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Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact

Implant stability significantly impacts accelerated osseointegration, leading to faster patient recovery. Both primary and secondary stability necessitates superior bone-implant contact influenced by the surgical tool required to prepare the final osteotomy site. Besides, excessive shearing and fric...

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Autores principales: Vaidya, Pravin Vasudeo, Dutta, Abir, Rooj, Suparna, Talukdar, Rahul, Bhombe, Komal, Seesala, Venkata Sundeep, Syed, Zahiruddin Quazi, Bandyopadhyay, Tapas Kumar, Dhara, Santanu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245014/
https://www.ncbi.nlm.nih.gov/pubmed/37292286
http://dx.doi.org/10.1016/j.heliyon.2023.e16451
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author Vaidya, Pravin Vasudeo
Dutta, Abir
Rooj, Suparna
Talukdar, Rahul
Bhombe, Komal
Seesala, Venkata Sundeep
Syed, Zahiruddin Quazi
Bandyopadhyay, Tapas Kumar
Dhara, Santanu
author_facet Vaidya, Pravin Vasudeo
Dutta, Abir
Rooj, Suparna
Talukdar, Rahul
Bhombe, Komal
Seesala, Venkata Sundeep
Syed, Zahiruddin Quazi
Bandyopadhyay, Tapas Kumar
Dhara, Santanu
author_sort Vaidya, Pravin Vasudeo
collection PubMed
description Implant stability significantly impacts accelerated osseointegration, leading to faster patient recovery. Both primary and secondary stability necessitates superior bone-implant contact influenced by the surgical tool required to prepare the final osteotomy site. Besides, excessive shearing and frictional forces generate heat causing local tissue necrosis. Hence, surgical procedure necessitates proper irrigation with water to minimize heat generation. Notably, the water irrigation system removes bone chips and osseous coagulums, which may help accelerate osseointegration and improve bone-implant contact. The inferior bone-implant contact and thermal necrosis at the osteotomy site are primarily responsible for poor osseointegration and eventual failure. Therefore, optimizing tool geometry is key to minimizing shear force, heat generation, and necrosis during final osteotomy site preparation. The present study explores modified drilling tool geometry, especially cutting edge for osteotomy site preparation. The mathematical modeling is used to find out ideal cutting-edge geometry that facilitates drilling under relatively less operational force (0.55–5.24 N) and torque (98.8-154.5 N-mm) with a significant reduction (28.78%–30.87%) in heat generation. Twenty-three conceivable designs were obtained using the mathematical model; however, only three have shown promising results in static structural FEM platforms. These drill bits are designed for the final drilling operation and need to be carried out during the final osteotomy site preparation.
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spelling pubmed-102450142023-06-08 Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact Vaidya, Pravin Vasudeo Dutta, Abir Rooj, Suparna Talukdar, Rahul Bhombe, Komal Seesala, Venkata Sundeep Syed, Zahiruddin Quazi Bandyopadhyay, Tapas Kumar Dhara, Santanu Heliyon Research Article Implant stability significantly impacts accelerated osseointegration, leading to faster patient recovery. Both primary and secondary stability necessitates superior bone-implant contact influenced by the surgical tool required to prepare the final osteotomy site. Besides, excessive shearing and frictional forces generate heat causing local tissue necrosis. Hence, surgical procedure necessitates proper irrigation with water to minimize heat generation. Notably, the water irrigation system removes bone chips and osseous coagulums, which may help accelerate osseointegration and improve bone-implant contact. The inferior bone-implant contact and thermal necrosis at the osteotomy site are primarily responsible for poor osseointegration and eventual failure. Therefore, optimizing tool geometry is key to minimizing shear force, heat generation, and necrosis during final osteotomy site preparation. The present study explores modified drilling tool geometry, especially cutting edge for osteotomy site preparation. The mathematical modeling is used to find out ideal cutting-edge geometry that facilitates drilling under relatively less operational force (0.55–5.24 N) and torque (98.8-154.5 N-mm) with a significant reduction (28.78%–30.87%) in heat generation. Twenty-three conceivable designs were obtained using the mathematical model; however, only three have shown promising results in static structural FEM platforms. These drill bits are designed for the final drilling operation and need to be carried out during the final osteotomy site preparation. Elsevier 2023-05-26 /pmc/articles/PMC10245014/ /pubmed/37292286 http://dx.doi.org/10.1016/j.heliyon.2023.e16451 Text en © 2023 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Research Article
Vaidya, Pravin Vasudeo
Dutta, Abir
Rooj, Suparna
Talukdar, Rahul
Bhombe, Komal
Seesala, Venkata Sundeep
Syed, Zahiruddin Quazi
Bandyopadhyay, Tapas Kumar
Dhara, Santanu
Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
title Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
title_full Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
title_fullStr Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
title_full_unstemmed Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
title_short Design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
title_sort design modification of surgical drill bit for final osteotomy site preparation towards improved bone-implant contact
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10245014/
https://www.ncbi.nlm.nih.gov/pubmed/37292286
http://dx.doi.org/10.1016/j.heliyon.2023.e16451
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