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Objectives: Bone density is an important factor for long‐term implant success. Peri‐implant bone density evaluation before implant placement can be useful for treatment planning, such as the selection of proper implant size or drilling protocol in each case. In this study, we aimed to establish an objective intraoperative bone density evaluation method by measuring the drilling torque value using a newly designed density measurement drill. Materials and Methods: Drilling torque value measurement was performed intraoperatively using three types of drills; two previously reported drills and a newly designed drill as a density measurement drill. Polyurethane bone blocks of different densities (D1–D4) were used in this experiment. After the measurement, implants were inserted based on the scheduled plan, and insertion torque (IT) and implant stability quotient (ISQ) were measured to assess primary implant stability. Results: The drilling torque value increased with the bone blocks' density, and there were significant differences among different densities in all groups (p < 0.05). The drilling torque value showed a positive correlation with IT in all groups (p < 0.05). In addition, the drilling torque value increased with the increase in ISQ in all groups. Conclusions: Within the limitations of this study, a newly designed density measurement drill was able to classify D1–D4 in polyurethane bone blocks despite its narrow diameter, and an objective intraoperative bone evaluation can be achieved. An intraoperative assessment of the drilling torque value can predict primary implant stability and provide valuable information for intraoperative treatment planning, such as undersized drilling protocol and implant size change. [ABSTRACT FROM AUTHOR]

The purpose of this study was to determine if intraoral scanners (IOS) are useful for dental hygiene instruction. The dental plaque of eight volunteers with healthy dentition was stained with a plaque-disclosing solution, and the O'Leary Plaque Control Record (PCR) was measured by direct observation and by evaluating IOS images. PCR values were higher for IOS images than for direct observation. The difference was greatest for the lingual surface of mandibular anterior teeth. Use of IOS for dental plaque examination might be useful as a novel method for dental hygiene instruction. [ABSTRACT FROM AUTHOR]