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[Comparative study bone tissue temperature changes by using conventional and piezosurgical methods in dental
A A Kulakov1, O Yu Vinnichenko1, V A Badalyan1
1Central Research Institute of Dentistry and Maxillofacial Surgery, Ministry of Health of Russian Federation, Moscow, Russia.
Stomatologiia
|March 23, 2016
Summary
Dental implant surgery using traditional or piezosurgical methods is safe with ample irrigation. Insufficient irrigation during bone bed formation increases the risk of thermal bone damage.
Area of Science:
- Oral surgery
- Biomaterials science
- Dental implantology
Background:
- Dental implant placement requires precise bone preparation.
- Thermal damage to bone during implant bed formation is a clinical concern.
- Piezosurgery offers a potential alternative to traditional drilling methods.
Purpose of the Study:
- To compare the thermal effects of traditional and piezosurgical methods for dental implant bed preparation.
- To evaluate the impact of varying irrigation levels on bone thermal damage during implant site preparation.
Main Methods:
- Laboratory study on cadaveric and porcine mandibles with preserved soft tissues.
- Implant beds were created using traditional drills and a piezosurgical device.
- Minimal and maximal irrigation conditions were applied during bone bed formation.
Main Results:
- Both conventional and piezosurgical methods were safe for bone bed formation under copious irrigation.
- Piezosurgery demonstrated comparable safety to traditional methods with adequate irrigation.
- Reduced irrigation significantly increased the risk of thermal bone damage with both techniques.
Conclusions:
- Copious irrigation is crucial for preventing thermal bone damage during dental implant bed preparation, regardless of the method used.
- Piezosurgery can be a safe alternative to traditional drilling when appropriate irrigation protocols are followed.
- Minimizing or omitting irrigation poses a significant risk of iatrogenic thermal injury to bone tissue.
