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6%), (3) it was supplied by the submental artery without the sublingual artery (type III: 29.6%), and (4) type III without the deep lingual artery originated from the lingual artery (type IV: 1.8%). In type II, III, and IV, the Selleckchem GS-7340 submental artery perforates the mylohyoid muscle or takes a roundabout route to travel near the surface of the mandible. The percentage occurrence of arteries traveling between the sublingual gland and mandible in type II, III, and IV (55%) is higher than that in type I (8.8%). Susceptibility of the submental artery in type II, III, and IV to injury during implant surgery is suggested. ""G. Strbac1, K. Giannis2, E. Unger3, M. Bijak3, R. Donner4, M. Mittlboeck5, C. Vasak1, W. Zechner1 1University Clinic of Dentistry, Division of Oral Surgery, Medical University of Vienna, Vienna, Austria2University Clinic of Dentistry, Division of Dental Student Training and Patient Care, Medical University of Vienna, Adenylyl cyclase Vienna, Austria3Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria4Department of Radiology, Medical University of Vienna, Vienna, Austria5Section for Clinical Biometrics, Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria Background High temperature and surgical trauma in bone generated by drills are two of the main factors that may lead to implant failure. If temperature exceeds 47��C for 1?min during dental implant site preparation, heat-induced bone tissue injuries and necrosis occur. Aim/Hypothesis The purpose of this study was to evaluate the temperature changes during implant osteotomies with a combined irrigation system as compared to the commonly used external and internal irrigation under standardized conditions. Material and methods Drilling procedures were performed on VII bovine ribs using a computer-aided surgical system that ensured automated intermittent drilling cycles to simulate clinical conditions. A total of 320 drilling osteotomies were performed with twist (2?mm) and conical implant drills (3.5/4.3/5?mm) at various drilling depths (10/16?mm) and with different saline irrigation (50?ml/min) methods (without/external/internal/combined). Temperature changes were recorded in real time by two custom-built thermoprobes with 14 temperature sensors (7 sensors/thermoprobe) click here at defined measuring depths. Results The highest temperature increase during osteotomies was observed without any coolant irrigation (median, 8.01��C), followed by commonly used external saline irrigation (median, 2.60��C), combined irrigation (median, 1.51��C) and ultimately with internal saline irrigation (median, 1.48��C). Temperature increase with different drill diameters showed significant differences (P?

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