Li Chang-Jian, Lü Yuan, Li Yan-Feng, Fan Jia-Dong, Liu Le, Zhang Yue
Dept. of Stomatology, The First Affiliated Hospital of the PLA General Hospital, Beijing 100048, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2018 Oct 1;36(5):488-492. doi: 10.7518/hxkq.2018.05.005.
This work aims to investigate the effect of stripping of steep sheep maxillary sinus by using 0.012 or 0.014 model new-type memory elastic silk sleeve stripper and umbrella stripper.
Goats with sinus floor gradients of 60° to 90° were selected by computed tomography of sheep head. A total of 72 animal models were established and randomized into three groups (n=24): group A (0.012 model), B (0.014 model) and C (umbrella stripper). Alveolar and maxillary sinus mucosa were stripped after crowning, and stripping length was measured when the stripping limit was reached or mucosal perforation occurred.
The average stripping length of mucosa in group A was 11.3 mm±4.6 mm, and three cases experienced perforation of sinus floor mucosa. The average stripping length of mucosa in group B was 17.5 mm±5.0 mm, and one case experienced perforation of sinus floor mucosa. The average stripping length of mucosa in group C was 4.2 mm±1.3 mm, and four cases experienced perforation of sinus floor mucosa. The difference among the three groups was statistically significant (P<0.01) according to variance analysis. Moreover, the comparison between any two means was also statistically significant according to Dunnett's T3 test (P<0.05).
The new-type memory elastic silk sleeve stripper effectively stripped steep maxillary sinus mucosa. The 0.014 model exhibited superior peeling effect and was relatively safe.
本研究旨在探讨采用0.012或0.014型号新型记忆弹性丝套管剥离器及伞形剥离器对上颌窦陡峭的绵羊进行上颌窦剥离的效果。
通过绵羊头部计算机断层扫描选择窦底坡度为60°至90°的山羊。共建立72个动物模型,随机分为三组(n = 24):A组(0.012型号)、B组(0.014型号)和C组(伞形剥离器)。牙冠制备后剥离牙槽及上颌窦黏膜,当达到剥离极限或发生黏膜穿孔时测量剥离长度。
A组黏膜平均剥离长度为11.3 mm±4.6 mm,3例发生窦底黏膜穿孔。B组黏膜平均剥离长度为17.5 mm±5.0 mm,1例发生窦底黏膜穿孔。C组黏膜平均剥离长度为4.2 mm±1.3 mm,4例发生窦底黏膜穿孔。方差分析显示三组间差异有统计学意义(P<0.01)。此外,根据Dunnett's T3检验,任意两组均值比较也有统计学意义(P<0.05)。
新型记忆弹性丝套管剥离器能有效剥离陡峭的上颌窦黏膜。0.014型号剥离效果更佳且相对安全。