Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation

Piezoelectric devices are widely used in oral surgical procedures, including implant site preparation. However, little is known about the influence of working movement on temperature elevation in bone. The aim of this study was to assess the effects of two different working cycles on temperature ele...

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Main Authors: Luca Lamazza, Marco Lollobrigida, Iole Vozza, Luigi Palmieri, Claudio Stacchi, Teresa Lombardi, Alberto De Biase
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/13/18/4072
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author Luca Lamazza
Marco Lollobrigida
Iole Vozza
Luigi Palmieri
Claudio Stacchi
Teresa Lombardi
Alberto De Biase
author_facet Luca Lamazza
Marco Lollobrigida
Iole Vozza
Luigi Palmieri
Claudio Stacchi
Teresa Lombardi
Alberto De Biase
author_sort Luca Lamazza
collection DOAJ
description Piezoelectric devices are widely used in oral surgical procedures, including implant site preparation. However, little is known about the influence of working movement on temperature elevation in bone. The aim of this study was to assess the effects of two different working cycles on temperature elevation during piezoelectric implant site preparation. Sixty osteotomies at a depth of 10 mm were performed on bone blocks of bovine ribs using a piezoelectric tip with external irrigation (IM1s, Mectron Medical Technology, Carasco, Italy). A mechanical positioning device was used to guarantee reproducible working and measuring conditions. Two different working cycles, of 4 and 6 s, respectively, were tested, including both longitudinal and rotational movements. Temperature was recorded in real time with a fiber optic thermometer and applied pressure was maintained under 150 g. For each test, the highest recorded temperature (T<sub>max</sub>) and the mean temperature recorded from 30 s before to 30 s after the highest recorded temperature (T<sub>±30</sub>) were extrapolated. Tests duration was also recorded. Both T<sub>max</sub> and T<sub>±30</sub> were significantly higher in the ‘6 s cycles’ group than the ‘4 s cycles’ group (42.44 ± 7.3 °C vs. 37.24 ± 4.6 °C, <i>p</i> = 0.002; 37.24 ± 4.6 °C vs. 33.30 ± 3.3 °C, <i>p</i> = 0.003). Test duration was also significantly higher using 6 s cycles compared to 4 s cycles (143.17 ± 29.4 s vs. 119.80 ± 36.4 s, <i>p</i> = 0.002). The results of this study indicate that working cycles of 4 s effectively reduce heat generation and working time during piezoelectric implant site preparation.
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spelling doaj.art-ece0b3a0cc16498b9f3fa76d1f7e25ff2023-11-20T13:37:54ZengMDPI AGMaterials1996-19442020-09-011318407210.3390/ma13184072Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature ElevationLuca Lamazza0Marco Lollobrigida1Iole Vozza2Luigi Palmieri3Claudio Stacchi4Teresa Lombardi5Alberto De Biase6Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Cardiovascular, Endocrine-metabolic Diseases and Aging, Istituto Superiore di Sanità, 00161 Rome, ItalyDepartment of Medical, Surgical and Health Sciences, University of Trieste, 34129 Trieste, ItalyDepartment of Health Sciences, University of “Magna Græcia”, 88100 Catanzaro, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, 00161 Rome, ItalyPiezoelectric devices are widely used in oral surgical procedures, including implant site preparation. However, little is known about the influence of working movement on temperature elevation in bone. The aim of this study was to assess the effects of two different working cycles on temperature elevation during piezoelectric implant site preparation. Sixty osteotomies at a depth of 10 mm were performed on bone blocks of bovine ribs using a piezoelectric tip with external irrigation (IM1s, Mectron Medical Technology, Carasco, Italy). A mechanical positioning device was used to guarantee reproducible working and measuring conditions. Two different working cycles, of 4 and 6 s, respectively, were tested, including both longitudinal and rotational movements. Temperature was recorded in real time with a fiber optic thermometer and applied pressure was maintained under 150 g. For each test, the highest recorded temperature (T<sub>max</sub>) and the mean temperature recorded from 30 s before to 30 s after the highest recorded temperature (T<sub>±30</sub>) were extrapolated. Tests duration was also recorded. Both T<sub>max</sub> and T<sub>±30</sub> were significantly higher in the ‘6 s cycles’ group than the ‘4 s cycles’ group (42.44 ± 7.3 °C vs. 37.24 ± 4.6 °C, <i>p</i> = 0.002; 37.24 ± 4.6 °C vs. 33.30 ± 3.3 °C, <i>p</i> = 0.003). Test duration was also significantly higher using 6 s cycles compared to 4 s cycles (143.17 ± 29.4 s vs. 119.80 ± 36.4 s, <i>p</i> = 0.002). The results of this study indicate that working cycles of 4 s effectively reduce heat generation and working time during piezoelectric implant site preparation.https://www.mdpi.com/1996-1944/13/18/4072piezoelectric surgeryimplant site preparationheat generationtemperature riseworking movements
spellingShingle Luca Lamazza
Marco Lollobrigida
Iole Vozza
Luigi Palmieri
Claudio Stacchi
Teresa Lombardi
Alberto De Biase
Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation
Materials
piezoelectric surgery
implant site preparation
heat generation
temperature rise
working movements
title Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation
title_full Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation
title_fullStr Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation
title_full_unstemmed Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation
title_short Piezoelectric Implant Site Preparation: Influence of Handpiece Movements on Temperature Elevation
title_sort piezoelectric implant site preparation influence of handpiece movements on temperature elevation
topic piezoelectric surgery
implant site preparation
heat generation
temperature rise
working movements
url https://www.mdpi.com/1996-1944/13/18/4072
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AT luigipalmieri piezoelectricimplantsitepreparationinfluenceofhandpiecemovementsontemperatureelevation
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