The effect of load on heat production, thermal effects and expenditure of time during implant site preparation - an experimental ex vivo comparison between piezosurgery and conventional drilling

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The effect of load on heat production, thermal effects and expenditure of time during implant site preparation - an experimental ex vivo comparison between piezosurgery and conventional drilling. / Stelzle, Florian; Frenkel, Carsten; Riemann, Max; Knipfer, Christian; Stockmann, Philipp; Nkenke, Emeka.

in: Clinical oral implants research, Jahrgang 25, Nr. 2, 02.2014, S. e140-8.

Publikationen: SCORING: Beitrag in Fachzeitschrift/ZeitungSCORING: ZeitschriftenaufsatzForschungBegutachtung

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@article{e32941022f744d4cbf5c36d7c0c78d79,
title = "The effect of load on heat production, thermal effects and expenditure of time during implant site preparation - an experimental ex vivo comparison between piezosurgery and conventional drilling",
abstract = "OBJECTIVES: Piezoelectric surgery (PS) is meant to be a gentle osteotomy method. The aim of this study was to compare piezosurgical vs. conventional drilling methods for implant site preparation (ISP) - focusing on load-dependent thermal effect on hard tissue and the expenditure of ISP time.MATERIALS AND METHODS: Three hundred and sixty ISP were performed on ex vivo pig heads using piezosurgery, spiral burs (SB) and trephine burs (TB). The load applied was increased from 0 to 1000 g in 100-g intervals. Temperature within the bone was measured with a thermocouple, and duration was recorded with a stop watch. Thermal effects were histomorphometrically analysed. Twelve ISPs per technique were performed at the lateral wall of the maxillary sinus.RESULTS: PS yields the highest mean temperatures (48.6 ± 3.4°C) and thermal effects (200.7 ± 44.4 μm), both at 900-1000 g. Duration is reduced with a plus of load and significantly longer in either case for PS (P < 0.05). There is a correlation of the applied load with all other examined factors for PS and TB. Temperature and histological effects decrease for SB beyond 500 g.CONCLUSIONS: PS yields significantly higher temperatures and thermal tissue alterations on load levels higher than 500 g and is significantly slower for ISP compared to SB and TB. For ISP with PS, a maximum load of 400 g should be maintained.",
keywords = "Animals, Dental Implantation, Endosseous, Dental Implants, Hot Temperature, In Vitro Techniques, Maxillary Sinus, Operative Time, Oral Surgical Procedures, Preprosthetic, Piezosurgery, Swine, Journal Article",
author = "Florian Stelzle and Carsten Frenkel and Max Riemann and Christian Knipfer and Philipp Stockmann and Emeka Nkenke",
note = "{\textcopyright} 2012 John Wiley & Sons A/S.",
year = "2014",
month = feb,
doi = "10.1111/clr.12077",
language = "English",
volume = "25",
pages = "e140--8",
journal = "CLIN ORAL IMPLAN RES",
issn = "0905-7161",
publisher = "Blackwell Munksgaard",
number = "2",

}

RIS

TY - JOUR

T1 - The effect of load on heat production, thermal effects and expenditure of time during implant site preparation - an experimental ex vivo comparison between piezosurgery and conventional drilling

AU - Stelzle, Florian

AU - Frenkel, Carsten

AU - Riemann, Max

AU - Knipfer, Christian

AU - Stockmann, Philipp

AU - Nkenke, Emeka

N1 - © 2012 John Wiley & Sons A/S.

PY - 2014/2

Y1 - 2014/2

N2 - OBJECTIVES: Piezoelectric surgery (PS) is meant to be a gentle osteotomy method. The aim of this study was to compare piezosurgical vs. conventional drilling methods for implant site preparation (ISP) - focusing on load-dependent thermal effect on hard tissue and the expenditure of ISP time.MATERIALS AND METHODS: Three hundred and sixty ISP were performed on ex vivo pig heads using piezosurgery, spiral burs (SB) and trephine burs (TB). The load applied was increased from 0 to 1000 g in 100-g intervals. Temperature within the bone was measured with a thermocouple, and duration was recorded with a stop watch. Thermal effects were histomorphometrically analysed. Twelve ISPs per technique were performed at the lateral wall of the maxillary sinus.RESULTS: PS yields the highest mean temperatures (48.6 ± 3.4°C) and thermal effects (200.7 ± 44.4 μm), both at 900-1000 g. Duration is reduced with a plus of load and significantly longer in either case for PS (P < 0.05). There is a correlation of the applied load with all other examined factors for PS and TB. Temperature and histological effects decrease for SB beyond 500 g.CONCLUSIONS: PS yields significantly higher temperatures and thermal tissue alterations on load levels higher than 500 g and is significantly slower for ISP compared to SB and TB. For ISP with PS, a maximum load of 400 g should be maintained.

AB - OBJECTIVES: Piezoelectric surgery (PS) is meant to be a gentle osteotomy method. The aim of this study was to compare piezosurgical vs. conventional drilling methods for implant site preparation (ISP) - focusing on load-dependent thermal effect on hard tissue and the expenditure of ISP time.MATERIALS AND METHODS: Three hundred and sixty ISP were performed on ex vivo pig heads using piezosurgery, spiral burs (SB) and trephine burs (TB). The load applied was increased from 0 to 1000 g in 100-g intervals. Temperature within the bone was measured with a thermocouple, and duration was recorded with a stop watch. Thermal effects were histomorphometrically analysed. Twelve ISPs per technique were performed at the lateral wall of the maxillary sinus.RESULTS: PS yields the highest mean temperatures (48.6 ± 3.4°C) and thermal effects (200.7 ± 44.4 μm), both at 900-1000 g. Duration is reduced with a plus of load and significantly longer in either case for PS (P < 0.05). There is a correlation of the applied load with all other examined factors for PS and TB. Temperature and histological effects decrease for SB beyond 500 g.CONCLUSIONS: PS yields significantly higher temperatures and thermal tissue alterations on load levels higher than 500 g and is significantly slower for ISP compared to SB and TB. For ISP with PS, a maximum load of 400 g should be maintained.

KW - Animals

KW - Dental Implantation, Endosseous

KW - Dental Implants

KW - Hot Temperature

KW - In Vitro Techniques

KW - Maxillary Sinus

KW - Operative Time

KW - Oral Surgical Procedures, Preprosthetic

KW - Piezosurgery

KW - Swine

KW - Journal Article

U2 - 10.1111/clr.12077

DO - 10.1111/clr.12077

M3 - SCORING: Journal article

C2 - 23186531

VL - 25

SP - e140-8

JO - CLIN ORAL IMPLAN RES

JF - CLIN ORAL IMPLAN RES

SN - 0905-7161

IS - 2

ER -