the sides and the tip of the drill effectively cooling the osteotomy . If the bone starts to compact too much , the drill gives a ” kickback ” to the handpiece . Drills should progress in a bouncing technique , one millimeter at a time . However , it ’ s important to remember that cortical bone cannot be compacted . If the bone starts to compact too much or the drill encounters cortical bone , then it ’ s best to proceed clockwise for normal drilling . The osseodensification can be continued slightly deeper or with the next drill bit on a case-by-case basis . One must be familiar with the indications and protocols of drill use to address these considerations in osteotomies .
Do Densah ® drills work in guided implantation ? In a study by Guentsch 2023 , Densah ® drills were found to be one of the most accurate guided implantation drill sets . So , I don ’ t see any issues with accuracy or usability in guided implantation . There is a separate drill set for guided implantation .
Overall , the use of Densah ® drills in placing dental implants can promote primary stability , reduce the need for separate or simultaneous bone grafts , and decrease trauma associated with procedures . These factors have improved patient satisfaction in my own implant treatments . However , it ’ s important to note that successful implantation depends on various factors such as proper patient selection , surgical technique , surgeon experience , and postoperative care . I recommend attending training sessions to determine if this is the right option for your implant toolkit .
Detailed instructions for each implant brand can be found on the Versah . com website . There , you can download the instruction chart for your preferred implant brand and model .
In the posterior region of the upper jaw , there is often limited bone height . Could drills be used for sinus membrane elevation during implantation ? Densah ® drills have been found in several studies to be an atraumatic and reliable method for simultaneous sinus floor elevation and application of bone graft material ( Huwais 2018 , Rostom 2021 , Hashem 2023 , Shalash 2023 ). I recommend reviewing the studies and Densah ® protocols for various scenarios .