Dental İmplant Bölgesi Preparasyonu İçin Basitleştirilmiş Frezleme Yöntemi ile Konvansiyonel Frezleme Yönteminin Karşılaştırılması

Abstract

Bu çalışmanın amacı, dental implant yuvasının hazırlığı için kullanılan iki farklı frezleme protokolünün implant stabilitesi ve preparasyon süresi açısından karşılaştırılmasıydı. Dental implant cerrahisine özel alt çene yapay kemik modelleri üzerinde, bir grupta basitleştirilmiş (yalnızca pilot frez ve final frezin kullanıldığı) frezleme, diğer grupta ise geleneksel (pilot frez ve final frez de dahil olmak üzere artan çaplarda tüm frezlerin kullanıldığı) frezleme yapılmış, sabit tork altında yerleştirilen implantın yuva içerisindeki uzunluğu ve yuvaların açılma süreleri not alınmıştır. Elde edilen verilere göre, her iki grup arasında implant stabiliteleri açısından fark görülmezken, basitleştirilmiş frezleme protokolü kullanılan yuvaların geleneksel frezlemeye göre daha uzun sürede hazırlandığı görülmüştür.

Keywords

• Dental implant
• frezleme
• stabilite

Comparison of Simplified Drilling Method and Conventional Drilling Method for Dental Implant Site Preparation

Abstract

The aim of this study was to compare two different drilling protocols used for dental implant socket preparation on the topic of implant stability and preparation time. On dental implant surgery specific mandibular artificial bone models, simplified drilling (using only pilot drill and final drill) in one group and conventional drilling (using all drills of increasing diameters, including pilot drill and final drill) in the other group was used. The length of the implant in the socket which placed under constant torque and the preparation times of the sockets were noted. According to the data obtained, there was no difference between the two groups in terms of implant stability, but it was observed that the sockets using the simplified drilling protocol were prepared in a longer time than the conventional drilling.

Keywords

• Dental implant
• drilling
• stability

References

1. 1. Kirstein K, Horochowska M, Jagiełło J, Bubak J, Chrószcz A, Kuropka P, vd. Dental Implant Site Drilling and Induced Morphological Changes Correlated with Temperature in Pig’s Rib Used as the Human Jaw Model. Appl Sci. Ocak 2021;11(6):2493.
2. 2. Bogovič V, Svete A, Bajsić I. Effects of a drill diameter on the temperature rise in a bone during implant site preparation under clinical conditions. Proc Inst Mech Eng [H]. Ekim 2016;230(10):907-17.
3. 3. Augustin G, Davila S, Udilljak T, Staroveski T, Brezak D, Babic S. Temperature changes during cortical bone drilling with a newly designed step drill and an internally cooled drill. Int Orthop. 01 Temmuz 2012;36(7):1449-56.
4. 4. Giro G, Tovar N, Marin C, Bonfante EA, Jimbo R, Suzuki M, vd. The effect of simplifying dental implant drilling sequence on osseointegration: an experimental study in dogs. Int J Biomater. 2013;2013:230310.
5. 5. Kim HM, Cho JY, Ryu J. Evaluation of implant stability using different implant drilling sequences. J Dent Sci. Haziran 2019;14(2):152-6.
6. 6. Shigeishi H, Ohta K, Takechi M. Risk factors for postoperative complications following oral surgery. J Appl Oral Sci. 2015;23(4):419-23.
7. 7. Lundskog J. Heat and bone tissue. An experimental investigation of the thermal properties of bone and threshold levels for thermal injury. Scand J Plast Reconstr Surg. 1972;9:1-80.
8. 8. Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, vd. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl. 1977;16:1-132.

9. 9. Brånemark PI, Adell R, Breine U, Hansson BO, Lindström J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969;3(2):81-100.
10. 10. Freitas AC, Bonfante EA, Giro G, Janal MN, Coelho PG. The effect of implant design on insertion torque and immediate micromotion. Clin Oral Implants Res. Ocak 2012;23(1):113-8.
11. 11. Lemos BF, Lopez-Jarana P, Falcao C, Ríos-Carrasco B, Gil J, Ríos-Santos JV, vd. Effects of different undersizing site preparations on implant stability. Int J Environ Res Public Health. 2020;17(23):8965.
12. 12. Tabassum A, Meijer GJ, Wolke JGC, Jansen JA. Influence of surgical technique and surface roughness on the primary stability of an implant in artificial bone with different cortical thickness: a laboratory study. Clin Oral Implants Res. Şubat 2010;21(2):213-20.
13. 13. Falisi G, Severino M, Rastelli C, Bernardi S, Caruso S, Galli M, vd. The effects of surgical preparation techniques and implant macro-geometry on primary stability: An in vitro study. Med Oral Patol Oral Cirugia Bucal. 01 Mart 2017;22(2):e201-6.
14. 14. Huang HM, Chee TJ, Lew WZ, Feng SW. Modified surgical drilling protocols influence osseointegration performance and predict value of implant stability parameters during implant healing process. Clin Oral Investig. Ekim 2020;24(10):3445-55.
15. 15. Alghamdi H, Anand PS, Anil S. Undersized implant site preparation to enhance primary implant stability in poor bone density: a prospective clinical study. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. Aralık 2011;69(12):e506- 512.
16. 16. Abdullah ZA, Hassan TA. Evaluation of Dental Implant Stability Utilizing Simplified Versus Conventional Drilling Technique, A Clinical Study. Ann Romanian Soc Cell Biol. 27 Mart 2021;4482-8.
17. 17. Yoshida K, Uoshima K, Oda K, Maeda T. Influence of heat stress to matrix on bone formation. Clin Oral Implants Res. 2009;20(8):782-90.
18. 18. Reiser GM, Nevins M. The implant periapical lesion: etiology, prevention, and treatment. Compend Contin Educ Dent Jamesburg NJ. 01 Ağustos 1995;16(8):768, 770, 772 passim.
19. 19. Bulloch SE, Olsen RG, Bulloch B. Comparison of heat generation between internally guided (cannulated) single drill and traditional sequential drilling with and without a drill guide for dental implants. Int J Oral Maxillofac Implants. 2012;27(6):1456-60.
20. 20. Watanabe F, Tawada Y, Komatsu S, Hata Y. Heat distribution in bone during preparation of implant sites: heat analysis by real-time thermography. Int J Oral Maxillofac Implants. 1992;7(2):212-9.
21. 21. Gehrke SA, Bettach R, Taschieri S, Boukhris G, Corbella S, Del Fabbro M. Temperature Changes in Cortical Bone after Implant Site Preparation Using a Single Bur versus Multiple Drilling Steps: An In Vitro Investigation. Clin Implant Dent Relat Res. Ağustos 2015;17(4):700-7.