Yıl: 2020 Cilt: 23 Sayı: 1 Sayfa Aralığı: 52 - 59 Metin Dili: İngilizce DOI: 10.7126/cumudj.669313 İndeks Tarihi: 17-12-2020

EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS

Öz:
Objectives: Thermal trauma during implant surgery limits the properhealing process. The aim of the study wasto investigate the effect ofdifferent irrigation temperatures during implant surgery on theosseointegration of dental implants.Materials and Methods: Eight adult male New Zealand white rabbitswere used in this study. Total of 32 implants were inserted in eachtibia of each rabbit’s rear legs. Rabbits were randomly dividedaccording to different irrigation procedures applied (37°C, 24°C,10°C, and 1°C). Resonance frequency analysis (RFA) was performedfollowing to implant surgery, 1th week, 2nd week, 3rd week, and 1thmonth. In addition, removal torque values (RTVs) were measuredfrom sacrificed tibias at the end of 30 days.Results: No significant difference in implant stability quotient (ISQ)was detected between groups from the first measurement to 5thmeasurement. However, there was a statistically significant differencein RTVs between 1°C and 37°C, and 1°C and 10°C (p=0.024 andp=0.013, respectively).Conclusions: Different irrigation temperatures during implant surgerywere not effective on the primary and secondary stability values ofdental implants in rabbit models.
Anahtar Kelime:

İrrigasyon Solüsyon Sıcaklıklarının Dental İmplantların Osseointegrasyonu Üzerine Olan Etkisi

Öz:
Amaç: İmplant cerrahisi sırasındaki termal travma, iyileşme sürecini sınırlar. Bu çalışmanın amacı, implant cerrahisi sırasında kullanılan farklı sıcaklıktaki irrigasyon solüsyonlarının, dental implantların osseointegrasyonu üzerine olan etkisini araştırmaktır. Gereç ve Yöntemler: Bu çalışmada sekiz yetişkin erkek Yeni Zelanda beyaz tavşanı kullanıldı. Tavşanların tibialarına toplam 32 implant yerleştirildi. Tavşanlar, uygulanan farklı sıcaklıktaki irrigasyon solüsyonlarına göre (37 °C, 24 °C, 10 °C ve 1 °C) rastgele gruplara ayrıldı. Rezonans frekans analizi (RFA) implant cerrahi uygulamasından hemen sonra ve cerrahiyi takip eden; 1. hafta, 2. hafta, 3. hafta ve 1. ayın sonunda yapıldı. İmplant cerrahisinden 30 gün sonra, sakrifiye edilen tavşanların tibialarına yerleştirilen implantların, çıkarma torku değerleri (RTV'ler) ölçüldü ve uygun istatistiksel yöntemlerle değerlendirme yapıldı. Bulgular: Çalışmada uygulanan implantların, implant stabilite katsayısında (ISQ) İlk ölçümden 5. ölçüme kadar gruplar arasında anlamlı bir fark bulunmadı. Bununla birlikte, RTV'lerde 1 °C ile 37 °C ve 1 °C ile 10 °C arasında istatistiksel olarak anlamlı bir fark tespit edildi. (p=0,024 ve p=0,013, sırasıyla). Sonuçlar: Tavşan modellerinde, implant cerrahisi sırasında kullanılan farklı sıcaklıktaki irrigasyon solüsyonları, dental implantların primer ve sekonder stabilite değerlerini etkilememiştir. Anahtar Kelimeler: Dental implant, osseointegrasyon, travma, tavşan modeli.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik
  • 1. Albrektsson T, Lekholm U. Osseointegration: current state of the art. Dent Clin North Am1989;33:537-554.
  • 2. Sutter F, Krekeler G, Schwammberger AE, Sutter FJ. Atraumatic surgical technique and implant bed preparation. Quintessence Int 1992;23:811-816.
  • 3. Flanagan D. Heat generated during seating of dental implant fixtures. J Oral Implantol 2014;40:174-181
  • 4. Scarano A, Piattelli A, Assenza B,Carinci F, Di Donato L, Romani GL, Merla A. Infrared thermographic evaluation of temperature modifications induced during implant site preparation with cylindrical versus conical drills. Clin Implant Dent Relat Res2011;13:319-323.
  • 5. Carvalho AC, Queiroz TP, Okamoto R,Margonar R, Garcia IR Jr, Magro Filho O. Evaluation of bone heating, immediate bone cell viability, and wear of highresistance drills after the creation of implant osteotomies in rabbit tibias. Int J Oral Maxillofac Implants2011; 26:1193-1201.
  • 6. Eriksson RA, Albrektsson T. The effect of heat on bone regeneration: an experimental study in the rabbit using the bone growth chamber. J Oral Maxillofac Surg1984;42: 705-711.
  • 7. Tehemar SH. Factors affecting heat generation during implant site preparation: a review of biologic observations and future considerations. Int J Oral Maxillofac Implants 1999;14:127-136.
  • 8. Yoshida K, Uoshima K, Oda K, Maeda T. Influence of heat stress to matrix on bone formation. Clin Oral Implants Res 2009;20:782-790.
  • 9. Strbac GD, Giannis K, Unger E, Mittlböck M, Vasak C, Watzek G, Zechner W.Drilling and withdrawing related thermal changes during implant site osteotomies. Clin Implant Dent Relat Res2015;17:32-43.
  • 10. Kim SJ, Yoo J, Kim YS,Shin SW. Temperature change in pig rib bone during implant site preparation by low-speed drilling. J Appl Oral Sci 2010;18:522-527.
  • 11. Kondo S, Okada Y, Iseki H,Hori T, Takakura K, Kobayashi A, Nagata H.Thermological study of drilling bone tissue with a high-speed drill. Neurosurg 2000;46:1162-1168.
  • 12. Hochscheidt CJ, Shimizu RH, Andrighetto AR,Moura LM, Golin AL, Hochscheidt RC.Thermal variation during osteotomy with different dental implant drills: a standardized study in bovine ribs. Implant Dent 2017;26:73-79.
  • 13. El-Kholey KE, Ramasamy S, Kumar RS, Elkomy A. Effect of simplifying drilling technique on heat generation during osteotomy preparation for dental implant. Implant Dent 2017;26:888-891.
  • 14. El-Kholey KE, Elkomy A. Effect of the drilling technique on heat generation during osteotomy preparation for wide diameter implants. Implant Dent2016;25:825-828.
  • 15. Trisi P, Berardini M, Falco A,Vulpiani MP. Effect of temperature on the dental implant osseointegration development in low-density bone: an in vivo histological evaluation. Implant Dent 2015;24:96-100.
  • 16. Gehrke SA, Aramburú Júnior JS, Pérez-Albacete Martínez C, Ramirez Fernandez MP, Maté Sánchez de Val JE, Calvo-Guirado JL.The influence of drill length and irrigation system on heat production during osteotomy preparation for dental implants: an ex vivo study. Clin Oral Implants Res 2018;29:772-778.
  • 17. Strbac GD, Giannis K, Unger E,Mittlböck M, Watzek G, Zechner W.A novel standardized bone model for thermal evaluation of bone osteotomies with various irrigation methods. Clin Oral Implants Res 2014;25:622- 631.
  • 18. Gehrke SA, Loffredo NH, Mardegan FE. Investigation of the effect of movement and irrigation systems on temperature in the conventional drilling of cortical bone. Br J Oral Maxillofac Surg 2013;51:953- 957.
  • 19. Gehrke SA, Pazetto MK, de Oliveira S, Corbella S, Taschieri S, Mardegan FE.Study of temperature variation in cortical bone during osteotomies with trephine drills. Clin Oral Investig 2014;18:1749-1755.
  • 20. Benington IC, Biagioni PA, Briggs J, Sheridan S, Lamey PJ.Thermal changes observed at implant sites during internal and external irrigation.Clin Oral Implants Res2002;13:293-297.
  • 21. Sindel A, Dereci Ö, Hatipoğlu M, Altay MA, Özalp Ö, Öztürk A.The effects of irrigation volume to the heat generation during implant surgery. Med Oral Patol Oral Cir Bucal 2017;22:506-511.
  • 22. Rashad A, Kaiser A, Prochnow N, Schmitz I, Hoffmann E, Maurer P.Heat production during different ultrasonic and conventional osteotomy preparations for dental implants.Clin Oral Implants Res 2011;22:1361- 1365.
  • 23. Sannino G, Gherlone EF. Thermal changes during guided flapless implant site preparation: a comparative study. Int J Oral Maxillofac Implants 2018;33:671-677.
  • 24. Sener BC, Dergin G, Gursoy B, Kelesoglu E, Slih I.Effects of irrigation temperature on heat control in vitro at different drilling depths. Clin Oral Implants Res 2009;20:294-298.
  • 25. Pearce AI, Richards RG, Milz S, Schneider E, Pearce SG. Animal models for implant biomaterial research in bone: a review. Eur Cell Mater 2007;13:1-10.
  • 26. Sul YT, Johansson CB, Albrektsson T. Oxidized titanium screws coated with calcium ions and their performance in rabbit bone. Int J Oral Maxillofac Implants 2002;17:625-634.
  • 27. Meredith N, Shagaldi F, Alleyne D, Sennerby L, Cawley P. The application of resonance frequency measurements to study the stability of titanium implants during healing in the rabbit tibia. Clin Oral Implants Res 1997;8:234-243.
  • 28. Trisi P, Berardini M, Falco A, Podaliri Vulpiani M. Validation of value of actual micromotion as a direct measure of implant micromobility after healing (secondary implant stability). An in vivo histologic and biomechanical study. Clin Oral Implants Res 2016;27:1423-1430
  • 29. Trindade, R, Albrektsson T, Galli S, Prgomet Z, Tengvall P, Wennerberg A. Osseointegration and foreign body reaction: Titanium implants activate the immune system and suppress bone resorption during the first 4 weeks after implantation. Clin Implant Dent Relat Res2018;20:82–91
  • 30. Möhlhenrich SC, Modabber A, Steiner T, Mitchell DA, Hölzle F.Heat generation and drill wear during dental implant site preparation: systematic review. Br J Oral Maxillofac Surg 2015;53:679-689.
  • 31. Möhlhenrich SC, Abouridouane M, Heussen N, Modabber A, Klocke F, Hölzle F.Influence of bone density and implant drill diameter on the resulting axial force and temperature development in implant burs and artificial bone: an in vitro study. Oral Maxillofac Surg 2016;20:135-142.
  • 32. Shah FA, Thomsen P, Palmquist A. A review of the impact of implant biomaterials on osteocytes. J Dent Res 2018;97:977-986.
  • 33. Barrak I, Boa K, Joób-Fancsaly Á, Varga E, Sculean A, Piffko J. Heat Generation During Guided and Freehand Implant Site Preparation at Drilling Speeds of 1500 and 2000 RPM at Different Irrigation Temperatures: An In Vitro Study. Oral Health Prev Dent 2019; 9:1-8
  • 34. Ota T, Nishida Y, Ikuta K, Kato R, Kozawa E, Hamada S, Sakai T, Ishiguro N. Heat-stimuli enhanced osteogenesis using clinically available biomaterials. PLoS One 2017;18:1-16.
  • 35. Chen E, Xue D, Zhang W, Lin F, Pan Z. Extracellular heat shock protein 70 promotes osteogenesis of human mesenchymal stem cells through activation of the ERK signaling pathway. FEBS Lett 2015;21:589:4088-4096.
  • 36. Albrektsson T, Wennerberg A. On Osseointegration in Relation to Implant Surfaces. Clin Implant Dent Relat Res 2019;21:4-7.
APA Yilmaz D, FURUNCUOGLU H, varol o, Akin H (2020). EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. , 52 - 59. 10.7126/cumudj.669313
Chicago Yilmaz Dogukan,FURUNCUOGLU HALIT,varol osman,Akin Hakan EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. (2020): 52 - 59. 10.7126/cumudj.669313
MLA Yilmaz Dogukan,FURUNCUOGLU HALIT,varol osman,Akin Hakan EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. , 2020, ss.52 - 59. 10.7126/cumudj.669313
AMA Yilmaz D,FURUNCUOGLU H,varol o,Akin H EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. . 2020; 52 - 59. 10.7126/cumudj.669313
Vancouver Yilmaz D,FURUNCUOGLU H,varol o,Akin H EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. . 2020; 52 - 59. 10.7126/cumudj.669313
IEEE Yilmaz D,FURUNCUOGLU H,varol o,Akin H "EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS." , ss.52 - 59, 2020. 10.7126/cumudj.669313
ISNAD Yilmaz, Dogukan vd. "EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS". (2020), 52-59. https://doi.org/10.7126/cumudj.669313
APA Yilmaz D, FURUNCUOGLU H, varol o, Akin H (2020). EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. Cumhuriyet Dental Journal , 23(1), 52 - 59. 10.7126/cumudj.669313
Chicago Yilmaz Dogukan,FURUNCUOGLU HALIT,varol osman,Akin Hakan EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. Cumhuriyet Dental Journal 23, no.1 (2020): 52 - 59. 10.7126/cumudj.669313
MLA Yilmaz Dogukan,FURUNCUOGLU HALIT,varol osman,Akin Hakan EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. Cumhuriyet Dental Journal , vol.23, no.1, 2020, ss.52 - 59. 10.7126/cumudj.669313
AMA Yilmaz D,FURUNCUOGLU H,varol o,Akin H EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. Cumhuriyet Dental Journal . 2020; 23(1): 52 - 59. 10.7126/cumudj.669313
Vancouver Yilmaz D,FURUNCUOGLU H,varol o,Akin H EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS. Cumhuriyet Dental Journal . 2020; 23(1): 52 - 59. 10.7126/cumudj.669313
IEEE Yilmaz D,FURUNCUOGLU H,varol o,Akin H "EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS." Cumhuriyet Dental Journal , 23, ss.52 - 59, 2020. 10.7126/cumudj.669313
ISNAD Yilmaz, Dogukan vd. "EFFECT OF IRRIGATION SOLUTION TEMPATURE ON THE OSSEOINTEGRATION OF DENTAL IMPLANTS". Cumhuriyet Dental Journal 23/1 (2020), 52-59. https://doi.org/10.7126/cumudj.669313