Bone Healing Around Dental Implants: Simplified vs Conventional Drilling Protocols at Speed of 400 rpm

Abstract

This assignment applies to all translations of the Work as well as to preliminary display/posting of the abstract of the accepted article in electronic form before publication. If any changes in authorship (order, deletions, or additions) occur after the manuscript is submitted, agreement by all authors for such changes must be on file with the Publisher. An author's name may be removed only at his/her written request. (Note: Material prepared by employees of the US government in the course of their official duties cannot be copyrighted.

Understanding Peri-Implantitis as a Plaque-Associated and Site-Specific Entity: On the Local Predisposing Factors

“…Recently, simplified protocols have been proposed to reduce drilling time. Some authors reported no detrimental effects upon bone formation [75], but less bone formation was found in early stages in other studies [76]. It is important to note that simplified protocols might increase bone compression [76].…”

“…Some authors reported no detrimental effects upon bone formation [75], but less bone formation was found in early stages in other studies [76]. It is important to note that simplified protocols might increase bone compression [76]. Moreover, the drill torque energy applied to the bone increases as the diameters of two consecutive drills increase.…”

Biomaterial and biomechanical considerations to prevent risks in implant therapy

“…For example, a series of previous studies have shown that the simplified version (pilot drill immediately followed by the final diameter drill for implants of 3.75, 4.2, and 5 mm) of the traditional gradual drilling expansion results in comparable osseointegration relative to classic protocols . Recent work has confirmed no statistical difference on osseointegration parameters between simplified and conventional protocols .…”

Evaluation of implant stability using different implant drilling sequences

“…Although there are some differences, most studies examining simplification of drilling protocols have generally reported no differences between groups over time 6, 7, 8, 9, 10, 11, 12. In an experimental study involving beagles, the simplified drilling group exhibited more favourable bone reactions 1 week after the placement of implants.…”

“…While several factors influence the success of implants, it would be meaningful to reduce the number of steps in the drilling protocol if it does not exert a negative impact on success. Studies addressing this topic have reported that simplification of the drilling process has yielded acceptable results; however, these investigations involved animals 6, 7, 8, 9, 10. Moreover, studies involving humans have only included case series and a study in which two surgeons performed the procedure 11 , 12 .…”