{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:02Z","timestamp":1787014022430,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:00:00Z","timestamp":1739491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyse marginal bone level changes at implants placed using high\u2010speed drilling (800\u2009rpm) with irrigation versus low\u2010speed drilling (150\u2009rpm) without irrigation. Peri\u2010implant soft\u2010tissue parameters were assessed and the influence of bone density and vertical dimensions of supracrestal soft tissue on marginal bone level changes was evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>\n                      Patients with a single posterior edentulous area were included in a randomized parallel single\u2010blinded clinical trial. The study groups were: high\u2010speed drilling with irrigation (CG:control group) and low\u2010speed drilling without irrigation (TG:test group). Marginal bone level changes were measured using parallelized periapical radiographs during 12\u2010months. Probing depth, bleeding on probing, plaque index, buccal keratinized mucosa, suppuration and recession were measured. The mean total bone density was evaluated in Hounsfield Units. Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      \u2010test for non\u2010parametric variables and\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test for parametric variables were employed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 66 patients were included (33 per group). The implant success rate was 100% for both groups according to Misch classification. No statistically significant differences were found regarding marginal bone loss (CG: \u22120.03 (0.17); TG: \u22120.01 (0.05)), bone remodeling (CG: 0.81 (0.64); TG: 0.86 (0.54)), or peri\u2010implant soft tissue parameters (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Bone density showed no significant correlation with the peri\u2010implant bone and soft\u2010tissue changes. The vertical supracrestal soft tissue was inversely correlated to peri\u2010implant bone remodeling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Within the limits, high\u2010speed drilling with irrigation and low\u2010speed drilling without irrigation had no statistically significant influence on the peri\u2010implant marginal bone and soft tissue changes during 12\u2009months of follow\u2010up. These variables were not significantly influenced by bone density.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Unique identification number: NCT05286866<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.14416","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T07:54:36Z","timestamp":1739519676000},"page":"698-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Peri\u2010Implant Marginal Bone Changes Using High\u2010Speed Drilling With Irrigation Versus Low\u2010Speed Drilling Without Irrigation: A Randomized Clinical Trial With 12\u2009Months of Follow\u2010Up"],"prefix":"10.1111","volume":"36","author":[{"given":"Juan Carlos","family":"Bernabeu\u2010Mira","sequence":"first","affiliation":[{"name":"Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry University of Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel","family":"Pe\u00f1arrocha\u2010Diago","sequence":"additional","affiliation":[{"name":"Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry University of Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"Canullo","sequence":"additional","affiliation":[{"name":"University of Genova  Genova Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3739-1792","authenticated-orcid":false,"given":"Fabio","family":"Camacho\u2010Alonso","sequence":"additional","affiliation":[{"name":"Department of Oral Surgery University of Murcia  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Rojo\u2010Sanchis","sequence":"additional","affiliation":[{"name":"Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry University of Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Pe\u00f1arrocha\u2010Oltra","sequence":"additional","affiliation":[{"name":"Oral Surgery Unit, Department of Stomatology, Faculty of Medicine and Dentistry University of Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"issue":"2","key":"e_1_2_10_2_1","first-page":"33","article-title":"Assessment of Low\u2010Speed Drilling Without Irrigation Versus Conventional Drilling With Irrigation Regarding Heat Generation and Peri\u2010Implant Marginal Bone Loss (Randomized Clinical Trial)","volume":"46","author":"Abdelsattar M.","year":"2021","journal-title":"Alexandria Dental Journal"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"138","article-title":"A Novel Drilling Procedure and Subsequent Bone Autograft Preparation: 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