Parvizi, S.; Cameron, A.; Tadakamadla, S.; Figueredo, C.M.S.; Reher, P. A Novel Irrigation System to Reduce Heat Generation during Guided Implantology: An In Vitro Study. J. Clin. Med.2023, 12, 3944.
Parvizi, S.; Cameron, A.; Tadakamadla, S.; Figueredo, C.M.S.; Reher, P. A Novel Irrigation System to Reduce Heat Generation during Guided Implantology: An In Vitro Study. J. Clin. Med. 2023, 12, 3944.
Parvizi, S.; Cameron, A.; Tadakamadla, S.; Figueredo, C.M.S.; Reher, P. A Novel Irrigation System to Reduce Heat Generation during Guided Implantology: An In Vitro Study. J. Clin. Med.2023, 12, 3944.
Parvizi, S.; Cameron, A.; Tadakamadla, S.; Figueredo, C.M.S.; Reher, P. A Novel Irrigation System to Reduce Heat Generation during Guided Implantology: An In Vitro Study. J. Clin. Med. 2023, 12, 3944.
Abstract
The purpose of this in vitro study is to evaluate the effectiveness of incorporating a new irrigation system into a surgical guide and monitor its effect on heat generation during implant bed preparation. A total of 48 surgically guided osteotomies were performed on 12 bovine ribs divided into 4 groups, using different irrigation techniques: Group A (test) had entry and exit channels incorporated into the guide; Group B had a similar design with an entry channel only; Group C had conventional external irrigation; Group D (control) had no irrigation. Heat generation during the osteotomies was measured using thermocouples placed at a depth of 2 mm and 6 mm. The lowest mean temperature was observed in Group A (22.1°C at 2mm and 21.4°C at 6mm), this was statistically significant when compared with Groups C and D (p<0.001). Group A showed a lower mean temperature compared with Group B as well, however statistically significant only at 6mm depth (p<0.05). In conclusion, the proposed guide has significantly reduced heat generation during implant osteotomy. The integration of an exit cooling channel can resolve limitations found in previously designed surgical guides and can be easily incorporated into computer designing and 3D printing software.
Keywords
Dental implants; surgical guide; irrigation channels; Thermocouples; 3D printing; CAD/CAM
Subject
Medicine and Pharmacology, Dentistry and Oral Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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