Microscopic Analysis and Evaluation of Thermal Elevation and Wear of Drills for Implant Site Preparation: An In Vitro Study.

Drilling for implant site preparation generates heat, which can cause bone necrosis if temperatures exceed 47 °C for over a minute. Factors influencing heat include drill size, speed, pressure, irrigation, and tool wear. Frequent drill replacement is essential, as wear from repeated use and sterilization affects performance.