Temperature variations during bone removal procedures similar to third molar extraction using different instruments

• Published in: British journal of oral & maxillofacial surgery Vol. 62; no. 5; pp. 459 - 463
• Main Authors: Bisson, G.B., Sanches, I.M., Ciaramicolo, N.O., Ferreira Junior, O.
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01.06.2024
• Subjects: Animals; Bone; Dental High-Speed Equipment; Equipment Design; Hot Temperature; Mandible - surgery; Molar, Third - surgery; Needles; Operative Time; Oral surgery; Osteotomy - instrumentation; Osteotomy - methods; Piezosurgery; Piezosurgery - instrumentation; Saline Solution; Swine; Syringes; Temperature; Therapeutic Irrigation - instrumentation; Third molar; Time Factors; Tooth Extraction; Piezosurgery; Temperature; Bone; Third molar; Oral surgery
• ISSN: 0266-4356; 1532-1940
• DOI: 10.1016/j.bjoms.2024.01.011

Bone removal is commonly used in the extraction of third molars and the heat generated during the process can interfere with the repair of bone. The aim of this study was to evaluate the temperature variation presented in bone removal performed with a high-speed turbine (400000 rpm), implant motor with straight piece (100000 rpm), low-speed micromotor (20000 rpm) and piezoelectric saw (30 kHz) in pig mandibles. For this, bone removal was carried out around 20 posterior teeth, under constant saline solution irrigation with a syringe and needle. In addition, the time required to perform bone removal was recorded. The results indicated a mean (SD) temperature variation of 0.96 °C (0.6 °C) for the high-speed turbine, 1.38 °C (0.5 °C) with the implant motor, 2.22 °C (0.7 °C) for the low-speed micromotor and 2.90 °C (1.3 °C) for the piezoelectric saw. The conventional variance was calculated discounting the variation of time used for bone removal around the teeth. There was a statistically significant difference in temperature variation between the high-speed turbine vs the micromotor (p = 0.009) and the high speed micromotor vs the piezoelectric saw (p = 0.04). We conclude that there is a statistically significant difference in temperature variation between the instruments used in oral and maxillofacial surgery, with higher rotation speeds resulting in the lowest temperature variations and a reduced surgical time.