Ultrasonic vs Drill Implant Site Preparation: Post-Operative Pain Measurement Through VAS, Swelling and Crestal Bone Remodeling: A Randomized Clinical Study

Autor: Pablo Santos de Oliveira, Francesco Carinci, Felice Lorusso, Antonio Scarano, Michele Maglione, Felice Festa, Lorenzo Bevilacqua
Přispěvatelé: Scarano, Antonio, Carinci, Francesco, Lorusso, Felice, Festa, Felice, Bevilacqua, Lorenzo, Santos de Oliveira, Pablo, Maglione, Michele
Jazyk: angličtina
Rok vydání: 2018
Předmět:
microcrack
piezosurgery
ultrasonic surgery
implant bed preparation
microcracks
pain
crestal bone resorption
Dentistry
Bone tissue
lcsh:Technology
Article
NO
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine
General Materials Science
lcsh:Microscopy
Piezosurgery
lcsh:QC120-168.85
Drill
lcsh:QH201-278.5
business.industry
lcsh:T
crestal bone resorption
implant bed preparation
microcracks
pain
piezosurgery
ultrasonic surgery
030206 dentistry
Resorption
medicine.anatomical_structure
lcsh:TA1-2040
030220 oncology & carcinogenesis
Ultrasonic sensor
lcsh:Descriptive and experimental mechanics
Implant
lcsh:Electrical engineering. Electronics. Nuclear engineering
Swelling
medicine.symptom
business
lcsh:Engineering (General). Civil engineering (General)
lcsh:TK1-9971
Zdroj: Materials
Volume 11
Issue 12
Materials, Vol 11, Iss 12, p 2516 (2018)
ISSN: 1996-1944
DOI: 10.3390/ma11122516
Popis: Background: Piezosurgery is a surgical procedure that is able to perform osteotomies by a micrometric and selective cut of the bone tissue. The objective of this investigation was to evaluate two different techniques
an ultrasonic device, and a drill approach for implant site preparation. Methods: A total of fifty patients were recruited for the randomized clinical trial to receive dental implants for fixed prosthetic restoration in the posterior mandible and were allotted to two groups. In Group A the implant site was prepared following a drilling technique, while in Group B the implant site was prepared using an ultrasonic device
moreover, the operative duration was recorded. Postoperative pain and swelling were evaluated at 1, 2, 4, and 6 days. The crestal bone resorption was measured at 3 months from implant placement by a three-dimensional tomography evaluation. Results: The findings suggest that osteotomies performed by an ultrasonic device cause less pain and swelling. On the other hand, the piezoelectric preparation was characterized by a significative increase in the operative time. No statistical differences in crestal bone resorption were evident in the two different approaches. Conclusions: According to the outcome of the study, ultrasonic implant bed preparation can be used with success in implantology and could be considered a suitable alternative to traditional drilling techniques for dental fixture placement.
Databáze: OpenAIRE
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