用可膨胀式微型齿钳(EMB)拔除犬上颌骨臼齿根

Shahriar Hadaegh
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摘要

对专家和病人来说,拔牙往往是一种创伤性的过程。为了提取断根,通常采用开窗手术或粘膜膜瓣和/或去除颊骨等侵入性方法。可膨胀式微马达齿槽是一种实用的齿科器械,用于常规封闭方法无法拔除的断牙根。该设备由微型马达、垫片、针、牙槽底座和圆形牙槽组成,圆形牙槽在根管中钻出一半,在其周围扩展成球形腔,并作为有效的拔牙辅助锚。EMB的应用将引入一种新的技术,可以最大限度地减少手术创伤和拔牙后的疾病。EMB的使用还可以消除手术对周围组织的侵犯,并且可以消除医生的手部压力,从而减少医生和病人的压力。它还可以消除手术的高风险后遗症,如手术并发症(由于骨质流失),上颌窦暴露,以及可能需要额外的手术,这些都是传统开放入路的一些影响。我们已经在Shahid Beheshti大学医学科学和技术研究所的一只狗的上颌(M1)的臼齿根上测试了EMB的原型。未见颊骨及周围神经损伤,根成功拔出。需要进一步的研究来证实其在临床病例中的有效性。
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Using Expandable Micro-Motor Bur (EMB) forExtraction of Molar Tooth Root of Dog's UpperJaw
Extraction of a broken tooth root is often a traumatic involvement for both the specialist and the patient. To extract broken roots, generally, invasive approaches as open window surgeries or mucoperiosteal flap and/or removal of buccal bone are performed. Expandable micro-motor bur (EMB) is a practical dental instrument proposed for the removal of broken teeth roots that cannot be extracted by the routine closed methods. The device comprises a micro-motor, spacers, needles, bur base, and a round bur that drills halfway through the root canal, expands to make a spherical cavity around itself, and behaves as an efficient extraction aiding anchor. The utilization of EMB would introduce a new technique in the removal of broken teeth roots in which surgical trauma is minimized and so are post-extraction disorders. The use of EMB would also eliminate surgical invasion to the surrounding tissues, and it would eliminate profound hand forces by the practitioner, consequently reduces stress for both the practitioner and the patient. It would also eliminate high-risk aftermaths of the surgery such as operative morbidity (due to bone loss), maxillary sinus exposure, and probable need for additional surgery which are some of the implications of the conventional open access approaches. We have tested the prototype of EMB on the molar tooth root of a dog in his upper jaw (M1) in the Medical Sciences and Technologies Research Institute of Shahid Beheshti University. No injuries to the buccal bone and surrounding nerves were observed and the root was successfully extracted. Further studies are needed to confirm its effectiveness in clinical cases.
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PENCEGAHAN JATUH PADA BAYI KEJANG DEMAM DENGAN MASALAH KEPERAWATAN RISIKO JATUH DI RSU MUHAMMADIYAH PONOROGO STUDI KASUS : ASUHAN KEPERAWATAN PADA LANSIA DENGAN MASALAH KEPERAWATAN GANGGUAN DISTRESS SPIRITUAL DI UPT PANTI SOSIAL TRESNA WERDHA MAGETAN PENGARUH PERAWATAN PAYUDARA TERHADAP PENGELUARAN ASI PADA IBU POST PARTUM DI PMB NY. LILIS SULISTYOWATI, SST, KARANGAN, BALONG, PONOROGO LITERATURE REVIEW: EFEKTIVITAS SENAM LANSIA (TAI CHI) DALAM PENURUNAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI ASUHAN KEBIDANAN PADA BAYI DENGAN LABIOSCHISIS DI PMB MASFUFAH, S.Tr.Keb. PONOROGO
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