İki Farklı Frez Hızının Diş İmplantının Primer Stabilitesine Etkisinin Kıyaslanması: ex Vivo Çalışma

Yıl 2020, Cilt: 7 Sayı: 3, 481 - 487, 27.12.2020

Cenker Zeki Koyuncuoğlu , Becen Demir

https://doi.org/10.15311/selcukdentj.729987

Öz

Amaç: Bu çalışmanın amacı düşük devir ve yüksek devir ile hazırlanmış yuvalara yerleştirilmiş diş implantlarının primer stabilite değerlerinin karşılaştırılmasıdır.
Gereç ve Yöntemler: Bu ex vivo çalışmada taze sığır kemiğine 20 adet implant yerleştirilmiştir. İmplant yuvalarının 10 tanesi 800 rpm ile 10 tanesi ise 50 rpm ile hazırlanmıştır. Çalışmada kullanılan tüm implantlar 3.7 mm çap ve 10 mm boya sahiptir. İmplantlara PenguinRFA cihazının ölçüm ucu (multipeg) bağlanmış ve ölçümler kemiğin uzun eksenine paralel ve dik olacak şekilde yapılmıştır. Ölçümler her yön için üçer defa tekrarlanmış ve ortalama bir ISQ değeri hesaplanmıştır. Sonuçların ortalaması alınmış ve verilerin iki grup arası karşılaştırmalarında Student t test kullanılmıştır.
Bulgular: 800 rpm protokolünün ISQ ortalaması, 50 rpm protokolünden istatistiksel olarak anlamlı düzeyde düşük bulunmuştur (p<0.05). 
Sonuç: Bu çalışmanın sınırları dahilinde düşük devir ile hazırlanan yuvalara yerleştirilen implantların ISQ ortalaması, geleneksel yöntemle (800 rpm) hazırlanan yuvalara yerleştirilen implantların ISQ ortalamasından istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur. Bununla birlikte bu sonuçların doğrulanması için randomize kontrollü çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

Diş implantları, kemikle bütünleşim, rezonans frekans analizi, primer stabilite, düşük devirli frezleme

Kaynakça

• 1. Lekholm U, Gröndahl K, Jemt T. Outcome of oral implant treatment in partially edentulous jaws followed 20 years in clinical function. Clin Implant Dent Relat Res. 2006;8:178-86.
• 2. Dierens M, Vandeweghe S, Kisch J, Nilner K, De Bruyn H. Long-term follow-up of turned single implants placed in periodontally healthy patients after 16–22 years: radiographic and peri-implant outcome. Clin Oral Implants Res. 2012;23:197-204. doi: 10.1111/j.1600-0501.2011.02212.x. Epub 2011 Jul 6.
• 3. Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983;50:399-410.
• 4. Albrektsson T, Zarb G and Worthington P. The long term efficacy of currently used dental implants: A review and proposed criteria of success. Int J Oral Maxillofac Implants, 1986;1:11-25.
• 5. Carvalho AC, Queiroz TP, Okamoto R, Margonar R, Garcia IR Jr, Magro Filho O. Evaluation of bone heating, immediate bone cell viability, and wear of high-resistance drills after the creation of implant osteotomies in rabbit tibias. Int J Oral Maxillofac Implants. 2011;26:1193-201.
• 6. Albrektsson T, Chrcanovic B, Östman PO, Sennerby L. Initial and long-term crestal bone responses to modern dental implants. Periodontol 2000. 2017;73:41-50. doi: 10.1111/prd.12176.
• 7. Queiroz TP, Souza FA, Okamoto R, Margonar R, Pereira-Filho VA, Garcia Júnior IR, et al. Evaluation of immediate bone-cell viability and of drill wear after implant osteotomies: immunohistochemistry and scanning electron microscopy analysis. J Oral Maxillofac Surg. 2008;66:1233-40. doi: 10.1016/j.joms.2007.12.037.
• 8. Fugito Junior K, Cortes AR, de Carvalho Destro R, Yoshimoto M. Comparative Study on the Cutting Effectiveness and Heat Generation of Rotary Instruments Versus Piezoelectric Surgery Tips Using Scanning Electron Microscopy and Thermal Analysis. Int J Oral Maxillofac Implants. 2018;33:345-50. doi: 10.11607/jomi.5806.
• 9. Moslemi N, Shahnaz A, Masoumi S, Torabi S, Akbari S. Laser-Assisted Osteotomy for Implant Site Preparation: A Literature Review. Implant Dent. 2017;26:129-36. doi: 10.1097/ID.0000000000000475.
• 10. Sarendranath A, Khan R, Tovar N, Marin C, Yoo D, Redisch J, Jimbo R, Coelho PG. Effect of low speed drilling on osseointegration using simplified drilling procedures. Br J Oral Maxillofac Surg. 2015;53:550-6. doi: 10.1016/j.bjoms.2015.03.010. Epub 2015 Apr 25.
• 11. Anitua E, Carda C, Andia I. A novel drilling procedure and subsequent bone autograft preparation: a technical note. Int J Oral Maxillofac Implants. 2007;22:138-45.
• 12. 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.
• 13. Giro G, Marin C, Granato R, Bonfante EA, Suzuki M, Janal MN, et al. Effect of drilling technique on the early integration of plateau root form endosteal implants: an experimental study in dogs. J Oral Maxillofac Surg. 2011;69:2158-63. doi: 10.1016/j.joms.2011.01.029. Epub 2011 Apr 29.
• 14. Oh JH, Fang Y, Jeong SM, Choi BH. The effect of low-speed drilling without irrigation on heat generation: an experimental study. J Korean Assoc Oral Maxillofac Surg. 2016;42:9-12. doi: 10.5125/jkaoms.2016.42.1.9. Epub 2016 Feb 15.
• 15. Gaspar J, Borrecho G, Oliveira P, Salvado F, Martins dos Santos J. Osteotomy at low-speed drilling without irrigation versus high-speed drilling with irrigation: an experimental study. Acta Med Port. 2013;26:231-6. Epub 2013 Jun 28.
• 16. Davies J. Understanding peri-implant endosseous healing. J Dent Educ. 2003;67:932-49. Review.
• 17. Christina PC, Sim Niklaus PL. Factors influencing resonance frequency analysis assessed by Osstelltmentor during implant tissue integration: Instrument positioning, bone structure, implant length. Clin Oral Implants Res. 2010;21:598-604. doi: 10.1111/j.1600-0501.2009.01878.x.
• 18. Swami V, Vijayaraghavan V, Swami V. Current trends to measure implant stability. J Indian Prosthodont Soc. 2016;16:124-30. doi: 10.4103/0972-4052.176539.
• 19. Monje A, Ravidà A, Wang HL, Helms JA, Brunski JB. Relationship Between Primary/Mechanical and Secondary/Biological Implant Stability. Int J Oral Maxillofac Implants. 2019 Suppl;34:s7-s23. doi: 10.11607/jomi.19suppl.g1.
• 20. Andreotti AM, Goiato MC, Nobrega AS, Freitas da Silva EV, Filho HG, et al. Relationship between implant stability measurements obtained by two different devices: a systematic review. J Periodontol. 2017;88:281-8. doi: 10.1902/jop.2016.160436. Epub 2016 Oct 21.
• 21. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000. 2008;47:51-66. doi: 10.1111/j.1600-0757.2008.00267.x.
• 22. Petersson A, Ph E, Sennerby L. On Standard Calibration Of Isq Transducer Pegs. Prerequisites for accurate and comparable RFA measurements. Integr Diagnostics Updat. 2016;1:1-3.
• 23. Hicklin SP, Schneebeli E, Chappuis V, Janner SF, Buser D, Brägger U. Early loading of titanium dental implants with an intra-operatively conditioned hydrophilic implant surface after 21 days of healing. Clin Oral Implants Res. 2016;27:875-83. doi: 10.1111/clr.12706. Epub 2015 Dec 23.
• 24. Bural C, Dayan C, Geçkili O. Initial Stability Measurements of Implants Using a New Magnetic Resonance Frequency Analyzer With Titanium Transducers: An Ex Vivo Study. J Oral Implantol. 2020;46:35-40. doi: 10.1563/aaid-joi-D-19-00126.
• 25. Rokn A, Ghahroudi AAR, Daneshmonfared M, Menasheof R, Shamshiri AR. Tactile sense of the surgeon in determining bone density when placing dental implant. Implant Dent. 2014;23:697-703. doi: 10.1097/ID.0000000000000173.
• 26. Uchida S, Sakai A, Kudo H, Otomo H, Watanuki M, Tanaka M, Nagashima M, Nakamura T. Vascular endothelial growth factor is expressed along with its receptors during the healing process of bone and bone marrow after drill-hole injury in rats. Bone. 2003;32:491-501.
• 27. Calvo-Guirado JL, Delgado-Peña J, Maté-Sánchez JE, Mareque Bueno J, Delgado-Ruiz RA, Romanos GE. Novel hybrid drilling protocol: evaluation for the implant healing--thermal changes, crestal bone loss, and bone-to-implant contact. Clin Oral Implants Res. 2015;26:753-60.
• 28. 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.
• 29. Sharawy M, Misch CE, Weller N, Tehemar S. Heat generation during implant drilling: The significance of motor speed. J Oral Maxillofac Surg. 2002;60:1160–1169. J Oral Maxillofac Surg. 2002;60:1160-9.
• 30. Abouzgia MB, Symington JM. Effect of drill speed on bone temperature. Int J Oral Maxillofac Surg. 1996;25:394-9.
• 31. Lindstrom J, Brånemark PI, Albrektsson T. Mandibular reconstruction using the preformed autologous bone graft. Scand J Plast Reconstr Surg. 1981;15:29-38.
• 32. Tabassum A, Wismeijer D, Hogervorst J, Tahmaseb A. Comparison of Proliferation and Differentiation of Human Osteoblast-like Cells Harvested During Implant Osteotomy Preparation Using Two Different Drilling Protocols. Int J Oral Maxillofac Implants. 2020;35:141–149. doi: 10.11607/jomi.7648. Epub 2019 Jun 1.
• 33. Manzano-Moreno FJ, Herrera-Briones FJ, Linares-Recatala M, Ocaña-Peinado FM, Reyes-Botella C, Vallecillo-Capilla MF. Bacterial contamination levels of autogenous bone particles collected by 3 different techniques for harvesting intraoral bone grafts. J Oral Maxillofac Surg. 2015;73:424-9. doi: 10.1016/j.joms.2014.10.020. Epub 2014 Oct 30.
• 34. Aksoy U, Eratalay K, Tözüm TF. The possible association among bone density values, resonance frequency measurements, tactile sense, and histomorphometric evaluations of dental implant osteotomy sites: A preliminary study. Implant Dent. 2009;18:316-25.
• 35. Lages FS, Douglas-de Oliveira DW, Costa FO. Relationship between implant stability measurements obtained by insertion torque and resonance frequency analysis: A systematic review. Clin Implant Dent Relat Res. 2018;20:26-33. doi: 10.1111/cid.12565. Epub 2017 Dec 1.
• 36. Karl M, Buder T, Krafft T, Grobecker-Karl T. Reliability of clinical techniques for evaluating alveolar bone quality and primary implant stability. Quintessence Int. 2019;50:388-93. doi: 10.3290/j.qi.a42297.
• 37. Cho I-H, Lee Y-I, Kim Y-M. A comparative study on the accuracy of the devices for measuring the implant stability. J Adv Prosthodont. 2009;1:124-8.
• 38. Huwiler MA, Pjetursson BE, Bosshardt DD, Salvi GE, Lang NP. Resonance frequency analysis in relation to jawbone characteristics and during early healing of implant installation. Clin Oral Implants Res. 2007;18:275-80.
• 39. Abrahamsson I, Linder E, Lang NP. Implant stability in relation to osseointegration: An experimental study in the Labrador dog. Clin Oral Implants Res. 2009;20:313-8.
• 40. Seo DU, Kim SG, Oh JS, Lim SC. Comparative Study on Early Osseointegration of Implants According to Various Drilling Speeds in the Mandible of Dogs. Implant Dent. 2017;26:841-7. doi: 10.1097/ID.0000000000000673.
• 41. Buyukguclu G, Ozkurt-Kayahan Z, Kazazoglu E. Reliability of the Osstell Implant Stability Quotient and Penguin Resonance Frequency Analysis to Evaluate Implant Stability. Implant Dent. 2018;27:429-33. doi: 10.1097/ID.0000000000000766.
• 42. Becker W, Hujoel P, Becker BE. Resonance frequency analysis: Comparing two clinical instruments. Clin Implant Dent Relat Res. 2018;20:308-312. doi: 10.1111/cid.12598. Epub 2018 Mar 13.