Impact of Drilling Speed in Implantology: A Review
DOI:
https://doi.org/10.18311/jpfa/2021/27610Keywords:
Bone Viability, Drilling Speed, Heat Generation, Osseointegration, Primary StabilityAbstract
Background: Drilling speed during osteotomy in implant site preparation is an important factor that affects heat generation, cell vitality and primary stability and consequently Osseointegration of the implant. A thorough understanding of this impact is important for taking suitable precautions for successful dental rehabilitation. Aim: The objective of this study is to review the available literature regarding the impact of drilling speed on heat generation and other related parameters that influence the success of dental implants. Material and Methods: Suitable research papers relevant for study were identified through electronic database of available dental literature in PubMed and MEDLINE for all articles published till February, 2021. Peer-reviewed dental and PubMed indexed journals were selected. Search was done using certain relevant key words and terms. Results: The initial search revealed a total of 281 articles which were then screened and a total of 61 articles were selected based on the inclusion criteria. Focus was laid on the studies related to drilling speed and its impact on osseointegration, heat generation during osteotomy, drilling speed and bone viability, drilling speed and primary stability of implant and particle size of the bone collected. Heat generation during implant placement is affected by multiple factors with drilling speed being one of them. Conclusion: Researchers have reached contradictory conclusions regarding the impact of drilling speed on heat generation during osteotomy and other parameters. However, studies in the recent past are favoring low speed drilling owing to the advantage of perfect control of the drilling depth and the possibility of collection of a considerable amount of viable granular bone grafts during the procedure.Downloads
Published
How to Cite
Issue
Section
License
All the articles published in JPFA are distributed under a creative commons license. The journal allows the author(s) to hold the copyright of their work (all usages allowed except for commercial purpose).
References
Weiss CM. Tissue integration of dental endosseous implants: description and comparative analysis of the fibroosseous integration and osseous integration systems. J Oral Implantol. 1986; 12(2): 169–214.
Barrak I, Joób-Fancsaly A, Varga E, Boa K, Piffko J. Effect of the combination of low-speed drilling and cooled irrigation fluid on intraosseous heat generation during guided surgical implant site preparation: an in vitro study. Implant Dent. 2017; 26(4): 541–546. https://doi.org/10.1097/ ID.0000000000000607
Brånemark PI. Osseointegration and its experimental background. J Prosthet Dent. 1983; 50(3): 399–410. https://doi.org/10.1016/S0022-3913(83)80101-2
Sharawy M, Misch CE, Weller N, Tehemar S. Heat generation during implant drilling: the significance of motor speed. J Oral Maxillofac Surg. 2002; 60(10): 1160–9. https:// doi.org/10.1053/joms.2002.34992
Ormianer Z, Lewinstein I, Moses O. Heat generation in 1-piece implants during abutment preparations with highspeed cutting instruments. Implant Dent. 2013; 22(1): 60–5. https://doi.org/10.1097/ID.0b013e318277af53
Collins DH. Structural changes around nails and screws in human bones. J Pathol Bacteriol. Jan 1953; 65(1): 109–21. https://doi.org/10.1002/path.1700650112
MOSS RW. HISTOPATHOLOGIC REACTION OF BONE TO SURGICAL CUTTING. Oral Surg Oral Med Oral Pathol. 1964; 17: 405–414. https://doi.org/10.1016/00304220(64)90515-8
Lavelle C, Wedgwood D. Effect of internal irrigation on frictional heat generated from bone drilling. J Oral Surg. 1980; 38(7): 499–503.
Romanos GE, Bastardi DJ, Moore R, Kakar A, Herin Y, Delgado-Ruiz RA. In Vitro Effect of Drilling Speed on the Primary Stability of Narrow Diameter Implants with Varying Thread Designs Placed in Different Qualities of Simulated Bone. Materials (Basel). 2019; 12(8): 1350. https://doi.org/10.3390/ma12081350
Tabrizi R, Nazhvanai AD, Farahmand MM, Pourali SY, Hosseinpour S. Do increased drilling speed and depth affect bone viability at implant site? D Res J. 2017; 14(5): 331–5. https://doi.org/10.4103/1735-3327.215963
Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent. 1983; 50(1): 101–7. https://doi.org/10.1016/0022-3913(83)90174-9
Cordioli G, Majzoub Z. Heat generation during implant site preparation: an in vitro study. Int J Oral Maxillofac Implants. 1997; 12(2): 186–93.
Lamazza L, Laurito D, Lollobrigida M, Brugnoletti O, Garreffa G, De Biase A. Identification of possible factors influencing temperatures elevation during implant site preparation with piezoelectric technique. Ann Stomatol (Roma). 2015; 5(4): 115–22.
Anitua E. Biological Drilling: Implant Site Preparation in a Conservative Manner and Obtaining Autogenous Bone Grafts. Balk J Dent Med. 2018; 22(2), 98-101. https://doi.org/10.2478/bjdm-2018-0017
Shapurian T, Damoulis PD, Reiser GM, Griffin TJ, Rand WM. Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants. 2006; 21: 290–297.
Lekohlm UZG. Patient selection and preparation. In: Branemark PIZG, Alberktsson T (Eds.). Tissue-integrated prostheses: Osseointegration in clinical dentistry. Quintessence Publishing, Chicago. 1985; pp: 199–209.
Misch CE. Density of bone: effect on treatment plans, surgical approach, healing, and progressive bone loading. Int J Oral Implantol. 1990; 6: 23–31.
Kim SJ, Yoo J, Kim YS, Shin SW. Temperature change in pig rib bone during implant site preparation by low-speed drilling. J Appl Oral Sci. 2010; 18(5): 522–7. https://doi.org/10.1590/S1678-77572010000500016
Giro G, Marin C, Granato R, Bonfante EA, Suzuki M, Janal MN, Coelho PG. Effect of drilling technique on the early integration of plateau root form endosteal implants: an experimental study in dogs. J Oral Maxillofac Surg. 2011; 69(8): 2158–63. https://doi.org/10.1016/j.joms.2011.01.029
Gaspar J, Borrecho G, Oliveira P, Salvado F, Martins dos Santos J. Osteotomy at low-speed drilling without irrigation versus high-speed drilling with irrigation: an experimental study. Acta Med Port. 2013; 26(3): 231–6.
Tehemar SH. Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations. Int J Oral Maxillofac Implants. 1999; 14(1): 127–36.
Matthews LS, Hirsch C. Temperatures measured in human cortical bone when drilling. J Bone Joint Surg Am. 1972; 54(2): 297–308. https://doi.org/10.2106/00004623-197254020-00008
Rhinelander FW, Nelson CL, Stewart RD, Stewart CL. Experimental reaming of the proximal femur and acrylic cement implantation: vascular and histologic effects. Clin Orthop Relat Res. 1979; (141): 74–89. https://doi.org/10.1097/00003086-197906000-00009
Eriksson A, Albrektsson T, Grane B, McQueen D. Thermal injury to bone. A vital-microscopic description of heat effects. Int J Oral Surg. 1982; 11(2): 115–21. https://doi.org/10.1016/S0300-9785(82)80020-3
Eriksson RA, Albrektsson T. The effect of heat on bone regeneration: an experimental study in the rabbit using the bone growth chamber. J Oral Maxillofac Surg. 1984; 42(11): 705–11. https://doi.org/10.1016/0278-2391(84)90417-8
Thompson HC. Effect of drilling into bone. J Oral Surg (Chic). 1958; 16(1): 22–30.
Mishra SK Chowdhary R Heat generated by dental implant drills during osteotomy – A review: Heat generated by dental implant drills J Indian Prosthodont Soc. 2014; 14: 131–43. https://doi.org/10.1007/s13191-014-0350-6
Nam O, Yu W, Choi MY, Kyung HM. Monitoring of Bone Temperature during Osseous Preparation for Orthodontic Micro-Screw Implants: Effect of Motor Speed and Ressure. KEM 2006; 321–323: 1044–7. https://doi.org/10.4028/ www.scientific.net/KEM.321-323.1044
Eriksson AR, Albrektsson T, Albrektsson B. Heat caused by drilling cortical bone. Temperature measured in vivo in patients and animals. Acta Orthop Scand. 1984; 55(6): 629–31. https://doi.org/10.3109/17453678408992410
Brisman DL. The effect of speed, pressure, and time on bone temperature during the drilling of implant sites. Int J Oral Maxillofac Implants. 1996; 11(1): 35–7.
Perrone, MA. Physiologic and histologic response to bone cutting with rotary instruments. A review of the literature. JAm Pediat Ass.1972; 62, 413–24. https://doi.org/10.7547/87507315-62-11-413
Krause WR, Bradbury DW, Kelly JE, Lunceford EM. Temperature elevations in orthopaedic cutting operations. J Biomech. 1982; 15(4): 267–75. https://doi.org/10.1016/0021-9290(82)90173-7
Iyer S, Weiss C, Mehta A. Effects of drill speed on heat production and the rate and quality of bone formation in dental implant osteotomies. Part I: Relationship between drill speed and heat production. Int J Prosthodont. 1997; 10(5): 411–4.
Wächter R, Stoll P. Increase of temperature during osteotomy. In vitro and in vivo investigations. Int J Oral Maxillofac Surg. 1991; 20(4): 245–9. https://doi.org/10.1016/S09015027(05)80185-7
Reingewirtz Y, Szmukler-Moncler S, Senger B. Influence of different parameters on bone heating and drilling time in implantology. Clin Oral Implants Res. 1997; 8(3): 189–97. https://doi.org/10.1034/j.1600-0501.1997.080305.x
Misir AF, Sumer M, Yenisey M, Ergioglu E. Effect of surgical drill guide on heat generated from implant drilling. J Oral Maxillofac Surg. 2009; 67: 2663–8. https://doi.org/10.1016/j.joms.2009.07.056
Jeong SM, Yoo JH, Fang Y, Choi BH, Son JS, Oh JH. The effect of guided flapless implant procedure on heat generation from implant drilling. J Craniomaxillofac Surg. 2014; 42: 725–9. https://doi.org/10.1016/j.jcms.2013.11.002
Anitua E, Carda C, Andia I. A novel drilling procedure and subsequent bone autograft preparation: a technical note. Int J Oral Maxillofac Implants. 2007; 22: 138–45.
Oh JH, Fang Y, Jeong SM, Choi BH. The effect of low-speed drilling without irrigation on heat generation: an experimental study. J Korean Assoc Oral Maxillofac Surg. 2016; 42(1): 9–12. https://doi.org/10.5125/jkaoms.2016.42.1.9
Delgado-Ruiz RA, Velasco Ortega E, Romanos GE, Gerhke S, Newen I, Calvo-Guirado JL. Slow drilling speeds for single-drill implant bed preparation. Experimental in vitro study. Clin Oral Investig. 2018; 22(1):349-59. https://doi.org/10.1007/s00784-017-2119-x
Sarendranath A, Khan R, Tovar N, Marin C, Yoo D, Redisch J, Jimbo R, Coelho PG. Effect of low speed drilling on osseointegration using simplified drilling procedures. Br J Oral Maxillofac Surg. 2015; 53(6): 550–6. https://doi.org/10.1016/j.bjoms.2015.03.010
Jimbo R, Giro G, Marin C, et al. Simplified drilling technique does not decrease dental implant osseointegration: a preliminary report. J Periodontol. 2013; 84(11): 1599–1605.
Guazzi P, Grandi T, Grandi G Implant site preparation using a single bur versus multiple drilling steps: 4-month post-loading results of a multicenter randomised controlled trial. Eur J Oral Implantol. 2015; 8: 283–290.
Lindstrom J, Branemark PI, Albrektsson T. Mandibular reconstruction using the preformed autologous bone graft. Scand J Plast Reconstr Surg. 1981; 15: 29–38. https://doi.org/10.3109/02844318109103408
Watanabe F, Tawada Y, Komatsu S, Hata Y. Heat distribution in bone during preparation of implant sites: heat analysis by real-time thermography. Int J Oral Maxillofac Implants. 1992; 7(2): 212–9.
Yacker M, Klein M. The effect of irrigation on osteotomy: depth and bur diameter. Int J Oral Maxillofac Implants.1996; 11: 634–8.
Landazuri-Del Barrio RA, Nunes de Paula W, SpinNeto R, Chaves de Souza JA, Pimentel Lopes de Oliveira GJ, Marcantonio-Junior E. Effect of 2 Different Drilling Speeds on the Osseointegration of Implants Placed With Flapless Guided Surgery: A Study in Rabbits. Implant Dent. 2017; 26(6): 882–7. https://doi.org/10.1097/ID.0000000000000654
Yeniyol S, Jimbo R, Marin C, Tovar N, Janal MN, Coelho PG. The effect of drilling speed on early bone healing to oral implants. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013; 116(5): 550–5. https://doi.org/10.1016/j.oooo.2013.07.001
Iyer S, Weiss C, Mehta A. Effects of drill speed on heat production and the rate and quality of bone formation in dental implant osteotomies. Part II: Relationship between drill speed and healing. Int J Prosthodont. 1997; 10(6): 536–40.
Marzook HAM, Yousef EA, Denewar M, Farahat MRL. In-vitro assessment of bone viability with different implant drill speeds. Br J Oral Maxillofac Surg. 2020; 58(10): e301– e306. https://doi.org/10.1016/j.bjoms.2020.08.013
Seo DU, Kim SG, Oh JS, Lim SC. Comparative Study on Early Osseointegration of Implants According to Various Drilling Speeds in the Mandible of Dogs. Implant Dent. 2017; 26(6): 841–7. https://doi.org/10.1097/ID.0000000000000673
Witek L, Parra M, Tovar N, Alifarag A, Lopez CD, Torroni A, Bonfante EA, Coelho PG. Effect of Surgical Instrumentation Variables on the Osseointegration of Narrow- and Wide Diameter Short Implants. J Oral Maxillofac Surg. 2021; 79(2): 346–55. https://doi.org/10.1016/j.joms.2020.09.041
Romanos, G.E. Present status of immediate loading of oral implants. J Oral Implantol. 2004; 30: 189–97. https://doi.org/10.1563/1548-1336(2004)30<189:PSOILO>2.0.CO;2
Kashi A, Gupta B, Malmstrom H, Romanos GE. Primary stability of implants placed at different angulations in artificial bone. Implant Dent. 2015; 24(1): 92–5. https://doi.org/10.1097/ID.0000000000000182
Almeida KP, Delgado-Ruiz R, Carneiro LG, Leiva AB, Calvo-Guirado JL, Gómez-Moreno G, Malmström H, Romanos GE. Influence of Drilling Speed on Stability of Tapered Dental Implants: An Ex Vivo Experimental Study. Int J Oral Maxillofac Implants. 2016; 31(4): 795–8. https:// doi.org/10.11607/jomi.4485
Javed F, Ahmed HB, Crespi R, Romanos GE. Role of primary stability for successful osseointegration of dental implants: Factors of influence and evaluation. Interv Med Appl Sci. 2013; 5(4): 162–7. https://doi.org/10.1556/imas.5.2013.4.3
Javed F, Romanos GE. Role of implant diameter on longterm survival of dental implants placed in posterior maxilla: a systematic review. Clin Oral Investig. Jan 2015; 19(1): 1–10. https://doi.org/10.1007/s00784-014-1333-z
Romanos GE, Bastardi DJ, Moore R, Kakar A, Herin Y, Delgado-Ruiz RA. In Vitro Effect of Drilling Speed on the Primary Stability of Narrow Diameter Implants with Varying Thread Designs Placed in Different Qualities of Simulated Bone. Materials (Basel). 2019; 12(8): 1350. https://doi.org/10.3390/ma12081350
Flanagan D. Osteotomy irrigation: is it necessary? Implant Dent. 2010; 19(3): 241–9. https://doi.org/10.1097/ID.0b013e3181dc9852
Ozcan M, Salimov F, Temmerman A, UcakTurer O, Alkaya B, Haytac CM. Evaluation of Different Osteotomy Drilling Speed Protocols on Cortical Bone Temperature, Implant Stability and Bone Healing: An Experimental Animal Study. J Oral Implantol. 2020; https://doi.org/10.1563/aaid-joi-D-20-00228
Jeong C, Kim D, Shin S, Hong J, Kye S, & Yang S. The effect of implant drilling speed on the composition of particle collected during site preparation. J Korean Acad Periodontol. 2009; 39: 253–259. https://doi.org/10.5051/jkape.2009.39.S.253
Tabassum A, Wismeijer D, Hogervorst J, Tahmaseb A. Comparison of Proliferation and Differentiation of Human Osteoblast-like Cells Harvested During Implant Osteotomy Preparation Using Two Different Drilling Protocols. Int J Oral Maxillofac Implants. 2020; 35(1): 141–149. https://doi.org/10.11607/jomi.7648