SynthesisClinical oral investigations2021
Low-speed drilling without irrigation versus conventional drilling for dental implant osteotomy preparation: a systematic review.
Synthesis in Clinical oral investigations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- Intraoperative Displacement of a Pterygoid Implant into the Pterygopalatine Fossa and Its Surgical Retrieval: A Case Report.Dentistry journal · 2026Article
- Heat generation of autologous bone harvesting drills: an in vitro study.Scientific reports · 2026Article
- Effect of Irrigation, Bur Size and Rotational Speed on Thermographic Heat at Implant Site Osteotomy Interface. An In Vitro Study.Clinical oral implants research · 2025Article
- Thermal analysis of a dry cooling method in a dental implant drilling procedure: an in vitro randomized study.BMC oral health · 2025Article
- Investigation and prevention of intraosseous temperature rise in guided implant surgery: an ex-vivo study.BMC oral health · 2025Article
- Effect of osteotomy strategy on primary stability and intraosseous temperature rise: an ex-vivo study.BMC oral health · 2025Article
- Comparative Analysis of the Histological Characteristics of Bone Tissue Following Implant Drill Preparation Under Various Parameters: An In Vitro Study.Journal of clinical medicine · 2025Article
- Effects of Repeated Use and Sterilization on the Wear of Zirconia Implant Drills: A SEM-Based Analysis.Clinical and experimental dental research · 2025Article
- Microscopic Analysis and Evaluation of Thermal Elevation and Wear of Drills for Implant Site Preparation: An In Vitro Study.Materials (Basel, Switzerland) · 2024Article
- Histomorphometric Analysis of Osseointegrated Intraosseous Dental Implants Using Undecalcified Specimens: A Scoping Review.Biomimetics (Basel, Switzerland) · 2024Article
- Slow drilling technique may enhance peri-operative patient-reported outcomes in dental implant surgery.Evidence-based dentistry · 2024Article
- A Comparison of Different Implant Site Preparation Techniques in Low-Density Bone: An Ex-Vivo Study.Cureus · 2024Article
- Article
- A novel technique to harvest bone autografts with mild local hyperthermia and enhanced osteogenic bone quality: a preclinical study in dogs.BMC oral health · 2023Article
- Determination of Osteoblast Cell Viability and Histological Changes of Samples Obtained from Different Implant Drills during Osteotomy.Journal of dentistry (Shiraz, Iran) · 2023Article
- Heat Accumulation in Implant Inter-Osteotomy Areas-An Experimental In Vitro Study.Biomedicines · 2022Article
- Simulated and clinical aerosol spread in common periodontal aerosol-generating procedures.Clinical oral investigations · 2022Article
- Application of reverse drilling technique in alveolar ridge expansion.Journal of dental sciences · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis paper aims to review the evidence comparing low-speed drilling without irrigation versus conventional drilling for dental implant osteotomy preparation. MATERIALS AND
methodsA systematic review was carried out based on the PRISMA statement. Four databases and gray literature were searched up to November 2020. In vitro, animal, and clinical studies were included. The variables were temperature change, drilling time, quantity of harvested bone, osteotomy precision, marginal bone loss, implant success rate, osseointegration, and the histomorphologic characteristics and cellularity of the osteotomy and of the harvested bone. Different tools for the assessment of bias were applied for each study design.
resultsA total of 626 articles were identified, of which 13 were included. Both low-speed drilling without irrigation (test group) and conventional drilling (control group) maintained temperatures below the critical temperature of 47 °C. The test group yielded a greater quantity and more beneficial cellular and histomorphologic properties of harvested bone, with a longer drilling time and greater osteotomy precision (p < 0.05). No significant results were obtained regarding drill wear, osseointegration, marginal bone loss, implant success rate, and histomorphology of the dental implant osteotomy (p > 0.05). The results, in particular on the osteotomy precision and quantity of harvested bone chips, should be interpreted with caution because outcomes are based in only one in vitro study.
conclusionsLow-speed drilling without irrigation seems to be comparable to conventional drilling in preparing dental implant osteotomies. In some situations, low-speed drilling without irrigation might offer advantages over conventional drilling. The results should be interpreted with caution due to the low percentage of clinical human studies. Accordingly, more clinical studies are needed to improve the scientific evidence on this topic. CLINICAL RELEVANCE: The low-speed drilling without irrigation is a valid technique for dental implant osteotomy preparation. Its higher quantity and quality of harvested autologous bone might be particularly beneficial in cases of dental implant placement with minor simultaneous bone regeneration.
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