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Irrigating solution and pressure effects on tooth sectioning with surgical burs
S C Siegel1, J A von Fraunhofer
1Department of Restorative Dentistry, Dental School, University of Maryland, Baltimore 21201, USA.
Summary
Lactated Ringer's solution enhanced surgical tooth dissection cutting efficiency at lower handpiece loads compared to water or saline. Saline solution remains effective for most dental dissection conditions.
Area of Science:
- Oral Surgery
- Biomaterials Science
- Dental Mechanics
Background:
- Surgical tooth dissection relies on effective cutting tools and optimal irrigation.
- Understanding the impact of applied load and coolant type is crucial for improving efficiency.
Purpose of the Study:
- To investigate how applied handpiece load, coolant type, and tooth type influence surgical tooth dissection using a tapered crosscut fissure bur.
Main Methods:
- Cutting efficiency was assessed using extracted molars under varying handpiece loads (295g, 590g).
- Irrigation was performed with water, 0.9% saline solution, and lactated Ringer's solution at 15 and 25 mL/min.
- Statistical analysis utilized one-way ANOVA and Scheffé tests.
Main Results:
- At low loads, lactated Ringer's solution showed higher cutting efficiency than water or saline (P < .05).
- At high loads, both lactated Ringer's and saline solutions exhibited superior cutting efficiency compared to water (P < .01).
- No significant difference in cutting efficiency was observed between saline and lactated Ringer's at high loads.
Conclusions:
- Saline solution is a versatile irrigant for most dental dissection scenarios.
- Lactated Ringer's solution may offer enhanced cutting efficiency, particularly under lower handpiece load conditions in surgical tooth dissection.