Effect of the Combination of Low-Speed Drilling and Cooled Irrigation Fluid on Intraosseous Heat Generation During Guided Surgical Implant Site Preparation

Barrak, Ibrahim Ádám; Joób-Fancsaly, Árpád; Barootchi, Shayan; Boa, Kristóf; Piffkò, József

doi:10.1097/id.0000000000000607

Cited by 20 publications

(16 citation statements)

References 18 publications

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“…Many factors related to the implant recipient site preparation may influence healing and osseointegration. [ 1 ] Aspects associated with the number of drills used, [ 2 – 5 ] their rotatory speed [ 6 – 9 ], diameters,[ 3 , 10 ] and conformation [ 3 , 11 – 16 ] have been widely investigated, as had the forces applied during site preparation,[ 17 , 18 ] the type of cooling applied [ 9 , 14 , 15 , 19 – 21 ] and the hardness of the bone, [ 3 , 22 ] which will affect heat production and healing processes.…”

Section: Introductionmentioning

confidence: 99%

Healing at sites prepared using different drilling protocols. An experimental study in the tibiae of sheep

Favero¹,

Sakuma²,

Alccayhuaman³

et al. 2018

PLoS ONE

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The aim of the experiment was to study the healing at implants installed in site prepared in bone type 1 using different rotation speeds and cooling strategies. The tibiae of twelve sheep were used as experimental sites. Two implant sites were prepared in each tibia using drills either at a high or a mixed speed under irrigation. At the mixed-speed sites, 60 rpm without irrigation were applied for the last drill, the countersink and during implant installation. Biopsies representing the healing after 1, 2, and 6 weeks were obtained and ground sections were prepared. At the histological analyses, after 1 week of healing, no new bone was found at both high- and mixed-speed sites. After 2 weeks of healing, small amounts of newly formed bone were observed in the cortical layer, reaching percentages of 3.6±3.0% at the mixed-speed sites, and of 2.2±1.5% at the high-speed sites. An irrelevant quantity of new bone was seen in the marrow compartments of a few specimens. After 6 weeks of healing, new bone was found in higher quantity, reaching in the cortical compartment 66.9±6.8% and 67.3±17.7% at the mixed- and high-speed sites, respectively. The respective percentages in the marrow compartment were 23.2±13.0% and 30.6±29.2%. No statistically significant differences between high- and mixed-speed groups were found. It was concluded that the use of the last drill and the installation of the implant with or without irrigation yielded similar bone healing and osseointegration.

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Section: Introductionmentioning

confidence: 99%

Healing at sites prepared using different drilling protocols. An experimental study in the tibiae of sheep

Favero¹,

Sakuma²,

Alccayhuaman³

et al. 2018

PLoS ONE

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“…The use of irrigation fluid being pre-cooled to 15°C provides no significant reduction of temperature change though. [35] Our presented results confirm that the use of prefabricated drilling guides during implant site preparation results in a higher temperature rise when compared to that of the freehand method, however, the use of 1200 RPM is still a safe choice. Higher drilling speeds of 1500 and 2000 RPM have also been investigated in our study.…”

Section: )supporting

confidence: 73%

Intraosseous temperature rise due to template-guided and freehand surgical drilling with special attention to the role of cooled irrigation fluids in its control

Boa¹

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“…Cooling: Sufficient cooling and flushing can prevent a temperature rise above the limit value of 47˚C (2, 9, 35). There are different opinions or inconsistent results in the literature on the different cooling systems (internal vs. external cooling), the quantity to be used and the temperature of the liquid (45,(51)(52)(53)(54)(55).…”

Section: External Factors External Factors Are Consideredmentioning

confidence: 99%

Heat Development During Medical Drilling: Influencing Factors and Examination Methods – Overview and First Results

Jung

Lindner²,

Pantermehl

et al. 2021

In Vivo

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Effect of the Combination of Low-Speed Drilling and Cooled Irrigation Fluid on Intraosseous Heat Generation During Guided Surgical Implant Site Preparation

Abstract: The use of irrigation fluid being cooled to 10°C combined with low-speed drilling (800 rpm) seems to be a safe method for implant site preparation and drilling through a drilling guide in terms of temperature control.

Cited by 20 publications

References 18 publications

Healing at sites prepared using different drilling protocols. An experimental study in the tibiae of sheep

Healing at sites prepared using different drilling protocols. An experimental study in the tibiae of sheep

Intraosseous temperature rise due to template-guided and freehand surgical drilling with special attention to the role of cooled irrigation fluids in its control

Heat Development During Medical Drilling: Influencing Factors and Examination Methods – Overview and First Results

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