Absence of healing impairment in osteotomies prepared via osseodensification drilling

Lukasz Witek, Rodrigo Neiva, Adham Alifarag, Farnaz Shahraki, Ghazaleh Sayah, Nick Tovar, Christopher D. Lope, Luiz Gil, Paulo G. Coelho

Research output: Contribution to journalArticle


This study sought to qualitatively and quantitatively evaluate the effect of osteotomy preparation by conventional (control group) or OD (OD group) instrumentation on osteotomy healing. An incision of 10 cm was made in the anteroposterior direction over the hip in five sheep, and 15 osteotomies were prepared in the left ilium of the sheep (n = 3/sheep). Three different instrumentation techniques were utilized: (1) conventional/regular drilling (R [recommended by manufacturer]) in a 3-step series of a 2-mm pilot, 3.2-mm, and 3.8-mm twist drills; (2) OD clockwise (OD-CW) drilling with Densah Bur (Versah) 2.0-mm pilot, 2.8-mm, and 3.8-mm multi-fluted tapered burs; and (3) OD counterclockwise (OD-CCW) drilling with Densah Bur 2.0-mm pilot, 2.8-mm, and 3.8-mm multifluted tapered burs. Drilling was performed at 1,100 rpm with saline irrigation. Qualitative histomorphometric analysis of the osteotomies after 6 weeks did not show any healing impairment due to the instrumentation. Histologic analysis shows bone remodeling and growth in all samples, irrespective of osteotomy preparation technique, with the presence of bone chips observed along the length of the osteotomy wall in sites subjected to osseodensification drilling.

Original languageEnglish (US)
Pages (from-to)65-71
Number of pages7
JournalInternational Journal of Periodontics and Restorative Dentistry
Issue number1
StatePublished - Jan 1 2019


ASJC Scopus subject areas

  • Oral Surgery
  • Periodontics

Cite this