Evaluation of Change in Radiographic Fractal Dimension around Dental Implants Placed with Low-Speed Drilling and Standard Drilling Protocols

J Clin Med. 2023 Mar 14;12(6):2244. doi: 10.3390/jcm12062244.

Abstract

Osseointegration is a process that depends on a multitude of factors, including the type of drilling, whether biological or conventional.

Objective: Establish box-counting dimension values for radiological images in patients with implants placed with both drilling methods.

Material and method: The sample included 129 implants corresponding to 50 patients. A double-blind study of data collection was carried out with the subsequent analysis of the fractal dimension as a comparative value of the state of the trabecular architecture.

Results: We found no significant differences (p ≥ 0.05) between the two study groups comparing both drilling techniques. The values for the conventional drilling technique are 0.24 ± 0.07 and for biological drilling: 0.19 ± 0.11 with a p-value of 0.767.

Conclusions: The drilling technique does not influence the success of the procedure and the osseointegration process.

Keywords: bone density; bone trabeculation; cone beam computed tomography; dental implantology; fractal dimension; orthopantomography.