Letter to the editor: RE: Bone heat generated using conventional implant drills versus piezosurgery unit during apical cortical plate perforation

Stacchi, Claudio; Robiony, Massimo; Jones, Judith; Lombardi, Teresa; Verardi, Simone

doi:10.1002/jper.18-0203

Cited by 3 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Augmented bone overheating with piezosurgical devices compared to a bur drill was an unexpected finding. Other authors questioned some of the methods that led to these results, such as Stacchi et al [111], who discussed the previous ex vivo investigation of Lajolo et al [110]. For example, ultrasonic tip choice in the experiment can lead to abnormal heat generation if the use is improper for the purpose (side-cutting insert instead of dental implant site preparation insert).…”

Section: Ultrasonic Instrument Low-speed Rotary Cutting Bur and Surgical Chiselmentioning

confidence: 99%

“…For example, ultrasonic tip choice in the experiment can lead to abnormal heat generation if the use is improper for the purpose (side-cutting insert instead of dental implant site preparation insert). Stacchi et al (2018) also described that applied pressure load on the handpiece was excessive for that device and this could induce a higher temperature rise [111]. Pressure load should be chosen according to the specific characteristics of the tip and device (piezosurgical, rotatory, and oscillating or reciprocating saw).…”

Section: Ultrasonic Instrument Low-speed Rotary Cutting Bur and Surgical Chiselmentioning

confidence: 99%

“…Moreover, as in the paper of Lajolo et al [126], the laboratory supported arm for the handpiece should reproduce the movement of the hand in the operative theater (sliding movement is not comparable to rotating movement). Non-overlapping conditions between experimental and clinical setting could lead to distorted interpretation of results from studies conducted in laboratory settings [111].…”

Section: Ultrasonic Instrument Low-speed Rotary Cutting Bur and Surgical Chiselmentioning

confidence: 99%

See 2 more Smart Citations

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

et al. 2020

View full text Add to dashboard Cite

Osteotomy is a common step in oncological, reconstructive, and trauma surgery. Drilling and elevated temperature during osteotomy produce thermal osteonecrosis. Heat and associated mechanical damage during osteotomy can impair bone healing, with consequent failure of fracture fixation or dental implants. Several ex vivo studies on animal bone were recently focused on heating production during osteotomy with conventional drill and piezoelectric devices, particularly in endosseous dental implant sites. The current literature on bone drilling and osteotomic surface analysis is here reviewed and the dynamics of bone healing after osteotomy with traditional and piezoelectric devices are discussed. Moreover, the methodologies involved in the experimental osteotomy and clinical studies are compared, focusing on ex vivo and in vivo findings.

show abstract

Section: Ultrasonic Instrument Low-speed Rotary Cutting Bur and Surgical Chiselmentioning

confidence: 99%

Section: Ultrasonic Instrument Low-speed Rotary Cutting Bur and Surgical Chiselmentioning

confidence: 99%

Section: Ultrasonic Instrument Low-speed Rotary Cutting Bur and Surgical Chiselmentioning

confidence: 99%

See 1 more Smart Citation

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

et al. 2020

View full text Add to dashboard Cite

show abstract

“…On the other hand, some studies reported a higher risk of overheating using ultrasonic techniques compared to rotating instruments [7,8], even if adopted methodology and standardization had been questioned [9].…”

Section: Introductionmentioning

confidence: 99%

“…It has also been reported that the ultrasonic bone stimulation could further enhance osseointegration [ 4 , 5 , 6 ]. On the other hand, some studies reported a higher risk of overheating using ultrasonic techniques compared to rotating instruments [ 7 , 8 ], even if adopted methodology and standardization had been questioned [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation

et al. 2020

Self Cite

View full text Add to dashboard Cite

Piezoelectric devices are widely used in oral surgical procedures, including implant site preparation. However, little is known about the influence of working movement on temperature elevation in bone. The aim of this study was to assess the effects of two different working cycles on temperature elevation during piezoelectric implant site preparation. Sixty osteotomies at a depth of 10 mm were performed on bone blocks of bovine ribs using a piezoelectric tip with external irrigation (IM1s, Mectron Medical Technology, Carasco, Italy). A mechanical positioning device was used to guarantee reproducible working and measuring conditions. Two different working cycles, of 4 and 6 s, respectively, were tested, including both longitudinal and rotational movements. Temperature was recorded in real time with a fiber optic thermometer and applied pressure was maintained under 150 g. For each test, the highest recorded temperature (Tmax) and the mean temperature recorded from 30 s before to 30 s after the highest recorded temperature (T±30) were extrapolated. Tests duration was also recorded. Both Tmax and T±30 were significantly higher in the ‘6 s cycles’ group than the ‘4 s cycles’ group (42.44 ± 7.3 °C vs. 37.24 ± 4.6 °C, p = 0.002; 37.24 ± 4.6 °C vs. 33.30 ± 3.3 °C, p = 0.003). Test duration was also significantly higher using 6 s cycles compared to 4 s cycles (143.17 ± 29.4 s vs. 119.80 ± 36.4 s, p = 0.002). The results of this study indicate that working cycles of 4 s effectively reduce heat generation and working time during piezoelectric implant site preparation.

show abstract

Heat Generation During Initial Osteotomy for Implant Site Preparation: An In Vitro Measurement Study

Aquilanti

Antognoli

Rappelli

et al. 2022

J. Maxillofac. Oral Surg.

View full text Add to dashboard Cite

Introduction Controlling temperature generation during implant site preparation is important to prevent implant early failure. Aim The present in vitro study aimed at measuring temperature variation generated during the initial osteotomy using both rotatory and piezo-surgical inserts. Methods Nine groups were defined according to drill and insert type, cooling volume (mL/min) and cooling temperature. A total of 315 implant site preparations were performed in an artificial bone sample and the temperature was measured using an infrared camera. Drills’ wear was assessed using scanning electron microscopy at baseline and after 10 and 35 utilizations. Results Piezo-surgical insert groups determined a temperature increase that was significantly higher than the one generated by rotatory drills groups (p < 0.001). When considering rotatory drills groups a temperature ≥ 40 °C was never recorded. Conclusion Lower saline temperature implied a significant temperature decrease (p < 0.001), while the increase in cooling volume did not imply a temperature decrease. The scanning electron microscopy analysis of the drills demonstrated that little drill wear occurred up to 35 utilization times.

show abstract

Letter to the editor: RE: Bone heat generated using conventional implant drills versus piezosurgery unit during apical cortical plate perforation

Cited by 3 publications

References 7 publications

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

Bone Healing Evaluation Following Different Osteotomic Techniques in Animal Models: A Suitable Method for Clinical Insights

Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation

Heat Generation During Initial Osteotomy for Implant Site Preparation: An In Vitro Measurement Study

Contact Info

Product

Resources

About