In-vitro investigation of bone temperature changes in osteotomies performed with different brands of implant burs.

Abstract

The aim of this study was to investigate in-vitro the temperature changes occurring in the bone during drilling with implant drills manufactured by different companies. Bone blocks obtained from fresh bovine ribs were used in the study. Bone blocks were drilled with drills manufactured by Ankylos, Astra Tech, Nobel Biocare, Bredent and Straumann implant brands at an ambient temperature of 30 ± 2° C under a constant pressure of 2 kg. Two K-type thermocouple sensors were placed on the bone blocks at 5th and 10th mm depths and the temperature changes were measured at a distance of 1 mm from the implant drill. In the study, working models were created under different conditions for implant socket preparation. In group 1, the first time drills were used at 150 rpm without irrigation, in group 2, the first time drills were used at 1200 rpm with 40 ml/min irrigation, in group 3, the 30th time drills were used at 150 rpm without irrigation, and in group 4, the 30th time drills were used at 1200 rpm with 40 ml/min irrigation. All osteotomy procedures were performed with 3.5 ± 0.3 mm diameter burs for a period of 8 s and the temperature values obtained at equal time intervals were recorded. Repeated Measures and Kruskall Wallis-H tests were used for statistical analysis of the data. No significant difference was observed between the implant drills and the temperature changes in the bone during drilling (p < 0.05). None of the groups reached critical temperature values (47° C+) throughout the study. At the 5th and 10th mm depths, the temperature changes in the sensors used were close to each other. It was also calculated that although the average temperatures were close to each other in the non-irrigated and irrigated systems, the difference values obtained by subtracting the initial temperature were significantly higher in the non-irrigated systems. The results showed that implant drills did not cause significant temperature increases in bone blocks depending on the difference in manufacturers (Ankylos, Astra Tech, Nobel Biocare, Bredent, Straumann) and the number of uses. It was also concluded that irrigated and non-irrigated systems are safe as long as they are used under the recommended conditions.