Training in the use of the water jet and cold atmospheric plasma jet for the decontamination of dental implants.
Artificial plaque
Cold plasma
Dental implants
User training
Water jet
peri-implantitis
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
04 Jun 2024
04 Jun 2024
Historique:
received:
03
01
2024
accepted:
27
05
2024
medline:
4
6
2024
pubmed:
4
6
2024
entrez:
4
6
2024
Statut:
epublish
Résumé
Clinical trials testing new devices require prior training on dummies to minimize the "learning curve" for patients. Dentists were trained using a novel water jet device for mechanical cleaning of dental implants and with a novel cold plasma device for surface functionalisation during a simulated open flap peri-implantitis therapy. The hypothesis was that there would be a learning curve for both devices. 11 dentists instrumented 44 implants in a dummy-fixed jaw model. The effect of the water jet treatment was assessed as stain removal and the effect of cold plasma treatment as surface wettability. Both results were analysed using photographs. To improve treatment skills, each dentist treated four implants and checked the results immediately after the treatment as feedback. Water jet treatment significantly improved from the first to the second implant from 62.7% to 75.3% stain removal, with no further improvement up to the fourth implant. The wettability with cold plasma application reached immediately a high level at the first implant and was unchanged to the 4th implant (mean scores 2.7 out of 3). A moderate learning curve was found for handling of the water jet but none for handling of the cold plasma. Scientific rational for study: Two new devices were developed for peri-implantitis treatment (Dental water jet, cold plasma). Dentists were trained in the use of these devices prior to the trial to minimize learning effects. Experienced dentists learn the handling of the water jet very rapidly and for cold plasma they do not need much training. A clinical study is in process. When the planned clinical study will be finished, we will find out, if this dummy head exercise really minimised the learning curve for these devices.
Identifiants
pubmed: 38833072
doi: 10.1007/s00784-024-05749-5
pii: 10.1007/s00784-024-05749-5
doi:
Substances chimiques
Dental Implants
0
Plasma Gases
0
Water
059QF0KO0R
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
355Subventions
Organisme : Bundesministerium für Bildung und Forschung
ID : 13N14478, 13N14479, 13N14480
Organisme : Bundesministerium für Bildung und Forschung
ID : 13N14478, 13N14479, 13N14480
Organisme : Bundesministerium für Bildung und Forschung
ID : 13N14478, 13N14479, 13N14480
Organisme : Bundesministerium für Bildung und Forschung
ID : 13N14478, 13N14479, 13N14480
Organisme : Bundesministerium für Bildung und Forschung
ID : 13N14478, 13N14479, 13N14480
Organisme : Bundesministerium für Bildung und Forschung
ID : 13N14478, 13N14479, 13N14480
Informations de copyright
© 2024. The Author(s).
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