The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 13 , ISSUE 6 ( November-December, 2012 ) > List of Articles

RESEARCH ARTICLE

Tissue Resistance to Soft Tissue Emphysema during Minimally Invasive Periodontal Surgery

Stephen K Harrel, Celeste M Abraham, Francisco Rivera-Hidalgo

Citation Information : Harrel SK, Abraham CM, Rivera-Hidalgo F. Tissue Resistance to Soft Tissue Emphysema during Minimally Invasive Periodontal Surgery. J Contemp Dent Pract 2012; 13 (6):886-891.

DOI: 10.5005/jp-journals-10024-1247

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The aim of this study was to determine the pressure where oral soft tissue resistance will be overcome resulting in soft tissue emphysema and to measure the safety of an antifouling device for a videoscope used during minimally invasive periodontal surgery.

Materials and methods

Resistance was measured in vitro in porcine tissue. One study arm measured palatal tissue resistance to air applied through a needle. Another arm measured resistance in a surgical access for minimally invasive periodontal surgery (MIS). India ink was placed on the tissue, pressure at 0,3,10,15,20, and 25 pounds/square inch (psi) applied, and penetration of India ink into the tissue was measured. Three trials in three sites were performed at each pressure in both arms of the study.

Results

Pressure applied to palatal tissue through a needle showed no significant penetration of India ink until 15 psi (0.90 ¡Ó 0.24 mm, p = 0.008). Penetration considered clinically significant was noted at 20 and 25 psi (4 to 6 mm, p „T 0.0001). No significant penetration was noted in minimally invasive incisions.

Conclusion

Within the test system, pressures of 15 psi or less seem unlikely to cause soft tissue emphysema. No evidence of tissue emphysema was noted with the videoscope antifouling device.

Clinical significance

The use of pressures greater than 15 pounds per square inch should be avoided during surgical procedures. The antifouling device for a videoscope appears safe for use during minimally invasive periodontal surgery.

How to cite this article

Harrel SK, Abraham CM, Rivera- Hidalgo F. Tissue Resistance to Soft Tissue Emphysema during Minimally Invasive Periodontal Surgery. J Contemp Dent Pract 2012;13(6):886-891.


PDF Share
  1. On emphysema of the neck caused by violent coughing. Lancet 1850;1:16.
  2. Ocular and periocular injuries associate with an isolated orbital fracture on a blunt cranial fracture: Anatomical and surgical aspects. J Craniomaxillofac Surg 2011;11:E-published.
  3. Pneumothorax and subcutaneous emphysema secondary to blunt chest injury. Int J Emrtg Med 2011;4:10.
  4. Non-infectious subcutaneous emphysema of the hand: A case report and review of the literature. Emerg Med J 2010;27:383-86.
  5. Laryngeal trauma in sport. Curr Sort Med Rep 2008;7:16-21.
  6. A remarkable coincidence in dental surgery. Br Med J 1900;1:1131.
  7. Otologic complication following the use of a high speed air-turbine handpiece. J Am Dent Assoc 1977;94:895-97.
  8. Orbital emphysema causing vision loss after a dental extraction. J Am Dent Assoc 1990;120:421-22.
  9. Bilateral pneumothorax with extensive subcutaneous emphysema manifested during third molar surgery. A case report. Int J Oral Maxillofac Surg 2000;29:355-57.
  10. Subcutaneous emphysema during third molar surgery: A case report. Braz Dent J 2011;22:83-86.
  11. Iatrogenic subcutaneous emphysema of dental and surgical orgin: A literature review. J Oral Maxillofac Surg 2009;67:1265-68.
  12. Unusual complications associated with third molar surgery: A systemic review. Quintessence Int 2009;40:565-72.
  13. Development of a three-microneedle device for hypodermic drug delivery and clinical application. Plast Reconstr Surg 2012;130(2):451-55.
  14. A minimally invasive surgical approach for bone grafting. Int J Periodont Rest Dent 1998;18:161-69.
  15. A minimally invasive surgical approach for periodontal regeneration: Surgical technique and observations. J Periodontol 1999;70:1547-57.
  16. Tissue damage after hypoclorite extrusion during root canal treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:46-49.
  17. Subcutaneous cervical emphysema induced by a dental air syringe: A case report. Int Dent J 2007;57:286-88.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.