Dental İmplant Bölgesi Preparasyonu İçin Basitleştirilmiş Frezleme Yöntemi ile Konvansiyonel Frezleme Yönteminin Karşılaştırılması
Yıl 2023,
Cilt: 4 Sayı: 1, 22 - 29, 07.08.2023
Zeynep Dilan Orhan
,
Nazlı Hilal Kahraman
Levent Ciğerim
,
Mohammad Alsmadı
Öz
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.
Kaynakça
- 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. 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. 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. 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. 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. Shigeishi H, Ohta K, Takechi M. Risk
factors for postoperative complications
following oral surgery. J Appl Oral Sci.
2015;23(4):419-23.
- 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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.
Comparison of Simplified Drilling Method and Conventional Drilling Method for Dental Implant Site Preparation
Yıl 2023,
Cilt: 4 Sayı: 1, 22 - 29, 07.08.2023
Zeynep Dilan Orhan
,
Nazlı Hilal Kahraman
Levent Ciğerim
,
Mohammad Alsmadı
Öz
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.
Kaynakça
- 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. 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. 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. 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. 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. Shigeishi H, Ohta K, Takechi M. Risk
factors for postoperative complications
following oral surgery. J Appl Oral Sci.
2015;23(4):419-23.
- 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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.