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马牙使用动力磨削设备时牙髓的温度变化。

Temperature changes in dental pulp associated with use of power grinding equipment on equine teeth.

作者信息

Wilson G J, Walsh L J

机构信息

School of Veterinary Science, University of Queensland, Queensland 4072.

出版信息

Aust Vet J. 2005 Jan-Feb;83(1-2):75-7. doi: 10.1111/j.1751-0813.2005.tb12201.x.

Abstract

OBJECTIVE

To quantify the temperature changes in the dental pulp associated with equine dental procedures using power grinding equipment.

DESIGN

A matrix experimental design with replication on the same sample was followed to allow the following independent variables to be assessed: horse age (young or old), tooth type (premolar or molar), powered grinding instrument (rotating disc or die grinder), grinding time (15 or 20 seconds) and the presence or absence of water coolant.

PROCEDURE

Sound premolar and molar teeth from a 6-year-old horse and a 15-year-old horse, which had been removed postmortem, were sectioned parallel to the occlusal plane to allow placement of a miniature thermocouple at the level of the dental pulp. The maximum temperature increase, the time taken to reach this maximum and the cooling time were measured (n=10 in each study). The teeth were placed in a vice and the instrument used on the tooth as per clinical situation.

RESULTS

Significant differences were recorded for horse age (P < 0.001), instrument type (P < 0.001), grinding time (P < 0.001) and presence or absence of coolant (P < 0.001). There was no significant difference for tooth type.

CONCLUSION

Thermal insult to the dental pulp from the use of power instruments poses a significant risk to the tooth. This risk can be reduced or eliminated by appropriate selection of treatment time and by the use of water irrigation as a coolant. The increased dentine thickness in older horses appears to mitigate against thermal injury from frictional heat.

摘要

目的

使用动力磨削设备量化马牙科手术中牙髓的温度变化。

设计

采用在同一样本上进行重复的矩阵实验设计,以评估以下自变量:马的年龄(年轻或年老)、牙齿类型(前磨牙或磨牙)、动力磨削器械(旋转盘或模具磨床)、磨削时间(15或20秒)以及是否使用水冷。

步骤

将一匹6岁马和一匹15岁马死后拔除的完好前磨牙和磨牙沿咬合平面切开,以便在牙髓水平放置一个微型热电偶。测量温度的最大升高值、达到该最大值所需的时间以及冷却时间(每项研究中n = 10)。将牙齿固定在虎钳中,并根据临床情况使用器械对牙齿进行操作。

结果

记录到马的年龄(P < 0.001)、器械类型(P < 0.001)、磨削时间(P < 0.001)以及是否使用冷却液(P < 0.001)存在显著差异。牙齿类型无显著差异。

结论

使用动力器械对牙髓造成的热损伤对牙齿构成重大风险。通过适当选择治疗时间和使用水冲洗作为冷却液,可以降低或消除这种风险。老年马牙本质厚度的增加似乎可减轻摩擦热造成的热损伤。

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