Implantoplasty: Carbide burs vs diamond sonic tips. An in vitro study

Objectives Implantoplasty (IP) is a treatment option for peri‐implantitis. Mechanical concerns were raised on fracture resistance of implants subjected to this procedure. This study aimed to compare two methods of IP in terms of implant wear and fracture resistance, and of surface topography. Materi...

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Veröffentlicht in:Clinical oral implants research 2021-03, Vol.32 (3), p.324-336
Hauptverfasser: Sivolella, Stefano, Brunello, Giulia, Michelon, Filippo, Concheri, Gianmaria, Graiff, Lorenzo, Meneghello, Roberto
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container_end_page 336
container_issue 3
container_start_page 324
container_title Clinical oral implants research
container_volume 32
creator Sivolella, Stefano
Brunello, Giulia
Michelon, Filippo
Concheri, Gianmaria
Graiff, Lorenzo
Meneghello, Roberto
description Objectives Implantoplasty (IP) is a treatment option for peri‐implantitis. Mechanical concerns were raised on fracture resistance of implants subjected to this procedure. This study aimed to compare two methods of IP in terms of implant wear and fracture resistance, and of surface topography. Material and methods Eighteen cylindrical screw‐shaped dental implants (4 mm diameter, 13 mm length) with an external hexagonal connection were used. IP was performed on the first 6‐mm implant surface with a sequence of burs or diamond sonic tips, both followed by an Arkansas finishing. IP duration and implant weight variation were recorded. Micro‐computed tomography (micro‐CT) was used to evaluate material loss. Implant fracture resistance was assessed by static compression test. Surface topography analysis was performed with a stylus profilometer. Scanning electron microscopy–energy dispersive X‐ray spectroscopy (SEM‐EDS) was applied for implant surface morphology and elemental characterization. Results Micro‐CT showed less material loss in sonic compared to burs. No statistically significant difference was found between the mean fracture resistance values reached in bur and sonic, both followed by Arkansas, and with respect to control. IP performed with burs led to a smoother surface compared to sonic. Equivalent final surface roughness was found after Arkansas in both IP procedures. SEM‐EDS showed a deburring effect associated to sonic and revealed carbon and aluminum peaks attributable to contamination with sonic diamond tips and Arkansas bur, respectively. Conclusions IP with sonic diamond tips was found to be more conservative in terms of structure loss. This could have a clinical relevance in case of narrow‐diameter implants.
doi_str_mv 10.1111/clr.13702
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An in vitro study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Sivolella, Stefano ; Brunello, Giulia ; Michelon, Filippo ; Concheri, Gianmaria ; Graiff, Lorenzo ; Meneghello, Roberto</creator><creatorcontrib>Sivolella, Stefano ; Brunello, Giulia ; Michelon, Filippo ; Concheri, Gianmaria ; Graiff, Lorenzo ; Meneghello, Roberto</creatorcontrib><description>Objectives Implantoplasty (IP) is a treatment option for peri‐implantitis. Mechanical concerns were raised on fracture resistance of implants subjected to this procedure. This study aimed to compare two methods of IP in terms of implant wear and fracture resistance, and of surface topography. Material and methods Eighteen cylindrical screw‐shaped dental implants (4 mm diameter, 13 mm length) with an external hexagonal connection were used. IP was performed on the first 6‐mm implant surface with a sequence of burs or diamond sonic tips, both followed by an Arkansas finishing. IP duration and implant weight variation were recorded. Micro‐computed tomography (micro‐CT) was used to evaluate material loss. Implant fracture resistance was assessed by static compression test. Surface topography analysis was performed with a stylus profilometer. Scanning electron microscopy–energy dispersive X‐ray spectroscopy (SEM‐EDS) was applied for implant surface morphology and elemental characterization. Results Micro‐CT showed less material loss in sonic compared to burs. No statistically significant difference was found between the mean fracture resistance values reached in bur and sonic, both followed by Arkansas, and with respect to control. IP performed with burs led to a smoother surface compared to sonic. Equivalent final surface roughness was found after Arkansas in both IP procedures. SEM‐EDS showed a deburring effect associated to sonic and revealed carbon and aluminum peaks attributable to contamination with sonic diamond tips and Arkansas bur, respectively. Conclusions IP with sonic diamond tips was found to be more conservative in terms of structure loss. This could have a clinical relevance in case of narrow‐diameter implants.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.13702</identifier><identifier>PMID: 33341106</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Aluminum ; bone implant interactions ; Compression ; Compression tests ; Computed tomography ; Contamination ; CT imaging ; Deburring ; Dental implants ; Dental materials ; Dental Polishing ; Dental prosthetics ; Dentistry ; Diamond ; Diamonds ; Fracture toughness ; Materials Testing ; Microscopy, Electron, Scanning ; Morphology ; Profilometers ; Scanning electron microscopy ; Spectroscopy ; Statistical analysis ; Styli ; surface chemistry ; Surface Properties ; Surface roughness ; Tips ; Topography ; Transplants &amp; implants ; Wear resistance ; X-Ray Microtomography</subject><ispartof>Clinical oral implants research, 2021-03, Vol.32 (3), p.324-336</ispartof><rights>2020 John Wiley &amp; Sons A/S. 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An in vitro study</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objectives Implantoplasty (IP) is a treatment option for peri‐implantitis. Mechanical concerns were raised on fracture resistance of implants subjected to this procedure. This study aimed to compare two methods of IP in terms of implant wear and fracture resistance, and of surface topography. Material and methods Eighteen cylindrical screw‐shaped dental implants (4 mm diameter, 13 mm length) with an external hexagonal connection were used. IP was performed on the first 6‐mm implant surface with a sequence of burs or diamond sonic tips, both followed by an Arkansas finishing. IP duration and implant weight variation were recorded. Micro‐computed tomography (micro‐CT) was used to evaluate material loss. Implant fracture resistance was assessed by static compression test. Surface topography analysis was performed with a stylus profilometer. Scanning electron microscopy–energy dispersive X‐ray spectroscopy (SEM‐EDS) was applied for implant surface morphology and elemental characterization. Results Micro‐CT showed less material loss in sonic compared to burs. No statistically significant difference was found between the mean fracture resistance values reached in bur and sonic, both followed by Arkansas, and with respect to control. IP performed with burs led to a smoother surface compared to sonic. Equivalent final surface roughness was found after Arkansas in both IP procedures. SEM‐EDS showed a deburring effect associated to sonic and revealed carbon and aluminum peaks attributable to contamination with sonic diamond tips and Arkansas bur, respectively. Conclusions IP with sonic diamond tips was found to be more conservative in terms of structure loss. 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An in vitro study</title><author>Sivolella, Stefano ; Brunello, Giulia ; Michelon, Filippo ; Concheri, Gianmaria ; Graiff, Lorenzo ; Meneghello, Roberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-e9b7080b238a30fbdc1dbf82cac6db20f680b9745f29270254f2c7a9b37e281e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aluminum</topic><topic>bone implant interactions</topic><topic>Compression</topic><topic>Compression tests</topic><topic>Computed tomography</topic><topic>Contamination</topic><topic>CT imaging</topic><topic>Deburring</topic><topic>Dental implants</topic><topic>Dental materials</topic><topic>Dental Polishing</topic><topic>Dental prosthetics</topic><topic>Dentistry</topic><topic>Diamond</topic><topic>Diamonds</topic><topic>Fracture toughness</topic><topic>Materials Testing</topic><topic>Microscopy, Electron, Scanning</topic><topic>Morphology</topic><topic>Profilometers</topic><topic>Scanning electron microscopy</topic><topic>Spectroscopy</topic><topic>Statistical analysis</topic><topic>Styli</topic><topic>surface chemistry</topic><topic>Surface Properties</topic><topic>Surface roughness</topic><topic>Tips</topic><topic>Topography</topic><topic>Transplants &amp; implants</topic><topic>Wear resistance</topic><topic>X-Ray Microtomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sivolella, Stefano</creatorcontrib><creatorcontrib>Brunello, Giulia</creatorcontrib><creatorcontrib>Michelon, Filippo</creatorcontrib><creatorcontrib>Concheri, Gianmaria</creatorcontrib><creatorcontrib>Graiff, Lorenzo</creatorcontrib><creatorcontrib>Meneghello, Roberto</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral implants research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sivolella, Stefano</au><au>Brunello, Giulia</au><au>Michelon, Filippo</au><au>Concheri, Gianmaria</au><au>Graiff, Lorenzo</au><au>Meneghello, Roberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implantoplasty: Carbide burs vs diamond sonic tips. An in vitro study</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2021-03</date><risdate>2021</risdate><volume>32</volume><issue>3</issue><spage>324</spage><epage>336</epage><pages>324-336</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives Implantoplasty (IP) is a treatment option for peri‐implantitis. Mechanical concerns were raised on fracture resistance of implants subjected to this procedure. This study aimed to compare two methods of IP in terms of implant wear and fracture resistance, and of surface topography. Material and methods Eighteen cylindrical screw‐shaped dental implants (4 mm diameter, 13 mm length) with an external hexagonal connection were used. IP was performed on the first 6‐mm implant surface with a sequence of burs or diamond sonic tips, both followed by an Arkansas finishing. IP duration and implant weight variation were recorded. Micro‐computed tomography (micro‐CT) was used to evaluate material loss. Implant fracture resistance was assessed by static compression test. Surface topography analysis was performed with a stylus profilometer. Scanning electron microscopy–energy dispersive X‐ray spectroscopy (SEM‐EDS) was applied for implant surface morphology and elemental characterization. Results Micro‐CT showed less material loss in sonic compared to burs. No statistically significant difference was found between the mean fracture resistance values reached in bur and sonic, both followed by Arkansas, and with respect to control. IP performed with burs led to a smoother surface compared to sonic. Equivalent final surface roughness was found after Arkansas in both IP procedures. SEM‐EDS showed a deburring effect associated to sonic and revealed carbon and aluminum peaks attributable to contamination with sonic diamond tips and Arkansas bur, respectively. Conclusions IP with sonic diamond tips was found to be more conservative in terms of structure loss. This could have a clinical relevance in case of narrow‐diameter implants.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33341106</pmid><doi>10.1111/clr.13702</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-1436-0085</orcidid><orcidid>https://orcid.org/0000-0003-1916-1640</orcidid></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Aluminum
bone implant interactions
Compression
Compression tests
Computed tomography
Contamination
CT imaging
Deburring
Dental implants
Dental materials
Dental Polishing
Dental prosthetics
Dentistry
Diamond
Diamonds
Fracture toughness
Materials Testing
Microscopy, Electron, Scanning
Morphology
Profilometers
Scanning electron microscopy
Spectroscopy
Statistical analysis
Styli
surface chemistry
Surface Properties
Surface roughness
Tips
Topography
Transplants & implants
Wear resistance
X-Ray Microtomography
title Implantoplasty: Carbide burs vs diamond sonic tips. An in vitro study
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