Drilling dimension effects in early stages of osseointegration and implant stability in a canine model
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Baires Campos, Felipe Eduardo; Jimbo, Ryo; Bonfante, Estevam A.; Fonseca Oliveira, Maiolino Thomaz; Moura, Camila; Zanetta Barbosa, Darceny; Coelho, Paulo G.
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Aquest document és un/a article, creat/da en: 2015
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Background: This study histologically evaluated two implant designs: a classic thread design versus another specifically designed for healing chamber formation placed with two drilling protocols.
Material and Methods: Forty dental implants (4.1 mm diameter) with two different macrogeometries were inserted
in the tibia of 10 Beagle dogs, and maximum insertion torque was recorded. Drilling techniques were: until 3.75
mm (regular-group); and until 4.0 mm diameter (overdrilling-group) for both implant designs. At 2 and 4 weeks,
samples were retrieved and processed for histomorphometric analysis. For torque and BIC (bone-to-implant contact) and BAFO (bone area fraction occupied), a general-linear model was employed including instrumentation
technique and time in vivo as independent.
Results: The insertion torque recorded for each implant design and drilling group significantly decreased as a
function of increasing drilling diameter for both implant designs (
p
<0.001). No significant differences were de
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tected between implant designs for each drilling technique (
p
>0.18). A significant increase in BIC was observed
from 2 to 4 weeks for both implants placed with the overdrilling technique (
p
<0.03) only, but not for those placed
in the 3.75 mm drilling sites (
p
>0.32).
Conclusions: Despite the differences between implant designs and drilling technique an intramembranous-like
healing mode with newly formed woven bone prevailed
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