The effects of operator technique and bur design on temperature during osseous preparation for osteosynthesis self-tapping screws

Kerawala, Cyrus; Martin, I.C.; Allan, W.; Williams, E. D.

doi:10.1016/s1079-2104(99)70108-3

Cited by 83 publications

(57 citation statements)

References 6 publications

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“…Rotating bone-cutting instruments are potentially injurious because of the production of excessively high temperatures during osseous drilling. Such temperatures can engender marginal osteonecrosis which ultimately impairs bone regeneration 6 .…”

mentioning

confidence: 99%

Ultrasonic osteotomy as a new technique in craniomaxillofacial surgery

Béziat

Béra

Lavandier

et al. 2007

International Journal of Oral and Maxillofacial Surgery

104

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mentioning

confidence: 99%

Ultrasonic osteotomy as a new technique in craniomaxillofacial surgery

Béziat

Béra

Lavandier

et al. 2007

International Journal of Oral and Maxillofacial Surgery

104

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“…The procedure should be designed precisely and performed under abundant irrigation with saline solution to ensure that there is no overheating of the bone or resulting delays that could decrease cell viability between the osteotomized stumps. Thus, research has focused on ultrasonic instruments, particularly piezoelectric surgery, when looking for the best biological responses in comparison to conventional saws 40,41 .…”

Section: Discussionmentioning

confidence: 99%

Comparison between piezoelectric surgery and conventional saw in sagittal split osteotomies: a systematic review

Silva

Carvalho-Reis

Bonardi

et al. 2017

International Journal of Oral and Maxillofacial Surgery

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A systematic review of the advantages and disadvantages of piezoelectric surgery in comparison with conventional saws for sagittal split osteotomy (SSO) was performed. Relevant studies published in the last 10 years were identified through a search of the PubMed/MEDLINE, Science Direct, and Embase databases and assessed against predetermined eligibility criteria. The initial search resulted in 1736 articles. After applying the inclusion and exclusion criteria, 12 articles remained. A total of 799 patients with an average age of 27.5 years underwent SSO performed using a saw or ultrasonic device. Results showed that it took longer to perform the osteotomies using an ultrasonic device than using a conventional saw. At ≥6 months of follow-up, neurosensory disturbance was seen in 4.7% of patients who underwent piezoelectric surgery versus 61.6% of patients who underwent surgery in which a conventional saw was used. It was found that the use of piezoelectric surgery in SSO leads to the best outcome regarding neurosensory disturbance when compared to conventional saws (P=0.04) at ≥6 months of follow-up. Further studies are required for the evaluation of the other clinical parameters assessed.

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“…LUNDSKOG 15 reported that bone regeneration could not be expected when the temperature in the bone exceeded 56 8C, because that is the temperature at which alkaline phosphatase is denatured. A temperature of 47 8C is thought to be the upper threshold for bone survival 7,8,13 . This means that with an intraoral temperature of 37 8C, a temperature increase of 10 8C or more is probably harmful.…”

Section: [ ( ) T D $ F I G ]mentioning

confidence: 99%