PMID- 34919621
OWN - NLM
STAT- MEDLINE
DCOM- 20211221
LR  - 20211221
IS  - 1942-4434 (Electronic)
IS  - 0882-2786 (Linking)
VI  - 36
IP  - 6
DP  - 2021 Nov-Dec
TI  - A Prospective Randomized Clinical Trial on Radiographic Crestal Bone Loss Around 
      Dental Implants Placed Using Two Different Drilling Protocols: 12-Month 
      Follow-up.
PG  - e175-e182
LID - 10.11607/jomi.9029 [doi]
AB  - PURPOSE: There is a substantial need to perform studies to evaluate crestal bone 
      loss (CBL) and implant success when using a newly introduced low-speed drilling 
      protocol. Therefore, this study aimed to evaluate the mean CBL and implant 
      success rate by placing implants utilizing two drilling protocols, ie, standard 
      and low-speed drilling protocols. MATERIALS AND METHODS: A randomized controlled 
      clinical trial was carried out in patients who required dental implants to 
      restore their esthetics and function. The patients were recruited from a 
      university hospital (Academic Centre for Dentistry Amsterdam [ACTA], the 
      Netherlands). Based on the inclusion criteria, patients were randomized to two 
      study groups: (1) control group, standard drilling protocol; and (2) test group, 
      low-speed drilling protocol without saline irrigation. The mean CBL and the 
      implant success rate were evaluated after 12 months of implant placement. 
      RESULTS: Twenty-three patients (15 men and 8 women with a mean age of 57.5 +/- 10.7 
      years) contributed to the study. Forty Camlog screw-line implants were placed (20 
      implants per study group). After 12 months of implant placement, the mean CBL of 
      implants placed with the standard protocol and the low-speed protocol was 0.206 +/- 
      0.251 mm and 0.196 +/- 0.178 mm, respectively. No statistically significant 
      difference could be recorded among both groups (P = .885). Concerning implants 
      placed in the maxilla, the standard drilling group and low-speed drilling group 
      showed a mean CBL of 0.252 +/- 0.175 mm and 0.251 +/- 0.175 mm, respectively, 
      compared with 0.173 +/- 0.210 mm and 0.141 +/- 0.172 mm in the mandible, with no 
      significant difference. The success rate of dental implants at 12 months was 95% 
      in the control group and 90% in the test group. CONCLUSION: Within the 
      limitations of this study, it can be concluded that implants placed with the 
      low-speed drilling protocol without saline irrigation exhibited a similar CBL 
      compared with implants placed with the standard drilling protocol. However, a 
      higher success rate was recorded especially in type 1-quality bone for the 
      control group compared with the test group. Further randomized clinical trials 
      with greater sample sizes and extended follow-up times should be performed to 
      obtain stronger evidence and a better understanding of the influence of drilling 
      speed on mean CBL and long-term implant success.
FAU - Tabassum, Afsheen
AU  - Tabassum A
FAU - Kazmi, Farhat
AU  - Kazmi F
FAU - Wismeijer, Daniel
AU  - Wismeijer D
FAU - Siddiqui, Intisar Ahmad
AU  - Siddiqui IA
FAU - Tahmaseb, Ali
AU  - Tahmaseb A
LA  - eng
PT  - Clinical Trial Protocol
PT  - Journal Article
PL  - United States
TA  - Int J Oral Maxillofac Implants
JT  - The International journal of oral & maxillofacial implants
JID - 8611905
RN  - 0 (Dental Implants)
SB  - IM
MH  - Aged
MH  - *Dental Implants/adverse effects
MH  - Follow-Up Studies
MH  - Humans
MH  - Middle Aged
MH  - Prospective Studies
MH  - Randomized Controlled Trials as Topic
EDAT- 2021/12/18 06:00
MHDA- 2021/12/22 06:00
CRDT- 2021/12/17 17:19
PHST- 2021/12/17 17:19 [entrez]
PHST- 2021/12/18 06:00 [pubmed]
PHST- 2021/12/22 06:00 [medline]
AID - 10.11607/jomi.9029 [doi]
PST - ppublish
SO  - Int J Oral Maxillofac Implants. 2021 Nov-Dec;36(6):e175-e182. doi: 
      10.11607/jomi.9029.