL, Aleksić, Z, Ðinić, A. (2013). Heat generation during implant placement in low-density bone: effect of surgical technique, insertion torque and implant macro design. Clin Oral Implants Res. 24. 798-805
  • Eriksson, AR, Albrektsson, T. (1983). Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. The Journal of Prosthetic Dentistry. 50. 101
  • Delgado-Ruiz, RA, Sacks, D, Palermo, A, Calvo-Guirado, JL, Perez-Albacete, C, Romanos, GE. (2016). Temperature and time variations during osteotomies performed with different piezosurgical devices: an in vitro study. Clin Oral Implants Res. 27. 1137
  • Scarano, A, Carinci, F, Quaranta, A, Di Iorio, D, Assenza, B, Piattelli, A. (2007). Effects of bur wear during implant site preparation: an in vitro study. Int J Immunopathol Pharmacol. 20. 23
  • Oliveira, N, Alaejos-Algarra, F, Mareque-Bueno, J, Ferrés-Padró, E, Hernández-Alfaro, F. (2012). 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. 23. 963
  • Strbac, GD, Unger, E, Donner, R, Bijak, M, Watzek, G, Zechner, W. (2014). Thermal effects of a combined irrigation method during implant site drilling. A standardized in vitro study using a bovine rib model. Clin Oral Implants Res. 25. 665
  • Strbac, GD, Giannis, K, Unger, E, Mittlböck, M, Vasak, C, Watzek, G. (2015). Drilling- and withdrawing-related thermal changes during implant site osteotomies. Clin Implant Dent Relat Res. 17. 32-43
  • Strbac, GD, Giannis, K, Unger, E, Mittlböck, M, Watzek, G, Zechner, W. (2014). A novel standardized bone model for thermal evaluation of bone osteotomies with various irrigation methods. Clin Oral Implants Res. 25. 622
  • Gehrke, SA, Bettach, R, Taschieri, S, Boukhris, G, Corbella, S, Del Fabbro, M. (2015). Temperature changes in cortical bone after implant site preparation using a single bur versus multiple drilling steps: an in vitro investigation. Clin Implant Dent Relat Res. 17. 700
  • Oh, HJ, Wikesjö, UM, Kang, HS, Ku, Y, Eom, TG, Koo, KT. (2011). Effect of implant drill characteristics on heat generation in osteotomy sites: a pilot study. Clin Oral Implants Res. 22. 722
  • Jeong, SM, Yoo, JH, Fang, Y, Choi, BH, Son, JS, Oh, JH. (2014). The effect of guided flapless implant procedure on heat generation from implant drilling. J Craniomaxillofac Surg. 42. 725
  • A Turkyilmaz, I, Tumer, C, Ozbek, EN, Tözüm, TF. (2007). Relations between the bone density values from computerized tomography, and implant stability parameters: a clinical study of 230 regular platform implants. J Clin Periodontol. 34. 716
  • Song, YD, Jun, SH, Kwon, JJ. (2009). Correlation between bone quality evaluated by cone-beam computerized tomography and implant primary stability. Int J Oral Maxillofac Implants. 24. 59-64
  • Deeb, GR, Soung, GY, Best, AM, Laskin, DM. (2015). Antibiotic Prescribing Habits of Oral and Maxillofacial Surgeons in Conjunction With Routine Dental Implant Placement. J Oral Maxillofac Surg. 73. 1926
  • Buser, D, Janner, SF, Wittneben, JG, Brägger, U, Ramseier, CA, Salvi, GE. (2012). 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients. Clin Implant Dent Relat Res. 14. 839-851
  • Eriksson, RA, Adell, R. (1986). Temperatures during drilling for the placement of implant using the osseointegration technique. J Oral Maxillofac Surg. 44. 4-7
  • Tehemar, S. (1999). H. Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations. Int J Oral Maxillofac Implants. 14. 127
  • Trisi, P, Berardini, M, Falco, A, Vulpiani, MP, Masciotra, L. (2014). Effect of 50 to 60°C heating on osseointegration of dental implants in dense bone: an in vivo histological study. Implant Dent. 23. 516
  • Sarendranath, A, Khan, R, Tovar, N, Marin, C, You, D, Redisch, J. (2015). Effect of low speed drilling on osseointegration using simplified drilling procedures. Br J Oral Maxillofac Surg. 53. 550
  • Kim, SJ, Yoo, J, Kim, YS, Shin, SW. (2010). Temperature change in pig rib bone during implant site preparation by low-speed drilling. J Appl Oral Sci. 18. 522
  • Möhlhenrich, SC, Modabber, A, Steiner, T, Mitchell, DA, Hölzle, F. (2015). Heat generation and drill wear during dental implant site preparation: systematic review. Br J Oral Maxillofac Surg. 53. 679
  • Herekar, M, Sethi, M, Mulani, S, Fernandes, A, Kulkarni, H. (2014). Influence of platform switching on periimplant bone loss: a systematic review and meta-analysis. Implant Dent. 23. 439
  • Demiralp, KÖ, Akbulut, N, Kursun, S, Argun, D, Bagis, N, Orhan, K. (2015). Survival rate of short, locking taper implants with a plateau design: a 5-year retrospective study. Biomed Res Int. 2015. 197451
  • Al-Hashedi, AA, Taiyeb-Ali, TB, Yunus, N. (2016). Outcomes of placing short implants in the posterior mandible: a preliminary randomized controlled trial. Aust Dent J. 61. 208
Fuente de los datos: Dialnet