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Published in: Clinical Oral Investigations 7/2018

Open Access 01-09-2018 | Short Communication

Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing

Authors: Gregor Petersilka, Ralph Heckel, Raphael Koch, Benjamin Ehmke, Nicole Arweiler

Published in: Clinical Oral Investigations | Issue 7/2018

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Abstract

Objectives

Evaluation of an ex vivo porcine model to investigate the influence of periodontal instrumentation on soft tissue.

Material and methods

In each of 120 pig mandibles, one molar tooth was chosen at random and instrumented. For subgingival debridement, two different low abrasive airpolishing powders (glycine d90 = 25 μm, erythritol d90 = 14 μm, n = 30 teeth each), curets, and a piezoelectric ultrasonic scaler were used (n = 30 teeth each). Thirty teeth in 30 other mandibles served as the untreated control. Gingival biopsies were histologically assessed for destruction using a four-graded scale.

Results

The porcine model was deemed suitable for the planned investigation. Hand instrumentation and ultrasonic scaling caused higher tissue damage than both low abrasive airpolishing modes (Fisher’s exact test, p = 0.0025). Glycine powder led to less, yet non-statistical noticeable gingival changes compared to erythritol-based powder (Fisher’s exact test, p = 0.39).

Conclusion

An animal model using pig jaws may be used as a preliminary model to analyze histological effects of periodontal instrumentation in advance of studies performed in human tissues. Among the techniques assessed, low abrasive airpolishing (LAA) caused the smallest tissue damage.

Clinical relevance

To avoid gingival damage using LAA, histological observations of gingival tissue are needed. Since numerous powders for LAA have been developed and it may be expected that additional products will follow, it appears to be useful to establish ex vivo animal models to prove the powders safety.
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Metadata
Title
Evaluation of an ex vivo porcine model to investigate the effect of low abrasive airpolishing
Authors
Gregor Petersilka
Ralph Heckel
Raphael Koch
Benjamin Ehmke
Nicole Arweiler
Publication date
01-09-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 7/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-018-2536-5

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