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Updated: Feb 9, 2026

Experimental Model of Ligature-Induced Peri-Implantitis in Mice
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Peri-Implant Bone Behavior after Single Drill versus Multiple Sequence for Osteotomy Drill.

Sergio Alexandre Gehrke1, Raphaél Bettach2,3, Jaime Sardá Aramburú Júnior4

  • 1Department of Research, Biotecnos Research Center, Montevideo, Uruguay.

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This study found no significant difference in osseointegration for titanium dental implants using a single drill versus multiple drills. The drilling protocol did not impact bone-to-implant contact or stability in a rabbit model.

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Area of Science:

  • Biomaterials Science
  • Dental Implantology
  • Surgical Research

Background:

  • Osseointegration is crucial for dental implant success.
  • Drilling protocols can influence the osseointegration process.
  • Evaluating different drilling sequences is important for optimizing implant outcomes.

Purpose of the Study:

  • To compare the effect of different drilling protocols on osseointegration of titanium dental implants.
  • To assess peri-implant bone healing using resonance frequency analysis, removal torque, and histomorphometry.
  • To evaluate the influence of single versus multiple drill sequences on implant stability.

Main Methods:

  • Three drilling protocols were compared in a rabbit tibia model: single unique drill (Group 1), three consecutive cylindrical drills (Group 2), and three consecutive conical drills (Group 3).
  • Fifty-four titanium dental implants were placed across the three groups.
  • Resonance frequency analysis, removal torque tests, and histomorphometric analysis were performed at 6 weeks post-implantation.

Main Results:

  • Resonance frequency analysis showed statistical differences between groups initially, but not at 6 weeks.
  • Removal torque tests and histomorphometric analysis revealed no significant differences in bone-to-implant contact between the groups.
  • The drilling protocol did not significantly affect implant stability or osseointegration at 6 weeks.

Conclusions:

  • Osteotomy using a single drill did not demonstrate significant differences in assessed parameters compared to multi-drill protocols.
  • The evaluated drilling protocols appear to yield similar peri-implant behavior in this preclinical model.
  • Further research may explore long-term effects or different implant designs.