Affiliation:
1. Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry University of Valencia Valencia Spain
2. Department of Industrial Systems Engineering and Design Universitat Jaume I Castello de la Plana Spain
3. Department of Oral Surgery University of Murcia Murcia Spain
Abstract
AbstractObjectiveTo compare patient satisfaction during surgery, postoperative pain and inflammation and quality of life between high‐speed drilling with irrigation and low‐speed drilling without irrigation for implant bed preparation.Materials and MethodsSixty‐six posterior single edentulous patients were included in a randomized controlled clinical trial. Implant beds were created using high‐speed drilling with irrigation (control group) or low‐speed drilling without irrigation (test group). Patient satisfaction during surgery (in relation to drilling‐time perception, vibration, pressure, noise, comfort, and drowning sensation) and postoperative pain and inflammation were evaluated using a 100‐mm visual analogue scale (VAS)‐based questionnaire. Quality of life was analyzed with a Likert scale (in relation to mouth opening, chewing, speaking, sleeping, daily routine, and job). The follow‐up period was 7 days.ResultsPatient satisfaction in relation to drilling‐time perception, vibration, pressure, and noise did not show statistically significant differences (p > .05). The highest scores of drowning sensation (p < .05) were correlated (moderate correlation (r = .57)) with lowest scores of comfort (p < .005). Both postoperative pain and inflammation means were significantly higher in the control group than in the test group. No significant differences in quality of life were observed during the postoperative period (p > .05).ConclusionLow‐speed drilling without irrigation for single implant site preparation was more comfortable for patients than high‐speed drilling with irrigation, due to the correlation between important drowning sensation and low perceived comfort. Postoperative pain and inflammation were lower for low‐speed drilling without irrigation. Further studies are needed to validate or refute these results.
Reference32 articles.
1. Assessment of low‐speed drilling without irrigation versus convencitonal drilling with irrigation regarding heat generation and peri‐implant marginal bone loss (randomized clinical trial);Abdelsattar M.;Alexandria Dental Journal,2021
2. Assessment of Pain Associated With the Surgical Placement of Dental Implants
3. Biological Drilling: Implant Site Preparation in a Conservative Manner and Obtaining Autogenous Bone Grafts
4. A novel drilling procedure and subsequent bone autograft preparation: A technical note;Anitua E.;International Journal of Oral and Maxillofacial Implants,2007