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.