Optimizing Thermal Management and Stability in Dental Implant Osteotomy: Comparing Different Irrigation Systems—A Randomized Controlled Trial
- 15.07.2025
- ORIGINAL ARTICLE
- Verfasst von
- Bhavuk Vanza
- Abhay Datarkar
- Anuj Jain
- Abhilasha Yadav
- Neha Khare
- H. S. Varma
- Erschienen in
- Journal of Maxillofacial and Oral Surgery | Ausgabe 4/2025
Abstract
Background
This study investigates the influence of different irrigation systems on thermal management during implant osteotomy, along with their effects on implant stability and peri-implant tissue health.
Methods
The study comprised an initial in vitro phase using freshly sacrificed goat mandibles to compare internal and external irrigation systems versus external irrigation alone. Temperature variations were measured at multiple distances from the osteotomy site. Subsequently, a clinical trial included 26 patients receiving 30 implants, where periodontal pocket depth, crestal bone loss, and implant stability were assessed over a one-year follow-up period.
Results
In the in vitro phase, both irrigation methods showed comparable thermal management, with no significant temperature differences observed between groups. Clinical outcomes from the trial demonstrated stable implant integration and negligible peri-implant tissue complications across both irrigation approaches. Periodontal pocket depths and crestal bone loss were similar between groups, indicating no significant difference in long-term outcomes.
Conclusion
The findings highlight the effectiveness of both internal and external irrigation systems, as well as external irrigation alone, in minimizing thermal damage during implant osteotomy. These irrigation methods support stable implant integration and preserve peri-implant tissue health over a one-year period. Optimized irrigation techniques are crucial for enhancing implant dentistry practices and ensuring favorable patient outcomes.
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- Titel
- Optimizing Thermal Management and Stability in Dental Implant Osteotomy: Comparing Different Irrigation Systems—A Randomized Controlled Trial
- Verfasst von
-
Bhavuk Vanza
Abhay Datarkar
Anuj Jain
Abhilasha Yadav
Neha Khare
H. S. Varma
- Publikationsdatum
- 15.07.2025
- Verlag
- Springer India
- Erschienen in
-
Journal of Maxillofacial and Oral Surgery / Ausgabe 4/2025
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X - DOI
- https://doi.org/10.1007/s12663-025-02672-4
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