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Advances in Bone Drilling for the Dental and Medical Fields
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Advances in Bone Drilling for the Dental and Medical Fields

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: closed (31 December 2020) | Viewed by 7845

Special Issue Editor

Dr. Rafael Delgado-Ruiz

E-Mail Website
Guest Editor
Department of Prosthodontics and Digital Technology, School of Dental Medicine, Stony Brook University, 1103 Westchester Hall, Stony Brook, NY, USA
Interests: dental implants; prosthodontics; 3D-printing; bone drilling; thermography and thermal analysis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Bone drilling is a routine procedure that is performed for multiple purposes in the dental and medical fields. Examples of its application are the insertion of dental implants and orthopaedic implants and screws, the extraction of bone samples, the decompression of vascular and nerve structures, grafting, and to access pathological areas. It involves the use of rotatory instruments (drill bits) that perforate, remove, displace, or condense the bone. The frictional forces, mechanical trauma, and surgical techniques used can produce thermal injury and extensive micro-fracturing that can impair bone healing. Also, there is a risk of injury to other anatomical structures. 

To overcome these issues, alternative methods have been introduced in clinical practice, for example, variations to the bone drilling technique, changes to the drill bit design, and ultrasonic (vibrational) and laser techniques. Moreover, the drilling precision has been increased and the risk of damage to critical anatomical structures has been reduced with the introduction of guided surgery, computer-assisted surgery (navigated dynamic surgery), and robot-assisted surgery.

This Special Issue will present the most recent advances in bone drilling and other alternative bone-cutting techniques used in the dental and medical fields including methods for the reduction or limitation of thermal damage during bone drilling, new drill designs and materials for bone drilling, new advances in guided bone drilling, and computed assisted and robot-assisted surgery applied to bone drilling. On behalf of the Journal of Clinical Medicine, researchers are invited to contribute relevant research articles, systematic reviews, and randomized clinical studies. Studies incorporating new approaches or providing new information will be given higher priority for inclusion.

Dr. Rafael Delgado-Ruiz
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • bone drilling
  • guided bone drilling
  • computed assisted and robotic assisted drilling
  • thermal and mechanical bone injury
  • bone osteotomy methods

Published Papers (3 papers)

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Research

11 pages, 2417 KiB  
Article
Influence of Drilling Technique on the Radiographic, Thermographic, and Geomorphometric Effects of Dental Implant Drills and Osteotomy Site Preparations
by Lara Fraguas de San José, Filippo Maria Ruggeri, Roberta Rucco, Álvaro Zubizarreta-Macho, Jorge Alonso Pérez-Barquero, Elena Riad Deglow and Sofía Hernández Montero
J. Clin. Med. 2020, 9(11), 3631; https://doi.org/10.3390/jcm9113631 - 11 Nov 2020
Cited by 12 | Viewed by 1860
Abstract
The aim of this comparative study is to analyze the influence of drilling technique on the radiographic, thermographic, and geomorphometric effects of dental implant drills and osteotomy site preparations. One hundred and twenty osteotomy site preparations were performed on sixty epoxy resin samples [...] Read more.
The aim of this comparative study is to analyze the influence of drilling technique on the radiographic, thermographic, and geomorphometric effects of dental implant drills and osteotomy site preparations. One hundred and twenty osteotomy site preparations were performed on sixty epoxy resin samples using three unused dental implant drill systems and four drilling techniques performed with a random distribution into the following study groups: Group A: drilling technique performed at 800 rpm with irrigation (n = 30); Group B: drilling technique performed at 45 rpm without irrigation (n = 30); Group C: drilling technique performed at 45 rpm with irrigation (n = 30); and Group D: drilling technique performed at 800 rpm without irrigation (n = 30). The osteotomy site preparation morphologies performed by the 4.1 mm diameter dental implant drills from each study group were analyzed and compared using a cone beam computed tomography (CBCT) scan. The termographic effects generated by the 4.1 mm diameter dental implant drills from each study group were registered using a termographic digital camera and the unused and 4.1 mm diameter dental implant drills that were used 30 times from each study group were exposed to a micro computed tomography (micro-CT) analysis to obtain a Standard Tessellation Language (STL) digital files that determined the wear comparison by geomorphometry. Statistically significant differences were observed between the thermographic and radiographic results of the study groups (p < 0.001). The effect of cooling significatively reduced the heat generation during osteotomy site preparation during high-speed drilling; furthermore, osteotomy site preparation was not affected by the wear of the dental implant drills after 30 uses, regardless of the drilling technique. Full article
(This article belongs to the Special Issue Advances in Bone Drilling for the Dental and Medical Fields)
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13 pages, 3577 KiB  
Article
The Effects of Liquid Disinfection and Heat Sterilization Processes on Implant Drill Roughness: Energy Dispersion X-ray Microanalysis and Infrared Thermography
by Antonio Scarano, Morena Petrini, Filiberto Mastrangelo, Sammy Noumbissi and Felice Lorusso
J. Clin. Med. 2020, 9(4), 1019; https://doi.org/10.3390/jcm9041019 - 04 Apr 2020
Cited by 16 | Viewed by 2579
Abstract
Background: The aim of this study is to evaluate effects on stainless steel (SS) and zirconia implant drills of 50 cycles of sterilization through different processes. Methods: A total of 24 SS and 24 zirconia drills were treated with 3 different sterilization processes: [...] Read more.
Background: The aim of this study is to evaluate effects on stainless steel (SS) and zirconia implant drills of 50 cycles of sterilization through different processes. Methods: A total of 24 SS and 24 zirconia drills were treated with 3 different sterilization processes: 50 cycles of immersion in glutaraldehyde 2%, 50 cycles in 6% hydrogen peroxide and 50 cycles of heat. Energy-dispersive X-ray spectroscopy (EDX) was used to compare the effect of the different treatments compared to new untreated controls. Infrared thermography was used to measure the increase of temperature during drilling on bone ribs. A scanning electron microscopy (SEM) was used to measure the roughness of the samples. Results: Zirconia drills seem not to be affected by the different treatments; no significant differences were found with EDX nor through thermography controls. SS drills were affected by the different treatments, as confirmed by the increased roughness of the SS samples after all the cycles of sterilization/disinfection, measured at SEM. On the contrary, the zirconia drills roughness was not particularly affected by the chemical and thermal cycles. Significant differences were observed regarding the temperature, between steel and zirconia drills (p < 0.01). Conclusions: The disinfection agents had a weak impact on the temperature changes during implant bone preparation, while heat sterilization processes had no effect on either of the drills evaluated. The disinfection agents increased the roughness of the steel drills, while they had no effect on the zirconia drills. Full article
(This article belongs to the Special Issue Advances in Bone Drilling for the Dental and Medical Fields)
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12 pages, 4243 KiB  
Article
Infrared Thermographic Evaluation of Temperature Modifications Induced during Implant Site Preparation with Steel vs. Zirconia Implant Drill
by Antonio Scarano, Felice Lorusso and Sammy Noumbissi
J. Clin. Med. 2020, 9(1), 148; https://doi.org/10.3390/jcm9010148 - 05 Jan 2020
Cited by 30 | Viewed by 2765
Abstract
Background: The heat produced during implant site osteotomy can potentially interfere with and influence the osseointegration process of a dental implant. The objective of this in vitro investigation was to measure the temperature changes during simulated osteotomies in bovine rib bone. The measurements [...] Read more.
Background: The heat produced during implant site osteotomy can potentially interfere with and influence the osseointegration process of a dental implant. The objective of this in vitro investigation was to measure the temperature changes during simulated osteotomies in bovine rib bone. The measurements were made at the apical area of the osteotomies with steel implant drills compared to zirconia implant drills. Methods: Steel cylindrical drills (2 mm) and zirconia cylindrical drills (2 mm) were evaluated in vitro using bovine rib bone for a total of five groups based on the number of osteotomies performed with each drill: 10, 20, 40, 90, or 120 osteotomies. Bone and apical drill temperatures were measured by means of infrared thermography. The drilling time for each osteotomy was measured for each preparation. Results: Statistically significant differences were found in the temperature measurements in the bone and apical portion of the drills between the study groups (p < 0.05). A statistically significant difference was observed for drilling time preparation between steel cylindrical drill (2 mm) and zirconia cylindrical drills (2 mm) (p < 0.01). Conclusions: The drill material has an impact on the temperature changes that occur at its apical portion during bone preparation for implant placement. Full article
(This article belongs to the Special Issue Advances in Bone Drilling for the Dental and Medical Fields)
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