ASSESSMENT OF BONE CELL VIABILITY IN BONE HARVESTED UNDER TWO DIFFERENT DRILLING SPEEDS DURING IMPLANT BED PREPARATION IN THE MANDIBULAR POSTERIOR SITES (A RANDOMIZED CONTROLLED CLINICAL TRIAL)

Hend Abdulkader, Maha Abou Khadr, Ghada Bassiouny, Samia Soliman
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Abstract

BACKGROUND: Viability of the harvested bone during osteotomy preparation is affected by the generated heat, which in turn is related to drilling speed and time; this bone viability is considered an indicator of the quality of the harvested autograft. STUDY OBJECTIVE: The aim of this study was to assess the effect of two different drilling speeds on bone cell viability of bone harvested during osteotomy preparation. MATERIALS AND METHODS: A split mouth randomized controlled clinical trial was carried out on 8 patients, 16 mandibular premolar /molar edentulous ridge sites, using a trephine bur, 8 osteotomies were drilled using a speed of 1000 rpm (Control Group) and the other 8 using 400 rpm (Test Group), implants were placed, the harvested bone viability was evaluated histologically in both groups. RESULTS: The histological assessment revealed better viability features in samples harvested using 1000 rpm (Control Group). CONCLUSION: Drilling at 1000 rpm seems to yield stronger autologous bone viability than drilling at 400 rpm.
评估下颌后部种植床制备过程中两种不同钻孔速度下采集的骨细胞活力(随机对照临床试验)
背景:截骨准备过程中采集的骨的存活率受产生的热量影响,而热量又与钻孔速度和时间有关;这种骨存活率被认为是采集的自体移植物质量的指标。研究目的:本研究旨在评估两种不同的钻孔速度对截骨准备过程中获取的骨细胞活力的影响。材料与方法:对 8 名患者的 16 个下颌前磨牙/磨牙无牙槽嵴部位进行了分口随机对照临床试验,使用探针钻,8 个截骨组使用 1000 转/分钟的钻速(对照组),另外 8 个使用 400 转/分钟的钻速(试验组),植入种植体后,对两组获得的骨细胞活力进行组织学评估。结果:组织学评估显示,使用 1000 转/分钟(对照组)采集的样本具有更好的存活特征。结论:与 400 转/分钟的钻孔速度相比,1000 转/分钟的钻孔速度似乎能产生更强的自体骨存活率。
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