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在翻瓣手术中使用金刚石涂层超声洁牙机插入件对单根牙进行根管清创。一项初步研究。

Root debridement of single-rooted teeth with a diamond-coated sonic scaler insert during flap surgery. A pilot study.

作者信息

Kocher T, Plagmann H C

机构信息

Abteilung Parodontologie in der Poliklinik für Zahnerhaltung, Parodontologie und Kinderzahnheilkunde im Zentrum für Zahn-, Mund- und Kieferheilkunde, Greifswald, Germany.

出版信息

J Clin Periodontol. 1999 Apr;26(4):201-5. doi: 10.1034/j.1600-051x.1999.260401.x.

DOI:10.1034/j.1600-051x.1999.260401.x
PMID:10223389
Abstract

In our laboratory, we modified inserts of a sonic scaler to increase effectivity of root surface instrumentation during flap surgery. The present clinical study investigates whether use of this diamond-coated, thickened insert facilitates more rapid root debridement compared to hand instruments and whether clinical wound healing is influenced by the type of instrument used. In 13 patients with moderate to advanced periodontal destructions, flap surgery was carried out on single rooted teeth with probing depth of > or =6 mm. The mean amount of time saved by root debridement with the diamond-coated insert was 60% over curets. Regardless of the used instrumentation method probing depths and attachment level changes were altered and remained unchanged for 2 years after surgery. In conclusion the newly-developed, diamond-coated sonic scaler insert facilitates more rapid root debridement during flap surgery than hand instruments without disadvantageously affecting clinical healing.

摘要

在我们实验室,我们对超声洁牙机的刀头进行了改良,以提高翻瓣手术中根面清创的效率。本临床研究旨在调查与手工器械相比,使用这种金刚石涂层加厚刀头是否有助于更快速地进行根面清创,以及临床伤口愈合是否受所用器械类型的影响。对13例中重度牙周破坏患者的单根牙进行翻瓣手术,这些牙的探诊深度≥6mm。使用金刚石涂层刀头进行根面清创比使用刮治器平均节省60%的时间。无论采用何种器械清创方法,术后探诊深度和附着水平变化均有所改变,且术后2年保持不变。总之,新研发的金刚石涂层超声洁牙机刀头在翻瓣手术中比手工器械能更快速地进行根面清创,且不会对临床愈合产生不利影响。

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引用本文的文献

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Comparative in vitro study of root roughness after instrumentation with ultrasonic and diamond tip sonic scaler.超声洁牙器和金刚石头声波洁牙器器械操作后牙根粗糙度的体外比较研究
J Appl Oral Sci. 2006 Apr;14(2):124-9. doi: 10.1590/s1678-77572006000200011.