A sheep cadaver model for demonstration and training periodontal surgical methods.
There is lack of data on the suitability of animal cadaver models for teaching purposes in dentistry. Here, we describe a model suitable for training for several periodontal surgical methods. Mandibles of freshly slaughtered Australian adult sheep and lambs were examined. Periodontal probing depths (PPDs) were measured at six sites of every tooth present. The following surgical techniques were critically analyzed: access flap with interrupted, continuous sutures; apically repositioned flap with periosteal sutures; coronally advanced flap with sling suture; gingivectomy; and distal wedge procedure. Probing depths were highest in the buccal furcation area of 1st and 2nd molars, where deep intrabony lesions were present in certain samples from adult sheep. Another area of increased probing depth was lingual to canines and incisors. Here, a pronounced lower dental pad of fibrous tissue was present. In this area, gingivectomy could always be accomplished. Fibrous tissue was also found distal to the most posterior molar, where the distal wedge procedure could be exercised. Access flaps and apically repositioned flaps could be performed particularly at premolars. Here, interrupted or continuous sutures were possible. Because of tight interdental contact areas, needle insertion was difficult at molars. After periosteal dissection, labial flaps at anterior teeth could easily be advanced coronally and sutured with sling sutures. Because of the teeth's dimensions and tight contact areas, simulation of more advanced techniques such as papilla preservation flaps was not possible. The sheep mandible seems to be a feasible training model for the demonstration and exercise of various periodontal surgical techniques for the treatment of periodontitis.
Al-Qareer
Athbi H A
AH
Faculty of Dentistry, Kuwait University, Safat, and Central State Slaughterhouse, Shuwaikh, Kuwait.
Afsah
Mohammed R
MR
Müller
Hans-Peter
HP
D000818:Animals; D004497:Education, Dental / Q000379:methods*; D005890:Gingivectomy; D006801:Humans; D008334:Mandible / Q000601:surgery; D023421:Models, Animal; D010514:Periodontal Pocket / Q000601:surgery; D010519:Periodontium / Q000601:surgery*; D012756:Sheep; D013515:Surgery, Oral / Q000193:education*; D013536:Suture Techniques