手动与数字化牙周刮匙刮除分叉顶部的特点分析

L. P. Salomão, Marcela Morgana Teixeira da Silva, A. A. Souza, G. A. C. G. Camargo, E. M. Barroso, E. C. Zuza
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引用次数: 0

摘要

多根牙伴分叉累及的牙周病的治疗对牙医来说是一个挑战,其结果难以预测。目的评价牙周刮治分岔顶的活动尖牙的特点,比较手工和数字方法的差异。对42个Millennium®品牌的Pádua Lima (PL)管(每种型号n = 6个)进行评估:PL 1-2、PL 3-4、PL 5-6、PLW 1-2、PLW 3-4、PLW 5-6和PLF。测量如下:冠状动脉面总长度(CTc, mm, mm)、侧壁总长度(CTl, mm)、冠状动脉面宽度(Lc, mm)和侧壁宽度(Ll, mm)。测量是重复进行的。结果结果显示,各治疗组体重差异有统计学意义(p < 0.05)。考虑到评估了7种不同类型的刮管,所有评估的刮管的CTl和Ll参数均有统计学差异(7:7的比例),卡尺法的数值高于软件(p <0.05)。CTc评估方法与Lc测量方法的差异有统计学意义(p <0.05), CTc测量值与Lc测量值的比例为4:7与5:7,两者的数值吻合。结论两种方法的比较结果表明,数字法测量牙周导管活动尖端的数值较低,差异较大,因此更倾向于采用手工法测量牙周导管活动尖端。
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Analysis of the characteristics of periodontal curettes used for scaling the roof of the furcation by manual versus digital method
Abstract Introduction The treatment of periodontal disease in multiradicular teeth with furcation involvement is a challenge for dentists, with unpredictable results. Objective To evaluate the characteristics of the active tip of periodontal curettes used for scaling the furcation roof, comparing the manual versus digital method. Material and method Forty-two Pádua Lima (PL) curettes of the Millennium® brand (n = 6 for each model) were evaluated: PL 1-2, PL 3-4, PL 5-6, PLW 1-2, PLW 3-4, PLW 5 -6, and PLF. The following were measured: total length of the coronary face (CTc, millimeters, mm), total length of the lateral face (CTl, mm), width of the coronary face (Lc, mm), and width of the lateral face (Ll, mm). The measurements were performed in duplicate. Result The results showed that weight varied among the curettes (p <0.05), however the handle diameter was similar for all instruments (p> 0.05). Considering that seven different types of curettes were evaluated, the parameters of CTl and Ll showed a statistical difference for all evaluated curettes (7: 7 ratio), with higher values for the caliper method compared to the software (p <0.05). There was a statistically significant difference between assessment methods for CTc and Lc measurements (p <0.05), showing that there was a coincidence of values in the proportion of 4:7 for measurements of CTc and 5:7 for Lc. Conclusion The comparison between methods generally resulted in lower values and greater variation for the digital method, thus favoring the use of the manual method to measure the active tip of periodontal curettes.
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