Senada, E., El Sheikh, S., Khalil, M. (2020). EVALUATION OF SUCCESS OF SINGLE DRILLING IMPLANT SYSTEM (CLINICAL AND RADIOGRAPHIC STUDY). Alexandria Dental Journal, 45(2), 60-66. doi: 10.21608/adjalexu.2020.86759
Emad A. Senada; Samraa A. El Sheikh; Mervat M. Khalil. "EVALUATION OF SUCCESS OF SINGLE DRILLING IMPLANT SYSTEM (CLINICAL AND RADIOGRAPHIC STUDY)". Alexandria Dental Journal, 45, 2, 2020, 60-66. doi: 10.21608/adjalexu.2020.86759
Senada, E., El Sheikh, S., Khalil, M. (2020). 'EVALUATION OF SUCCESS OF SINGLE DRILLING IMPLANT SYSTEM (CLINICAL AND RADIOGRAPHIC STUDY)', Alexandria Dental Journal, 45(2), pp. 60-66. doi: 10.21608/adjalexu.2020.86759
Senada, E., El Sheikh, S., Khalil, M. EVALUATION OF SUCCESS OF SINGLE DRILLING IMPLANT SYSTEM (CLINICAL AND RADIOGRAPHIC STUDY). Alexandria Dental Journal, 2020; 45(2): 60-66. doi: 10.21608/adjalexu.2020.86759
EVALUATION OF SUCCESS OF SINGLE DRILLING IMPLANT SYSTEM (CLINICAL AND RADIOGRAPHIC STUDY)
1BDS,2010, Faculty of Dentistry, Alexandria University, Egypt.
2Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery Faculty of Dentistry, Alexandria University, Egypt.
Abstract
Introduction: Preparation of the implant osteotomy has been classically performed using drills of various shapes to conform the site to the implant's geometry. Drilling procedures may cause not only mechanical trauma to the bone but also heat-induced bone necrosis, thus representing a significant risk for failed osseointegration. As an alternative single drilling osteotomy is a technique that allows effective bone cutting with minimally traumatic procedures and less heat generation. Objectives: Evaluation of single drilling implant site preparation in affecting implant stability and crestal bone loss that takes place around the implant. Material and Methods: The study was conducted on thirteen patients having missing posterior mandibular teeth indicated for implant restoration. All implants were placed using single drilling osteotomy. After 3 months, final crowns were delivered. All implants were followed for 6 months. Clinically, each patient was evaluated for pain, swelling and stability of the implant. Radiographically, cone beam computed tomography (CBCT) was used for the assessment of marginal bone level and bone density. Results: There was a significant increase in bone density from immediate postoperative to the end of the 6 months. The mean of marginal bone level from immediately post-operative to the 3rd month was significant and from immediate to 6th month was significant. One case displayed swelling in the first week and the implant was removed (failure case) due to lack of oral hygiene maintenance by the patient. Conclusions: Single drilling osteotomy was a successful treatment procedure, with satisfactory clinical outcomes, and a low incidence of complications.
Adell R, Lekholm U, Rockler B, Branmark OI. A 15- year study of osseointegarted implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10:387-416.
Albrektsson T. direct bone anchorage of dental implant. J Prosthet Dent. 1983; 50:255-61.
O’Sullivan D, Sennerby L, Jagger D, Meredith N. Comparison of two methods of enhancing implant primary stability. Clin Implant Dent Relat Res. 2004; 6:48-57.
Davidson SR, James DF. Drilling in bone: modelling heat generation and temperature distribution. J Biomech Eng. 2003; 125:305-14.
Augustin G, Davila S, Mihoci K, Udiljak T, Vedrina DV, Antabak A. Thermal osteonecrosis and bone drilling parameters revisited. Arch Orthop Trauma Surg. 2008; 128:71-7.
Scarano A, Piattelli A, Assenza B, Carinci F, Di Donato L, Romani GL, et al. Infrared thermographic evaluation of temperature modifications induced during implant site preparation with cylindrical versus conical drills. Clin Implant Dent Relat Res. 2011; 13:319-23.
Flanagan D. Osteotomy irrigation: is it necessary? Implant Dent. 2010; 19:241-9.
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.
Chacon GE, Bower DL, Larsen PE, McGlumphy EA, Beck FM. Heat production by 3 implant drill systems after repeated drilling and sterilization. J Oral Maxillofac Surg 2006; 64: 265-9.
Bubeck KA, García-López J, Maranda LS. In vitro comparison of cortical bone temperature generation between traditional sequential drilling and a newly designed step drill in the equine third metacarpal bone. Vet Comp Orthop Traumatol 2009; 22: 442-7.
Albrektsson T, Branemark PI, Hansson HA, Lindstr◌ِ m J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand. 1981; 52:155-70.
IBS implant, Dream Series, H-1 drill – Suppliers of dental implant, fixture from South Korea. IBS Implant. 2010. Available at: http://ibsimplant.blogspot.com.eg/
Le Resche L, Burgess J, Dworkin SF. Reliability of visual analoge and verbal descriptor scales for "objective" measurement of tempromandibular disorder pain. J Dent Res 2000; 67: 33-6.
Kirkpatrick LA, Feeney BC. A simple guide to IBM SPSS statistics for version 20.0. Student ed. Belmont, Calif.: Wadsworth, Cengage Learning; 2013.
Gomez-de Diego R, Mang-de la Rosa Mdel R, RomeroPerez MJ, Cutando-Soriano A, Lopez-Valverde-Centeno A. Indications and contraindications of dental implants in medically compromised patients: update. Med Oral Patol Oral Cir Bucal. 2014; 19:e483-9.
Strbac GD, Unger E, Donner R, Bijak M, Watzek G, Zechner W. Thermal effects of a combined irrigation method during implant site drilling. A standardized in vitro study using a bovine rib model. Clin Oral Implants Res. 2014; 25:665-74.
Lee J, Ozdoganlar OB, Rabin Y. An experimental investigation on thermal exposure during bone drilling. Med Eng Phys. 2012; 34:1510-20.
Augustin G, Davila S, Udillijak 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. 2012; 36:1449-56.
Penarrocha M, Garcia B, Marti E, Balaguer J. Pain and inflammation after periapical surgery in 60 patients. J Oral Maxillofac Surg. 2006; 64:429-33.
Jimbo R, Janal MN, Marin C, Giro G, Tovar N, Coelho PG. The effect of implant diameter on osseointegration utilizing simplified drilling protocols. Clin Oral Implants Res. 2014; 25:1295-300.
Giro G, Tovar N, Marin C, Bonfante EA, Jimbo R, Suzuki M, et al. The effect of simplifying dental implant drilling sequence on osseointegration: an experimental study in dogs. Int J Biomater 2013; 2013:230310.
Bettach R, Taschieri S, Boukhris G, Del Fabbro M. Implant survival after preparation of the implant site using a single bur: a case series. Clin Implant Dent Relat Res. 2015;17:13-21.
Gehrke SA. Evaluation of the Cortical Bone Reaction Around of Implants Using a Single-Use Final Drill: A Histologic Study. J Craniofac Surg 2015; 26:1482-6.
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 2015;17:700-7.
Bratu E, Mihali S, Shapira L, Bratu DC, Wang HL. Crestal bone remodeling around implants placed using a short drilling protocol. Int J Oral Maxillofac Implants. 2015; 30:435-40.
Marheineke N, Scherer U, Rucker M, von See C, Rahlf B, Gellrich NC, et al. Evaluation of accuracy in implant site preparation performed in single- or multi-step drilling procedures. Clin Oral Investig. 2018; 22:2057-67.
Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res. 2008; 19:119-30.
Schneider D, Marquardt P, Zwahlen M, Jung RE. A systematic review on the accuracy and the clinical outcome of computer-guided template-based implant dentistry. Clin Oral Implants Res. 2009; 20:73-86.
Sim CP, Lang NP. Factors influencing resonance frequency analysis assessed by Osstell mentor during implant tissue integration: I. Instrument positioning, bone structure, implant length. Clin Oral Implants Res. 2010; 21:598-604.
Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000 2008;47:51-66.
Kim SK, Lee HN, Choi YC, Heo SJ, Lee CW, Choie MK. Effects of anodized oxidation or turned implants on bone healing after using conventional drilling or trabecular compaction technique: histomorphometric analysis and RFA. Clin Oral Implants Res. 2006; 17:644-50.
Friberg B, Ekestubbe A, Sennerby L. Clinical outcome of Branemark System implants of various diameters: a retrospective study. Int J Oral Maxillofac Implants. 2002; 17:671-7.
Scherer U, Stoetzer M, Ruecker M, Gellrich NC, von See C. Template-guided vs. non-guided drilling in site preparation of dental implants. Clin Oral Investig. 2015; 19:1339-46.
Tabassum A, Meijer GJ, Wolke JG, 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. 2010; 21:213-20.
Hashem AA, Claffey NM, O'Connell B. Pain and anxiety following the placement of dental implants. Int J Oral Maxillofac Implants. 2006; 21:943-50.
Karabuda ZC, Bolukbasi N, Aral A, Basegmez-Zeren C, Ozdemir T. Comparison of analgesic and antiinflammatory efficacy of selective and non-selective cyclooxygenase-2 inhibitors in dental implant surgery. J Periodontol. 2007; 78:2284-8.
Al-Sabbagh M, Bhavsar I. Key local and surgical factors related to implant failure. Dent Clin North Am. 2015; 59:1-23.
Al-Sudani RJ. Assessment of bone density after six months from dental implants placement using Computed Tomography. J Baghdad Coll Dent. 2014; 26:126-8.
Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012; 23:2-21.
Galindo-Moreno P, Leon-Cano A, Ortega-Oller I, Monje A, F OV, Catena A. Marginal bone loss as success criterion in implant dentistry: beyond 2 mm. Clin Oral Implants Res. 2015;26:28-34.