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Suture needles in Oral Surgery: Alterations dependingon the type and number of sutures

机译:口腔外科缝合针:视情况而异缝合的类型和数量

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摘要

This study examined whether the number and type of sutures used in oral surgery influence two ad hoc variables (incision plane and displaced area), which are two variables related to whether the suture needle is suitable for the task. Seventy-five TB-15 needles were studied, which were used to suture between zero and three mucosa and/subperiosteal sutures, producing 15 groups with 5 needles in each one. The incision plane and displaced area were measured for each group, which are two variables related to how the needle has worn and altered. Statistical treatment was conducted using the Kruskal-Wallis H test to compare multiple values and the Mann-Whitney U test to compare pairs. A multi-stage regression model was applied with the aim of predicting the changes in the dependent variables based on the number and type of sutures performed. The incision plane ranged from 126.67 to 346.24μm among the different groups. The displaced area was measured as being between 14 524.83μm² and 128 311.91μm². The best predictive model for the incision plane obtained a coefficient of determination (R2) of 0.149, while it reached 0.249 for the displaced area. Subperiosteal sutures held more weighting among the variables studied. Mucosal sutures did not seem to greatly affect needle wear. Observations reported in this paper indicate that the needle should be changed after having performed two subperiosteal sutures, given the wear and change to the incision plane that is produced, which causes the needle’s cutting ability to reduce. > Key words: Needles, sutures, material testing, oral surgery, third molar, scanning electron microscope.
机译:这项研究检查了口腔外科手术中使用的缝合线的数量和类型是否会影响两个临时变量(切口平面和移位面积),这两个变量与缝合线针头是否适合该任务有关。研究了75根TB-15针,这些针用于在0至3处粘膜和/或骨膜下缝线之间缝合,分为15组,每组5根针。测量每组的切口平面和移位面积,这是两个与针的磨损和更换方式有关的变量。使用Kruskal-Wallis H检验比较多个值,使用Mann-Whitney U检验比较对,进行统计学处理。应用了多阶段回归模型,其目的是根据所执行缝合的数量和类型来预测因变量的变化。不同组之间的切面范围为126.67至346.24μm。测得的位移面积为14524.83μm²至128311.91μm²。切口平面的最佳预测模型的确定系数(R2)为0.149,而移位区域的确定系数为0.249。在研究的变量中,骨膜下缝合线的权重更高。粘膜缝合线似乎并未极大地影响针头的磨损。本文报道的观察结果表明,在进行了两次骨膜下缝合后,应更换针头,并考虑到所产生的切口平面的磨损和变化,这会降低针头的切割能力。 >关键词:针,缝合线,材料测试,口腔外科,第三磨牙,扫描电子显微镜。

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