Skip to main content

Advertisement

SpringerLink
Log in

Study of temperature variation in cortical bone during osteotomies with trephine drills

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objective

The purpose of this study was to compare temperature variation during osteotomies with trephine drills under different irrigation conditions: without irrigation, external irrigation, and double irrigation.

Materials and methods

Synthetic blocks of bone (type I density) were used for drilling procedures with an experimental computed machine, which measured the maximum temperature in the cortical bone during osteotomy with a bone cut that was 5 mm in both diameter and depth. Three groups were formed depending on the irrigation conditions: no irrigation (G1), external irrigation (G2), and double irrigation (G3). Fifty drillings were performed for each group.

Results

The average thermal increase in the groups was 21.7 ± 1.52 °C in G1, 14.2 ± 0.70 °C in G2, and 12.4 ± 0.75 °C in G3. The results presented statistically significant differences among all groups (α = 0.05).

Conclusion

The double irrigation technique resulted in a smaller increase in temperature in the cortical bone model, demonstrating a greater efficiency, which may be beneficial when compared to external irrigation alone.

Clinical relevance

The trephine has been widely used in removing small blocks for bone graft, especially the posterior mandible, where the possibility of heating may be higher due to the density of cortical bone in this area. So it is important that the professionals select instruments that can reduce the risks of complications in the proposed treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Tilotta F, Lazaroo B, Gaudy JF (2008) Gradual and safe technique for sinus floor elevation using trephines and osteotomes with stops: a cadaveric anatomic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:210–216

    Article  PubMed  Google Scholar 

  2. Thuaksuban N, Nuntanaranont T, Pripatnanont P (2010) A comparison of autogenous bone graft combined with deproteinized bovine bone and autogenous bone graft alone for treatment of alveolar cleft. Int J Oral Maxillofac Surg 39(12):1175–1180

    Article  PubMed  Google Scholar 

  3. Stenport VF, Örtorp A, Thor A (2011) Onlay and inlay bone grafts with platelet-rich plasma: histologic evaluations from human biopsies. J Oral Maxillofac Surg 69(4):1079–1085

    Article  PubMed  Google Scholar 

  4. Lundskog J (1972) Heat and bone tissue. An experimental investigation of the thermal properties of bone and threshold levels for thermal injury. Scand J Plast Reconstr Surg 9:1–80

    PubMed  Google Scholar 

  5. Leunig M, Hertel R (1996) Thermal necrosis after tibial reaming for intramedullary nail fixation. A report of three cases. J Bone Joint Surg Br 78(4):584–587

    PubMed  Google Scholar 

  6. Brisman DL (1996) The effect of speed, pressure, and time on bone temperature during the drilling of implant sites. Int J Oral Maxillofac Implants 11(1):35–37

    PubMed  Google Scholar 

  7. Kerawala CJ, Martin IC, Allan W, Williams ED (1999) The effects of operator technique and bur design on temperature during osseous preparation for osteosynthesis self-tapping screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 88(2):145–150

    Article  PubMed  Google Scholar 

  8. Harris BH, Kohles SS (2001) Effects of mechanical and thermal fatigue on dental drill performance. Int J Oral Maxillofac Implants 16:819–826

    PubMed  Google Scholar 

  9. Oliveira N, Alaejos-Algarra F, Mareque-Bueno J, Ferres-Padro E, Hernandez-Alfaro F (2012) Thermal changes and drill wear in bovine bone during implant site preparation. A comparative in vitro study: twisted stainless steel and ceramic drills. Clin Oral Implants Res 23(8):963–969

    Article  PubMed  Google Scholar 

  10. Sener BC, Dergin G, Gursoy B, Kelesoglu E, Slih I (2009) Effects of irrigation temperature on heat control in vitro at different drilling depths. Clin Oral Implants Res 20:294–298

    Article  PubMed  Google Scholar 

  11. Eriksson A, Albrektsson T, Grane B, McQueen D (1982) Thermal injury to bone. A vital-microscopic description of heat effects. Int J Oral Surg 11(2):115–121

    Article  PubMed  Google Scholar 

  12. Eriksson RA, Albrektsson T, Magnusson B (1984) Assessment of bone viability after heat trauma. A histological, histochemical and vital microscopic study in the rabbit. Scand J Plast Reconstr Surg 18:261–268

    Article  PubMed  Google Scholar 

  13. Hillery MT, Shuaib I (1999) Temperature effects in the drilling of human and bovine bone. J Mat Proc Technology 92–93:302–308

    Article  Google Scholar 

  14. Eriksson AR, Albrektsson T (1983) Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent 50:101–107

    Article  PubMed  Google Scholar 

  15. Eriksson RA, Adell R (1986) Temperatures during drilling for the placement of implants using the osseointegration technique. J Oral Maxillofac Surg 44(1):4–7

    Article  PubMed  Google Scholar 

  16. Flanagan D (2010) Osteotomy irrigation: is it necessary? Implant Dent 19(3):241–249

    Article  PubMed  Google Scholar 

  17. Sharawy M, Misch CE, Weller N, Tehemar S (2002) Heat generation during implant drilling: the significance of motor speed. J Oral Maxillofac Surg 60(10):1160–1169

    Article  PubMed  Google Scholar 

  18. Ercoli C, Funkenbusch PD, Lee HJ, Moss ME, Graser GN (2004) The influence of drill wear on cutting efficiency and heat production during osteotomy preparation for dental implants: a study of drill durability. Int J Oral Maxillofac Implants 19(3):335–349

    PubMed  Google Scholar 

  19. Benington IC, Biagioni PA, Briggs J, Sheridan S, Lamey PJ (2002) Thermal changes observed at implant sites during internal and external irrigation. Clin Oral Implants Res 13:293–297

    Article  PubMed  Google Scholar 

  20. Augustin G, Davila S, Udiljak T, Vedrina DS, Bagatin D (2009) Determination of spatial distribution of increase in bone temperature during drilling by infrared thermography: preliminary report. Arch Orthop Trauma Surg 129(5):703–709

    Article  PubMed  Google Scholar 

  21. Lavelle C, Wedgwood D (1980) Effect of internal irrigation on frictional heat generated from bone drilling. J Oral Surg 38(7):499–503

    PubMed  Google Scholar 

  22. Misir AF, Sumer M, Yenisey M, Ergioglu E (2009) Effect of surgical drill guide on heat generated from implant drilling. J Oral Maxillofac Surg 67(12):2663–2668

    Article  PubMed  Google Scholar 

  23. Abouzgia MB, Symington JM (1996) Effect of drill speed on bone temperature. Int J Oral Maxillofac Surg 25(5):394–399

    Article  PubMed  Google Scholar 

  24. Gehrke SA, Neto HL, Mardegan FE (2013) Investigation of the effect of movement and irrigation systems on temperature in the conventional drilling of cortical bone. Br J Oral Maxillofac Surg S0266–4356(13):00004–1. doi:10.1016/j.bjoms.2012.10.023

    Google Scholar 

  25. Saha S, Pal S, Albright JA (1982) Surgical drilling: design and performance of an improved drill. J Biomech Eng 104:245–252

    Article  PubMed  Google Scholar 

  26. Augustin G, Zigman T, Davila S, Udilljak T, Staroveski T, Brezak D et al (2012) Cortical bone drilling and thermal osteonecrosis. Clin Biomech (Bristol, Avon) 27(4):313–325

    Article  Google Scholar 

  27. Oh HJ, Wikesjo UM, Kang HS, Ku Y, Eom TG, Koo KT (2011) Effect of implant drill characteristics on heat generation in osteotomy sites: a pilot study. Clin Oral Implants Res 22(7):722–726

    Article  PubMed  Google Scholar 

  28. Benington IC, Biagioni PA, Crossey PJ, Hussey DL, Sheridan S, Lamey PJ (1996) Temperature changes in bovine mandibular bone during implant site preparation: an assessment using infra-red thermography. J Dent 24(4):263–267

    Article  PubMed  Google Scholar 

  29. Chacon GE, Bower DL, Larsen PE, McGlumphy EA, Beck FM (2006) Heat production by 3 implant drill systems after repeated drilling and sterilization. J Oral Maxillofac Surg 64(2):265–269

    Article  PubMed  Google Scholar 

  30. Yacker MJ, Klein M (1996) The effect of irrigation on osteotomy depth and bur diameter. Int J Oral Maxillofac Implants 11:634–638

    PubMed  Google Scholar 

  31. Jochum RM, Reichart PA (2000) Influence of multiple use of Timedur-titanium cannon drills: thermal response and scanning electron microscopic findings. Clin Oral Implants Res 11:139–143

    Article  PubMed  Google Scholar 

  32. Carvalho AC, Queiroz TP, Okamoto R, Margonar R, Garcia IR Jr, Magro Filho O (2011) Evaluation of bone heating, immediate bone cell viability, and wear of high-resistance drills after the creation of implant osteotomies in rabbit tibias. Int J Oral Maxillofac Implants 26(6):1193–1201

    PubMed  Google Scholar 

  33. Augustin G, Davila S, Udilljak T, Staroveski T, Brezak D, Babic S (2012) Temperature changes during cortical bone drilling with a newly designed step drill and an internally cooled drill. Int Orthop 36(7):1449–1456

    Article  PubMed Central  PubMed  Google Scholar 

  34. Watanabe F, Tawada Y, Komatsu S, Hata Y (1992) Heat distribution in bone during preparation of implant sites: heat analysis by real-time thermography. Int J Oral Maxillofac Implants 7(2):212–219

    PubMed  Google Scholar 

  35. Cordioli G, Majzoub Z (1997) Heat generation during implant site preparation: an in vitro study. Int J Oral Maxillofac Implants 12:186–193

    PubMed  Google Scholar 

  36. Iyer S, Weiss C, Mehta A (1997) Effects of drill speed on heat production and the rate and quality of bone formation in dental implant osteotomies. Part I: relationship between drill speed and heat production. Int J Prosthodont 10:411–414

    PubMed  Google Scholar 

  37. Scarano A, Piattelli A, Assenza B, Carinci F, Di Donato L, Romani GL et al (2011) Infrared thermographic evaluation of temperature modifications induced during implant site preparation with cylindrical versus conical drills. Clin Implant Dent Relat Res 13(4):319–323

    Article  PubMed  Google Scholar 

  38. Wachter R, Stoll P (1991) Increase of temperature during osteotomy. In vitro and in vivo investigations. Int J Oral Maxillofac Surg 20(4):245–249

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Catholic University of Uruguay, Montevideo, Uruguay

    Sergio Alexandre Gehrke

  2. Paulista University, São Paulo, Brazil

    Marcelo Khoury Pazetto, Sérgio de Oliveira & Fábio E. C. Mardegan

  3. Department of Biomedical, Surgical and Dental Sciences, IRCCS Istituto Ortopedico Galeazzi, Università degli Studi di Milano, Milan, Italy

    Stefano Corbella & Silvio Taschieri

  4. Rua Dr. Bozano, 571, 97015-001, Santa Maria, RS, Brazil

    Sergio Alexandre Gehrke

Authors
  1. Sergio Alexandre Gehrke
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Marcelo Khoury Pazetto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sérgio de Oliveira
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Stefano Corbella
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Silvio Taschieri
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Fábio E. C. Mardegan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sergio Alexandre Gehrke.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gehrke, S.A., Pazetto, M.K., de Oliveira, S. et al. Study of temperature variation in cortical bone during osteotomies with trephine drills. Clin Oral Invest 18, 1749–1755 (2014). https://doi.org/10.1007/s00784-013-1163-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-013-1163-4

Keywords

Search

Navigation