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  • Hewitt Hoyle posted an update 1 year, 3 months ago

    However, there were no significant differences in volume and bone width change at all three locations and in implant stability between the osseodensification and conventional drilling protocols.

    Within the limitations of this study, the osseodensification protocol increased the bone mineral density and primary bone-to-implant contact. Also, this study suggests that implant placement by osseodensification or conventional drilling can increase ridge dimensions in narrow alveolar ridges.

    Within the limitations of this study, the osseodensification protocol increased the bone mineral density and primary bone-to-implant contact. Also, this study suggests that implant placement by osseodensification or conventional drilling can increase ridge dimensions in narrow alveolar ridges.

    The aim of this study was to compare the bone collection capacity of bur drill systems used in implant surgery with different diameters, lengths, and drilling speeds.

    This study was performed on bovine ribs. Two bur drill systems were studied Implantium (Dentium) and Straumann (Institut Straumann). The groups were divided into subgroups according to the bur diameter. selleck inhibitor As a result, there were four Implantium subgroups (3.3, 3.8, 4.3, and 4.8 mm) and three Straumann subgroups (3.3, 4.1, and 4.8 mm). In addition, for each bur diameter, the bone collection capacities of the drill systems were evaluated at three different drilling speeds (150, 250, and 400 rpm) and two bur lengths (10 and 12 mm). The diameter, length, and speed changes were performed, and the results were compared between the two drill systems.

    The mean bone weight collected by using the Straumann burs was higher than that of the Implantium burs at each drilling speed and bur length. Using the Straumann system, the different drilling speeds/lengths of the burs had no impact on the bone collection capacity, irrespective of the bur diameter (P > .05). However, the drilling speeds/lengths of the Implantium system resulted in a statistically significant difference in the same diameters (P < .05).

    Both bur systems were suitable for autogenous graft collection for bone grafting in implant surgery, but the Straumann burs were more successful than the Implantium burs.

    Both bur systems were suitable for autogenous graft collection for bone grafting in implant surgery, but the Straumann burs were more successful than the Implantium burs.

    To evaluate the insertion torque at the equicrestal and subcrestal positions of three implant designs in synthetic polyurethane blocks simulating different bone conditions.

    Overall, 72 implants with three different designs (two conical and one cylindrical) were inserted at equicrestal and subcrestal positions (-2 mm) into polyurethane blocks simulating the anterior (0.32 g/cm

    ) and posterior (0.48 g/cm

    ) regions of the maxilla. The final insertion torque of all implants was measured using a digital torque meter, and the results were evaluated and statistically analyzed.

    For all implant systems, insertion torque decreased significantly when placed at the subcrestal position (P < .05), except for cylindrical implants placed in the bone blocks with high cancellous density. The implants with higher body conicity and square threads had higher insertion torque values than the cylindrical and conical implants with a lower body conical angle and trapezoidal threads. The implants inserted into higher-density blocks showed greater stability.

    The different implant systems lost insertion torque in a nonuniform manner at the subcrestal position and varied according to bone density. Implant design significantly influenced the initial stability at the equicrestal and subcrestal positions, especially in lower-density bone.

    The different implant systems lost insertion torque in a nonuniform manner at the subcrestal position and varied according to bone density. Implant design significantly influenced the initial stability at the equicrestal and subcrestal positions, especially in lower-density bone.

    Microcomputed tomography (micro-CT) is a relatively new modality to investigate mechanical deformations. The purpose of this study was to assess the microgap at the implant-sleeve connection of a new two-piece dental implant with a replaceable sleeve.

    Implants were assembled with 25-degree angulated abutments. Micro-CT was used to assess implant-sleeve connection gaps under the following mechanical conditions (1) unloading; (2) compressive 10,000 cyclic loading with 400 N; (3) static compressive load of 200 N or 400 N for 24 hours.

    The mean gap in the unloaded sample was 2.9 ± 0.9 μm. The mean gap difference after cyclic compressive load was 0.3 ± 0.15 μm, demonstrating a negligible effect for the cyclic loading. Under static compressive load, there was no increase in microgap size at 200 N. At 400 N, a significant (P < .05) increase was noted. While the mean values increased by 1.9 μm, the most pronounced significant increase in mean microgap was noted in the direction of force application (5.1 ± 2.14 μm), while a significant decrease in mean microgap (1.2 ± 1.47 μm) was noted on the opposite side.

    The mechanical behavior of the implant-sleeve connection under static and dynamic loads was found to be within the previously reported range of implant dentistry.

    The mechanical behavior of the implant-sleeve connection under static and dynamic loads was found to be within the previously reported range of implant dentistry.

    The aim of this in vitro study was to evaluate the temperature development of a novel, electropolished drill design during conventional and guided implant osteotomy in comparison to conventional drills under standardized conditions.

    Single and sequential 12-mm-deep drilling protocols (guided and unguided) with a conventional (control groups) and novel drill (test groups) were performed in artificial bone blocks under external irrigation. Each drilling protocol was repeated 30 times with drill diameters of 2.2, 2.8, 3.5, and 4.2 mm. Temperature changes were recorded by an infrared camera, and the accumulated thermal energy was calculated. For group comparison, a one-way analysis of variance (ANOVA) and Tukey post hoc test were used with a level of significance set to = .05.

    The highest temperatures were measured up to 77.9°C for small-diameter drills in the control and test groups. The 3.5-mm and 4.2-mm novel drills showed significantly lower heat generation during guided and unguided osteotomy preparation for single and sequential drilling.