Measurement of temperature change during the implant site preparation to determine influence of tool characteristics

Bulutsuz, Aslı Günay; Tanyel, Rüştü Cem; Katiboğlu, Ahmet Bülent

doi:10.1016/j.measurement.2015.05.046

Cited by 6 publications

(9 citation statements)

References 34 publications

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“…Alveolar bone is an anisotropic mineralized tissue that contains organic and inorganic materials [21]. There was demonstrated that a bone temperature of bellow 47 o C provoked by less than 1 minute drilling time does not compromise the osseointegration.…”

Section: Discussionmentioning

confidence: 99%

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Thermal Changes of Bone Induced during Drilling for Dental Implants Placement: An <i>In Vitro</i> Study

Iliescu

Petcu

Mercuţ

et al. 2017

DDF

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Bone Heating during Osteotomy for Dental Implant Placement is a High Risk Factor of Osteonecrosis. the Aim of this Study was to Investigate in Vitro the Temperature Changes Induced in Bone by Different Burs with External Cooling during the Surgical Step of Osteotomy. it was Used the Digital Infrared Camera FLIR SC640 (Flir Systems) that Allowed a Real-Time Infrared Thermographic Analysis of Thermal Images, Recorded 0.50 m Away from Osteotomy Site. there were Prepared 10 Osteotomy Sites with each MIS System Burs of Progressive Diameter (2 Mm ø, 2.8 Mm ø, and 3.2 Mm ø), at 2000 Rpm, on 30 Samples of Bovine Femoral Bone. the Thermographic Analysis Showed that the Mean Temperature Generated in Bone by Performing the Osteotomy was 46,5oC ± 0,48 for 2 Mm ø Bur, 59,5oC ± 1,62 for 2.8 Mm ø Bur, and 51,4oC ± 0,51 for 3.2 Mm ø Bur. Surprisingly the Maximal Temperatures were Recorded with Intermediatte 2.82 Mm ø Bur. the Infrared Thermography Proved to Be a High Accurate, Fast, and Efficient Non-Invasive Method of Bone Temperature Measurement Generated during Drilling for Placement of Dental Implants. while Drilling the Bone in a Progressive Sequence of Bur Diameters, the Temperature Raise is Non-Uniform because the Quantity of Removed Bone is Changing from One Bur to the other, and the Mechanical Friction of Following Burs in the Series is Reduced as Compared to the Pilot Bur.

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Section: Discussionmentioning

confidence: 99%

“…The drills and surgical technique used during implant site preparation are crucial among the other factors that influence the early osseointegration and late clinical stability of root form implants since the risk of osteonecrosis depends on drilling friction and subsequent heat generation in living bone tissue [21].…”

Section: Discussionmentioning

confidence: 99%

Thermal Changes of Bone Induced during Drilling for Dental Implants Placement: An <i>In Vitro</i> Study

Iliescu

Petcu

Mercuţ

et al. 2017

DDF

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“…53,138 Despite the dominant influences of drill bit wear on bone damage, the guidelines regarding this topic in bone drilling have yet to be established. 131 Many studies have reported the effects of drill bit wear on bone damage 11,40,91,108,109,169,178 ; the drill bit wear produces many unwanted complications in bone drilling such as elevating bone temperature above osteonecrosis level, 14,24,40,58,81,108,109,125,156,169,178 plunging into surrounding bone tissues, 9,45 and increasing thrust force and torque. 11,14,106,131,169 Furthermore, drill wear alters bone protein balance 151 and deteriorates-delamination 11 and surface roughness 11,58 -drilling hole quality.…”

Section: Influences Of Drill Bit Conditions On Bone Damage Drill Bit mentioning

confidence: 99%

Surgical Drill Bit Design and Thermomechanical Damage in Bone Drilling: A Review

Akhbar

Sulong

2020

Ann Biomed Eng

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As drilling generates substantial bone thermomechanical damage due to inappropriate cutting tool selection, researchers have proposed various approaches to mitigate this problem. Among these, improving the drill bit design is one of the most feasible and economical solutions. The theory and applications in drill design have been progressing, and research has been published in various fields. However, pieces of information on drill design are dispersed, and no comprehensive review paper focusing on this topic. Systemizing this information is crucial and, therefore, the impetus of this review. Here, we review not only the state-of-the-art in drill bit designs-advances in surgical drill bit design-but also the influences of each drill bit geometries on bone damage. Also, this work provides future directions for this topic and guidelines for designing an improved surgical drill bit. The information in this paper would be useful as a onestop document for clinicians, engineers, and researchers who require information related to the tool design in bone drilling surgery.

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“…Bone drilling is a common procedure in clinical surgeries, including for implant insertion [1,2], screw fixation [3,4], and bone fusion [5]. The heat produced from the procedure could cause thermal damage to the bone, which could kill the bone cells (thermal osteonecrosis) [6][7][8][9][10]. Widely accepted, exposure (one minute) to the temperature above 47 °C could initiate thermal osteonecrosis [11], which leads to the implant failing [12,13], screws loosening [14,15] and bone refracturing [16].…”

Section: Introductionmentioning

confidence: 99%

Drilling of bone: thermal osteonecrosis regions induced by drilling parameters

Akhbar¹,

Yusoff²

2019

Biomed. Phys. Eng. Express

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In bone-drilling research, thermal osteonecrosis regions have only begun to be investigated. This study evaluates the thermal osteonecrosis regions and bone temperature elevations induced by drilling parameters in drilling of human cortical bone. The finite element method (FEM) was used to simulate the drilling simulation. The simulation results were then validated with the experimental bonedrilling test. A new method called dimensionless weightage was proposed to evaluate the parameters that generate minimum thermal injury in bone-drilling. The FEM results displayed the thermal injury in the bone as a function of osteonecrosis diameter (OD), osteonecrosis depth (OH) and maximum bone temperature elevation (Tmax). These results allow precise evaluation of bone-drilling parameters' influences on thermal damage. Results revealed that with the recommended parameter ranges, Tmax, OD, and OH could be reduced up to 110.0 °C, 9.96 mm and 4.56 mm, respectively. This work represents a step toward the optimization of bone-drilling parameters, which can provide an accurate approximation of thermal damage in bone-drilling compared with previous research. Moreover, this work contributes valuable insights for engineers and clinicians to identify the favorable ranges of bone-drilling parameters in bone surgeries.

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Measurement of temperature change during the implant site preparation to determine influence of tool characteristics

Cited by 6 publications

References 34 publications

Thermal Changes of Bone Induced during Drilling for Dental Implants Placement: An <i>In Vitro</i> Study

Thermal Changes of Bone Induced during Drilling for Dental Implants Placement: An <i>In Vitro</i> Study

Surgical Drill Bit Design and Thermomechanical Damage in Bone Drilling: A Review

Drilling of bone: thermal osteonecrosis regions induced by drilling parameters

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