Cargando…
The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement
Dental implant insertion requires the preparation of the implant bed via surgical drilling. During this stage, irrigation is essential to avoid thermal damage to the surrounding bone. Surgical guides enhance the accuracy of the implant site preparation, but they mask the drilling site, hampering coo...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603942/ https://www.ncbi.nlm.nih.gov/pubmed/37892898 http://dx.doi.org/10.3390/bioengineering10101168 |
_version_ | 1785126716851617792 |
---|---|
author | Tuce, Robert-Angelo Neagu, Monica Pupazan, Vasile Neagu, Adrian Arjoca, Stelian |
author_facet | Tuce, Robert-Angelo Neagu, Monica Pupazan, Vasile Neagu, Adrian Arjoca, Stelian |
author_sort | Tuce, Robert-Angelo |
collection | PubMed |
description | Dental implant insertion requires the preparation of the implant bed via surgical drilling. During this stage, irrigation is essential to avoid thermal damage to the surrounding bone. Surgical guides enhance the accuracy of the implant site preparation, but they mask the drilling site, hampering coolant delivery. A variety of designs are aimed at improving the coolant access to the target site. Using standard dental implant simulation software, this paper presents an in-house design and 3D printing workflow for building surgical guides that incorporate a coolant channel directed toward the entry point of the burr. The proposed design was evaluated in terms of the bone temperature elevations caused by drilling performed at 1500 rpm, under an axial load of 2 kg, and irrigation with 40 mL/min of saline solution at 25 °C. Temperature measurements were performed on porcine femoral pieces, in the middle of the cortical bone layer, at 1 mm from the edge of the osteotomy. The mean temperature rise was 3.2 °C for a cylindrical sleeve guide, 2.7 °C for a C-shaped open-sleeve guide, and 2.1 °C for the guide with an incorporated coolant channel. According to a one-way ANOVA, the differences between these means were marginally insignificant (p = 0.056). The individual values of the peak temperature change remained below the bone damage threshold (10 °C) in all cases. Remarkably, the distribution of the recorded temperatures was the narrowest for the guide with internal irrigation, suggesting that, besides the most effective cooling, it provides the most precise control of the intraosseous temperature. Further studies could test different design variants, experimental models (including live animals), and might involve computer simulations of the bone temperature field. |
format | Online Article Text |
id | pubmed-10603942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-106039422023-10-28 The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement Tuce, Robert-Angelo Neagu, Monica Pupazan, Vasile Neagu, Adrian Arjoca, Stelian Bioengineering (Basel) Article Dental implant insertion requires the preparation of the implant bed via surgical drilling. During this stage, irrigation is essential to avoid thermal damage to the surrounding bone. Surgical guides enhance the accuracy of the implant site preparation, but they mask the drilling site, hampering coolant delivery. A variety of designs are aimed at improving the coolant access to the target site. Using standard dental implant simulation software, this paper presents an in-house design and 3D printing workflow for building surgical guides that incorporate a coolant channel directed toward the entry point of the burr. The proposed design was evaluated in terms of the bone temperature elevations caused by drilling performed at 1500 rpm, under an axial load of 2 kg, and irrigation with 40 mL/min of saline solution at 25 °C. Temperature measurements were performed on porcine femoral pieces, in the middle of the cortical bone layer, at 1 mm from the edge of the osteotomy. The mean temperature rise was 3.2 °C for a cylindrical sleeve guide, 2.7 °C for a C-shaped open-sleeve guide, and 2.1 °C for the guide with an incorporated coolant channel. According to a one-way ANOVA, the differences between these means were marginally insignificant (p = 0.056). The individual values of the peak temperature change remained below the bone damage threshold (10 °C) in all cases. Remarkably, the distribution of the recorded temperatures was the narrowest for the guide with internal irrigation, suggesting that, besides the most effective cooling, it provides the most precise control of the intraosseous temperature. Further studies could test different design variants, experimental models (including live animals), and might involve computer simulations of the bone temperature field. MDPI 2023-10-07 /pmc/articles/PMC10603942/ /pubmed/37892898 http://dx.doi.org/10.3390/bioengineering10101168 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tuce, Robert-Angelo Neagu, Monica Pupazan, Vasile Neagu, Adrian Arjoca, Stelian The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement |
title | The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement |
title_full | The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement |
title_fullStr | The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement |
title_full_unstemmed | The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement |
title_short | The 3D Printing and Evaluation of Surgical Guides with an Incorporated Irrigation Channel for Dental Implant Placement |
title_sort | 3d printing and evaluation of surgical guides with an incorporated irrigation channel for dental implant placement |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603942/ https://www.ncbi.nlm.nih.gov/pubmed/37892898 http://dx.doi.org/10.3390/bioengineering10101168 |
work_keys_str_mv | AT tucerobertangelo the3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT neagumonica the3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT pupazanvasile the3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT neaguadrian the3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT arjocastelian the3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT tucerobertangelo 3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT neagumonica 3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT pupazanvasile 3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT neaguadrian 3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement AT arjocastelian 3dprintingandevaluationofsurgicalguideswithanincorporatedirrigationchannelfordentalimplantplacement |