I-Revolution in Dental Pulp Treatment ngaphansi Kombono We-Microscopic: Isipiliyoni Esisebenzayo kanye Nemininingwane evela Kudokotela Wezempilo

Lapho ngiqala ukuzilolonga, ngathembela kumqondo wami wokuthinta kanye nolwazi ukuze "ngihlole ngokungaboni" endaweni ewumngcingo yombono, futhi ngokuvamile ngimemezela ngokudabuka ukukhishwa kwamazinyo ngenxa yobunkimbinkimbi besistimu yomsele wempande engangingakwazi ukuwubona ngokuqondile. Kwaze kwaba yilapho kwethulwaIsibonakhulu Sokuhlinzwa Kwamazinyoukuthi isici esisha sokwelashwa kwe-pulp yamazinyo savulwa ngempela. Le divayisi ayiyona nje i-amplifier - yayoI-Microscope ye-LEDUmthombo Wokukhanya unikeza umthombo wokukhanya okubandayo ukukhanya okungenathunzi okungena kujule kumgodi we-medullary, kuyilapho Ikhamera Ye-High Resolution Microscope iphrojekthi ye-root canal isthmus, i-accessory sulcus, ngisho nama-microcracks kusikrini sencazelo ephezulu, iguqule ukuxilongwa kusuka ekuqageleni kuya ebufakazini. Isibonelo, i-molar ephansi ebaliwe eyathathwa ngokuthi "ayikwazi ukuthola izimpande" esibhedlela esikhethekile ibonise umehluko wombala woqweqwe lwawo ekuvuleni komgudu wempande we-MB2 ngaphansi kokukhulisa izikhathi ezingu-25. Ngosizo lwethiphu yokusebenza ye-ultrasound, yasulwa ngempumelelo, kugwenywa ingozi yokubhobozwa kwezinhlangothi okubangelwa ukusika ngokweqile.

Ku-Microscope Surgery, ingqondo yokusebenza yenziwa kabusha ngokuphelele. Ukwelashwa kabusha kwezimpande zendabuko kuncike ekuzizweleni kwesandla ukuze kukhishwe amathuluzi aphukile, angabangela kalula ukugudluzwa noma ukubhobozwa; Ngaphansi Kokusebenza Kwe-Microscope, ngisebenzise ifayela elincane ngosizo lokudlidliza kwe-ultrasonic ukuze ngithulule kancane kancane phezulu kwenaliti ephukile, ngibone ngeso lengqondo yonke inqubo yokuqinisekisa ukulondolozwa okuphezulu kwe-dentin. Amazinyo aqhephukile, ukusetshenziswa kweI-Microscopios Dentaliye yaphinde yachitha ukubikezela: imifantu engajulile eyayigejwe kalula ngaphambili ngokungcoliswa nokuphenywa manje ingase yethulwe ngokucacile ngokuya ngesiqondiso nokujula ngaphansi kwesibonakhulu. Ngenze ukugcwaliswa kwenhlaka engenele kancane kanye nokubuyisela umqhele ogcwele ezimweni ezingama-58 zamazinyo aqhekekile afihlekile, ngezinga lempumelelo lika-79.3%. Phakathi kwazo, amacala ayi-12 aguqulelwe ngokushesha ekwelapheni komsele ngenxa yokutholwa kusenesikhathi kwemifantu efinyelela ku-pulp floor, ukugwema ingozi yokuphuka okulandelayo.

Inani leUkuhlinzwa Kwemicroscopeigqame kakhulu ekuhlinzweni kwe-periapical. Isiguli esinethumba eliphindaphindekayo le-periapical sahlinzwa ngokwendabuko okwakudinga ukususwa kwe-flap ukuze kuvezwe indawo enkulu yendawo yokuhlinzwa, kuyilapho i-Microscopic Operation isebenzisa4k Ikhamera Isibonakhulungokuzulazula kwesikhathi sangempela ngaphansi kwefasitela elincane le-flap lendawo ukuze ususe ngokunembile u-3mm wethumba le-periapical futhi ulilungiselele emuva. Ukuqina kokugcwalisa i-MTA kwaqinisekiswa ukuthi akunazihibe ekukhuliseni okungu-400x. Indawo ye-postoperative defect yagcwala i-bone powder yokwenziwa, futhi ukulandelwa konyaka owodwa kubonise ukuvuselelwa okuphelele kwamathambo nokusebenza kwamazinyo okuvamile. Izinga lokuphumelela lamacala anjalo lingafinyelela ngaphezu kwama-90%, liphakeme kakhulu kune-60% -70% yokuhlinzwa kwendabuko, okuqinisekisa ukugqugquzelwa kwezinguquko kobuchwepheshe be-microscopy ngenhloso "yokulondoloza amazinyo".

Nokho, izinzuzo zemishini zidinga ukuhambisana namakhono odokotela abahlinzayo. OkuhlelekileIsibonakhulu samazinyoUkuqeqeshwa kuwumkhawulo oyinhloko - kusukela ekulungiseni indawo, ukulinganisa ibanga lomfundi ukuya ekushintsheni ukusondeza okunezinga eliphezulu, ukunqoba isiyezi kanye nezithiyo zokuhlanganisa iso lesandla. Ngiqale ngaqeqeshelwa imodeli amahora angama-20 ngaphambi kokuzivumelanisa nokulawula ukujula kweIsibonakhulu samazinyo, kodwa empeleni, ukusula imisele yezimpande ebaliwe kudinga isamba esihlanganisiwe semisebenzi engaphezu kuka-50 ukuze kufinyelelwe izinga lempumelelo elizinzile. Kutuswa ukuthi izazi ezintsha ziqale ngokuvuleka komnkantsha kanye nokubeka izimpande, kancane kancane ziqhubekele emisebenzini eyinkimbinkimbi efana nokulungisa izimbobo.

Ukukhetha Isibonakhulu Esihle kudinga ukucatshangelwa okuphelele. KuningiI-Microscope Brands, kodwa imingcele eyinhloko idinga ukugxiliswa: ubude benhloso yokugxila bungaphezu kuka-200mm ukuze kuqinisekiswe indawo yokusebenza, ububanzi bokusondeza bungu-3-30x ukuze buvumelane nezinqubo zokuhlinzwa ezihlukene, futhi ubude besikhathi sokuphila koMthombo Wokukhanya we-Microscope LED kufanele budlule amahora angu-1000 ukuze kuvinjwe ukuncishiswa kwangaphakathi kokuhlinzwa. Ezingxenyeni Zesibonakhulu, ama-binoculars ama-engeli amaningi kanye namamojula okugxila kagesi abalulekile, ngaphandle kwalokho ukulungisa okwenziwa njalo kuzophazamisa inqubo yokwelapha. Iyiphi Isibonakhulu Ongasithenga? Kuyanconywa ukubeka kuqala ukuhlola ukusebenza kokubona ngaphezu kwezici ezengeziwe. Isibonelo, nakuba imodeli eyisisekelo yohlobo oluthile ingenayo ikhamera eyakhelwe ngaphakathi, isengakwazi ukuhlangabezana nezidingo zokufundisa uma ibhangqwe neMicroscope yangaphandle ye-4K Camera; Kodwa-ke, ukuphishekela ngokweqile ukukhuliswa kungase kudele ububanzi bomkhakha wokubuka, ongahambisani nokusebenza kahle komtholampilo. Intengo yeMikroskopu ye-Microeye ivamise ukuthintwa ukucushwa, ngamamodeli aphakathi nendawo abiza cishe ama-yuan angama-200000 kuya ku-400000, kodwa u-10% wesabelomali udinga ukugcinelwa ukulungiswa. Thenga ngokusemthethweniAbathengisi beMicroscopeukuqinisekisa ukuthi imigomo yesiqiniseko ihlanganisa izinsizakalo ezibalulekile ezifana nokulinganiswa kwendlela yokubona. Ijubane lokuphendula ngemuva kokuthengisa lezinkampani zeMicroscope kanyeFabricantes De Microscopios Endodonticosfuthi idinga ukuhlolwa - uma ukungasebenzi kahle kwamalensi noma ukuhluleka kokukhiya ngokuhlanganyela kungeke kuxazululwe phakathi namahora angu-48, kuzoholela ekuxilongweni nasekubambezelekeni kokwelashwa.

Namuhla,Isibonakhulu sokusebenza kwamazinyoisibe "iso lami lesithathu" lokuxilongwa nokwelashwa kwansuku zonke. Yakha kabusha izindinganiso zokwelashwa: kusukela ekuhlanzeni komsele wempande kuya ekuqineni konqenqema lokulungisa, ukunemba kwe-microscopic kuvuselela njalo incazelo 'yempumelelo'. Ngenkathi ontanga yami bethintana noThenga Isibonakhulu ukuze bathole iseluleko, ngagcizelela ukuthi lokhu akukhona nje ukuthuthukiswa kwedivayisi, kodwa futhi kuwukwakheka kabusha kwefilosofi yomtholampilo - kuphela ngokufaka ukucabanga okungabonakali kuyo yonke imininingwane yokusebenza lapho ukwelashwa okungahlaseli kancane kungazuzwa emhlabeni we-micrometer.