scholarly journals Sequential drilling and drill angulation reduce the accuracy of drill hole start location in a synthetic bone model

2019 ◽  
Vol 184 (12) ◽  
pp. 383-383 ◽  
Author(s):  
Edith Sylvia Bishop ◽  
Jon L Hall ◽  
Ian Handel ◽  
Dylan Neil Clements ◽  
John Ryan
Keyword(s):  
Bone Density ◽  
Orthopaedic Surgery ◽  
Drill Hole ◽  
Drill Bit ◽  
Synthetic Bone ◽  
Bone Model ◽  
Implant Placement ◽  
Veterinary Surgeons ◽  
Drilling Accuracy ◽  
Start Location

The accuracy of drill hole location is critical for implant placement in orthopaedic surgery. Increasing drill bit size sequentially has been suggested as a method for improving the accuracy of drill hole start location. The aim of this study was to determine whether sequential drilling or drill angulation would alter accuracy of drill hole start location. Three specialist veterinary surgeons drilled holes in synthetic bone models either directly, or with sequentially increasing drill bit sizes. Drilling was performed at 0o, 10o and 20o to perpendicular to the bone models. Three synthetic bone models were used to mimic canine cancellous and cortical bones. Sequential drilling resulted in greater inaccuracy in drill hole location when assessing all drilling angles together. There was no influence of surgeon or synthetic bone density on drilling accuracy. The combination of drill angulation and sequential drilling increased inaccuracy in drill hole start location. We conclude that sequential drilling decreased accuracy of drill hole location in the synthetic bone model when drilling was angled. Inaccuracy associated with the drill hole start location should be taken into account when performing surgery, although the magnitude of inaccuracy is low when compared with other sources of error such as angulation.

scholarly journals Biomechanical properties of the bone during implant placement

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ádám László Nagy ◽  
Zsolt Tóth ◽  
Tamás Tarjányi ◽  
Nándor Tamás Práger ◽  
Zoltán Lajos Baráth
Keyword(s):  
Bone Structure ◽  
Biomechanical Properties ◽  
Control Group ◽  
Dynamic Tests ◽  
Bone Model ◽  
Implant Placement ◽  
Significant Difference ◽  
Before And After ◽  
Group 2 ◽  
Post Hoc

Abstract Background In this research the biomechanical properties of a bone model was examined. Porcine ribs are used as experimental model. The objective of this research was to investigate and compare the biomechanical properties of the bone model before and after implant placement. Methods The bone samples were divided in three groups, Group 1 where ALL-ON-FOUR protocol was used during pre-drilling and placing the implants, Group 2 where ALL-ON-FOUR protocol was used during pre-drilling, and implants were not placed, and Group 3 consisting of intact bones served as a control group. Static and dynamic loading was applied for examining the model samples. Kruskal–Wallis statistical test and as a post-hoc test Mann–Whitney U test was performed to analyze experimental results. Results According to the results of the static loading, there was no significant difference between the implanted and original ribs, however, the toughness values of the bones decreased largely on account of predrilling the bones. The analysis of dynamic fatigue measurements by Kruskal–Wallis test showed significant differences between the intact and predrilled bones. Conclusion The pre-drilled bone was much weaker in both static and dynamic tests than the natural or implanted specimens. According to the results of the dynamic tests and after a certain loading cycle the implanted samples behaved the same way as the control samples, which suggests that implantation have stabilized the skeletal bone structure.

scholarly journals Management of Retrograde Peri-Implantitis Using an Air-Abrasive Device, Er,Cr:YSGG Laser, and Guided Bone Regeneration

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Nikolaos Soldatos ◽  
Georgios E. Romanos ◽  
Michelle Michaiel ◽  
Ali Sajadi ◽  
Nikola Angelov ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Density ◽  
Bone Regeneration ◽  
Guided Bone Regeneration ◽  
Etiologic Factor ◽  
Ridge Preservation ◽  
X Rays ◽  
Case Description ◽  
Implant Placement ◽  
Maxillary Molar

Background. The placement of an implant in a previously infected site is an important etiologic factor contributing to implant failure. The aim of this case report is to present the management of retrograde peri-implantitis (RPI) in a first maxillary molar site, 2 years after the implant placement. The RPI was treated using an air-abrasive device, Er,Cr:YSGG laser, and guided bone regeneration (GBR). Case Description. A 65-year-old Caucasian male presented with a draining fistula associated with an implant at tooth #3. Tooth #3 revealed periapical radiolucency two years before the implant placement. Tooth #3 was extracted, and a ridge preservation procedure was performed followed by implant rehabilitation. A periapical radiograph (PA) showed lack of bone density around the implant apex. The site was decontaminated with an air-abrasive device and Er,Cr:YSGG laser, and GBR was performed. The patient was seen every two weeks until suture removal, followed by monthly visits for 12 months. The periapical X-rays, from 6 to 13 months postoperatively, showed increased bone density around the implant apex, with no signs of residual clinical or radiographic pathology and probing depths ≤4 mm. Conclusions. The etiology of RPI in this case was the placement of an implant in a previously infected site. The use of an air-abrasive device, Er,Cr:YSGG, and GBR was utilized to treat this case of RPI. The site was monitored for 13 months, and increased radiographic bone density was noted.

scholarly journals Drill bit guiding system for implant placement

2018 ◽  
Vol 8 (2) ◽  
pp. 230
Author(s):  
Loganathan Deepanandan ◽  
Giridhar Karthikrajan
Keyword(s):  
Drill Bit ◽  
Implant Placement ◽  
Guiding System

scholarly journals Biomechanical Properties of the Bone During Implant Placement

2020 ◽  
Author(s):  
Adam Laszlo Nagy ◽  
Nándor Tamás Práger ◽  
Zsolt Tóth ◽  
Tamás Tarjányi ◽  
Zoltán Lajos Baráth
Keyword(s):  
Bone Structure ◽  
Biomechanical Properties ◽  
Control Group ◽  
Dynamic Tests ◽  
Bone Model ◽  
Implant Placement ◽  
Significant Difference ◽  
Before And After ◽  
Group 2 ◽  
Post Hoc

Abstract Introduction: In our research we examined the biomechanical properties of a bone model. Porcine ribs are used as experimental model. Our objective is to investigate and compare the biomechanical properties of the bone model before and after implant placement. Methods: The bone samples were divided in three groups, Group 1 where ALL-ON-FOUR protocol was used during pre-drilling and placing the implants, Group 2 where ALL-ON-FOUR protocol was used during pre-drilling, and implants were not placed, and Group 3 consisting of intact bones served as a control group. Static and dynamic loading was applied for examining the model samples. Kruskal-Wallis statistical test and as post-hoc test Mann-Whitney U test was performed to analyze experimental results.Results: According to the results of the static loading, there was no significant difference between the implanted and original ribs, however, the toughness values of the bones decreased largely on account of predrilling the bones. The analysis of dynamic fatigue measurements by Kruskal-Wallis test showed significant differences between the intact and predrilled bones.Conclusions: The pre-drilled bone was much weaker in both static and dynamic tests than the natural or implanted specimens. According to the results of the dynamic tests and after a certain loading cycle the implanted samples behaved the same way as the control samples, which suggests that implantation have stabilized the skeletal bone structure, and if even one implant is lost at the implant site during All-On-Four protocol the stabilizing effect of the implants cannot be expected.

scholarly journals Implant Insertion Torque Load Analysis for Mandible using CBCT Images

2017 ◽  
Vol 8 (3) ◽  
pp. 183-189
Author(s):  
CJ Venkatakrishnan
Keyword(s):  
Bone Density ◽  
Preoperative Evaluation ◽  
Osteoporotic Bone ◽  
Insertion Torque ◽  
Optimum Level ◽  
Mineral Density ◽  
Stress Strain ◽  
Implant Placement ◽  
Torque Load ◽  
Load Analysis

ABSTRACT Introduction Osteoporotic patients require particular attention to their implant site bone quality as an indication of prognosis and may require modified surgical technique Insertion Torque (IT). Aim It is the purpose of this study to test whether IT is significantly correlated with bone density or not, as assessed by the cone-beam computed tomography (CBCT) in a group of osteopenic and osteoporotic patients. Materials and methods A total of 30 patients were included in the study. The mandibular second premolar region was chosen as the site of investigation to prevent variability in surgical implant placement technique in different locations affecting bone mineral density (BMD). Partially, edentulous female patients between 51 and 60 years of age who were scheduled to receive implant placement were recruited for the study. CBCT (Master Series 3D Dental Imaging) was used for preoperative evaluation of the jaws for each patient. Materialise's Interactive Medical Image Control System (MIMICS) was used to process stacks of 2D images from CBCT. Finite element analysis were carried out on bone using Ansys software. Maximum displacement and maximum stress—strain patterns were compared in normal, osteoporotic, and osteopenic groups. Results The difference in mean bone density in all three groups were statistically significant (p < 0.05) (Table 1). FEA at 32, 36, 40 N in all 3 groups was statistically significant. (Table 2). Conclusion Within the limitations of the study, the amount of stress—strain that exhibits at 40 N load in normal bone will be almost the same stress—strain given at 32 N load in osteoporotic bone. Normal IT load analysis exhibits more stress/strain in osteoporotic patients when compared with other groups, showing that IT must be achieved to an optimum level to avoid further complication and failures. How to cite this article Venkatakrishnan CJ, Bhuminathan S, Chandran CR. Implant Insertion Torque Load Analysis for Mandible using CBCT Images. World J Dent 2017;8(3):183-189.

scholarly journals ASSESSMENT OF JAW BONE DENSITY IN TERMS OF HOUNSFIELD UNITS USING CONE BEAM COMPUTED TOMOGRAPHY FOR DENTAL IMPLANT TREATMENT PLANNING

2021 ◽  
Vol 71 (1) ◽  
pp. 221-27
Author(s):  
Myra Ahmad ◽  
Yasir Ikram Ahmed ◽  
Farheen Qureshi ◽  
Muhammad Sharjeel Ashraf ◽  
Zubair Ahmed Khan ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Density ◽  
Treatment Planning ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Hounsfield Units ◽  
Implant Placement ◽  
The Mean ◽  
Anterior Mandible ◽  
Implant Treatment

Objective: To assess jawbone density in terms of Hounsfield units using cone beam computed tomography fordental implant treatment planning in patients reporting to a local tertiary care dental hospital Study Design: Cross sectional study. Place and Duration of Study: Department of Periodontology and Oral Implantology, Fatima Memorial Hospital, Lahore, from Mar to Sep 2018. Methodology: A total of 100 patients who fulfilled the inclusion criteria and underwent implant placement wereincluded in the study. After ethical approval, informed and written consent, brief history was taken and a singleradiographer exposed and took cone beam computed tomography scan of all the subjects using PLANMECAmachine. A single investigator using PLANMECA software recorded jawbone density in terms of Hounsfieldunits. All data were presented as mean, SD and one way ANOVA was used. Multiple comparisons of the fourregions in the maxilla and mandible were performed with a Tukey test. An independent t-test was also used tocompare gender with age groups and bone density. Results: Total of 100 patients who underwent implant placement were included, 48 (48%) were males & 52 (52%) were females with the mean age of 28.53 ± 5.33 years. The mean jawbone density in terms of Hounsfield units using cone beam computed tomography in anterior maxilla was 709.75 ± 122.63 Hounsfield units, posterior maxilla was 299.66 ± 73.09 Hounsfield units, anterior mandible was 1093.34 ± 109.42 Hounsfield units and posterior mandible was 599.45 ± 135.55 Hounsfield units (p<.001). Conclusion: The anterior mandible and anterior...........

scholarly journals Drilling Tool Geometry Effects on the Hole Quality of Glare

2020 ◽  
Vol 8 (4S4) ◽  
pp. 156-159
Keyword(s):  
Structural Damage ◽  
Cutting Tool ◽  
Epoxy Composite ◽  
Drill Hole ◽  
Tool Geometry ◽  
Drill Bit ◽  
Machining Parameters ◽  
Hole Quality ◽  
Drilling Tool

Recently machining of hybrid stacking materials are much interested and challenging in manufacturing domains. Mostly, drill hole quality depends the machining parameters and type of cutting tool. This work investigates the experimental study for effects of drill bit geometry on hole quality of glass laminate aluminum reinforced epoxy (GLARE). GLARE have manufactured by alternative stacking of aluminum (AA7475) and glass fiber (E-glass)/epoxy composite through compression molding machine. Machining of GLARE by using of Computer numerical controller. Hole quality were studied with the aid of optical microscopic. Results show that a drill tip geometry to promote the reduction of delamination and structural damage. Superior hole quality is achieved with 2 fluted drill bit than 3 fluted drill bit.

scholarly journals Changes of Radiographic Trabecular Bone Density and Peri-Implant Marginal Bone Vertical Dimensions Around Non-Submerged Dental Implants with a Laser-Microtextured Collar after 5 Years of Functional Loading.

2020 ◽  
Vol 14 (1) ◽  
pp. 226-234
Author(s):  
Renzo Guarnieri ◽  
Gabriele Miccoli ◽  
Marco Seracchiani ◽  
Maurilio D’Angelo ◽  
Dario Di Nardo ◽  
...  
Keyword(s):  
Bone Density ◽  
Trabecular Bone ◽  
Trabecular Bone Density ◽  
Dimensional Changes ◽  
Implant Placement ◽  
Texture Parameters ◽  
Mixed Regression ◽  
Bone Level ◽  
Occurrence Matrix ◽  
Functional Loading

Objectives: The progressive peri-implant bone remodeling caused by dynamic cycles of microdamage may change peri-implant bone characteristics and volume after the functional loading. This prospective study was designed to evaluate the radiographic trabecular bone density and peri-implant vertical dimensional changes around the non submerged dental implant with a laser-microtextured collar (NSLI)s after 5 years of functional loading. Methods: Digital periapical radiographs of 58 NSLIs supported fixed single crowns and fixed partial dentures in 26 patients (14 men, mean age of 52 ± 3.8 years) were used for comparative evaluation between the implant placement [Baseline (BSL)], the definitive Crowns Delivery (CD) and the 5 years post-functional loading examination (T5). Regions of interest (ROI) were taken into consideration for the measurement of mean gray levels, standard deviation, and variation coefficient. The texture parameters, such as contrast, correlation, angular second moment and entropy, were investigated by using the software ImageJ (v.1.50i), by means of the Gray-level Co-occurrence Matrix (GLCM) Texture Tool plugin. Vertical Peri-implant Marginal Bone Level (VPMBL) was assessed at the mesial and the distal sides of each implant by subtracting the measure at BSL from the measure at T5 by means of dedicate software (VixWin Platinum Imaging Software). Mixed regression models were adopted to analyze data. The possible effects of some variables, such as the use of provisional denture, location, crown/implant ratio, type of prosthetic design (single or splinted), on radiographic dimensional vertical changes, gray levels and texture analysis variables were also evaluated. Results: From BSL to T5, mesial and distal VPMBL showed a statistically significant gain of 0.9 ±0.5, and 0.10 mm ±0.6, respectively (P<0.05). From CD to T5, mean gray levels increased from 94.4±26.8) to 111.8±27.1 (P<0.05), while the coefficient of variation decreased from 0.08±0,03 to 0.05±0.04) (P<0.05). Variables showed no statistically significant correlation with texture parameters (P > 0.05). Conclusion: NSLIs showed an increase in radiographic vertical peri-implant marginal bone levels and bone density up to 5 years of loading.

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