Department of Prosthodontics and Digital Technology, School of Dental Medicine, Stony Brook University, Stony Brook, NY 11794, USA.
Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY 11794, USA.
Medicina (Kaunas). 2024 Jan 30;60(2):239. doi: 10.3390/medicina60020239.
: Surgical guides might impede the flow of coolant to the implant drills during the preparation of the implant bed, potentially contributing to increased temperatures during bone drilling. The objective of this experimental study was to assess the cooling efficiency of various guiding cylinder designs for sleeveless surgical guides used in guided surgery. : In this experimental study, surgical guides with three different guiding cylinder designs were printed. One group had solid cylinders (control) and two test groups (cylinders with pores and cylinders with windows). Forty customized polyurethane blocks with type III bone characteristics were fitted into the guide and fixed in a vise, and implant bed preparations were completed using a simplified drilling protocol with and without irrigation. An infrared thermographic camera was used to record the temperature changes during drilling at the coronal, middle, and apical areas. ANOVA test and Games-Howell post hoc test were used to determine significant thermal differences among groups. : A significant thermal increase was observed at the coronal area in the group without irrigation (39.69 ± 8.82) ( < 0.05). The lowest thermal increase was recorded at the surgical guides with windows (21.451 ± 0.703 °C) compared to solid (25.005 ± 0.586 °C) and porous surgical guides (25.630 ± 1.004) ( < 0.05). In the middle and apical areas, there were no differences between solid and porous cylinders ( > 0.05). : 3D-printed sleeveless surgical guides with window openings at the guiding cylinders reduce the temperature elevation at the cortical bone in guided implant surgery.
: 外科导板在预备种植体床时可能会阻碍冷却剂流向种植体钻头,从而导致骨钻时温度升高。本实验研究的目的是评估无袖外科导板不同导向管设计在引导式手术中的冷却效率。: 在这项实验研究中,打印了具有三种不同导向管设计的外科导板。一组为实心管(对照),两组为测试组(有孔管和有窗管)。将四十个具有 III 型骨特征的定制聚亚安酯块装入导板并固定在虎钳中,使用简化的钻孔方案进行种植体床预备,有和没有冲洗。使用红外热像仪记录钻孔过程中在冠部、中部和根尖区域的温度变化。使用方差分析和 Games-Howell 事后检验确定组间的显著热差异。: 在无冲洗组中,在冠部区域观察到明显的温度升高(39.69 ± 8.82)( < 0.05)。与实心管(25.005 ± 0.586°C)和多孔管(25.630 ± 1.004°C)相比,带有窗口的外科导板记录到的温度升高最低(21.451 ± 0.703°C)( < 0.05)。在中部和根尖区域,实心管和多孔管之间没有差异( > 0.05)。: 3D 打印的无袖外科导板带有导向管上的窗口开口,可降低引导式种植手术中皮质骨的温度升高。