Abstract
Statement of problem
The drilling speed used for preparing dental implants may affect bone-implant contact
(BIC), implant stability quotient (ISQ), and bone area fraction occupancy (BAFO).
Different rotational speeds and the presence or absence of irrigation during site
preparation have been investigated, but an established protocol for achieving the
best osseointegration results is lacking.
Purpose
The purpose of this systematic review was to investigate the influence of drill rotational
speed on bone drilling for dental implant placement and its relationship with osseointegration.
Material and methods
This review included the preferred reporting items for systematic reviews and meta-analyses
(PRISMA) and was registered in the international prospective register of systematic
reviews (PROSPERO) database. Electronic searches were performed in the MEDLINE (PubMed),
Scopus, Science Direct, and Embase databases. The risk of bias was analyzed by using
the systematic review center for laboratory animal experimentation (SYRCLE).
Results
A total of 1282 articles were found, and after removing duplicates and applying the
eligibility criteria to in vivo articles on animals that addressed drilling speed
and its relationship to osseointegration, 8 articles were selected for analysis. Of
these, 5 articles showed no statistical differences, and 3 others showed significantly
better osseointegration results by analyzing the parameters of BIC, BAFO, ISQs, and
pull-out forces (PoFs). In all selected articles, high-speed drilling was performed
with irrigation.
Conclusions
Although drilling speed seems to affect bone perforation, no definitive protocol was
found in the literature consulted. The results vary depending on the combination of
different factors, including bone type, irrigation, and drilling speed.
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Article info
Publication history
Published online: April 04, 2023
Publication stage
In Press Corrected ProofFootnotes
Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Identification
Copyright
© 2023 by the Editorial Council for The Journal of Prosthetic Dentistry.
