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Efficiency and thermal changes during implantoplasty in relation to bur type
Eldad Sharon1, Lior Shapira, Asaf Wilensky
1Center for Graduate Studies in Prosthodontics, The Hebrew University-Hadassah School of Dental Medicine Department of Prosthodontics, Jerusalem, Israel. eldadsharon@hadassah.org.il
Clinical Implant Dentistry and Related Research
|July 13, 2011
Summary
Choosing the right dental bur for implantoplasty significantly impacts efficiency and safety. The diamond Premium Line bur proved most effective in removing titanium with minimal heat generation, crucial for preserving surrounding bone.
Area of Science:
- Dental materials science
- Biomaterials engineering
- Surgical instrumentation
Background:
- Implantoplasty is a key treatment for peri-implantitis.
- Dental bur efficacy influences procedure time and overheating risk.
- Overheating during implantoplasty can harm surrounding bone tissue.
Purpose of the Study:
- Evaluate the efficiency of three dental burs in removing titanium implant material.
- Quantify the heat generated by different dental burs during implantoplasty.
- Compare the performance of diamond, diamond-Premium Line, and carbide burs.
Main Methods:
- Tested four burs (diamond, diamond-Premium Line, carbide, smooth control) on titanium implants.
- Used a high-speed handpiece with water spray cooling for 60 seconds.
- Measured temperature variations every 5 seconds and implant weight reduction.
Main Results:
- Diamond Premium Line bur removed the most titanium (59.24 mg), followed by carbide (29.39 mg) and diamond (11.35 mg).
- The smooth control bur removed minimal material (0.19 mg).
- All burs generated minimal temperature increases (approximately 1.5°C) under cooling.
Conclusions:
- Significant differences exist in the efficiency of burs used for titanium implantoplasty.
- Selecting an appropriate bur can substantially reduce surgical time.
- Proper cooling during implantoplasty prevents detrimental temperature increases to bone and soft tissues.
