Kosior Piotr, Dobrzyński Maciej, Wiśniewska Kamila, Kulus Michał, Struzik Natalia, Matys Jacek, Kuropka Piotr
Department of Conservative Dentistry with Endodontics, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
Department of Pediatric Dentistry and Preclinical Dentistry, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
J Clin Med. 2025 Mar 21;14(7):2161. doi: 10.3390/jcm14072161.
This study aimed to compare the histological characteristics of bone tissue following drilling with three implant systems under different rotational speeds and cooling conditions. A total of 54 implant bed preparations were performed in four swine ribs using three implant systems: Hiossen ET (Hiossen, Fairfield, NJ, USA), Paltop (Burlington, MA, USA), and Anyridge (Megagen, Daegu, Republic of Korea). Drilling was performed at three speeds (800, 1200, and 1500 rpm) under three cooling conditions: saline at room temperature, saline cooled to 4 °C, and no cooling. Histological evaluation was conducted using a Nikon Eclipse 80i fluorescence microscope (Nikon, Tokyo, Japan) with DAPI and rhodamine staining. Observations were performed at 40× magnification, focusing on the osteotomy wall and surrounding tissue. The samples were assessed based on surface smoothness, compressed tissue presence, carbonization, and adjacent tissue damage. Statistical analysis was performed using the Kruskal-Wallis test with Dunn's post hoc comparisons to evaluate differences among experimental conditions. The results demonstrated that the Hiossen ET system achieved optimal bone bed quality at 1200 rpm with saline cooling at 4 °C, producing the smoothest osteotomy walls and minimal thermal damage ( = 0.003). The Paltop system performed best at 800 rpm with 4 °C cooling, showing reduced tissue compression and fewer microcracks ( = 0.012). The Anyridge system exhibited the most favorable outcomes at 1200 rpm with saline cooling at room temperature, minimizing soft tissue remnants and preserving bone integrity ( = 0.021). Across all systems, the absence of cooling significantly increased thermal damage, carbonization, and tissue fragmentation, particularly at 1500 rpm ( < 0.001). The use of lower rotational speeds with effective cooling minimized tissue trauma and improved bone bed integrity. Further clinical validation is necessary to confirm the applicability of these results in human bone.
本研究旨在比较三种种植体系统在不同转速和冷却条件下钻孔后骨组织的组织学特征。使用三种种植体系统(韩国登特斯克公司的Hiossen ET、美国的Paltop和韩国美格真公司的Anyridge)在4头猪的肋骨上共进行了54次种植窝制备。在三种冷却条件下(室温生理盐水、冷却至4℃的生理盐水和无冷却)以三种速度(800、1200和1500转/分钟)进行钻孔。使用配备DAPI和罗丹明染色的尼康Eclipse 80i荧光显微镜(尼康,东京,日本)进行组织学评估。在40倍放大倍数下进行观察,重点观察截骨壁和周围组织。根据表面光滑度、压缩组织的存在、碳化和相邻组织损伤对样本进行评估。使用Kruskal-Wallis检验和Dunn事后比较进行统计分析,以评估实验条件之间的差异。结果表明,Hiossen ET系统在1200转/分钟、4℃生理盐水冷却条件下可获得最佳骨床质量,截骨壁最光滑,热损伤最小(P = 0.003)。Paltop系统在800转/分钟、4℃冷却条件下表现最佳,组织压缩减少,微裂纹较少(P = 0.012)。Anyridge系统在1200转/分钟、室温生理盐水冷却条件下表现出最有利的结果,软组织残留最小,骨完整性得以保留(P = 0.021)。在所有系统中,无冷却显著增加了热损伤、碳化和组织破碎,尤其是在1500转/分钟时(P < 0.001)。使用较低转速并有效冷却可将组织创伤降至最低,并改善骨床完整性。需要进一步的临床验证来确认这些结果在人体骨骼中的适用性。