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建立用于评估牙外伤夹板有效性的实验模型。

Establishment of experimental models to evaluate the effectiveness of dental trauma splints.

作者信息

Shirako Takahiro, Churei Hiroshi, Wada Takahiro, Uo Motohiro, Ueno Toshiaki

机构信息

Department of Sports Medicine/Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.

Department of Advanced Biomaterials, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.

出版信息

Dent Mater J. 2017 Nov 29;36(6):731-739. doi: 10.4012/dmj.2016-333. Epub 2017 Jun 23.

Abstract

The purpose was to describe a novel simple experimental model of injured teeth for developing dental trauma splints (DTS), and to test various splints by combining use of this model and the Periotest device. Rubber O-rings and spring washers were used to simulate and modify injured tooth mobility. Splinting effects were assessed among three kinds of DTS, including a composite splint and two wire-composite splints (1: rectangular orthodontic wire 0.533×0.635 mm, 2: cobalt-chromium alloy wire Φ0.9 mm). The Periotest values were measured three times for each tooth before and after splint insertion. The splinting effect was defined as the change in tooth mobility. Splinting effects significantly increased in the order wire-composite splint 1<wire-composite splint 2<composite splint (p<0.05). This model system could evaluate the effects of DTS including the differences among various splint methods, which showed reasonable reproducibility of dental trauma situations depending on severity in clinical usage.

摘要

目的是描述一种用于开发牙外伤夹板(DTS)的新型简易伤牙实验模型,并通过结合使用该模型和Periotest装置来测试各种夹板。使用橡胶O形环和弹簧垫圈来模拟和改变伤牙的松动度。在三种DTS中评估夹板效果,包括一种复合夹板和两种金属丝-复合夹板(1:0.533×0.635 mm矩形正畸钢丝,2:Φ0.9 mm钴铬合金丝)。在插入夹板前后,对每颗牙齿的Periotest值测量三次。夹板效果定义为牙齿松动度的变化。夹板效果按金属丝-复合夹板1<金属丝-复合夹板2<复合夹板的顺序显著增加(p<0.05)。该模型系统可以评估DTS的效果,包括各种夹板方法之间的差异,这表明在临床应用中,根据严重程度,牙外伤情况具有合理的可重复性。

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