Aim: The present study was done to evaluate and compare the stability of the implant and the loss of crestal bone in the implants placed using OD drilling and traditional drilling technique. Setting and Design: In vivo -comparative study. Materials and Methods: A total of 20 implants were placed in the anterior maxilla, and the patients were divided into two groups. In Group I, the implants were placed using traditional drilling technique, and in Group II, implant placement was done using OD drilling technique. Primary stability was measured in both the groups at baseline (immediate postoperative), and at an interval of 6 months, while crestal bone levels were measured at baseline, 6, and 8 months. Statistical Analysis Used: The data obtained were subjected to unpaired t-test to make intergroup comparisons, while one-way ANOVA F -test was used to make intragroup comparisons. Results: The primary stability of implant placed using OD drills was found to be slightly higher than implant placed with traditional drilling; however, there was no statistical significance ( P > 0.05). When the data obtained for crestal bone levels were statistically analyzed, no significant difference between the two groups was obtained ( P > 0.05). Conclusion: Within the limitations of this study following conclusions were drawn: there was no statistically significant difference in implant stability between the traditional drilling and OD drilling ( P < 0.05). On comparison of crestal bone levels between OD and traditional drilling, no statistically significant difference was found between the two groups ( P < 0.05).

The treatment planning phase of implant prostheses is dependent on the restorative dentist's knowledge and experience in prosthetic dentistry. Clinically, for implant prostheses, natural occlusal concepts can be applied. However, a natural tooth has a support design i.e. periodontal ligament that reduces the forces to the surrounding crest of bone compared to the same region around an implant. If biomechanical stresses are likely to increase in a clinical condition, occlusal mechanisms to decrease the stresses should be implemented by the dentist and an occlusal scheme should be developed that minimizes risk factors and allows the restoration to function in harmony with the rest of the stomatognathic system. Implant-protected occlusion is proposed as a way to overcome mechanical stresses and strain from the oral musculature and occlusion, by avoiding initial and long-term loss of crestal bone surrounding implant fixtures. Implant-protected occlusion can be accomplished by factors like decreasing the width of the occlusal table, increasing the surface area of implants, reducing the magnification of the force and improving the force direction. The dentist can minimize overload on bone-implant interfaces and implant prostheses, maintain an implant load within the physiological limits of individualized occlusion, and ultimately provide long-term stability of implants and implant prostheses by following above mentioned factors.

Pyrexic patients are usually attended with some scepticism by anaesthesiologists. Main reasons are the absence of comprehensible guidelines pertaining to anaesthesia in such patients and the presence of innumerable aetiologies of pyrexia. This article has tried to fill the existing void in the medical literature regarding anaesthesia in a patient with pyrexia. The article aims to discuss common and relevant causes of pyrexia, their pathophysiology in anaesthetic perspective, and the subsequent anaesthetic management, though a detailed discourse on all the entities causing pyrexia is beyond the scope of this article. This article will also touch upon the thermoregulatory alterations during anaesthesia. The literature search was performed manually using text and reference books, peer-reviewed journals, online and offline and through internet search engines Google, PubMed and Medline databases, using search terms ‘perioperative pyrexia or fever, anaesthesia and thermoregulation’. Articles from 1980 to 2013 in English language were selected.