Gökçe Uçkun Gözde, Saygılı Sina, Çakır Merve, Geçkili Onur
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sakarya University, Sakarya, Turkiye, Turkey.
Department of Prosthodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkiye, Turkey.
BMC Oral Health. 2025 May 28;25(1):830. doi: 10.1186/s12903-025-06179-9.
Primary stability is a perquisite for achieving successful osseointegration. Additionally thermal effect of implant bed preparation plays an important role in success of a dental implant. This ex vivo study was conducted to compare one step implant specific osteotomy and conventional osteotomy in terms of primary stability and thermal changes during surgery.
Forty eight implants were inserted into the sheep iliac crest bones each with a safe distance to each other and divided into six groups. In two of the groups implant specific osteotomy and in the remaining 4 groups conventional osteotomy was performed. In the groups, the primary stability of the trioval implants designed for the implant specific osteotomy were compared with the oval active threaded implants. The two osteotomy methods were also compared. Additionally the thermal changes during the two osteotomy methods were compared using a double-channel temperature monitoring device.
Statistically significant differences (P <.05) were observed between the stability groups and the thermal evaluation groups (P <.05). Implant specific osteotomy revealed significantly higher stability than the conventional osteotomy (P <.001). Osteotomy without irrigation caused significantly higher thermal changes than the conventional osteotomy wit irrigation (P <.001).
Although the implant specific osteotomy reveals better primary stability, it causes higher temperature during drilling. However, since this increase is within the limits and doesn't cause a risk in terms of osseointegration, it may be used safely in clinical practice.
初期稳定性是实现成功骨结合的前提条件。此外，种植窝制备的热效应在牙种植成功中起着重要作用。本体外研究旨在比较一步式种植专用截骨术和传统截骨术在手术过程中的初期稳定性和热变化。
将48颗种植体彼此保持安全距离植入羊髂嵴骨中，并分为六组。其中两组采用种植专用截骨术，其余四组采用传统截骨术。在这些组中，比较了为种植专用截骨术设计的三卵形种植体与卵形主动螺纹种植体的初期稳定性。还比较了两种截骨方法。此外，使用双通道温度监测装置比较了两种截骨方法过程中的热变化。
在稳定性组和热评估组之间观察到统计学上的显著差异（P <.05）。种植专用截骨术显示出比传统截骨术显著更高的稳定性（P <.001）。不冲洗的截骨术比冲洗的传统截骨术引起的热变化显著更高（P <.001）。
虽然种植专用截骨术显示出更好的初期稳定性，但在钻孔过程中会导致更高的温度。然而，由于这种升高在限度之内，并且在骨结合方面不会造成风险，因此在临床实践中可以安全使用。
