TY  - JOUR
A1  - Chen, Chih-Hao
A1  - Coyac, Benjamin R.
A1  - Arioka, Masaki
A1  - Leahy, Brian
A1  - Tulu, U. Serdar
A1  - Aghvami, Maziar
A1  - Holst, Stefan
A1  - Hoffmann, Waldemar
A1  - Quarry, Antony
A1  - Bahat, Oded
A1  - Salmon, Benjamin
A1  - Brunski, John
A1  - Helms, Jill A.
T1  - A novel osteotomy preparation technique to preserve implant site viability and enhance osteogenesis
T2  - Journal of Clinical Medicine
N2  - The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.
KW  - osteogenesis
KW  - osteotomy
KW  - bone healing
KW  - bone chips
KW  - drilling tool design
Y1  - 2019
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/49085
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-490859
SN  - 2077-0383
N1  - This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
VL  - 8
IS  - 2, Art. 170
SP  - 1
EP  - 13
PB  - MDPI
CY  - Basel
ER  -