The Influence of Implant Site Preparation and Sterilization on the Performance and Wear of Implant Drills.

Abstract

The aim of this study was to investigate if repeated use of pilot and depth drills for implant site preparation in combination with resterilization leads to any significant changes in cutting edges or in preparation times. With drills of different lengths and widths (pilot, parallel, and tapered), osteotomies were performed under constant conditions in pig jaws. After each osteotomy, the drills were processed and sterilized. The required time for finishing the osteotomy was noted and analyzed. At the end of each osteotomy cycle, consisting of 10 osteotomies and 10 sterilizations, the cutting edge wear of the drill was analyzed using scanning electron microscopy. Unused but sterilized drills served as a control group. There was no statistically significant difference in the evaluated wear between pilot drills and depth drills as well as between the test and the control group. After 60 osteotomies, implant drills showed considerable signs of wear at the major cutting edge (P > .05). Osteotomy led to a significant increase in the drilling time. While pilot drills showed an increase of drilling time of the factor 33.3, and the tapered drills of the factor 5.37, the parallel drills remained constant in their performance. Within the limitations of this study, it can be concluded that the process of sterilization as well as the number of performed osteotomies play a major role in the wear of the cutting edge and the performance of implant drills.