Thermal implant removal in a pig jaw: a proof of concept study

Clin Oral Investig. 2024 Jun 28;28(7):400. doi: 10.1007/s00784-024-05619-0.

Abstract

Objectives: The aim of this study was to evaluate whether thermal implant removal of osseointegrated implants is possible using a diode laser with an specific temperature-time interval.

Materials and methods: First, tooth extraction of the first three premolars was performed in the maxilla and mandible on both sides of 10 pig. After 3 months, implants were inserted into the upper and lower jaws of 10 pigs. After 3 more months, osseointegrated implants were heated with a laser device to a temperature of 50 °C for 1 min. After 14 days, the implant stability quotient (ISQ), torque-out values, and bone-to-implant contact (BIC) ratio were assessed using resonance frequency analysis.

Results: ISQ values showed no significant differences within each group or between the control and test groups. Furthermore, torque-out and BIC value measurements presented no significant differences between the groups.

Conclusions: At 50°C, changes in the BIC values were noticeably smaller; however, these differences were not significant. Future studies should evaluate the same procedures at either a higher temperature or longer intervals.

Clinical relevance: With only 50 °C for 1 min, a dental implant will not de-integrate predictably.

Keywords: Animal model; Histopathology; Implant removal; Osteonecrosis; Temperature.

MeSH terms

  • Animals
  • Dental Implantation, Endosseous / methods
  • Dental Implants*
  • Device Removal*
  • Hot Temperature
  • Osseointegration / physiology
  • Proof of Concept Study
  • Resonance Frequency Analysis
  • Swine
  • Torque

Substances

  • Dental Implants