ASSESSMENT OF BONE CELL VIABILITY IN BONE HARVESTED UNDER TWO DIFFERENT DRILLING SPEEDS DURING IMPLANT BED PREPARATION IN THE MANDIBULAR POSTERIOR SITES (A RANDOMIZED CONTROLLED CLINICAL TRIAL) | ||
Alexandria Dental Journal | ||
Article 12, Volume 50, Issue 1, April 2025, Pages 83-91 PDF (451.12 K) | ||
Document Type: Original Article | ||
DOI: 10.21608/adjalexu.2024.241416.1419 | ||
Authors | ||
Hend Galal Abdulkader* 1; Maha Abou Khadr2; Ghada Bassiouny3; Samia Omar Soliman4 | ||
1BDS, 2004, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
2Oral Medicine, Periodontology, Oral Diagnosis and Oral Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. | ||
3Oral Medicine, Periodontology, Oral Diagnosis and Radiology Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
4Professor, Department of Dental Anatomy, Oral Histology and Oral Biology Faculty of Dentistry, Alexandria University, Egypt | ||
Abstract | ||
Background: Viability of the harvested bone during osteotomy preparation is affected by the generated heat, which in turn is related to drilling speed and time; this bone viability is considered an indicator of the quality of the harvested autograft. Study objective: The aim of this study was to assess the effect of two different drilling speeds on bone cell viability of bone harvested during osteotomy preparation. Materials and methods: A split mouth randomized controlled clinical trial was carried out on 8 patients, 16 mandibular premolar /molar edentulous ridge sites, using a trephine bur, 8 osteotomies were drilled using a speed of 1000 rpm (Control Group) and the other 8 using 400 rpm (Test Group), implants were placed, the harvested bone viability was evaluated histologically in both groups. Results: The histological assessment revealed better viability features in samples harvested using 1000 rpm (Control Group). Conclusion: Drilling at 1000 rpm seems to yield stronger autologous bone viability than drilling at 400 rpm. | ||
Keywords | ||
Bone viability; Drilling speed; Implant bed; Autograft harvesting | ||
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