Abstract
Overheating of the bone during drilling may raise intraosseous temperature to more than 47°C, leading to osteonecrosis and compromising implant stability. Tool material, geometry and operating conditions play an important role in heat generation. Stainless steel (SS316L) is commonly used, but ZrO2 has become a possible alternative due to its biocompatibility and lower thermal impact. Custom drill bits (2.5, 3.0 and 3.5 mm diameter; two flutes; 90° point angle; 25° helix angle) were manufactured. A five-axis CNC machine was used to perform drilling experiments on standardized polyurethane bone blocks. A feed rate of 30 mm/min and spindle speeds of 900, 1100 and 1300 r/min were used. Temperatures Tmax and Tavg were measured using thermocouples and recorded in two trials per condition. For Tmax and Tavg, the temperature values obtained in two repeated trials were reported as mean ± standard deviation. SS316L drills produced greater, more fluctuating thermal profiles, reaching a Tmax of ∼37°C at 900 r/min (2.5 mm) to 58.75°C at 1300 r/min (3.0 mm), exceeding the osteonecrosis threshold. The Tavg reached up to 39°C at 1300 r/min. On the contrary, ZrO2 drills generated lower temperatures with a Tmax of 31–46°C and a Tavg of 29–35°C irrespective of the diameter and speed. It is worth noting that ZrO2 drills did not surpass 47°C. Thermal response is highly dependent on drill diameter and spindle speed, but material properties are the decisive factor. ZrO2 drills operated at lower Tmax and Tavg than SS316L and exhibited greater thermal control, minimizing the risk of thermal osteonecrosis. Results suggest that ZrO2 may provide a safer thermal response during the test dry-bone drilling process.
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