The dental implant therapy success relies on the osseointegration biological phenomenon. There is a direct functional and structural connection between the implant surface and the living bone.
A study says, bone perforation’s heat produced is one of the determining elements in the osseointegration process. With the changing time, implant osteotomy drills have been used by dentists in surgical procedures. And conventional osteotomy preparation uses saline irrigation and drilling speeds (800 to 1,200rpm).
In this article, you will study the osteotomy failure, benefits of slow drilling, and working of slowly drilling protocols. Read on to learn further.
An Overview Of Implant Osteotomy
A dental implant is one of the most prosperous creativity of dentistry. However, if we consider implant Osteotomy particularly, it is beneficial to treat patients.
Sometimes dentists face problems while operating due to attributing negligence to “burning the bone.” This is a concern to the hypothesis that bone surroundings during the osteotomy were overheated. To avoid this major problem it’s important to stick to operating drills slowly at the speed of 800 to 1,200rpm.
Slow Speed for Drills
The drilling at a high speed decreases friction produced when the temperature of irrigant limits grows in the bone. This procedure enables fast osteotomy preparation. The process is predictable, and the Osseointegration rates are very high in this.
The evidence contains hidden clues that may have implications beyond initial osseointegration. Possibly conventional osteotomy practice protocols lead to long-term difficulties near the implants.
Less potential for temperature increase and slow drilling in the alveolus is a solution for some late complications around implants. Moreover, slow implant osteotomy drilling impacts surgical protocols and techniques in a positive manner.
What Studies Say About The Concept Of Osteotomy Overheating?
Study By Eriksson Et Al
Well, the detrimental osteotomy overheating concept was initiated by Eriksson et al. in a study in 1982. Further, in that study, a rabbit bone was heated for 1 minute at 53°C. Rabbit’s blood rose as the temperature increased; however it stopped at 53 degrees. So, the author notes that 53°C is below the alkaline phosphatase denaturation temperature and that local osseous necrosis appeared, whereas bone regeneration was found within three weeks to five weeks.
Study By Albrektsson and Eriksson
In 1983, Albrektsson and Eriksson completed a study.They found that osseous necrosis is the result of heating bone for 2 minutes in 44 degrees to 47 degrees temperature. 2 minutes is a long time as well as a high temperature to bear. However, in 1984, the same authors found a lowered bone build around implants after warming for 1 minute at 47°C. However, these two authors haven’t found any significant harmful effects if the bone heated for 1 minute to 44°C.
Why should Implant Osteotomy Drills Operate Slowly?
The Association of Dental Implantology (ADI) Members’ Forum on Facebook has stated that the loss of integration of a dental implant had been integrated successfully for about five years.
Well, peri-implantitis and fremitus were supposed to be the reason for this success but apparently not. However, atypical radiographic appearance suggested that this was not the case. This debate concluded that it might be a ‘late reactionary procedure,’ which means the fat cells are playing a role.
Understand The Slow Drilling Protocol
Here, a slow drilling protocol is represented as a charge to stay well within the margins of temperature safety and ease the temperature rises. It might be caused by less keen drills, more thick bone, and extra time is taken to prepare an osteotomy.
Well, the best research about slow drilling was produced in Biotechnology Institute (BTI) in Spain by Eduardo Anitua and his team. He has created a state-of-the-art clinical structure bound to a prolific research department in the research.
In 2007 the publication of ‘biological drilling protocol’ was amazing. The research was a combo of slow drilling with an Endoret (a form of blood derivative). The usage of blood plasma in implant dentistry assumes the slow drilling side of this protocol.
The researchers have suggested utilizing saline irrigation with a sharp initial drill at 800rpm. It allows for the penetration of the cortical bone. Moreover, it decreases friction so that temperature increases caused by the following drills.
Also, it allows the key to the underlying cellular bone. Well, there is no proof of initial drill speed.
After practicing, the step can be done at 150rpm speed from a diabetic syringe’s drip irrigation.
Furthermore, the slow speed of an implant Osteotomy drill does not mean to place more pressure. To a successful osteotomy, place appropriate pressure on a handpiece. Further, to enhance the cutting efficacy clearing the bone is compulsive.
Perks of Slow Drilling
Well, operating an implant Osteotomy drill slowly has many advantages. Some of them are listed below!
- Slow drilling in implantation offers surgical benefits by improving operator vision and enhancing patients’ comfort.
- It is beneficial for knowing loading protocols and drill sequences.
- Moreover, the resistance provided by cortical anatomical boundaries gives safety and guidance during complicated surgical circumstances.
- Slow drilling makes dental surgery workflow easier.
- The slow-speed implant Osteotomy drill allows for more reacting time at the time of surgery.
If you want to perform successful implantation, then lower the drill speed to 50 rpm. Moreover, turn off irrigation and experience a seamless procedure. It will be easy to handle and an effort-free surgical procedure for a dental surgeon.
Conclusion
Hopefully, you have understood the slow operation of implant osteotomy drills and their benefits. This article also includes studies on the concept of osteotomy heating.
Well, as a dental person, you must follow essential measures while performing a surgery. Anyway, do you need a multi unit abutment for your next dental appointment? If so, Universal Shapers is an affordable choice for your next dental treatment. Here you can find all the important handpieces needed for succeeding in dental surgery.
Good luck with your next surgery!
Author Bio:
Currish Diane is a product manager at Universal Shapers which is one of the leading establishments of Surgical Bur Kit in the USA. The kit involves several drills such as bone profiling drill, Multi unit abutment, Implant Osteotomy drills, Bullet Shaped Drills, Auxiliary drills that assist in hard tissue contouring and soft tissue augmentation.