A Novel Irrigation System to Reduce Heat Generation during Guided Implantology: An In Vitro Study

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Parvizi, Somayeh
Cameron, Andrew
Tadakamadla, Santosh
Figueredo, Carlos Marcelo S
Reher, Peter
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2023
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Abstract

The purpose of this in vitro study is to evaluate the effectiveness of incorporating a new irrigation system into a surgical guide and monitor its effect on heat generation during implant bed preparation. A total of 48 surgically guided osteotomies were performed on 12 bovine ribs divided into 4 groups, using different irrigation techniques: Group A (test) had entry and exit channels incorporated into the guide; Group B had a similar design with an entry channel only; Group C had conventional external irrigation; and Group D (control) had no irrigation. Heat generation during the osteotomies was measured using thermocouples placed at a depth of 2 mm and 6 mm. The lowest mean temperature was observed in Group A (22.1 °C at 2 mm and 21.4 °C at 6 mm), which was statistically significant when compared with Groups C and D (p < 0.001). Group A showed a lower mean temperature compared with Group B as well; however, it was statistically significant only at 6 mm depth (p < 0.05). In conclusion, the proposed surgical guide has significantly reduced heat generation during implant osteotomy compared to conventional external irrigation. The integration of an exit cooling channel can resolve limitations found in previously designed surgical guides such as debris blockage and can be easily incorporated into computer designing and 3D printing software.

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Journal of Clinical Medicine

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12

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12

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© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

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Biomedical and clinical sciences

Science & Technology

Life Sciences & Biomedicine

Medicine, General & Internal

General & Internal Medicine

dental implants

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Parvizi, S; Cameron, A; Tadakamadla, S; Figueredo, CMS; Reher, P, A Novel Irrigation System to Reduce Heat Generation during Guided Implantology: An In Vitro Study, Journal of Clinical Medicine, 2023, 12 (12), pp. 3944

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