The Influence of Three Root Canal Irrigation Methods on PostThe Influence of Three Root Canal Irrigation Methods on PostOperative Pain “Randomized Clinical Trial”

Ahmed Al Shazly, M. Taha, A. Barakat, M. Diaa
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Abstract

Introduction: Facial soft tissue changes in relation to hard tissue movements after orthognathic surgery cases is always of concern to patients , surgical and orthodontics teams. The aim of the present study was to assess facial soft tissue changes and stability using 3D facial laser scanner after orthognathic surgery Le Forte I maxillary impaction in excessive gingival display patients. Methods: The subjects consisted of 12 patients with skeletal vertical maxillary excess (VME) causing an aesthetic concern to the patients in the form of “Gummy smile”, who underwent LeFort I osteotomy with maxillary impaction, Three-dimensional images of the patients were acquired with a 3D laser scanner preoperatively and postoperatively. The changes in facial soft tissue were detected using a colour coded map for analysis. Results: Significant change was recorded in the upper lip, alar base, nasolabial fold and nasal tip areas, without specification of this change in direction. Conclusions: The 3D images captured using the laser scanner in this study can be a useful tool for communication with both patients and professionals but cannot be relied upon solely for accurate analysis of the facial soft tissue changes. The colour coded map analysis cannot be relied upon solely as a method of analysis as it lacks an important aspect of the change which is the direction.
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三种根管冲洗方式对术后疼痛的影响三种根管冲洗方式对术后疼痛的影响“随机临床试验”
正颌手术后面部软组织变化与硬组织运动的关系一直是患者、外科和正畸团队关注的问题。本研究的目的是利用三维面部激光扫描仪评估过度牙龈显示患者在Le Forte I上颌嵌塞手术后面部软组织的变化和稳定性。方法:选取12例上颌垂直骨赘(VME)患者为研究对象,采用LeFort I型截骨术治疗上颌嵌塞,术中采用三维激光扫描仪对患者进行术前、术后三维成像。使用彩色编码图检测面部软组织的变化以进行分析。结果:上唇、鼻翼基部、鼻唇襞及鼻尖部位均有明显变化,但无方向性变化。结论:本研究中使用激光扫描仪捕获的三维图像可以作为与患者和专业人员交流的有用工具,但不能仅仅依赖于对面部软组织变化的准确分析。彩色编码地图分析不能仅仅作为一种分析方法来依赖,因为它缺乏变化的一个重要方面,即方向。
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