AI Article Synopsis
- The study aimed to determine the optimal speed for performing osteotomies with minimal bone damage, comparing low speed (20,000rpm) and high speed (40,000rpm) handpieces on 36 patients.
- The high speed group showed superior results, with more precise osteotomy margins, reduced debris, and no thermal osteonecrosis compared to the low speed group.
- These findings highlight the advantages of high speed osteotomies and could influence practices in maxillofacial surgery.
Article Abstract
The aim of this study was to find out the ideal speed for making a precise osteotomy with minimal damage to the surrounding bone. Thirty-six patients were divided into two groups (n=18 in each) depending on the speed of the handpiece used for osteotomy (slow=20000rpm and fast=40000rpm). Samples were taken from the peripheral bone and examined histologically to measure the margins of the osteotomy, the amount of debris produced, and the degree of thermal osteonecrosis. The osteotomy made with the high speed handpiece was better than that made with the low speed one on all counts. The margins in the high speed group were more or less precisely as required, with less debris and no thermal necrosis, which illustrated the efficacy of a high speed osteotomy. These findings can apply to other procedures that involve osteotomies in maxillofacial surgery.
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| http://dx.doi.org/10.1016/j.bjoms.2016.02.008 | DOI Listing |
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