Intra‐osseous heat generation during implant bed preparation with static navigation: Multi‐factor in vitro study

Objectives To compare the intra‐osseous temperature reached during bone drilling for dental implant placement using open versus closed static surgical guides and evaluate the influence of bone density, osteotomy drilling depth, and irrigation fluid temperature. Material and methods 960 osteotomies w...

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Veröffentlicht in:Clinical oral implants research 2021-05, Vol.32 (5), p.590-597
Hauptverfasser: Gargallo‐Albiol, Jordi, Salomó‐Coll, Oscar, Lozano‐Carrascal, Naroa, Wang, Hom‐Lay, Hernández‐Alfaro, Federico
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container_end_page 597
container_issue 5
container_start_page 590
container_title Clinical oral implants research
container_volume 32
creator Gargallo‐Albiol, Jordi
Salomó‐Coll, Oscar
Lozano‐Carrascal, Naroa
Wang, Hom‐Lay
Hernández‐Alfaro, Federico
description Objectives To compare the intra‐osseous temperature reached during bone drilling for dental implant placement using open versus closed static surgical guides and evaluate the influence of bone density, osteotomy drilling depth, and irrigation fluid temperature. Material and methods 960 osteotomies were performed with 2 mm pilot drills in 16 solid rigid polyurethane foam blocks. Two main variables were considered: the guide type (open or closed guide) and bone density (hard (D1) or soft (D4). The blocks were divided into four groups according to the type of surgical template and bone density as follows: group one: closed guide and hard bone; group two: open guide and hard bone; group three: closed guide and soft bone; and group four: open guide and soft bone. A combination of different experimental conditions was used, including different bone osteotomy depths (6 or 13 mm) and irrigation fluid temperatures (5°C or 21°C). Results The highest mean temperature was found in group one (28.29 ± 4.02°C). In the soft bone groups (three and four), the mean maximum temperature decreased compared to groups one and two (dense bone) and was always higher with closed guides (23.38 ± 1.92°C) compared to open guides (21.97 ± 1.22°C) (p 
doi_str_mv 10.1111/clr.13728
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Material and methods 960 osteotomies were performed with 2 mm pilot drills in 16 solid rigid polyurethane foam blocks. Two main variables were considered: the guide type (open or closed guide) and bone density (hard (D1) or soft (D4). The blocks were divided into four groups according to the type of surgical template and bone density as follows: group one: closed guide and hard bone; group two: open guide and hard bone; group three: closed guide and soft bone; and group four: open guide and soft bone. A combination of different experimental conditions was used, including different bone osteotomy depths (6 or 13 mm) and irrigation fluid temperatures (5°C or 21°C). Results The highest mean temperature was found in group one (28.29 ± 4.02°C). In the soft bone groups (three and four), the mean maximum temperature decreased compared to groups one and two (dense bone) and was always higher with closed guides (23.38 ± 1.92°C) compared to open guides (21.97 ± 1.22°C) (p &lt; .001). The osteotomy depth and irrigation fluid temperature also significantly influenced the bone temperature (p &lt; .001), especially in hard bone. Conclusions The greatest heat generation was observed in high‐density bone. The final intra‐bone temperature was about 1°C higher with a closed static surgical guide than with an open guide. The heat generation in osteotomy sites was substantially reduced by cooling the irrigation fluid to 5°C.</description><identifier>ISSN: 0905-7161</identifier><identifier>EISSN: 1600-0501</identifier><identifier>DOI: 10.1111/clr.13728</identifier><identifier>PMID: 33629419</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Biomedical materials ; Bone density ; bone tissue ; computer‐aided surgery ; computer‐assisted surgery ; Dental Implantation, Endosseous ; Dental Implants ; Dental materials ; Dentistry ; Drilling ; Heat ; Heat generation ; Hot Temperature ; Lavage ; Osteotomy ; Polyurethane ; Polyurethane foam ; Surgical instruments ; Temperature ; Therapeutic Irrigation</subject><ispartof>Clinical oral implants research, 2021-05, Vol.32 (5), p.590-597</ispartof><rights>2021 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2021 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2021 John Wiley &amp; Sons A/S</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-e869e4b88c3fce2af289521b9b96329f34fc0098d966c73241be2c8c1837100c3</citedby><cites>FETCH-LOGICAL-c3888-e869e4b88c3fce2af289521b9b96329f34fc0098d966c73241be2c8c1837100c3</cites><orcidid>0000-0002-9307-8258 ; 0000-0002-5883-1363 ; 0000-0003-4238-1799</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fclr.13728$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fclr.13728$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33629419$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gargallo‐Albiol, Jordi</creatorcontrib><creatorcontrib>Salomó‐Coll, Oscar</creatorcontrib><creatorcontrib>Lozano‐Carrascal, Naroa</creatorcontrib><creatorcontrib>Wang, Hom‐Lay</creatorcontrib><creatorcontrib>Hernández‐Alfaro, Federico</creatorcontrib><title>Intra‐osseous heat generation during implant bed preparation with static navigation: Multi‐factor in vitro study</title><title>Clinical oral implants research</title><addtitle>Clin Oral Implants Res</addtitle><description>Objectives To compare the intra‐osseous temperature reached during bone drilling for dental implant placement using open versus closed static surgical guides and evaluate the influence of bone density, osteotomy drilling depth, and irrigation fluid temperature. Material and methods 960 osteotomies were performed with 2 mm pilot drills in 16 solid rigid polyurethane foam blocks. Two main variables were considered: the guide type (open or closed guide) and bone density (hard (D1) or soft (D4). The blocks were divided into four groups according to the type of surgical template and bone density as follows: group one: closed guide and hard bone; group two: open guide and hard bone; group three: closed guide and soft bone; and group four: open guide and soft bone. A combination of different experimental conditions was used, including different bone osteotomy depths (6 or 13 mm) and irrigation fluid temperatures (5°C or 21°C). Results The highest mean temperature was found in group one (28.29 ± 4.02°C). In the soft bone groups (three and four), the mean maximum temperature decreased compared to groups one and two (dense bone) and was always higher with closed guides (23.38 ± 1.92°C) compared to open guides (21.97 ± 1.22°C) (p &lt; .001). The osteotomy depth and irrigation fluid temperature also significantly influenced the bone temperature (p &lt; .001), especially in hard bone. Conclusions The greatest heat generation was observed in high‐density bone. The final intra‐bone temperature was about 1°C higher with a closed static surgical guide than with an open guide. The heat generation in osteotomy sites was substantially reduced by cooling the irrigation fluid to 5°C.</description><subject>Biomedical materials</subject><subject>Bone density</subject><subject>bone tissue</subject><subject>computer‐aided surgery</subject><subject>computer‐assisted surgery</subject><subject>Dental Implantation, Endosseous</subject><subject>Dental Implants</subject><subject>Dental materials</subject><subject>Dentistry</subject><subject>Drilling</subject><subject>Heat</subject><subject>Heat generation</subject><subject>Hot Temperature</subject><subject>Lavage</subject><subject>Osteotomy</subject><subject>Polyurethane</subject><subject>Polyurethane foam</subject><subject>Surgical instruments</subject><subject>Temperature</subject><subject>Therapeutic Irrigation</subject><issn>0905-7161</issn><issn>1600-0501</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctKAzEUhoMoWqsLX0ACbnQxNpeZTOJOipdCRRBdh0wmUyPTmTHJVLrzEXxGn8TUVheC2YScfHycc34AjjA6x_GMdO3OMc0J3wIDzBBKUIbwNhgggbIkxwzvgX3vXxBCTHCxC_YoZUSkWAxAmDTBqc_3j9Z70_YePhsV4Mw0xqlg2waWvbPNDNp5V6smwMKUsHOmU5vvNxueoQ_xoWGjFnb2Xb6Ad30dbNRWSofWQdvAhQ2ujWhfLg_ATqVqbw439xA8XV89jm-T6f3NZHw5TTTlnCeGM2HSgnNNK22IqggXGcGFKASjRFQ0rTRCgpeCMZ1TkuLCEM015jTHCGk6BKdrb-fa1974IOfWa1PHSVazSpIKmqaCcBLRkz_oS9u7JnYnSUayLCcZzyN1tqa0i_typpKds3PllhIjuYpCxijkdxSRPd4Y-2Juyl_yZ_cRGK2BN1ub5f8mOZ4-rJVfyz6Vjg</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Gargallo‐Albiol, Jordi</creator><creator>Salomó‐Coll, Oscar</creator><creator>Lozano‐Carrascal, Naroa</creator><creator>Wang, Hom‐Lay</creator><creator>Hernández‐Alfaro, Federico</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9307-8258</orcidid><orcidid>https://orcid.org/0000-0002-5883-1363</orcidid><orcidid>https://orcid.org/0000-0003-4238-1799</orcidid></search><sort><creationdate>202105</creationdate><title>Intra‐osseous heat generation during implant bed preparation with static navigation: Multi‐factor in vitro study</title><author>Gargallo‐Albiol, Jordi ; Salomó‐Coll, Oscar ; Lozano‐Carrascal, Naroa ; Wang, Hom‐Lay ; Hernández‐Alfaro, Federico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-e869e4b88c3fce2af289521b9b96329f34fc0098d966c73241be2c8c1837100c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Biomedical materials</topic><topic>Bone density</topic><topic>bone tissue</topic><topic>computer‐aided surgery</topic><topic>computer‐assisted surgery</topic><topic>Dental Implantation, Endosseous</topic><topic>Dental Implants</topic><topic>Dental materials</topic><topic>Dentistry</topic><topic>Drilling</topic><topic>Heat</topic><topic>Heat generation</topic><topic>Hot Temperature</topic><topic>Lavage</topic><topic>Osteotomy</topic><topic>Polyurethane</topic><topic>Polyurethane foam</topic><topic>Surgical instruments</topic><topic>Temperature</topic><topic>Therapeutic Irrigation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gargallo‐Albiol, Jordi</creatorcontrib><creatorcontrib>Salomó‐Coll, Oscar</creatorcontrib><creatorcontrib>Lozano‐Carrascal, Naroa</creatorcontrib><creatorcontrib>Wang, Hom‐Lay</creatorcontrib><creatorcontrib>Hernández‐Alfaro, Federico</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>Gargallo‐Albiol, Jordi</au><au>Salomó‐Coll, Oscar</au><au>Lozano‐Carrascal, Naroa</au><au>Wang, Hom‐Lay</au><au>Hernández‐Alfaro, Federico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intra‐osseous heat generation during implant bed preparation with static navigation: Multi‐factor in vitro study</atitle><jtitle>Clinical oral implants research</jtitle><addtitle>Clin Oral Implants Res</addtitle><date>2021-05</date><risdate>2021</risdate><volume>32</volume><issue>5</issue><spage>590</spage><epage>597</epage><pages>590-597</pages><issn>0905-7161</issn><eissn>1600-0501</eissn><abstract>Objectives To compare the intra‐osseous temperature reached during bone drilling for dental implant placement using open versus closed static surgical guides and evaluate the influence of bone density, osteotomy drilling depth, and irrigation fluid temperature. Material and methods 960 osteotomies were performed with 2 mm pilot drills in 16 solid rigid polyurethane foam blocks. Two main variables were considered: the guide type (open or closed guide) and bone density (hard (D1) or soft (D4). The blocks were divided into four groups according to the type of surgical template and bone density as follows: group one: closed guide and hard bone; group two: open guide and hard bone; group three: closed guide and soft bone; and group four: open guide and soft bone. A combination of different experimental conditions was used, including different bone osteotomy depths (6 or 13 mm) and irrigation fluid temperatures (5°C or 21°C). Results The highest mean temperature was found in group one (28.29 ± 4.02°C). In the soft bone groups (three and four), the mean maximum temperature decreased compared to groups one and two (dense bone) and was always higher with closed guides (23.38 ± 1.92°C) compared to open guides (21.97 ± 1.22°C) (p &lt; .001). The osteotomy depth and irrigation fluid temperature also significantly influenced the bone temperature (p &lt; .001), especially in hard bone. Conclusions The greatest heat generation was observed in high‐density bone. The final intra‐bone temperature was about 1°C higher with a closed static surgical guide than with an open guide. The heat generation in osteotomy sites was substantially reduced by cooling the irrigation fluid to 5°C.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33629419</pmid><doi>10.1111/clr.13728</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9307-8258</orcidid><orcidid>https://orcid.org/0000-0002-5883-1363</orcidid><orcidid>https://orcid.org/0000-0003-4238-1799</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library - AutoHoldings Journals; MEDLINE
subjects Biomedical materials
Bone density
bone tissue
computer‐aided surgery
computer‐assisted surgery
Dental Implantation, Endosseous
Dental Implants
Dental materials
Dentistry
Drilling
Heat
Heat generation
Hot Temperature
Lavage
Osteotomy
Polyurethane
Polyurethane foam
Surgical instruments
Temperature
Therapeutic Irrigation
title Intra‐osseous heat generation during implant bed preparation with static navigation: Multi‐factor in vitro study
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