Department of Prosthodontics and Dental Materials, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, Brazil.
Department of Prosthodontics and Dental Materials, São Paulo State University (Unesp), Institute of Science and Technology, São José dos Campos, Brazil -
Minerva Dent Oral Sci. 2021 Apr;70(2):65-70. doi: 10.23736/S2724-6329.20.04328-9. Epub 2020 Jul 21.
Piezosurgery is an option to realize several clinical and surgical procedures, due to its advantages as precision in osteotomy. This study aims to evaluate the heating and osteotomy speed in bone blocks of ox's shins, to report the best way of its use in the clinical practice.
A bone blocks had the dimensions as follow: 20 mm length, 10 mm width, and 5 mm wide. It was evaluated 5 different groups: group LM (low speed and medium pressure); group HM (high speed and medium pressure); group HH (high speed and high pressure); group LH (low speed and high pressure); group LL (low speed and low pressure). The heating increasement was measured with a thermal viewer and the osteotomy was timed when the cut depth reached 5 mm and the whole block detached itself. One-way ANOVA and Tukey tests were adopted to analyze the data and the level of significance was set at a P value of 0.05.
The pressure and speed of the tip, works directly in the generated temperature during osteotomy. The medium pressure level is the most favorable, because high pressure level caused a high increase in heating over the bone and low pressure presented a very long osteotomy time.
The high speed and medium pressure can be suggested as the most efficient in both standards of time/temperature to realize the osteotomy.
超声骨刀作为一种精确的骨切开术方法,在实现多种临床和手术操作方面具有优势。本研究旨在评估牛胫骨骨块的加热和骨切开速度,报告其在临床实践中的最佳使用方法。
骨块的尺寸为 20mm 长、10mm 宽、5mm 厚。评估了 5 种不同的组:LM 组(低速、中压);HM 组(高速、中压);HH 组(高速、高压);LH 组(低速、高压);LL 组(低速、低压)。使用热像仪测量加热增量,当切割深度达到 5mm 且整个骨块自行分离时,记录骨切开时间。采用单因素方差分析和 Tukey 检验进行数据分析,显著性水平设为 P 值<0.05。
刀头的压力和速度直接影响骨切开过程中的产生的温度。中压水平是最有利的,因为高压水平会导致骨的加热温度过高,而低压则会导致骨切开时间非常长。
高速和中压可以作为在时间/温度标准下实现骨切开的最有效方法。