Intraosseous Heat Production and Preparation Efficiency of Surgical Tungsten Carbide Round Drills: The Effect of Coronectomy on Drill Wear
| Autor: | Lajos Olasz, Norbert Jakse, József Szalma, Csanád Kiss, Ákos Tóth, Zsuzsanna Gurdán |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
musculoskeletal diseases Molar medicine.medical_specialty Hot Temperature Time Factors Surface Properties Swine Thermometers medicine.medical_treatment education Dentistry Ribs Osteotomy 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Tungsten carbide Threshold temperature Materials Testing Pressure otorhinolaryngologic diseases Animals Humans Medicine Drill wear Therapeutic Irrigation Tooth Crown business.industry Significant difference Drilling 030206 dentistry Surgical drill Tungsten Compounds Stainless Steel equipment and supplies Surgery Otorhinolaryngology chemistry 030220 oncology & carcinogenesis Oral Surgery business |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 74:442-452 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/j.joms.2015.11.012 |
| Popis: | The aim of this in vitro study was to examine the effects of surgical drill wear after coronectomy on bone temperature changes and preparation times for bone cavity drilling.Tungsten carbide round drills were used to perform 10 (D_10), 20 (D_20), or 30 (D_30) coronectomies on extracted lower third molars to elicit drill wear, and then 5-mm-deep cavities were drilled in pig ribs with a testing apparatus-controlled surgical unit. Temperature changes and preparation times were measured. Differences in mean values were examined with analyses of variance and the Tukey honest significant difference post hoc test.The unused drills prepared the holes significantly faster (2.52 ± 1.6 seconds) than the D_20 (13.29 ± 5.76 seconds) and D_30 (31.48 ± 12.93 seconds) drills (P = .01 and P.001, respectively). The D_10 (change, 2.33 ± 0.77°C), D_20 (change, 2.57 ± 0.57°C), and D_30 (change, 3.94 ± 0.62°C) drills produced significantly more heat than the D_0 drills (change, 1.18 ± 0.28°C; P.001). At higher axial pressures of 25 N (to provoke ≤ 3-second preparation times in line with new drills), the D_30 drills produced a temperature change of 6.31 ± 1.23°C with 60 mL/minute and significantly more heat (change, 20.48 ± 8.84°C; P.001) with 20 mL/minute of irrigation.Intraosseous heat produced by surgical tungsten carbide round drills remains under the threshold temperature of bone necrosis for up to 30 coronectomies; however, the use of increased axial pressure (∼ 25 N), especially with the combination of decreased irrigation (∼ 33%), can cause unacceptable temperatures during bone removal. Professionals should select drills and drilling parameters that generate an acceptable amount of heat during surgical tooth removal. |
| Databáze: | OpenAIRE |
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