Acta Scientific Dental Sciences (ISSN: 2581-4893)

Research Article Volume 4 Issue 8

To Investigate the Influence of Conventional and Non-Conventional Drill on Implant Stability During Bone Bed Preparation- A Systematic Review

Rachel Quadros*

Oral and Maxillofacial Prosthodontics and Implantology, India

*Corresponding Author: Rachel Quadros, Oral and Maxillofacial Prosthodontics and Implantology, India.

Received: June 11, 2020; Published: July 28, 2020



Background: There are multiple surgical techniques proposed for implant bone bed preparation to enhance the stability of implants. However, there is no adequate amount of scientific evidence to support the association between the surgical techniques and implant stability.

Purpose: This systematic review aims to investigate the influence of laser/piezoelectric or conventional drill on its surgical outcome during bone bed preparation.

Materials and Methods: The studies included were from January 2007 to December 2017 An electronic search was done of PubMed, Google Scholar, Institutional Library and manual search of various journals. The inclusion criteria composed of all randomized control trials and observational studies evaluating the implant stability after bone bed preparation conventionally or using a piezo electric system or laser. All studies selected were in ENGLISH language only and included in vitro and in vivo studies conducted in animals.

Results: 6 articles were selected which met the criteria of comparative evaluation of conventional versus non conventional drilling methods. There is very weak evidence suggesting that the use of piezo electric or laser methods compared to conventional method of the bone bed preparation could influence the implant stability.

Limitation: Total number of articles screened for full text is limited in number i.e. only 6 articles are screened in this systematic review.

Conclusion: There is still a lack of evidence about the better surgical outcome about the influence of laser or piezoelectric technique compared to the conventional drilling method on implant stability.

Keywords: Dental Implants; Implant Stability; Instrumentation; Implant Site Preparation; Piezo Surgery; Laser Surgery; Osteotomy



  1. Elias CN., et al. “Influence of implant shape, surface morphology, surgical technique and bone quality on the primary stability of dental implants”. Journal of the Mechanical Behavior of Biomedical Materials 16 (2012): 169-180.
  2. Javed F and Romanos GE. “The role of primary stability for successful immediate loading of dental implants. A literature review”. Journal of Dentistry8 (2010): 612-20.
  3. Cehreli M., et al. “Implant stability and bone density: assessment of correlation in fresh cadavers using conventional and osteotome implant sockets”. Clinical Oral Implants Research 10 (2009): 1163-1169.
  4. Raghavendra S., et al. “Early wound healing around endosseous implants: a review of the literature”. International Journal of Oral and Maxillofacial Implants 3 (2005): 425-431.
  5. M Marquezan., et al. “Does bone mineral density influence the primary stability of dental implants? A systematic review”. Clinical Oral Implants Research7 (2012): 767-774.
  6. T Albrektsson and A Wennerberg. “Oral implant surfaces: part1-review focusing on topographic and chemical properties of different surfaces and in vivo responses to them”. International Journal of Prosthodontics 17 (2004): 536-543.
  7. B Wilmes., et al. “Parameters affecting primary stability of orthodontic mini implants”. Journal of Orofacial Orthopedics 3 (2006)162-174.
  8. C Stacchi., et al. “Changes in implant stability using different site preparation techniques: twist drills versus piezosurgery. A single-blinded, randomized, controlled clinical trial”. Clinical Implant Dentistry and Related Research 15 (2015): 188-197.
  9. B Friberg., et al. “On cutting torque measurements during implant placement: a 3-year clinical prospective study”. Clinical Implant Dentistry and Related Research 1 (1999): 75-83.
  10. RB Summers. “A new concept in maxillary implant surgery: the osteotome technique”. Compendium 15 (1994) :152-162.
  11. MG Le Gall. “Localized sinus elevation and osteocompression with single-stage tapered dental implants: technical note”. International Journal of Oral and Maxillofacial Surgery 19 (2004): 431-437.
  12. T Vercellotti. “Piezoelectric surgery in implantology: a case report—a new piezoelectric ridge expansion technique”. International Journal of Periodontics and Restorative Dentistry 20 (2000): 359-365.
  13. EC Alvarenga., et al. “Low-intensity pulsed ultrasound-dependent osteoblast proliferation occurs by via activation of the P2Y receptor: role of the P2Y1 receptor”. Bone 46 (2010): 355-362.
  14. M Bovi., et al. “The use of piezosurgery to mobilize the mandibular alveolarnerve followed immediately by implant insertion: a case series evaluating neurosensory disturbance”. International Journal of Periodontics and Restorative Dentistry 30 (2010): 73-81.
  15. S Kazem Shakouri., et al. “Effect of low-level laser therapy on the fracture healing process”. Lasers in Medical Science 25 (2010): 73-77.
  16. H Caulier., et al. “The relationship of some histologic parameters, radiographic evaluations, and Periotest measurements of oral implants: an experimental animal study”. International Journal of Oral and Maxillofacial Surgery 12 (1997): 380-386.
  17. N Meredith. “A review of nondestructive test methods and their application to measure the stability and osseointegration of bone anchored endosseous implants”. Critical Reviews in Biomedical Engineering 26 (1998): 275-291.
  18. F Schwarz., et al. “Influence of implant bed preparation using an Er:YAG laser on osseointegration of titanium implants: a histomorphometrical study in dogs”. Journal of Oral Rehabilitation34 (2017): 273-281.
  19. Su-Young Lee., et al. “A Comparison of bone bed preparation with laser and conventional drill on the relationship between implant stability quotient (ISQ) values and implant insertion variables”. Journal of Advanced Prosthodontics4 (2010): 148-153.
  20. Seymen G., et al. “Implant bed preparation with an Erbium, Chromium doped Yttrium Scandium Gallium Garnet (Er,Cr: YSGG) Laser using Stereolithographic Surgical Guide”. Journal of Lasers in Medical Sciences 4 (2013): 25-31.
  21. Gandhi S Baker. J., et al. “Primary stability comparison using piezoelectric or conventional implant site preparation systems in cancellous bone: A Pilot Study”. Implant Dentistry 23 (2014): 1.
  22. C Rastelli., et al. “Implant stability in different techniques of surgical sites preparation: an invitro study”. Oral and Implantology2 (2104).


Citation: Rachel Quadros. “To Investigate the Influence of Conventional and Non-Conventional Drill on Implant Stability During Bone Bed Preparation- A Systematic Review". Acta Scientific Dental Sciences 4.8 (2020): 79-86.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In

News and Events

Contact US