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Related Concept Videos

Bone Structure01:55

Bone Structure

Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.

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Thermal Evaluation of Bone Drilling: Assessing Drill Bits and Sequential Drilling.

Sihana Rugova1, Marcus Abboud2

  • 1Department of Oral Biology and Pathology, Stony Brook University, Stony Brook, NY 11794, USA.

Bioengineering (Basel, Switzerland)
|September 27, 2024
PubMed
Summary

Sequential drilling in dental implants fails to prevent bone damage, generating harmful heat. Optimizing drilling techniques is crucial for healthy bone and successful implant integration.

Keywords:
bone cuttingbone drillingheatimplant bed preparationimplant dentistryinfrared thermographyorthopedic surgeryosteotomyperi-implantitispilot drill bitsequential drilling

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Area of Science:

  • Dental Surgery
  • Biomaterials Engineering
  • Orthopedics

Background:

  • Sequential drilling is standard practice in dental implantology to mitigate thermal bone damage.
  • However, the actual thermal impact and effectiveness of this technique require thorough evaluation.

Purpose of the Study:

  • To evaluate the thermal effects of sequential drilling in dental implant surgery.
  • To assess potential modifications in drilling protocols for effective heat management.

Main Methods:

  • Utilized a custom drill press and artificial bone models to test five drill bits.
  • Employed infrared thermography to record temperature changes at various depths around the osteotomy.
  • Investigated different drilling protocols, including sequential drilling with varying loads, spindle speeds, and peck drilling techniques.

Main Results:

  • Sequential drilling does not eliminate thermal damage, creating zones exceeding 70 °C.
  • Harmful heat generated can spread up to 10 mm from the osteotomy site.
  • The initial drill bit causes the highest temperatures (over 100 °C), with subsequent drills exacerbating thermal trauma.

Conclusions:

  • Reducing drilling RPM and load can minimize friction and thermal trauma.
  • Inadequate heat management risks impaired bone-to-implant integration and peri-implantitis.
  • Maintaining healthy bone conditions through proper thermal management is critical for successful dental implant outcomes.