Sigilião Celles Cícero Andrade, Ferreira Izabela, Valente Mariana da Lima da Costa, Dos Reis Andréa Cândido
Post-graduate student, Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
Collaborating Professor, Post-doctoral fellow, Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo (USP), Ribeirão Preto, SP, Brazil.
J Prosthet Dent. 2025 Feb;133(2):394-401. doi: 10.1016/j.prosdent.2023.03.004. Epub 2023 Apr 3.
The drilling speed used for preparing dental implants may affect bone-implant contact (BIC), implant stability quotient (ISQ), and bone area fraction occupancy (BAFO). Different rotational speeds and the presence or absence of irrigation during site preparation have been investigated, but an established protocol for achieving the best osseointegration results is lacking.
The purpose of this systematic review was to investigate the influence of drill rotational speed on bone drilling for dental implant placement and its relationship with osseointegration.
This review included the preferred reporting items for systematic reviews and meta-analyses (PRISMA) and was registered in the international prospective register of systematic reviews (PROSPERO) database. Electronic searches were performed in the MEDLINE (PubMed), Scopus, Science Direct, and Embase databases. The risk of bias was analyzed by using the systematic review center for laboratory animal experimentation (SYRCLE).
A total of 1282 articles were found, and after removing duplicates and applying the eligibility criteria to in vivo articles on animals that addressed drilling speed and its relationship to osseointegration, 8 articles were selected for analysis. Of these, 5 articles showed no statistical differences, and 3 others showed significantly better osseointegration results by analyzing the parameters of BIC, BAFO, ISQs, and pull-out forces (PoFs). In all selected articles, high-speed drilling was performed with irrigation.
Although drilling speed seems to affect bone perforation, no definitive protocol was found in the literature consulted. The results vary depending on the combination of different factors, including bone type, irrigation, and drilling speed.
用于制备牙种植体的钻孔速度可能会影响骨-种植体接触（BIC）、种植体稳定性商数（ISQ）和骨面积分数占有率（BAFO）。已经研究了不同的转速以及在种植位点制备过程中是否进行冲洗，但缺乏一个能实现最佳骨结合效果的既定方案。
本系统评价的目的是研究钻孔转速对牙种植体植入时骨钻孔的影响及其与骨结合的关系。
本评价遵循系统评价和Meta分析的首选报告项目（PRISMA），并已在国际系统评价前瞻性注册库（PROSPERO）数据库中注册。在MEDLINE（PubMed）、Scopus、Science Direct和Embase数据库中进行了电子检索。使用实验室动物实验系统评价中心（SYRCLE）分析偏倚风险。
共检索到1282篇文章，在去除重复项并将纳入标准应用于关于动物体内研究中涉及钻孔速度及其与骨结合关系的文章后，选择了8篇文章进行分析。其中，5篇文章显示无统计学差异，另外3篇文章通过分析BIC、BAFO、ISQ和拔出力（PoF）参数显示骨结合效果明显更好。在所有入选文章中，高速钻孔均在冲洗条件下进行。
尽管钻孔速度似乎会影响骨穿孔，但在所查阅的文献中未发现明确的方案。结果因不同因素的组合而异，包括骨类型、冲洗和钻孔速度。
