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Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial
Print version ISSN 1646-2890On-line version ISSN 1647-6700
Abstract
ALVES, Theo Gualdi et al. Effect of irrigation protocols on bone temperature control during guided implant surgery. Rev Port Estomatol Med Dent Cir Maxilofac [online]. 2023, vol.64, n.2, pp.63-71. Epub June 30, 2023. ISSN 1646-2890. https://doi.org/10.24873/j.rpemd.2023.06.1056.
Objectives:
This experimental laboratory study aimed to compare the effect of four external irrigation protocols on bone tissue heating during guided implant drilling.
Methods:
Forty perforations were made in ten bovine rib specimens using customized surgical templates. Four experimental groups (n=10/group) were tested: Control group = 10-ml syringe with 25°C saline solution, Group 1 = 10-ml syringe with 10°C saline solution, Group 2 = combined external irrigation using a handpiece and a 10-ml syringe with 25°C saline solution, and Group 3 = combined external irrigation using a handpiece and a 10-ml syringe with 10°C saline solution. The temperature was measured at cervical and apical points using K-type thermocouples, a digital thermometer, and a video recorder. Data were analyzed by ANOVA and Pearson’s correlation coefficients (alpha=0.05).
Results:
The maximum temperature was 42°C (cervical) and 44°C (apical). No difference in temperature changes was found among groups, but the difference between bone specimens was statistically significant. Temperature and time were positively associated for most groups, mainly in the cervical region.
Conclusions:
All irrigation methods were equally effective in controlling the bone temperature in cervical and apical regions. However, longer drilling times caused a greater increase in temperature.
Keywords : Bone-implant interface; Dental implant; Irrigation; Temperature.