A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis

Chih-Hao Chen, Benjamin R Coyac, Masaki Arioka, Brian Leahy, U Serdar Tulu, Maziar Aghvami, Stefan Holst, Waldemar Hoffmann, Antony Quarry, Oded Bahat, Benjamin Salmon, John B Brunski, Jill A Helms

Research output: Contribution to journalArticle

Abstract

The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.

Original languageEnglish
JournalJournal of Clinical Medicine
Volume8
Issue number2
DOIs
Publication statusPublished - Feb 1 2019

Fingerprint

Osteotomy
Osteogenesis
Bone and Bones
Mandrillus
Reconstructive Surgical Procedures
Osseointegration
Osteocytes
Hot Temperature

Cite this

A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis. / Chen, Chih-Hao; Coyac, Benjamin R; Arioka, Masaki; Leahy, Brian; Tulu, U Serdar; Aghvami, Maziar; Holst, Stefan; Hoffmann, Waldemar; Quarry, Antony; Bahat, Oded; Salmon, Benjamin; Brunski, John B; Helms, Jill A.

In: Journal of Clinical Medicine, Vol. 8, No. 2, 01.02.2019.

Research output: Contribution to journalArticle

Chen, C-H, Coyac, BR, Arioka, M, Leahy, B, Tulu, US, Aghvami, M, Holst, S, Hoffmann, W, Quarry, A, Bahat, O, Salmon, B, Brunski, JB & Helms, JA 2019, 'A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis', Journal of Clinical Medicine, vol. 8, no. 2. https://doi.org/10.3390/jcm8020170
Chen, Chih-Hao ; Coyac, Benjamin R ; Arioka, Masaki ; Leahy, Brian ; Tulu, U Serdar ; Aghvami, Maziar ; Holst, Stefan ; Hoffmann, Waldemar ; Quarry, Antony ; Bahat, Oded ; Salmon, Benjamin ; Brunski, John B ; Helms, Jill A. / A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis. In: Journal of Clinical Medicine. 2019 ; Vol. 8, No. 2.
@article{99cc1f1d42164095ac9b42d1fe637d39,
title = "A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis",
abstract = "The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.",
author = "Chih-Hao Chen and Coyac, {Benjamin R} and Masaki Arioka and Brian Leahy and Tulu, {U Serdar} and Maziar Aghvami and Stefan Holst and Waldemar Hoffmann and Antony Quarry and Oded Bahat and Benjamin Salmon and Brunski, {John B} and Helms, {Jill A}",
year = "2019",
month = "2",
day = "1",
doi = "10.3390/jcm8020170",
language = "English",
volume = "8",
journal = "Journal of Clinical Medicine",
issn = "2077-0383",
publisher = "MDPI AG",
number = "2",

}

TY - JOUR

T1 - A Novel Osteotomy Preparation Technique to Preserve Implant Site Viability and Enhance Osteogenesis

AU - Chen, Chih-Hao

AU - Coyac, Benjamin R

AU - Arioka, Masaki

AU - Leahy, Brian

AU - Tulu, U Serdar

AU - Aghvami, Maziar

AU - Holst, Stefan

AU - Hoffmann, Waldemar

AU - Quarry, Antony

AU - Bahat, Oded

AU - Salmon, Benjamin

AU - Brunski, John B

AU - Helms, Jill A

PY - 2019/2/1

Y1 - 2019/2/1

N2 - The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.

AB - The preservation of bone viability at an osteotomy site is a critical variable for subsequent implant osseointegration. Recent biomechanical studies evaluating the consequences of site preparation led us to rethink the design of bone-cutting drills, especially those intended for implant site preparation. We present here a novel drill design that is designed to efficiently cut bone at a very low rotational velocity, obviating the need for irrigation as a coolant. The low-speed cutting produces little heat and, consequently, osteocyte viability is maintained. The lack of irrigation, coupled with the unique design of the cutting flutes, channels into the osteotomy autologous bone chips and osseous coagulum that have inherent osteogenic potential. Collectively, these features result in robust, new bone formation at rates significantly faster than those observed with conventional drilling protocols. These preclinical data have practical implications for the clinical preparation of osteotomies and alveolar bone reconstructive surgeries.

U2 - 10.3390/jcm8020170

DO - 10.3390/jcm8020170

M3 - Article

C2 - 30717291

VL - 8

JO - Journal of Clinical Medicine

JF - Journal of Clinical Medicine

SN - 2077-0383

IS - 2

ER -