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Effect of repeated use of an implant handpiece on an output torque: An in-vitro study

  • Son, KeunBaDa (Department of Dental Science, Graduate School, Kyungpook National University) ;
  • Son, Young-Tak (Department of Dental Science, Graduate School, Kyungpook National University) ;
  • Kim, Ji-Young (Advanced Dental Device Development Institute (A3DI), Kyungpook National University) ;
  • Lee, Jae-Mok (Department of Periodontology, School of Dentistry, Kyungpook National University) ;
  • Yu, Won-Jae (Department of Orthodontics, School of Dentistry, Kyungpook National University) ;
  • Kim, Jin-Wook (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Lee, Kyu-Bok (Advanced Dental Device Development Institute (A3DI), Kyungpook National University)
  • Received : 2021.02.21
  • Accepted : 2021.05.27
  • Published : 2021.06.30

Abstract

Purpose. This study aimed to evaluate the effect of repeated use of an implant handpiece under an implant placement torque (35 Ncm) and overloading torque condition (50 Ncm) on an output torque. Materials and Methods. Two types of implant handpiece systems (Surgicpro/X-DSG20L [NSK, Kanuma, Japan] and SIP20/CRB46LN [SAESHIN, Daegu, South Korea]) were used. The output torque was measured using a digital torque gauge. The height and angle (x, y, and z axes) of the digital torque gauge and implant handpiece were adjusted through a jig for passive connection. The experiment was conducted under the setting torque value of 35 Ncm (implant placement torque) and 50 Ncm (overloading torque condition) and 30 times per set; a total of 5 sets were performed (N = 150). For statistical analysis, the difference between the groups was analyzed using the Mann-Whitney U test and the Friedman test was used to confirm the change in output torque (α=.05). Results. NSK and SAESHIN implant handpieces showed significant differences in output torque results at the setting torques of 35 Ncm and 50 Ncm (P<.001). The type of implant handpiece and repeated use influenced the output torque (P<.001). Conclusion. There may be a difference between the setting torque and actual output torque due to repeated use, and the implant handpiece should be managed and repaired during long-term use. In addition, for successful implant results in dental clinics, the output torque of the implant handpiece system should be checked before implant placement.

Keywords

Acknowledgement

This research was financially supported by the Ministry of Trade, Industry and Energy and Korea Institute for Advancement of Technology through the National Innovation Cluster R&D program (P0015338_Development of Laser Handpiece Package to Stabilize System Optimized for Clinical Environment and Obtain Overseas Certification).

References

  1. Neugebauer J, Scheer M, Mischkowski RA, An SH, Karapetian VE, Toutenburg H, Zoeller JE. Comparison of torque measurements and clinical handling of various surgical motors. Int J Oral Maxillofac Implants 2009; 24:469-76.
  2. Roberts HW, Cohen ME, Murchison DF. Oral surgical handpiece use time parameters. J Oral Maxillofac Surg 2005;63:957-60. https://doi.org/10.1016/j.joms.2005.03.012
  3. Golob Deeb J, Bencharit S, Carrico CK, Lukic M, Hawkins D, Rener-Sitar K, Deeb GR. Exploring training dental implant placement using computer-guided implant navigation system for predoctoral students: a pilot study. Eur J Dent Educ 2019;23:415-23. https://doi.org/10.1111/eje.12447
  4. Eriksson RA, Adell R. Temperatures during drilling for the placement of implants using the osseointegration technique. J Oral Maxillofac Surg 1986;44:4-7. https://doi.org/10.1016/0278-2391(86)90006-6
  5. Augustin G, Zigman T, Davila S, Udilljak T, Staroveski T, Brezak D, Babic S. Cortical bone drilling and thermal osteonecrosis. Clin Biomech (Bristol, Avon) 2012; 27:313-25. https://doi.org/10.1016/j.clinbiomech.2011.10.010
  6. Lee J, Chavez CL, Park J. Parameters affecting mechanical and thermal responses in bone drilling: a review. J Biomech 2018;71:4-21. https://doi.org/10.1016/j.jbiomech.2018.02.025
  7. Cavazos E, Bell FA. Preventing loosening of implant abutment screws. J Prosthet Dent 1996;75:566-9. https://doi.org/10.1016/S0022-3913(96)90464-3
  8. Jaarda MJ, Razzoog ME, Gratton DG. Effect of preload torque on the ultimate tensile strength of implant prosthetic retaining screws. Implant Dent 1994;3:17-21. https://doi.org/10.1097/00008505-199404000-00002
  9. Joo YH, Lee JH. A study on accuracy and application of the implant torque controller used in dental clinic. J Korean Acad Prosthodont 2011;49:197-205. https://doi.org/10.4047/jkap.2011.49.3.197
  10. Lee DH, Cho SA, Lee CH, Lee KB. The overuse of the implant motor: effect on the output torque in overloading condition. Clin Implant Dent Relat Res 2015; 17:435-41. https://doi.org/10.1111/cid.12195
  11. Aydemir CA, Arisan V. Accuracy of dental implant placement via dynamic navigation or the freehand method: a split-mouth randomized controlled clinical trial. Clin Oral Implants Res 2020;31:255-63. https://doi.org/10.1111/clr.13563
  12. Chen CK, Yuh DY, Huang RY, Fu E, Tsai CF, Chiang CY. Accuracy of implant placement with a navigation system, a laboratory guide, and freehand drilling. Int J Oral Maxillofac Implants 2018;33:1213-8. https://doi.org/10.11607/jomi.6585
  13. Kastala VH, Ramoji Rao MV. Comparative evaluation of implant stability in two different implant systems at baseline and 3-4 months intervals using RFA device (OSSTELL ISQ). Indian J Dent Res 2019;30:678-86. https://doi.org/10.4103/ijdr.IJDR_446_17
  14. Yared G, Kulkarni GK. Accuracy of the Nouvag torque control motor for nickel-titanium rotary instruments. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:499-501. https://doi.org/10.1016/j.tripleo.2003.12.021
  15. Fugito Junior K, Cortes AR, de Carvalho Destro R, Yoshimoto M. Comparative study on the cutting effectiveness and heat generation of rotary instruments versus piezoelectric surgery tips using scanning electron microscopy and thermal analysis. Int J Oral Maxillofac Implants 2018;33:345-50. https://doi.org/10.11607/jomi.5806
  16. Tur D, Giannis K, Unger E, Mittlbock M, Rausch-Fan X, Strbac GD. Thermal effects of various drill materials during implant site preparation-Ceramic vs. stainless steel drills: a comparative in vitro study in a standardised bovine bone model. Clin Oral Implants Res 2021;32:154-66. https://doi.org/10.1111/clr.13685
  17. Sannino G, Gherlone EF. Thermal changes during guided flapless implant site preparation: A comparative study. Int J Oral Maxillofac Implants 2018;33:671-7. https://doi.org/10.11607/jomi.6029
  18. Strietzel FP, Nowak M, Kuchler I, Friedmann A. Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: results of a retrospective study. Clin Oral Implants Res 2002;13:508-13. https://doi.org/10.1034/j.1600-0501.2002.130510.x
  19. Eriksson AR, Albrektsson T. Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit. J Prosthet Dent 1983;50: 101-7. https://doi.org/10.1016/0022-3913(83)90174-9
  20. Trisi P, Todisco M, Consolo U, Travaglini D. High versus low implant insertion torque: a histologic, histomorphometric, and biomechanical study in the sheep mandible. Int J Oral Maxillofac Implants 2011;26:837-49.
  21. Khayat PG, Arnal HM, Tourbah BI, Sennerby L. Clinical outcome of dental implants placed with high insertion torques (up to 176 Ncm). Clin Implant Dent Relat Res 2013;15:227-33. https://doi.org/10.1111/j.1708-8208.2011.00351.x