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Osteotomy Sites Heat Generation in Dental Implant Surgery, Causes and Effects on Bone. A Review.

Yıl 2026, Cilt: 12 Sayı: 1 , 57 - 66 , 30.04.2026
https://izlik.org/JA78TH49TY

Öz

Dental implants are the first choice for rehabilitation of lost teeth because they offer excellent functional and aesthetic results. During osteotomy performed on the bone during implant surgery, heat is generated in the bone. If the generated heat exceeds the level the bone can tolerate, thermal necrosis occurs. This disrupts postoperative healing, leading to a primary loss of stability in the implant and ultimately implant failure. For this reason, researchers have studied the factors affecting bone heating during implant surgeries and proposed techniques to minimize heat generation. This review discusses the effects of temperature increase on bone.

Kaynakça

  • Aboulfath MA, El-Attar MS, El-Samni OA. Heat Generation During Implant Placement in High-density Bone: Effect of Different Drilling Techniques (In Vitro Study). Alexandria Dent J. 2021;46(2):139–45.
  • Chauhan CJ, Shah DN, Sutaria FB. Various Biomechanical Factors Affecting Heat Generation During Osteotomy Preparation: A Systematic Review. Indian J Dent Res 2018;29(1):81-92.
  • Brånemark PI. Introduction to Osseointegration. In: Brånemark PI, Zarb GA, Albrektsson T, editors. Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago: Quintessence; 1985;11-76.
  • Mavrogenis AF, Dimitriou R, Parvizi J, Babis GC. Biology of Implant Osseointegration. J Musculoskelet Neuronal Interact 2009;9(1):61-71.
  • Eriksson RA, Adell R. Temperatures During Drilling for the Placement of Implants Using the Osseointegration Technique. J Oral Maxillofac Surg 1986;44(1):4-7.
  • Kerawala CJ, Martin IC, Allan W, Williams ED. The Effects of Operator Technique and Bur Design on Temperature During Osseous Preparation for Osteosynthesis Self-tapping Screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(1):145-50.
  • Harris BH, Kohles SS. Effects of Mechanical and Thermal Fatigue on Dental Drill Performance. Int J Oral Maxillofac Implants 2001;16(1):819-26.
  • Sener BC, Dergin G, Gursoy B, Kelesoglu E, Slih I. Effects of Irrigation Temperature on Heat Control In Vitro at Different Drilling Depths. Clin Oral Implants Res 2009;20(1):294-8.
  • Alam K, Qamar SZ, Iqbal M, et al. Effect of Drill Quality on Biological Damage in Bone Drilling. Sci. Rep. 2023;13:6234.
  • Augustin G, Zigman T, Davila S, et al. Cortical Bone Drilling and Thermal Osteonecrosis. Clin Biomech 2012;27(04):313–25.
  • Eriksson AR, Albrektsson T. Temperature Threshold Levels for Heat-Induced Bone Tissue Injury: A Vital-Microscopic Study in the Rabbit. The Journal of Prosthetic Dentistry 1983;50(1):101-7.
  • Chakraborty S, Moufti M-A, Kheder W. The Effect of Dental Implant Drills Materials on Heat Generation in Osteotomy Sites: A Systematic Review. Eur J Dent. 2024;18(1):65–72.
  • Mishra SK, Chowdhary R. Heat Generated by Dental Implant Drills During Osteotomy-A Review: Heat Generated by Dental Implant Drills. J Indian Prosthodont Soc 2014;14(2):131–43.
  • 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.
  • Pandey RK, Panda DD. Drilling of Bone: A Comprehensive Review. J Clin Orthop Trauma. 2013;4:15-30.
  • Augustin G, Davila S, Mihoci K, Udiljak T, Vedrina DS, Antabak A. Thermal Osteonecrosis and Bone Drilling Parameters Revisited. Arch Orthop Trauma Surg. 2008;128:71–7.
  • Lee J, Chavez CL, Park J. Parameters Affecting Mechanical and Thermal Responses in Bone Drilling: A Review. J. Biomech. 2018;71:4–21.
  • Kim SJ, Yoo J, Kim YS, Shin SW. Temperature Change in Pig Rib Bone During Implant Site Preparation by Low-speed Drilling. J Appl Oral Sci 2010;18:522-7.
  • Eriksson AR, Albrektsson T, Albrektsson B. Heat Caused by Drilling Cortical Bone: Temperature Measured In Vivo in Patients and Animals. Acta Orthop. Scand. 1984;55(6):629–31.
  • Toews A, Bailey J, Townsend H, Barber S. Effect of Feed Rate and Drill Speed on Temperatures in Equine Cortical Bone. Am. J. Vet. Res. 1999;60(8):942–4.
  • Yacker MJ, Klein M. The Effect of Irrigation on Osteotomy Depth and Bur Diameter. Int. J. Oral Maxillofac. Implants 1996;11(5);634–8.
  • Lee JE, Gozen BA, Ozdoganlar OB. Modeling and Experimentation of Bone Drilling Forces. J. Biomech. 2012a;45(6):1076–83.
  • Lindahl O, Lindgren AG. Cortical Bone in Man II. Variation in Tensile Strength With Age and Sex. Acta Orthop. Scand. 1967;38:141–7.
  • Rüegsegger P, Durand E, Dambacher M. Differential Effects of Aging and Disease on Trabecular and Compact Bone Density of the Radius. Bone 1991;12(2);99-105.
  • Lai Y, Qin L, Hung V, Chan K. Regional Differences in Cortical Bone Mineral Density in the Weight-bearing Long Bone Shaft– a pQCT Study. Bone 2005;36(3);465-71.
  • Thompson HC. Effect of Drilling Into Bone. J Oral Surg. 1958;16:22-30.
  • Matthews Larry S, Hirsch C. Temperatures Measured in Human Cortical Bone When Drilling. J Bone Joint Surg Am. 1972;54:297- 308.
  • Hillery HT, Shuaib I. Temperature Effects in Drilling of Human and Bovine Bone. J Mater Process Technol. 1999;92-93:302-8.
  • Boyne PJ. Histologic Response of Bone to Sectioning by High Speed Rotary Instruments. J Dent Res. 1964;45:270-6.
  • Moss RW. Histopathologic Reaction of Bone to Surgical Cutting. Oral Surg Oral Med Oral Pathol. 1964;17:405-14.
  • Spartz S. Early Reaction in Bone Following the Use of Burs Rotating at Conventional and Ultra Speeds. Oral Surg Oral Med Oral Pathol. 1965;19:808-16.
  • Iyer S, Weiss C, Mehta A. Effect of Drill Speed on Heat Production and the Rate and Quality of Bone Formation in Dental Implant Osteotomies. Part I: Relationship Between Drill Speed and Heat Production. Int J Prosthodont. 1997;10(5):411-4.
  • Reingewirtz Y, Szmukler-Moncler S, Senger B. Influence of Different Parameters on Bone Heating and Drilling Time in Implantology. Clin Oral Implants Res. 1997;8:189-97.
  • Brisman DL. The Effect of Speed, Pressure and Time on Bone Temperature During the Drilling of Implant Sites. Int J Oral Maxillofac Implants. 1996;11:35-7.
  • Abouzgia MB, James DF. Temperature Rise During Drilling Through Bone. Int J Oral Maxillofac Implants. 1997;12(3):342-53.
  • Karaca F, Aksakal B, Kom M. Influence of Orthopaedic Drilling Parameters on Temperature and Histopathology of Bovine Tibia: An In Vitro Study. Med Eng Phys. 2011;33:1221-7.
  • Lee J, Ozdoganlar OB, Rabin Y. An experimental investigation on thermal exposure during bone drilling. Med Eng Phys. 2012;34:1510-20.
  • Wiggins KL, Malkin S. Drilling of Bone. J Biomech. 1976;9:553-9.
  • Kalidindi V. Optimization of Drill Design and Coolant Systems During Dental Implant Surgery. Master’s Thesis. Kentucky: University of Kentucky; 2004. Available from: https:// uknowledge.uky.edu/gradschool_thesis/314.
  • Cardioli G, Majzoub Z. Heat Generation During Implant Site Preparation: An In Vitro Study. J Oral Maxillofac Implants. 1997;12:186-93.
  • Tehemer SH. Factors Affecting Heat Generation During Implant Site Preparations: A Review of Biologic Observations and Future Considerations. Int J Oral Maxillofac Implants. 1999;14:127-36.
  • Oliveira N, Alaejos-Algarra F, Mareque-Bueno J, Ferre´s Padro´ E, Herna´ndez-Alfaro F. Thermal Changes and Drill Wear in Bovine Bone During Implant Site Preparation. A Comparative In Vitro Study: Twisted Stainless Steel and Ceramic Drills. Clin Oral Implants Res. 2012;23(8):963-9.
  • Moshiri Z, Roshanaei G, Vafaei F, Kadkhodazadeh M. Evaluation the Effect of Drill Type on Heat Generation in Implant Drilling Site. Res J Med Sci 2013;7(5–6):118–22.
  • Sumer M, Misir AF, Telcioglu NT, Guler AU, Yenisey M. Comparison of Heat Generation During Implant Drilling Using Stainless Steel and Ceramic Drills. J Oral Maxillofac Surg 2011;69(5):1350–4.
  • Scarano A, Lorusso F, Noumbissi S. Infrared Thermographic Evaluation of Temperature Modifications Induced During Implant Site Preparation With Steel vs. Zirconia Implant Drill. J Clin Med 2020;9(1):148.
  • Harder S, Egert C, Wenz HJ, Jochens A, Kern M. Influence of the Drill Material and Method of Cooling on the Development of Intrabony Temperature During Preparation of the Site of an Implant. Br J Oral Maxillofac Surg 2013;51(1):74–8.
  • Koo KT, Kim MH, Kim HY, Wikesjö UME, Yang JH, Yeo IS. Effects of Implant Drill Wear, Irrigation and Drill Materials on Heat Generation in Osteotomy Sites. J Oral Implantol 2015;41(2):19-23.
  • Er N, Alkan A, Ilday S, Bengu E. Improved Dental Implant Drill Durability and Performance Using Heat and Wear Resistant Protective Coatings. J Oral Implantol 2018;44(3):168–75.
  • Tur D, Giannis K, Unger E, Mittlböck M, Rausch-Fan X, Strbac GD. Thermal Effects of Various Drill Materials During Implant Site Preparation—Ceramic vs. Stainless Steel Drills: A Comparative In Vitro Study in a Standardised Bovine Bone Model. Clin Oral Implants Res 2021;32(2):154–66.
  • Bechtol CO, Ferguson AB, Laing PC. Metals and Engineering in Bone and Joint Surgery. 1959; Williams & Wilkins, Baltimore.
  • Sneath R. The Determination of Optimum Twist Drill Shape for Bone. Biomechanics and Related Bioengineering Topics. In: Proceedings of the Symposium of Glasgow. Peragamon Press, Oxford. 1965;41-5.
  • Karmani S, Lam F. The Design and Function of Surgical Drills and K-Wires. Curr. Orthop. 2004;18(6):484–90.
  • Lavelle C, Wedgwood D. Effect of Internal Irrigation on Frictional Heat Generated from Bone Drilling. J Oral Surg. 1980;38:499-503.
  • Haider R, Watzek G, Plenk H. Effect of Drill Cooling and Bone Structure on IMZ Implant Fixation. Int J Oral Maxillofac Implants. 1993;8:83-91.
  • Benington IC, Biagioni PA, Briggs J, Shearidan S, Lamey PJ. Thermal Changes Observed at Implant Sites During Internal and External Irrigation. Clin Oral Implants Res. 2002;13(3):293-7.
  • Kirschner H, Meyer W. Entwichlung Einer Innenkuhlung fur Chirurgische Bohrer. Dtsch Zahnaztl Zeitschrift. 1975;30:436-8.

Dental İmplant Cerrahisinde Osteotomi Bölgelerinde Isı Oluşumunun Nedenleri ve Kemiğe Etkileri. Anlatısal Derleme.

Yıl 2026, Cilt: 12 Sayı: 1 , 57 - 66 , 30.04.2026
https://izlik.org/JA78TH49TY

Öz

Dental implantlar, kaybedilen dişlerin rehabilitasyonunda, fonksiyon ve estetiği mükemmel karşıladıkları için ilk tercih olarak karşımıza çıkar. İmplant cerrahisi sırasında kemiğe uygulanan osteotomiyle birlikte kemikte ısı oluşumu meydana gelir. Oluşan ısı, kemiğin tolere edebileceği seviyeden fazla olursa kemikte termal nekroza sebep olur. Bu durum, post operatif iyileşmeyi bozacağı için implantta primer stabilite kaybına ve sonuç olarak implant kaybına neden olur. Bu sebeple araştırıcılar implant cerrahilerinde kemikteki ısıyı en aza indirecek teknikler öne sürmüşlerdir. Bu derleme, sıcaklık artışının kemiğe etkilerini tartışmaktadır.

Kaynakça

  • Aboulfath MA, El-Attar MS, El-Samni OA. Heat Generation During Implant Placement in High-density Bone: Effect of Different Drilling Techniques (In Vitro Study). Alexandria Dent J. 2021;46(2):139–45.
  • Chauhan CJ, Shah DN, Sutaria FB. Various Biomechanical Factors Affecting Heat Generation During Osteotomy Preparation: A Systematic Review. Indian J Dent Res 2018;29(1):81-92.
  • Brånemark PI. Introduction to Osseointegration. In: Brånemark PI, Zarb GA, Albrektsson T, editors. Tissue-Integrated Prostheses: Osseointegration in Clinical Dentistry. Chicago: Quintessence; 1985;11-76.
  • Mavrogenis AF, Dimitriou R, Parvizi J, Babis GC. Biology of Implant Osseointegration. J Musculoskelet Neuronal Interact 2009;9(1):61-71.
  • Eriksson RA, Adell R. Temperatures During Drilling for the Placement of Implants Using the Osseointegration Technique. J Oral Maxillofac Surg 1986;44(1):4-7.
  • Kerawala CJ, Martin IC, Allan W, Williams ED. The Effects of Operator Technique and Bur Design on Temperature During Osseous Preparation for Osteosynthesis Self-tapping Screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;88(1):145-50.
  • Harris BH, Kohles SS. Effects of Mechanical and Thermal Fatigue on Dental Drill Performance. Int J Oral Maxillofac Implants 2001;16(1):819-26.
  • Sener BC, Dergin G, Gursoy B, Kelesoglu E, Slih I. Effects of Irrigation Temperature on Heat Control In Vitro at Different Drilling Depths. Clin Oral Implants Res 2009;20(1):294-8.
  • Alam K, Qamar SZ, Iqbal M, et al. Effect of Drill Quality on Biological Damage in Bone Drilling. Sci. Rep. 2023;13:6234.
  • Augustin G, Zigman T, Davila S, et al. Cortical Bone Drilling and Thermal Osteonecrosis. Clin Biomech 2012;27(04):313–25.
  • Eriksson AR, Albrektsson T. Temperature Threshold Levels for Heat-Induced Bone Tissue Injury: A Vital-Microscopic Study in the Rabbit. The Journal of Prosthetic Dentistry 1983;50(1):101-7.
  • Chakraborty S, Moufti M-A, Kheder W. The Effect of Dental Implant Drills Materials on Heat Generation in Osteotomy Sites: A Systematic Review. Eur J Dent. 2024;18(1):65–72.
  • Mishra SK, Chowdhary R. Heat Generated by Dental Implant Drills During Osteotomy-A Review: Heat Generated by Dental Implant Drills. J Indian Prosthodont Soc 2014;14(2):131–43.
  • 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.
  • Pandey RK, Panda DD. Drilling of Bone: A Comprehensive Review. J Clin Orthop Trauma. 2013;4:15-30.
  • Augustin G, Davila S, Mihoci K, Udiljak T, Vedrina DS, Antabak A. Thermal Osteonecrosis and Bone Drilling Parameters Revisited. Arch Orthop Trauma Surg. 2008;128:71–7.
  • Lee J, Chavez CL, Park J. Parameters Affecting Mechanical and Thermal Responses in Bone Drilling: A Review. J. Biomech. 2018;71:4–21.
  • Kim SJ, Yoo J, Kim YS, Shin SW. Temperature Change in Pig Rib Bone During Implant Site Preparation by Low-speed Drilling. J Appl Oral Sci 2010;18:522-7.
  • Eriksson AR, Albrektsson T, Albrektsson B. Heat Caused by Drilling Cortical Bone: Temperature Measured In Vivo in Patients and Animals. Acta Orthop. Scand. 1984;55(6):629–31.
  • Toews A, Bailey J, Townsend H, Barber S. Effect of Feed Rate and Drill Speed on Temperatures in Equine Cortical Bone. Am. J. Vet. Res. 1999;60(8):942–4.
  • Yacker MJ, Klein M. The Effect of Irrigation on Osteotomy Depth and Bur Diameter. Int. J. Oral Maxillofac. Implants 1996;11(5);634–8.
  • Lee JE, Gozen BA, Ozdoganlar OB. Modeling and Experimentation of Bone Drilling Forces. J. Biomech. 2012a;45(6):1076–83.
  • Lindahl O, Lindgren AG. Cortical Bone in Man II. Variation in Tensile Strength With Age and Sex. Acta Orthop. Scand. 1967;38:141–7.
  • Rüegsegger P, Durand E, Dambacher M. Differential Effects of Aging and Disease on Trabecular and Compact Bone Density of the Radius. Bone 1991;12(2);99-105.
  • Lai Y, Qin L, Hung V, Chan K. Regional Differences in Cortical Bone Mineral Density in the Weight-bearing Long Bone Shaft– a pQCT Study. Bone 2005;36(3);465-71.
  • Thompson HC. Effect of Drilling Into Bone. J Oral Surg. 1958;16:22-30.
  • Matthews Larry S, Hirsch C. Temperatures Measured in Human Cortical Bone When Drilling. J Bone Joint Surg Am. 1972;54:297- 308.
  • Hillery HT, Shuaib I. Temperature Effects in Drilling of Human and Bovine Bone. J Mater Process Technol. 1999;92-93:302-8.
  • Boyne PJ. Histologic Response of Bone to Sectioning by High Speed Rotary Instruments. J Dent Res. 1964;45:270-6.
  • Moss RW. Histopathologic Reaction of Bone to Surgical Cutting. Oral Surg Oral Med Oral Pathol. 1964;17:405-14.
  • Spartz S. Early Reaction in Bone Following the Use of Burs Rotating at Conventional and Ultra Speeds. Oral Surg Oral Med Oral Pathol. 1965;19:808-16.
  • Iyer S, Weiss C, Mehta A. Effect of Drill Speed on Heat Production and the Rate and Quality of Bone Formation in Dental Implant Osteotomies. Part I: Relationship Between Drill Speed and Heat Production. Int J Prosthodont. 1997;10(5):411-4.
  • Reingewirtz Y, Szmukler-Moncler S, Senger B. Influence of Different Parameters on Bone Heating and Drilling Time in Implantology. Clin Oral Implants Res. 1997;8:189-97.
  • Brisman DL. The Effect of Speed, Pressure and Time on Bone Temperature During the Drilling of Implant Sites. Int J Oral Maxillofac Implants. 1996;11:35-7.
  • Abouzgia MB, James DF. Temperature Rise During Drilling Through Bone. Int J Oral Maxillofac Implants. 1997;12(3):342-53.
  • Karaca F, Aksakal B, Kom M. Influence of Orthopaedic Drilling Parameters on Temperature and Histopathology of Bovine Tibia: An In Vitro Study. Med Eng Phys. 2011;33:1221-7.
  • Lee J, Ozdoganlar OB, Rabin Y. An experimental investigation on thermal exposure during bone drilling. Med Eng Phys. 2012;34:1510-20.
  • Wiggins KL, Malkin S. Drilling of Bone. J Biomech. 1976;9:553-9.
  • Kalidindi V. Optimization of Drill Design and Coolant Systems During Dental Implant Surgery. Master’s Thesis. Kentucky: University of Kentucky; 2004. Available from: https:// uknowledge.uky.edu/gradschool_thesis/314.
  • Cardioli G, Majzoub Z. Heat Generation During Implant Site Preparation: An In Vitro Study. J Oral Maxillofac Implants. 1997;12:186-93.
  • Tehemer SH. Factors Affecting Heat Generation During Implant Site Preparations: A Review of Biologic Observations and Future Considerations. Int J Oral Maxillofac Implants. 1999;14:127-36.
  • Oliveira N, Alaejos-Algarra F, Mareque-Bueno J, Ferre´s Padro´ E, Herna´ndez-Alfaro F. Thermal Changes and Drill Wear in Bovine Bone During Implant Site Preparation. A Comparative In Vitro Study: Twisted Stainless Steel and Ceramic Drills. Clin Oral Implants Res. 2012;23(8):963-9.
  • Moshiri Z, Roshanaei G, Vafaei F, Kadkhodazadeh M. Evaluation the Effect of Drill Type on Heat Generation in Implant Drilling Site. Res J Med Sci 2013;7(5–6):118–22.
  • Sumer M, Misir AF, Telcioglu NT, Guler AU, Yenisey M. Comparison of Heat Generation During Implant Drilling Using Stainless Steel and Ceramic Drills. J Oral Maxillofac Surg 2011;69(5):1350–4.
  • Scarano A, Lorusso F, Noumbissi S. Infrared Thermographic Evaluation of Temperature Modifications Induced During Implant Site Preparation With Steel vs. Zirconia Implant Drill. J Clin Med 2020;9(1):148.
  • Harder S, Egert C, Wenz HJ, Jochens A, Kern M. Influence of the Drill Material and Method of Cooling on the Development of Intrabony Temperature During Preparation of the Site of an Implant. Br J Oral Maxillofac Surg 2013;51(1):74–8.
  • Koo KT, Kim MH, Kim HY, Wikesjö UME, Yang JH, Yeo IS. Effects of Implant Drill Wear, Irrigation and Drill Materials on Heat Generation in Osteotomy Sites. J Oral Implantol 2015;41(2):19-23.
  • Er N, Alkan A, Ilday S, Bengu E. Improved Dental Implant Drill Durability and Performance Using Heat and Wear Resistant Protective Coatings. J Oral Implantol 2018;44(3):168–75.
  • Tur D, Giannis K, Unger E, Mittlböck M, Rausch-Fan X, Strbac GD. Thermal Effects of Various Drill Materials During Implant Site Preparation—Ceramic vs. Stainless Steel Drills: A Comparative In Vitro Study in a Standardised Bovine Bone Model. Clin Oral Implants Res 2021;32(2):154–66.
  • Bechtol CO, Ferguson AB, Laing PC. Metals and Engineering in Bone and Joint Surgery. 1959; Williams & Wilkins, Baltimore.
  • Sneath R. The Determination of Optimum Twist Drill Shape for Bone. Biomechanics and Related Bioengineering Topics. In: Proceedings of the Symposium of Glasgow. Peragamon Press, Oxford. 1965;41-5.
  • Karmani S, Lam F. The Design and Function of Surgical Drills and K-Wires. Curr. Orthop. 2004;18(6):484–90.
  • Lavelle C, Wedgwood D. Effect of Internal Irrigation on Frictional Heat Generated from Bone Drilling. J Oral Surg. 1980;38:499-503.
  • Haider R, Watzek G, Plenk H. Effect of Drill Cooling and Bone Structure on IMZ Implant Fixation. Int J Oral Maxillofac Implants. 1993;8:83-91.
  • Benington IC, Biagioni PA, Briggs J, Shearidan S, Lamey PJ. Thermal Changes Observed at Implant Sites During Internal and External Irrigation. Clin Oral Implants Res. 2002;13(3):293-7.
  • Kirschner H, Meyer W. Entwichlung Einer Innenkuhlung fur Chirurgische Bohrer. Dtsch Zahnaztl Zeitschrift. 1975;30:436-8.
Toplam 56 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Ağız ve Çene Cerrahisi
Bölüm Derleme
Yazarlar

Emin Celalettin Ün 0009-0002-6481-4110

Gönderilme Tarihi 28 Ocak 2026
Kabul Tarihi 8 Nisan 2026
Yayımlanma Tarihi 30 Nisan 2026
IZ https://izlik.org/JA78TH49TY
Yayımlandığı Sayı Yıl 2026 Cilt: 12 Sayı: 1

Kaynak Göster

Vancouver 1.Emin Celalettin Ün. Dental İmplant Cerrahisinde Osteotomi Bölgelerinde Isı Oluşumunun Nedenleri ve Kemiğe Etkileri. Anlatısal Derleme. Aydin Dental Journal [Internet]. 01 Nisan 2026;12(1):57-66. Erişim adresi: https://izlik.org/JA78TH49TY

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