15Apr 2020

SINGLE VS SEQUENTIAL DRILLING IN IMPLANTOLOGY: A SYSTEMATIC REVIEW

  • Department of Fixed Prosthodontics, Faculty of Dentistry, Hassan II University, Casablanca, Morocco.
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Background: Recent clinical protocols in implantology aim at shortening the treatment duration and reducing the trauma and discomfort of the surgical intervention, with good postoperative outcomes. The insertion of dental implants usually engages prior drilling procedures for making implant site. Conventionally, this drilling is done in a sequential way using gradual sizes of drills. However, sequential drilling may be timewasting and disagreeable for the patient (long intervention). Moreover, extended time of tissue exposure may be damaging for the healing response, and prolonging the exposure to the oral environment, which may produce infection. Currently, the clinical advances tend to simpler and minimally invasive procedures. In that respect, simplified drilling was proposed, which consists of minimizing the number of drills through the use of a pilot drill followed by a unique final drill or directly by using a single drill. Purpose: The aim of this study is to compare, through a systematic review of the literature, the two procedures of drilling and conclude which can lead to a better cicatrization process. Materials and method: A systematic review of the literature was conducted through the MEDLINE (PubMed) database between from 03/01/2009 to 03/01/2019. The following combination of MeSH terms was used in PubMed: single drilling AND dental implant. Then a hand search was performed in Ebsco database. Two independent reviewers achieved the quality assessment of the articles retained and two other authors achieved screening, data abstraction and writing of the review. Results: Most of the studies included in our review concluded no statistically significant differences between singleand sequential drilling, and stated that both of them are viable options. Conclusion: Within the limitations of our review, it can be concluded that implant placement using a single bur method, is a reliable technique allowing the same outcomes as the conventional approach. Additionally, it allows decreasing the treatment?s cost and duration.

  1. Buser?D, Janner SF, Wittneben JG, Br?gger U, Ramseier CA, Salvi GE. 10-year survival and success rates of 511 titanium implants with a sandblasted and acid-etched surface: a retrospective study in 303 partially edentulous patients.Clin?Implant?Dent Relat Res. 2012 Dec;14(6):839-51. PMID: 22897683
  2. A. Delgado-Ruiz, E. Velasco Ortega, G. E. Romanos, S. Gerhke, I. Newen, J. L. Calvo-Guirado, Slow drilling speeds for single-drill implant bed preparation. Experimental in vitro study, Clin Oral Invest. DOI 10.1007/s00784-017-2119-x
  3. A. Gehrke Evaluation of the Cortical Bone Reaction Around of Implants Using a Single-Use Final Drill: A Histologic Study?. J CraniofacSurg 2015;26: 1482?1486)DOI: 10.1097/SCS.0000000000001788
  4. Gehrke SA, Guirado JLC, Bettach R, Fabbro MD, Martınez CP-A, Shibli JA. Evaluation of the insertion torque, implant stability quotient and drilled hole quality for different drill design: an in vitro Investigation.
Clin. Oral Impl. Res. 00, 2016, 1?7 doi: 10.1111/clr.12808
  1. A Gehrke , R. Bettach, J. S. Aramburú Júnior, J. C. Prados-Frutos , M. Del Fabbro ,J.A. Shibly Peri-Implant Bone Behavior after Single Drill versus Multiple Sequence for Osteotomy Drill, Hindawi BioMed Research International. Volume 2018, Article ID 9756043, https://doi.org/10.1155/2018/9756043
  1. Frösch, K.Mukaddam, A.Filippi, N. U. Zitzmann, S.Kühl Comparison of heat generation between guided and conventional implant surgery for single and sequential drilling protocols - an in vitro study.doi: 10.1111/clr.13398
  1. Marheineke, U. Scherer, M. Rücker, C. von See, B.Rahlf, N-C.Gellrich, M.Stoetzer: Evaluation of accuracy in implant site preparation performed in single- or multi-step drilling procedures
17 Dec 2017, Clinical Oral Investigations https://doi.org/10.1007/s00784-017-2312-y
  1. Guazzi, T. Grandi, G. Grandi
Implant site preparation using a single bur versus multiple drilling steps: 4-month post-loading results of a multicenter randomised controlled trial. Eur J Oral Implantol 2015;8(3):283?290
  1. S E. Bulloch, R G. Olsen, B. Bulloch,Comparison of Heat Generation Between Internally Guided (Cannulated) Single Drill and Traditional SequentialDrilling With and Without a Drill Guide for Dental ImplantsInt J Oral MaxIllOfacIMplants 2012;27:1456?1460
  2. Bettach, S. Taschieri, C. Mortellaro, M. Del Fabbro, Immediate Implant Placement Into Fresh Extraction Sites Using Single-Drilling Bur and Two Loading Procedures: Follow-Up Results J CraniofacSurg 2018;00: 00?00 DOI: 10.1097/SCS.0000000000004675
  3. C. Mohlhenrich, M. Abouridouane, N. Heussen, F. Holzle, F. Klocke, A. Modabber: Thermal evaluation by infrared measurement of implant site preparation between single and gradual drilling in artificial bone blocks of different densities. Int. J. Oral Maxillofac. Surg. 2016; http://dx.doi.org/10.1016/j.ijom.2016.05.020.

[I. Boujoual, I. Benazzouz, H. Moussaoui, B. Mbarki and A. Andoh (2020); SINGLE VS SEQUENTIAL DRILLING IN IMPLANTOLOGY: A SYSTEMATIC REVIEW Int. J. of Adv. Res. 8 (Apr). 251-258] (ISSN 2320-5407). www.journalijar.com

imane boujoual
hassan II university Casablanca, faculty of dentistry

DOI:

Article DOI: 10.21474/IJAR01/10774      
DOI URL: http://dx.doi.org/10.21474/IJAR01/10774

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