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

Article Preview

Abstract:

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.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

78-88

Citation:

Online since:

July 2017

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2017 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

* - Corresponding Author

[1] I.C. Benington, P.A. Biagioni, J. Briggs, Thermal changes observed at implant sites during internal and external irrigation, Clin Oral Impl Res 13 (2002) 293-297.

DOI: 10.1034/j.1600-0501.2002.130309.x

Google Scholar

[2] C. Ercoli, P.D. Funkenbusch, H.J. Lee, The influence of drill wear on cutting efficiency and heat production during osteotomy preparation for dental implants: a study of drill durability, Int J Oral Maxillofac Implants 19 (2004) 335-349.

Google Scholar

[3] H.J. Oh, U.M. Wikesjo, H.S. Kang, Effect of implant drill characteristics on heat generation in osteotomy sites: a pilot study, Clin Oral Impl Res 22 (2011) 722-726.

DOI: 10.1111/j.1600-0501.2010.02051.x

Google Scholar

[4] R.M. Jochum, P.A. Reichart, Influence of multiple use of Timedur® titanium cannon drills: thermal response and scanning electron microscopic findings, Clin Oral Impl Res 11 (2000) 139-143.

DOI: 10.1034/j.1600-0501.2000.110206.x

Google Scholar

[5] J. Won, Heat generation in one-piece implants during abutment preparation with high-speed cutting instruments, Zimmer Dental 5 (2008) 1-6.

Google Scholar

[6] U. Brägger, W. Wermuth, E. Török, Heat generated during preparation of titanium implants of the ITI® Dental Implant System: an in vitro study, Clin Oral Impl Res 6 (1995) 254-259.

DOI: 10.1034/j.1600-0501.1995.060409.x

Google Scholar

[7] J. Mouhyi, L. Sennerby, S. Nammour, Temperature increases during surface decontamination of titanium implants using CO2 laser, Clin Oral Impl Res 10 (1999) 54-61.

DOI: 10.1034/j.1600-0501.1999.100107.x

Google Scholar

[8] F.A. Mistr, M. Sumer, M. Yenisey, Effect of surgical drill guide on heat generated from implant drilling, J Oral Maxillofac Surg 67 (2009) 2663-2668.

DOI: 10.1016/j.joms.2009.07.056

Google Scholar

[9] K. Yoshida, K. Uoshima, K. Oda, Influence of heat stress to matrix on bone formation, Clin Oral Impl Res 20 (2009) 782-790.

DOI: 10.1111/j.1600-0501.2009.01654.x

Google Scholar

[10] F. Stelzle, C. Frenkel, M. Riemann, The effect of load on heat production, thermal effects and expenditure of time during implant site preparation – an experimental ex vivo comparison between piezosurgery and conventional drilling, Clin Oral Impl Res 25 (2014).

DOI: 10.1111/clr.12077

Google Scholar

[11] B.C. Sener, G. Dergin, B. Gursoy, Effects of irrigation tempetature on heat control in vitro at different drilling depth, Clin Oral Impl Res 20 (2009) 294-298.

DOI: 10.1111/j.1600-0501.2008.01643.x

Google Scholar

[12] G. D. Strbac, K. Giannis, E. Unger, A novel standardized bone model for thermal evaluation of bone osteotomies with various irrigation methods, Clin Oral Impl Res 25 (2014) 622–631.

DOI: 10.1111/clr.12090

Google Scholar

[13] G. D. Strbac, E. Unger, R. Donner, Thermal effects of a combined irrigation method during implant site drilling. A standardized in vitro study using a bovine rib model, Clin Oral Impl Res 25 (2014) 665-674.

DOI: 10.1111/clr.12032

Google Scholar

[14] P. Trisi, M. Berardini, A. Falco, Insufficient irrigation induces peri-implant bone resorption: an in vivo histologic analysis in sheep, Clin Oral Impl Res 25 (2014) 696-701.

DOI: 10.1111/clr.12127

Google Scholar

[15] J. L. Calvo-Guirado, J. Delgado-Peña, J. E. Maté-Sánchez, Novel hybrid drilling protocol evaluation for the implant healing – thermal changes, crestal bone loss, and bone-to-implant contact, Clin Oral Impl Res 26 (2015) 753-760.

DOI: 10.1111/clr.12341

Google Scholar

[16] T. Misic, A. Markovic, A. Todorovic, An in vitro study of temperature changes in type 4 bone during implant placement: bone condensing versus bone drilling, Oral Surg Oral Med Oral Pathol Oral Radiol Endod 112 (2011) 28-33.

DOI: 10.1016/j.tripleo.2010.08.010

Google Scholar

[17] G.E. Chacon, D.L. Bower, P.E. Larsen, Heat production by 3 implant drill systems after repeated drilling and sterilization, J Oral Maxillofac Surg 64 (2006) 265-269.

DOI: 10.1016/j.joms.2005.10.011

Google Scholar

[18] J. Gaspar, G. Borrecho, P. Oliveira, Osteotomy at low-speed drilling without irrigation versus high-speed drilling with irrigation: an experimental study, Acta Med Port 26 (2013) 231-236.

Google Scholar

[19] T.N. Ajish, P. Govindan, Thermal necrosis-experimental investigation on thermal exposure during done drilling process, Int J Appl Biomed Eng 7 (2014) 58-60.

Google Scholar

[20] K.H. Jo, K.H. Yoon, K.S. Park, Thermally induced bone necrosis during implant surgery: 3 case reports, J Korean Assoc Oral Maxillofac Surg, 37 (2011) 406-414.

DOI: 10.5125/jkaoms.2011.37.5.406

Google Scholar

[21] A.G. Bulutsuz, R.C. Tanyel, A.B. Katiboglu, Measurement of temperature change during the implant site preparation to determine influence of tool characteristics, Measurement 79 (2016) 354-359.

DOI: 10.1016/j.measurement.2015.05.046

Google Scholar

[22] K. Kirstein, M. Dobrzynski, P. Kosior, Infrared thermographic assessment of cooling effectiveness in selected dental implant systems, BioMed Res Int, volume 2016, article ID 1879468.

DOI: 10.1155/2016/1879468

Google Scholar

[23] F. Karaca, B. Aksakal, Effects of various drilling parameters on bone during implantology: an in vitro experimental study, Acta Bioeng Biomech 15 (2013) 25-32.

Google Scholar

[24] K. Yoshida, K. Uoshima, K. Oda, Influence of heat stress to matrix on bone formation, Clin Oral Impl Res 20 (2009) 782-790.

DOI: 10.1111/j.1600-0501.2009.01654.x

Google Scholar

[25] R.K. Pandey, S.S. Panda, Drilling of bone: a comprehensive review, J Clin Orthop Trauma 4 (2013) 15-30.

Google Scholar

[26] C.E. Misch, Density of bone: effect on surgical approach and healing, in: C.E. Misch (Ed. ), Contemporary implant dentistry, third ed., Mosby-Elsevier, St. Louis, 2008, 645-667.

Google Scholar

[27] A. Scarano, A. Piattelli, B. Assenza, Infrared thermographic evaluation of temperature modification induced during implant site preparation with cylindrical versus conical drills, Clin Implant Dent Relat Res 13 (2011) 319-323.

DOI: 10.1111/j.1708-8208.2009.00209.x

Google Scholar

[28] S.H. Tehemar, Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations, Int J Maxillofac Implants 14 (1999) 127-136.

Google Scholar

[29] E. Anitua, C. Carda, I. Andia, A novel drilling procedure and subsequent bone autograft preparation: a technical note, Int J Oral Maxillofac Implants 22 (2007) 138-145.

Google Scholar

[30] S.J. Kim, J. Yoo, Y.S. Kim, Temperature change in pig rib bone during implant site preparation by low-speed drilling, J Appl Oral Sci 18 (2010) 522-527.

DOI: 10.1590/s1678-77572010000500016

Google Scholar

[31] S.Y. Park, S.Y. Shin, S.M. Yang, Effect of implant drill design on the particle size of the bone collected during osteotomy, Int J Oral Maxillofac Implants 39 (2010) 1007-1011.

DOI: 10.1016/j.ijom.2010.05.009

Google Scholar

[32] A.F. Misir, M. Sumer, M. Yenisey, Effect of surgical drill guide on heat generated from implant drilling, J Oral Maxillofac Surg 67 (2009) 2663-2668.

DOI: 10.1016/j.joms.2009.07.056

Google Scholar

[33] G. Cordioli, Z. Majzoub, Heat generation during implant site preparation: an in vitro study, Int J Oral Maxillofac Implants 12 (1997) 186-193.

Google Scholar

[34] A. Markovic, T. Misic, D. Mancic, Real-time thermographic analysis of low-density bone during implant placement: a randomized parallel-group clinical study comparing lateral condensation with bone drilling surgical technique, Clin Oral Impl Res 25 (2014).

DOI: 10.1111/clr.12191

Google Scholar