Evidence map›Paper›PMID 41118019›Full record

ArticleInternational journal of implant dentistry2025

Development of dental implant drill with detection mechanism of bone quality change.

Takahiro Nozaki, Seiji Asoda, Soya Shimizu, Ryo Kondo, Koji Niwa, Masaki Yazawa, Kazuo Kishi, Hiromasa Kawana

Abstract read
In one paragraph

Article in International journal of implant dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Takahiro Nozaki *Department of System Design Engineering, Faculty of Science and Technology, Keio University, Yokohama, Kanagawa, 223-8522, Japan. nozaki@sd.keio.ac.jp.
Seiji Asoda *Department of Dentistry and Oral Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, 160-8582, Japan.
Soya ShimizuGraduate School of Integrated Design Engineering, Keio University, Yokohama, Kanagawa, 223-8522, Japan.
Ryo KondoGraduate School of Integrated Design Engineering, Keio University, Yokohama, Kanagawa, 223-8522, Japan.
Koji NiwaGraduate School of Integrated Design Engineering, Keio University, Yokohama, Kanagawa, 223-8522, Japan.
Masaki YazawaDepartment of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, 160-8582, Japan.
Kazuo KishiDepartment of Plastic and Reconstructive Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, 160-8582, Japan.
Hiromasa KawanaDepartment of Dentistry and Oral Surgery, School of Medicine, Keio University, Shinjuku-ku, Tokyo, 160-8582, Japan.

Funding

Japan Society for the Promotion of Science (JSPS) KAKENHI 23K09226
6 · The paper itself

Abstract

purposeThis study aims to develop and evaluate a dental implant drill system capable of preventing maxillary sinus membrane perforation, a common complication in cases with limited alveolar bone height, particularly in the maxillary molar region. The primary objective is to design a mechanism that autonomously detects changes in bone quality and halts drill rotation upon reaching the sinus floor.

methodsA novel dental implant drill incorporating an integrated bone quality detection mechanism was developed. The system includes a centrally mounted detector that actuates a switch controlling drill rotation. When cortical bone is penetrated and softer tissue is encountered, the detector extends outward, interrupting power to the motor. A penetration test was conducted using a 5 mm thick wooden board as a surrogate bone model to evaluate the drill's response to cortical penetration.

resultsExperimental trials demonstrated that the drill automatically ceased rotation upon advancing approximately 0.47 mm beyond a simulated bone surface. Given that the maxillary sinus membrane is typically less than 1 mm in thickness, this minimal protrusion indicates a significantly reduced risk of perforation.

conclusionThe proposed drill system effectively detects transitions in bone quality and prevents over-penetration, offering a promising solution for enhancing surgical safety during maxillary implant procedures.

Indexed as

Dental Implantation, EndosseousDental ImplantsMaxillary SinusBone DensityEquipment DesignHumansMaxillaRotationDental ImplantsAutomatic stoppingDental implant drillRoboticsRobotic surgery

Identifiers

PMID41118019
PMCPMC12540961

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.