Evaluation of implant stability using different implant drilling sequences

Abstract

Background/purpose Simplifying the drilling sequence would be meaningful for implant surgery, if it does not exert a negative influence. This prospective clinical study was conducted to evaluate the stability of implant placements after simplifying the drilling sequence. Materials and methods Subjects were divided into a control group that underwent a normal drilling sequence or a test group that underwent only an initial and final drilling. To evaluate the stability of the placed implant, radiography and implant stability quotient (ISQ) measurements were recorded immediately and 5 months after placement. Results In all subjects, the prosthesis process was completed with no significant resorption of the marginal bones. In contrast, a statistically significant difference was observed between the control and test groups 5 months after the implants were placed in terms of the ISQ score (80.72 ± 6.76 and 71.83 ± 9.00, respectively); however, both scores were sufficient to proceed with the prosthesis process. Conclusion These attempts to simplify drilling protocols are expected to contribute the improvement of implant-related treatments in future.

Peri-Implant Bone Healing After Simplified Osteotomy With Single Drilling Versus Sequential Drilling Protocol in a Rabbit Tibia Model; Histological and Histomorphometric Study

“…Simplified drilling procedures (28,29) do not produce heat levels that affect the nearby tissues. (13) In addition; speeding up and simplifying the drilling protocol decreases the osteotomy site temperature (30) provided that sharp drills with copious irrigation was maintained all over the procedure (31) These histologically evidenced results are supposed to improve both clinical and patient reported-outcomes.…”

“…In order to compare the stability of implant placements after simplification of the drilling process (just an initial and final drilling) to that after a typical drilling sequence, Kim et al undertook a prospective clinical trial in 2019 (31) . They came to the conclusion that simplifying the drilling routine will not impede the osseointegration process and are anticipated to help advance therapies for implants in the future.…”

“…Various designs for the fast osteotomy drills were used (Zahran (31) , Kim (30) , Paolo (26) , Emad (33) ). So further histological and clinical studies are recommended to be conducted in order to compare between those disparate designs.…”

Infrared thermography comparison of heat generation between simplified and conventional implant site preparation techniques

“…The Simplified Drilling (SD) technique, is an option for site preparation for implant placement, characterized by the use of only two drills: an initial and a final one, with the diameter of the preparations chosen for that site. Among the advantages of the SD technique, we can highlight the reduction in the possibility of perforation angulation error during site preparation and a shorter surgical time [6][7][8][9][10][11][12][13][14][15][16].…”

Análise de estabilidade inicial em implantes que favorecem a compactação óssea

“…No entanto, ambos os grupos demonstraram valores suficientes para prosseguir com o tratamento de prótese, possibilitando até mesmo uma abordagem de carga imediata. Uma conveniência citada pelos autores é a simplificação da cirurgia e a redução do tempo, sendo particularmente vantajoso na colocação de vários implantes no mesmo ato cirúrgico (66).…”