The Influence of Implant Site Preparation and Sterilization on the Performance and Wear of Implant Drills

Alevizakos, Vasilios; Mitov, Gergo; Ahrens, Alexander Max; See, Constantin von

doi:10.11607/jomi.8099

Cited by 8 publications

(6 citation statements)

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“…In this study, the other drills showed no statistically significant differences. In a previous study investigating the influence of implant site preparation and sterilization on the performance and wear of implant drills made of medical steel, only the pilot drills showed a significant increase in drilling time after 30 drill cycles [23]. The findings of a study by Batista Mendes et al [24] showed that zirconia drills exhibited smoother surfaces compared to stainless steel drills, which displayed more pronounced signs of wear.…”

Section: Discussionmentioning

confidence: 95%

“…Every cleaning and sterilization process subjects every drill to thermal, pressurerelated, and mechanical stress. This might lead to wear effects on the cutting flutes [23]. Because of the low risk of infection and the excessively high material costs associated with single-use, it is generally standard practice to sterilize the implant drills [43][44][45].…”

Section: Discussionmentioning

confidence: 99%

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Influence of Multiple Used Implant Drills on Their Cutting Performance and Fracture Resistance

2023

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This study aimed to analyze the influence of multiple uses of zirconia implant drills on their cutting performance and bending strength. The hypothesis was that drill usage and sterilization cycles would not affect drilling time or flexural strength. Sixty zirconia twist drills from Z-Systems were used to drill in the angulus mandibulae region of fresh porcine jaws. The drills were divided into four groups based on the cycle count, and the drilling time was measured. Bending strength tests were conducted using a universal testing machine, and statistical analysis was performed using ANOVA tests. The results showed that drilling times followed a normal distribution, and significant differences were observed in drilling times between group 1 and the other groups for the pilot drill. However, no significant differences were found for ø3.75 mm and ø4.25 mm drills, and drilling times also varied significantly among different drill diameters, regardless of the cycle count. Flexural strength did not significantly differ among drill diameters or sterilization cycles. Overall, using and sterilizing zirconia implant drills had no significant impact on drilling time or flexural strength. Nevertheless, drilling times did vary depending on the diameter of the drill. These findings provide valuable insights into the performance and durability of zirconia implant drills, contributing to the optimization of dental implant procedures.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Influence of Multiple Used Implant Drills on Their Cutting Performance and Fracture Resistance

2023

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“…According to Alevizakos et al (2021), the sterilization process can affect the main cutting edges of the drill; however, in order to gain a better understanding of the relationship between implant holder preparation and the influence of sterilization on drill performance and wear, further studies are required.…”

Section: The Evolution Of Research In Health Science Drills Physical ...mentioning

confidence: 99%

Drills physical changes after osteotomies and sterilization

Guimarães,

Soares,

Martins

et al. 2024

The Evolution of Research in Health Sciences

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Some research suggest that the good condition of the drills used in osteotomies for dental implants is fundamental to a minimally invasive surgical technique, decreasing the temperature when preparing the surgical area. Objective: Analyze the wear of the drills used in osteotomies for dental implants, comparing the physical changes of the groups and types of coatings after their use, as well as evaluating the difference in these changes with and without sterilization. Ninety-six drills were used, 48 of which were spear-type (24 steel and 24 Diamond like carbon (DLC)) and 48 helical-type (24 steel and 24 DLC), divided into four groups: (G0), (G1), (G2) and (G3), with 0, 45, 90 and 135 osteotomies, with and without sterilization, evaluated by scanning electron microscopy (SEM). In this study, were used bovines ribs, with dimensions of 20cm in length, for osteotomies. Results: Wear of the drills after 90 osteotomies, p-value < 0.001; no evidence was found about the wear related to the sterilization process; and better performance of the steel twist drills in group G2 compared to the DLC twist drills in the same group, analyzed using the Mann-Whitney and Friedman statistical tests, as well as Dunn's post hoc test. Conclusion: Considering the wear and tear on the drills, their reuse is safe for up to 90 osteotomies.

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“…If the drill gets stuck, the broken piece should be carefully removed from the socket to cause minimum damage to the bone. If the stabilization of the socket is not complete or damaged due to heating, the implant process should be postponed and it should be planned after bone reconstruction is achieved (17)(18)(19).…”

Section: Drill Fracturesmentioning

confidence: 99%

Complications and Solution Suggestions Before and After Treatment in Dental Implanology

Gungor

2023

Braz. J. Implantol. Health Sci.

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Dental implants have revolutionized the field of restorative dentistry, providing patients with a reliable and aesthetically pleasing solution for missing teeth. However, the success of dental implant therapy is contingent upon the meticulous planning, precise execution, and comprehensive post-operative care. Despite advancements in implant technology and surgical techniques, complications can arise, jeopardizing the overall outcome of the treatment. Various complications associated with dental implants, encompassing both early and late post-operative issues have been reported. Early complications, such as infection, implant malposition, and nerve injuries, are often related to the surgical phase, whereas late complications, including peri-implantitis, implant fracture, and prosthesis-related problems, manifest in the long-term post-operative period. Moreover, this review delves into the etiological factors, clinical manifestations, diagnostic approaches, and management strategies for each complication. Additionally, the article explores recent developments in implant surface modifications, biomaterials, and surgical techniques aimed at minimizing these complications. A thorough understanding of these complications is crucial for dental practitioners to enhance patient outcomes, improve the longevity of dental implants, and ensure patient satisfaction.

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The Influence of Implant Site Preparation and Sterilization on the Performance and Wear of Implant Drills

Cited by 8 publications

References 0 publications

Influence of Multiple Used Implant Drills on Their Cutting Performance and Fracture Resistance

Influence of Multiple Used Implant Drills on Their Cutting Performance and Fracture Resistance

Drills physical changes after osteotomies and sterilization

Complications and Solution Suggestions Before and After Treatment in Dental Implanology

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