unussruisn'is...ffntallo.l pdl errlrjnfr> rfisriou 6trfr^n cervicot root resorption llay...
TRANSCRIPT
UNUSSruISN'IS
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frouauaLLuvnirt lornviluaHrfrn r.lrsl{lnr?LLayno{L??rur?nra flarorv\?y
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tilsrri'l[dat Dentol Troumo 1frfurirt:-r'irflualtr-]aylfrufrurau'[q uua;fl
rl a vTs tria rir l il''t n vir ua t rfrn r ot#er L ?r r a r'[u? r ?fi 'r? virlrfirl r gi m n.r ?
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tilunr:*r"Lvrslfrsrn ,'oa,.,Hviru'[frarrar:r:rr'[#ciruarixayudsnr vrrSorrfi'rfln'r
arirrfrrhs virlrXufrrlq.drs rua;rru1 #6nrnrJ1l
Endodontic lesion??? aLTlfi ?fl,tnv\ eA mffi6 lo'lrfrao{?narYuriauciru
'ir uflluoy'[r,,. f:-Lea.r'irhifl rn!av^o/rrl
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frurfis LLav arernTurlryr,n r6uTn r firfrffi Fr.rFr?'riluarn
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4!yAG6t^A6,1ueo no lnrafr -t:r u6utn are o si rfi H rfi suffu rfrr:1fi thoiendodont@yohoo. com
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ufrtqrn?l?fi 'r?fl o.rlJrJ?:J'1 erlU
Tarivr ri o a n ei a r n n r a r r fr nU
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f,n ur n iln r r,\hxfi LLa ; ufr :i fr uI
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nr?rlevqilnar.rfl16ar
Dentol troumo tPrn Prof. Trope
il r uhh ufr r n 5a r fiu n r el fr f,:L Fr'r'uJ
vr6:s)?oryr.r LFruotJ rlarrLfl fivnttlr?tJ'1Ll
fr fi tr uil e v tr'lrn ni a r finnj e y.f rflguu
vgtAy{ ?0 ]J Fl? fl n 1?il ??EJ'l Et ?1'l'l? T,.'t n 1 ?
fi ufrHfrul:-i urfrrTurr'l#arrfnlfrf,trTudn uufrr lprsnmu??Enr ^fo
flu r iilunre?? il nrrlilSqrniusrn?a''rnua1 Eialrritr lfr urri Endo,
Perio, Ortho uuay Occlusion "[unreu??El''lrlr6al -fi'prfrulq
f,n:,nmn,.hinrn/1il.irn- firqyq'nt#fifiuluTufi B 6'um^ufid i A v 9,/ps o 4
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Ltav nruu:Jofi'r?.rfi? rTr1frauJil??g1g'lumun?u?au 7 flraqI
nruyti'urnLv\?rrr nmnl lJFl?. '[u6ot "Entronce to successful
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endodontic treotment" iilaTufr 21 Hturnrtytzuru:l'til "Lu
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Controversies in Dental Traumalrru Prof.Br. Martin Tropeef f _
nrsrJt;qruTuln1tgntruffr,flnnaufrnd 5r"td es nrnfl'railJ ?s.at6 ru truutrursfi#utl lng : milru. rnig€ uvtd rjaurie vrrruru. g-rt-r6t flr..$vrttfigtfinanrvrrJrrayr€gur€cl v v e
r,rfinlnrurf1unrainr*rrilufrlfrf,t-laffi n/1n finraulfisuuurlarurtnsrir A'r FnrJLlnnrJa999
tLavr,rfrnotu?tr.li?tg't nrcn6 rfio1rXflFr?lLtL?lrJryatJLLa yh#r,la'[unraf,nr*rfififian uriq99
9)
frrlrg'[unrar??Er1flayncirrfi rri'rfrorirr .r A'rflill
Luxation injuries
uer q'Fr 6ir ffr F'l ?''r tJ ?u tL?.t fl o.rc
q-l d
luxotion injuries n{u
fl1#nrarlav ufruzuanrailn:E r Fral Fr r^druurn Fr'rr:r rflluq?.r
Root resorptioncd4n?il morginol periodontitis 14?0 opicol periodontitis
q vfl tfi s.rnr?avarnra{ bone fir lflurlfrffisrfi rua nx'irfi nraffn uaueJ
A & aJ v I I <lnprlu ttayffn'[:-ir,^'rl'irfl root resorption rrr6anrtnuaflilln
Lv\?''lyo.trirltvnoLflol root frruuon uilu cementum, perice-
4' i<mentum LLAy cementoblost t.ltlJOlJnl?OnLALLnFIflUV\LI'l'l
eiru:-ltvnoLttreirfi TprsLetlvty pericementum tLay cemento-4Y
blost t4?01ju intermediote cementum rTrhinnviraltl 6.llfr erql
i ,Y I
n,,t?avalrLvtnevnrnrvirriu h-irfr erfi root eirufrrulur0.r root
oY 'tr
!qvil1Yu odontoblost tLav predentine Btnraufllo.trYuernflu
juries rfuvrr:L'jr nerflfi intermediote
cementum 1frf,i troumo uu:rnfir?s'lunao{?']navn? vilfl#I
tfrnrnraffntalLLavutuanfrtriru dentinol tubule, cementum
LLav0onilr?oll 1 root virl#ufrpr bone LLAr root resorption
Concussian
Subluxation
Extrusion
Lateral luxation
lntrus ion
Avu lsion
1
2
3
3
5
4
1
2
3
3
45
Follow up
Check occlusion & follow up
Beduction, fixatron & follow up
Reduction, fixation & follow up
Feductinn, fixation & fnllow up
Reduction, fixation & follow upI
5 = lJf nilfl Fl9
4<HJoilnl?Ll Ft taL Ln n1lu a riJ tJa naa'lErl v 2 a?u?lfir nil no
l, Attochment opporqtus lfrrrri PDL, cementum LLay
socket
2, Btood suppty do injury firfr^durlqflzuavirl# putp
nrs'[fr e{rvrf:-lrilufrfl.ra5xh-ila6q lriu'[urilulfrn r{nn?ynlrio
putp qvvir'[#fiuvrspra5x virl#zu#rnaa{?rnLr{ LLa;unn.{rsc
'[unraufr.r
Follow up!d'ro'rriloilnl?L'rer l6ufirffur,rrir n??virnl?rr??qfifiu 6 fir,rrirru
r !o & d r
LLaval{ rtl\?'r; injury fr lnnruorqilt{an?v?rrnorffuu?urnr'lnfr
lnrar LLavn?'rqdr'[u'ilr{ 3 r6ou 6lfiau I fl LLayilnl flrflu
t?al 5 fl nrar'nrl xiALLaratrjufin uflufr .rair ffryrrn rvlar;fl
ei r urir a'f u n r a fr'er fr u1 q'i r q z ilar iln ur Fr a o r ar n rilu'[ua ul nr n 1116 a
lli do u', o n erfl o r q ifi s r fr o r fi:r n r e rfr n rl e v rYu fr rl:] fl :-l e y Tfr :-Tufi n
rfl uvr fin g'r ufr o r q rfr nr rley vn'[ fr u r r n erfi vrr uj r fr rl r rL zu ffn rffun frrL9l
v !tqrdaJYarra-lAt 4J!Lfl I il n 0 uil I v\ L ?1 U Ft LtV\ 11 Et Fl .t UU Ft r efr'n rl e v Tfr 0 Ei r't a y L0 EJ Fl t1/\ 0
I
9./ 4{
U0flilfi Frq
rsuTaars : ltfi t oouri 2 2s4s€
Mechanism of external root resorption
tfrprqrn 2 rJq6'Ei 6o
l, fln'ravilaltlllo.t protective loyer (cementum)
2, fl inftommotory stimutus lfrurri
2,1 Pressure eiruhrrni tiluutela-lnn't?6'errffu firfinvir
1rXrfrn opicol root resorption nl?n??ay\LLLaynl?ilnrsrvirlfr
.irrL rrrifra.rfr prnril zuaorixlnfrfrer Ly\?lyorq rfr nrYrriluvrarsfidtrdtu:tovlurril root resorption n'r?.r nnler-lfl rnr6o'rflo n''l?
6 v rA & <{a valflna y Lil tn nluan
2,2 Sulculor infection virlrXrfr pr cervicol root
resorption fi..rrfluzuanlrJarnnr?fi luxotion LLay cementumd- - " \4 rq ar i j r a/ v r<{ilQnilralfl Ltl LuavFrllllFt.lfl']l gingivol ottotchment rtr"Llt:t
U
rA {heoling uniril nr sulculor infection (arn rfrofivirhfrufr nn't?
ffntallo.l PDL errlrjnfr> rfisriou 6trfr^n cervicot root
resorption LLAY morginol bone resorption
2.3 Pulp infection ilff.lqrnfirilun'rs flnvrrulunarilfi! o 61 9/<{ <Jifllu moderote rrr6o severe luxotion ?l?il Ltt:tnl?anrlFtllo.t
cementum odrttJln tilunrear-u lfia protective loyer 6rvir9lu
"rl v ar ! r
Lila.in?vFtufl'teanLdLvltLy\?3Jril1.1 dentinol tubule a1il1?n9
IA
0on:J'tailratn Liluu?r'tunlrt virlrXrfr nn,.t?ffn raL LLay rootlJ
resorption 1ufiqnr
9y
n1V\11LAV\1Y root resorption
systemic deseose
l<JaJ<{
o Et't.i t Ft Et? :J n:J fi r tu Fta I n9
External root resorption moiiiilri 2 dnuru= fio_9./Ad.<L nrtnnalnnl?LilnLaLLv\u.r0EJ'r.rLFlti? HnreyiralEillo.t
protective loyer LLfi v lfr nn1effn Ldu Fnuu't q yvi't1#ufr n
tronsient resorption
Y -J-l i o) I2. firilfr{n?;frulrXufrnrnrafinLdL uriu urnfi6s u6oue.r9
ffuqyvirt#ufrer progressive root resorption
'tuluvfifl octive root resorption a1nfrn:gruy?t't.t
histology avv\L inflommotory cell LLay multinucleoted<'
surfoce lfrgiont cell LLAy osteoclost {{A y'nirfilfl root
ilavrrru t oo'tru ffiauliu virlrlaurArr?,lnfiuodx??nL5? LLay9l o)
frnuruy?r'r{n1v\f,{fiq y rfiuu.rr rir (lucent)
Healing ii 2 uuu
L Fovoroble heoling 60fi cementum rfrerduh,rri vrru'[u
-r! o G r
n?ilfr rilprnl?Llnr r6:raEir.rudsr rflluravr xntuvnir (tocotized)
tLavuilul?r?rlltfrn 1 avv\l1 tucent phose c:r^xrpi'r> fioI
cementoblost filtJ1?n rio:r LL{:J'[frrfi'ud aufiq y lfr nrn 1??1't El1]fl.t
!arAa-yn? y n n ill rila I nr_Lilr arnfiu
9t
2, Unfovoroble heoling 6o'L:Jvtrl cementum lfrerfiulvr:J
!daJrr!,4{Ae)o'la Luo.3Lt'ta1ntJn1?an taLafl l.t Flo tua.i il?o Ln nnl?air.l
n?v4ntdrufr errYlarnTprEJFr?'r (osseous replcrcement) vrru'[u9l
- 4! ,q 6 G'r A y In?ilfrrilnrnrrLlFl16lrilu:Grrrunirt (diffused) LlJu intrusion
rrr6o ovutsion urun'jl 60 urfi qy'lililL octive phose (Ilifl"<' c
ttrpir> frrvirhfr cementobrost "L:-iarlrandail Lr{:J'[ ilfiu
Spontoneous heoling
4q-/ '
! o]J Fl?Otll.l cose 11fl.l Andreosen il Ln n extrusive luxotion
tLavlilurffuilaraernrilnr do putp 0rqnrErlfr urinefinrffutriYi
FIIEJ LLavfrnrnrt:tzuafrvrrl loterol lucency ri'tfr bone LLay root!ABlrilFtqln troumo tLayalSJ't?n?11Elio.r'[fr
flr-uvrr fi a t?r Frr F.r rnrlfrsrn'ir naniterilrtr ro{'lfr neril"ter fro.r
aJ!o
fn:sr uila{qrnnr?vi't vitority test lorrffu'luiyrly 2-3 Xlnnfi
LL?n vir'[frsrn LLa v1#2a'[:-i rruuou LLa y8']nnrvrrrir sfififfna yy\t-l
ttr pir drvirl#Elrn rianrafi'prfru'[q'ir n???o Fr01nr?u6oq yfn:Er
nao.tilnfiuLafl il't'tn?tilnreeofr0''tav\:l'jrfl root resorption
{416u'rlI
ilrniluLtav4qtfisarnriluhiorjxarpr16r teravr'rhl putp f,nqy1lu
nrrs'lu 2-g #r-] errrf A'.r#unr?fifi root resorption lurix
2-g a'rletrrfuren#u u'rqvufrnra,ln mechonicol injuries fla.i9,/
,aJltroumo uuil'lnn't1aln pulp infection
r,rfrnnr?60fir rfr prnl?a va1fl r0{n?vnn LLa v?rnflu'lurir.r
2-3 ffi)nt:f;LL?n nrrrrnl,.r.rflo.r pDL h-irfru 2 ryirro.rnirrjnfr&a+q!4A
LLA v tUOillU LU6?U?'tn:-l n?'t3J?lulv\oa:J Ftl? Ft't? nnn ltJ tja4n
2 #rJertfr Tnranmrirgnrv,rf,rfi'lurrurfrr nafifi1:jufiunr?illaI
rot'lu 4 ffilntfi rLavalilr?n?v]r1fr'ir oy'ledaa'onrrfrulrfrrfr er99
nr?'ffn rfiL rriu LL?{qlnnrrq'nflu rrr nfi r6s r,r6odu 1 Fr??
rir{erfitLiln rfiolrXrfr nr fovorobte heoling9
Gl;ulaars : tiri z ouluri 2 zs4s
Preventionla,/qA&tw
v\r-rl'r BO% flo{a:-l nnnn tnnrufi:irur,r6ota.lrasu A'triuc9d
,rlrXfrrin n?0.i LLa v n??l?rLfitiGnrafllotrTuaffi uu nrrioF]l?iln1?aol e, il n{?finl?l-loi I e
rffu uiu nrelrllri mouth guord 1urruvrdufiwr uilufru
Emergency treatment
ufin n r a 6 a fll o r ffuvr6a a pr n r evi. o', u d a r a rfr e.r du ufll uffi Ll ilvlnll.t (diffuse) no PDL
nrein:sr lfrurri
L Minimize odditionol domoge
2. Limit initiol inflommotory response
3, Stimulote cementol heoling
ito-t1. Minimize additional damage frtuvirrTltflunreannr?
"!o,ffnra:r lprsvrrfllEnrJFt.rdn'rv\L{44frilffin1l LLavan dry time
(llild extroorol time)
Alnnl?FinHfV\L'll n']?FllEJflA.i PDL cell Av LV\tlflUtll0?1'l
lrXrffuu#ru.udu Lra v r^Ja n?1Lrr{r u6q'[unlain:*rfr a va na.r
a)Ya),toiod4prtuu nr?fntstfififiqnr 'lunarfi ovulsion donta replont ttl6 i 5r 4 ! |
lTrfiqnLLnv'Luneril tuxotion 6u I Fr?? reposition Tnsu6rfiqnr
ura;'[rXrfr n troumo riasfiaer9
!A4<JGtilALnn ovulsion socket qvnnfrL (crush) LLAvillil']nLAfl
1l
flg)
a{ firvir1#frilrrLur rilunfru ufrrfi lor'[frrrn A'rriurir uuvur9J
a{'r r,r fu fr rl r s fi o1rfr1d rffun fr:r r{r fi fr r vir 1 fr i r s uu ri fr r vir hi1 fr1 #u:9l!aJ
rilu*ri"Lllu storoge medium fr uvt:lrvailt?\?'tvnl?v\arrLudu
rffufrrs ffr rar'trXnfru ufrrh.llu socket fi rfrna.t aravirl#ufr nr
9'/o
troumo {f'Lunerfi toterot luxotion l't't^forffurnfiouurfrrfrproeilu
9.t
aJYGvlv4aJa)v^'
n?v nn nxfunrl?dtfiua{:Jr rfrnriosriou irfrr6l A'unfii rfrrfi9l
- Storoge medium
L Speciolized medio
L I Honks Bolonced Solt Solution (HBSS)-USA :
uta6ori1fr 4-6 ,rYrluoql
1,2 Dentol sove-Germony : tflluat?avargfi'lfirfis.l
ura6'[urlatvrnao.l
1,3 Viospon conditioned medium (liver tronsplont
medium) : utadadlfr 24 Tuil
rsulaars: Iiri z oriuri 22s4s-D
Gl;ulaars : Uri z ofuri 2 2s4s
9)o{r
dqU nlss:nul luxation iniuries4 61l';*-- i c v I o o9/A
t, Reposition vt6o reptont ivru5rfranr lnrthivirlfitfrnr troumo9
2, vir functionol splint 7-lO Tu
3. 1fi tetrocycline 7-10 Tu
4, 1#rilurlrn frrrL chlorhexidine
.'! |5, n?il1n PDL cell nlfl?1lJFl rriU dry time UrUrrr6o
severe intrusive luxotion '[#nourilu tLavl:r'[u Emdogoin9
I
nOU replont
Avoid or treat pulp space infectionI ucy Gt A<J 4
tLl_l't Ln Ltlu 3 ?fi Fto
l, Pulp revosculorizotion
2, Prevention of pulp spoce infection
3, Treotment of pulp spoce infection
Pul p revasc ularization
lurffufi flr uGnrhi u fr :r fi frtl a r s ?1 n fl ufiu r^i r nu{n a r r n lx n'i r,-u
LI frafrLilFr? lfloprqrnnrv\rirsffrfi (ru? M-D) :invtujr putp1l
fllanra revoscutorize 1fr arix"tafr nr:rfro'lavT'l1lft#ufr nrnre
A{6rte)
fr er ifra"lur ruvfi ea'[# ufr nrrr runrefl
aimsfinmtfigcnr-u pulp revascularization
IL v\l'lrlonra rfl pr revosculorizotion 'Lurilu:rur*6q vtJlnI
&vt9)tAA1lu nrilarfl?1nn?''t{n'll I :Jaa Lil n?
l9)
2, vrru'irfir replont nra'[u 45 u,lfi lanra revosculorize
qyurndu rurifrrfirn'ir 4s urfi tonra revoscutorize qvfiau
I <Jq-/ o eJ
a.laEJ't'uJuEiar nzu
atnnt?finrErfiuf,udr bocteriol contominotion uilu
alLilne{r ffqlfivirlrX replontotion "L:-i:-lavalFr?r:re{r r6q Lta;1o
4 onq yrir s'lrXnmfnrErlfr tra fi firvirlfrtersv\1_r?1n1?Ft1:r q:J Lt:r PtVl t?
ruririlu'Lu doxycycline fiflnruufrHfru I mg/20 ml rflut?a't<{ ' lu'l?irilunfi:l lfrrfi vr6on?fifiriluunfiaufihlarn5 u'l?] nf
olAaJ.ts)
Fn LL14U{ LFllJilln rLA ;An:silv11l.l ndf,n:-irfi'irfiTanrarluuflau
ruunrfi u6l uriufi debris frnroqj 1rfrurfluoonrurruri'Lu doxycy-
cline 5 u1fi riou replont
a1nn1?fin:Erro.r o.rYasr ffue{fr Lfitd dl1firilua#lq''.ru'luj
96 A ruavvirnrafinur'Lurffufr'er unvfiuneufios firlarfl?ln
:::l::::
uilerTerflnoufiuoonil'l urjqilu 4 natJurfrr6t replont 6o ..:...i9 ,,.'.
nei:r t : rk{oslrXu#r 5 urfi ,:,:r
". i.
I I d ,,,,,t,it,,i
nAlJ 2 : LLlI doxycycline 5 U'l?l ,,;,9 '
,;;1.,,,,
' ilriog1rfirurfurufrrrnrdar iltuuefru (Lv\?rvufio'ir ffio i..'.i'narJ 3 ::!i:ii:::l:ii
j:ii::;li:::4 A rrilufrrsrafru qydrflannr?LLv\dnavqrflflfl.rttilnfir6s>
,,,,LnaaL il??lnii]lllil]jiii
urfi uufrrunrfior ffituuafru ,:...nAil 4: tLlI LU doxvcvcline 5 U'111 LLAI LflAOL Fl?Elt?T9 , ,:,1:,,,1
a1fl rJa n'r?dn t*r?r'r.r histotogy vr:r'jrflulo ln { tfi rJ eios rutZ.rn fri .: .: ,.
:!,t:i!tl::ti
dd^<rrdii..i.iillil,.tLllJ,.tFrLv\Er.r 30% lruvfirffuflo.tnAtfiuuri'[u doxycycline tJ,:::,:ii
9 ,,,,.,,,,,.,,
dA 4 I 4 A O ' , lUV6t9./{'rnn{ 60"/o arun.rernrdoruafru'lunei:rfi 3 LLar 4 hjlfrhXzua , :,9
iii.jlii.,i
fin'ir 2 nei:r rL?n uriorir.r'[er rianr?Anr*rfi1frfunma#uauu ..lii'..
9 9 :::::
4 t r .' "
a,,tnnr?finu'r1ro.r cvek fivirlufrr'lurrarniorr fitvtru'irnreuid :::::
ri.r.: ar d<{A a- "l
rilu1u doxycycline riau replont tvl:lnranaurililnnflo.lfiu,,i,i::::
lfrfir 2 rvir iriurfiarrYu :i.:i:
:!:iiilji
a'rnnr?6n*r#o 2 nerfifrrtfru virltZflnr?Frlnr,rT.r'ir uflo....ll:l:!:rli:!:l
lfi'lururqri ffnernranfiu:rrilffi nratrilufi iuri'lu doxycyctine :.'i,.9
,,.,.
r 6 l ' Y l y l ot ::r
nounr? replont frurqvrfr:rfiurilu 2 rvirfrrauriurYu ....
ntFinurlvldn'ld minocycline rnu dorycycline<d q./ 6
Minocycline rilu slow releose tetrocycline :ranr*ru;t[]u
rJ.rlr??1'[u pock '[eivraa prdnrsr lfirniufifrrarnrilu filv'ru'jrfr nr
t ot A rnrffu"Lfrrr^ uruil?vilril tb Tu filrilua yrJyt?a'ltLuunL tJ'i?l
iAuluy\ollavLnn revosculorizotion tLav'[frfivnlnn,,j1 doxycy-
ctine LV\?'rvh-ifrott^Jail LLav t6oqrtfr'rsrriau'[fi
tJanredn:41'[uqrilvrru'jr ndufi1fi minocycline fi<{
revosculorizotion a.ffit 917o fltUyfi doxycycline :J 72o/o LLAYcl
o \ 4 d<Luur Lnaoil Ltl\El.t 33o/o L?lluu
nt?rfr n revosculqrizotion tto.ltilurlarfl?'tnlilnr fl nrrr:r
oeJddg,/wl
nr nq n0 q yilnreaSrr rfioriluriohl frtvirlrX:-larsern r6sr rfrn
a { uua y fl pr ?'r r ?lu'r fl o.r uda riluai 1 u?r n n r r il n fr '[un arfl fi fr a lffn :,n
n a o { ?'r n rilu'lun r fl il fr{ fr q v virl frhi d r fl 'r fl tLa v a nrla n r a n r r tfr nrI
AJ AJ AJil n ?1 n u a { ?n :e't n a o { ?1 n rffu urfi r n afi fi fi o rvir n 1 ?in Hr n a o { ?1 n
fiuuuyfiarn rfl er q y fra{n ?yil1fu#rfr er rf,orffuile,rYuu? trruilarnI
?1nLaflnou LLavLilo?n:4lra6qqvfllanra?'ln?1nnr go-40"/"
Revascularization of infected necrotic pulp uflu New odvonce- .,.ii.,,...
:riri
ment of revosculorizotion lurir'l 3 flrrr#t iu.t::i::::,::::
rsulaars : ifr t oriuri z zs+s(Ql
Cose | :
frlh atm fr rlu fl troercre ri'nfi rffune'r:rfi, ufifi . o tdx nio:r1l u9
lfr pr pulp necrosis LLavfr nr{a lurruyfirjarsernflulilnod eln1l
CT scon vtr:l'irfl opicol periodontitis (flrlrnf,,rrlarfl?rn) do
hJurqvfi revosculorizotion 1lo.t putp lfrerfiulfr nraf,nur'lu
narfldfio vir nrrr:Jdvo'rnnaorarnfiu lnsifiurarfixnao{?rn<Jl.J:t'o6
uvrt g .l a d r t t n- rL r a un ? v ri'l ur r r"La rra y'L:] fl n r al El 1 E t n a o t ar n dr ltt
Hlu rrfrrlei "ontibiotic cocktoil" dtrleynoufrrs ciproftoxocin,
minocycline LLav metronidozole athltunno{?ln LLayoFl9
;' us,/ 4lJ?n?l? Lruru 2-3 unau
rflo frrjrsnfri:lr vl:_rjrhifi exudote '[una0{?rn6.rvir nr?U
n?vnulrXrfr pr blood ctot flrnlu'lunao{?ln TerslrXufroprnioa 1I
"Lvr a fi uu r rJ? llutvtr et rilu *fr rifi Ta na Fuilu:r aru y'lrfi rLu]r a fr vr99 1J
'tuntafr F.tFn:Jzuanreffnur 3 fl rio:rr vtr:r'iraosTenurs'LrJ LLay
fi rfiarffurfr eldulua'ruarn firuaervjrfl purp rfr e.rfiulvrilarir.rI
LLUU0U
! ,.{ <{ y 6v tg)
rilo rr-l6a:l tfrst-L uar anrv\norrffudflrioufn:Er h-ilfrruern rir.r
'lr.]qrnfiuAt;fu troumo 6{urq v1fi riluLLur?1rr'Lunref,n:grfiu
rlarfl?rflrilerfilfrf,:L rroumo ufrr putp nlEJLLayfr errfiolfr
Cqse ll :
frrhsdnarsrrrfrt Hrfrrsnrafl sinus troct riJpr?t''].lfrrufru9l
alnnr?nrmqv\il'ir tubercle fi'n rua ;ilarfl?ln uilnr 6tvirnrein:Erldo-/
rriurdsrrYu 2-3 frrl errrf riorr frn:-r'irhifl exudore 6r1fr?- q Z ^- 9./ A aJ 4n?vnu Lutnn blood clot LLA?nFtFl''tltzuanrafnu.l 7 tdau, I I9
44tqLPlou, LLav l 4 tFlau v\ll?r?0s Lanurshj uuayfl rfiarilurfr erdulu_J _ ol r r <{ A e1
eiruern fr.ruanrvjrurqvfl purp ufr erfiu1r,r:-iuriurYu
a''.r n fr rh rJ 6 0 o r', u d,rd F.l 11# lr7 u.i rU
- 4 v r < & v c-a-/l fi.tLL:J?I pulp avnlfl LLaynnr tilauuar ilrita.uJ.t?n
revosculorize 1fr6n LLay
2 . a r tr 1 ? n ur :r r rh v EJ n e{1 fi rY:r n r a in :Er n a o r ar n fiufi vir n 1 ili
rjnfrlfr Teravirrio.rmrr (spoce> 1#ufrFrnr?a5r.i putp fiu 1ufi{"til"lfl blood clot lilu motrix rrr6oolq'[fi growth foctor Lray
collogen gel fi1fi1ua'n Svnnolauffu ontibiotic rfian{an1y\,&
n r eil a o n lfr o'[ #Lffiutu rfi EJ.r y\ o
ereD r5ulaars : Iiri z oouri 2 2s4s
q r rilu r,16o ffi o nm qv\L'jrfiunrr s fr a r rren n'erfr u'[q dli'F] putp
1froeir{rfi'uvirtfi rioufiqvufr prnl?fr e,rdo LLavrfr pr root
resorption
Prevention of pulp space infectionar !" t 't rflffi nIfr lfruririlufiflrfiuilrnuflnart1/\u?1 LilAril1?flnaLilril{? Fr Ln Ln Lrnv\uvlil L6
e,
ilarflarnrioan'ir Lt frafrLiln? urav'lfriraffirilFr?urL?.r lfrurri9 99
intrusion, severe luxotion [Lay ovulsion flo'l moture permo-
nent tooth lanrafi putp avnltfl4t frrfrtlrXfiunrs'fr-laysycl
! A A & ar e) a9./ w
uu.ravrnnn.rafr prrilo er'rriu6rh-inrreo'l# putp fr errfia nrrt?r
virnrafnulFraa{?lnriluleravir putpectomy nrs'lu 7-10 Tu
64 6r o er ! o er i " arot o V
L?1nzuannro rilunrarirq'n putp frrird{qvnlrJ drvirlfiffulqlfr9
'itl?rrilLLl nfi fisiuTvla.rriluq vflfionrJrn ufrr6ron nao{?rn frrg9
finrrrr niofqr
fr r rilulill fr fr ^,d,
q r ril u fr a .rk{ LL n a rfi s H't a n ?0 nlr dr,r6ohi
s'/ ,fiar'[an?0nlrA qvflnilarrifr'Lunrrsj.,{,LLIJLLNAt9
l9)(ontibocteriol ogent) urnifiralill?nrirq'nttunrfi 6u1fr r,r6ohi
fl ru:-r n fi u?sluTv'r ar :-l e v a r m fiu 1 pr a vr q r*fl uufr rh] q r rfll u fr o r1fi ru ri
'tuvrxrlnfifr fiunuvrrvrd'l:-iar:J1?nrir q'n r{o r,r6ovir nref,n:E r nao'r
ern"tfrorirraruarriulr"turix 7 -1 4 Tuuuen ufi{qrnrilu'lfrf,:rql
offi LuFr rv\?r yriluorqri{orilurfllanvr6atgn uBournvirlfr frlil99Cl
arilr?nvirlfr1u visit u?n
rir ruuyur do irXvir nr''rila v0'r Fr Flao ternrilu'[rXrrnfia er rvirfi9
q yvir'lfr ,{4il LLna rfirr"tan?onltArYrr.l', undol#uilun?:r urfrr1fi
uauuTafllil?ra urriruria:rfir{rhlluna0.r?rn rorl?yrJrr}r1l 4 i frr-lertfr rflofrrhghiflornra Lrnvarnnrv'rrirsiqfr2, 4, ?1?0 6 Ailn'l?l Lr r
1ilfl root resorption (vtru'jrnrrffntaLaln troumo ffnqvu'ttt
'lfrnrs'lu 4 frrlertf> *frr6{qF]nnotern'lfr
nrsriru'r uuou u na r Bfl uloa sonluci
!c{ve)LrJa r{ a:J Lr n a rfirL r'tapraan'ttArTrur q v rfr n nl? LL n n n'r1fr co**
LLav oH 6oou ilevrrru i-2lo rvir#u do oH qvrfllun'rufru
pH uilu 12,s vir'[rfrur nfi u6sarill?nflfre erorilfrrfiar ufrnrios9l
t Y '!
- ar <J e'/ <L?nuu rLnLuo{a1n oH tLnnn?ilavuoE-nJln a{nor'Lei
Lrna rfin:r"Lapraon'[tdmr1{uiluavs ; Ll6ruruuilurdau ufi alrXlfr
oH illnv\o fiqvvirl# oH.odu Ltavfrarfld{rilueirurrfi}r'ql
Lailo 6{qvfirlevfrm6nrvl Tnszual'l#uilu creomy wotery mixed
c#r:r1fi2r*#t, Erntlunafififl exudote ilrn rriu fl root
riulaars : riri z oouri z zs4s eID
lfllu heot resorption lersnfin?ynrn hihifiarnfiu (LV\?rrr'r.,nU 9.t
rilufl udor 4tJrn q v lfiunraulfiruuilarh-irYerrau) fir n?r FrrJnr?1 - --. g-
A & uv i e) ^ anertilot6 n?vnnav[dlabrt (re-opposition) virhX tomino duro
1J
oJ<
ndurrilrurerrlnfr rLfi Frvirmnfiuusnavalsufrr9
A&a*iRoot resorption alnnl?F euilo'luF]ao.lernfiu a ya n LtJo9
Gltlfiu heoling frl1firrar'[:-iefrn'jr 3 ifiou rLaynrreFnnl]JrJat,ln
3, 6, g, 12, lB ufiou
a'tnnlt.fft rn errilufiuraulq'jr frrfl root resorption atnA { et o r oy r e) I
n r e F er uilo"[uTvl a.l il e v a r m flu?'] rJ fr r s T er g rfi'rhl q ylli rfr Fr osseous
Ireplocement rflaflnr?illEi rrfiqyfi root resorption oEnlilln6 o A
t t, r\, 9-,,d1
|
nnrr:r riradlrafiorq uflluhjlfrfionrefineynnayarshl iltu LLa y9l
nl?il?vtlvrol PDL frnirtfiu virhfraysyvixeyu'irr bone cel
rTufr??rnrJ'rnfiu lflarili'ernr?'tn rau'[r]rrfrr pDL cer LLa y
iAA<cementoblost fr16 t?iltJ??rna{rJ?yEJ y L?ar'[unreda:r LL{LILLa y
Itiltrt-tluriuvfi bone cett uatfrfleytly?tl.ififrorrndaufi Lrri
q .'! A <d r dLun?ilil root reorption alnnl?lnnr troumo tvrrg.tafJ''t.ttdgr
pDL gnvirarfl rLayn?ynnoflnfrfrr?lnilrn (?yrJ yilarln'jr9l 9l fl-
-
t,l2 tvirla{?vrlv pDL spoce rjnfr> rflourt bone cel fiayrLy
i, ! i'., <yl'l'l?ln0.ltna0u?tuaEiilln a{ Ln n Lilu osseous replocement
rTcotjru case : Root resorption douorn purp space
infection
flun er :r ria s d r t fi 1 fr r.i r un 1 ? ui fi rL u n ao r fiuill u a'r u ^
ffo a ue!ALu?l4 Ft tn n ocute opicol obscess aln coronol leokoge
tuavvirnrainurTprs intentionol reptontotion (lfia.la1nfrrlrg9l
rJfr raun'.tr{, ufios-nr?aL rraviln:*rnaoor'.tn#.t r,rTanravir root
end resection) virlrXrfrnrnrryfla'trtllo.t cementum fluynau
rilu uuayvl:l'jr 3 rfiouriotr Grruilarfl?.tnflnravnsfi *rifi
exlernol root resorption ufrerfiu lufiaerfrowirnr?drd'purunfiGsI
'Lunaa{?'ln lerg6arn^ofr-Fr?or LLayf,n:Ernao{?.rn#l 1r{
runa rfisHtanaan'[td vrru.irfl nl??1rEr
^' !r, v I *
dtfr fro.tnrafr1firriurr^o uflo lfr n root resorption Ta.i?'rn,<J <J
alnLLLFtfrrds (pulpol infection) atJl?niln:Er'lrXrrnstfr fir
rir 6'er u:-L nrfi Gsroonh-l
n-codru case : Ankylosis
1u fr rJ r s fi fl rilu o n kytosis rTry u r fi v'r u fr fi o rffufrriuq yh] r nr fi a u9l
n'ra{il'r'[urnrvfirilufrr.rrfir{a;undoua{illl6oa 1 quflnr?ail
fiu n r :r :-l n fr virlrfr n ? y qn r o t rffud#ufl a ; er'l rf r n.j r fid u rfl o rffu1J
frotnnnau'[uL?nl ria:-rr nr?Lauv'[#a?fl .rrir6rvir'[frsrnql 9r-- -- -
!1ur4rJraorqriortavrfr pr infroctusion, LiloLFrlya y\il high pitch
sound nref,nr*rfia nl? submerge ernfiu lers frnfrtludunfrr
YX 'tal root conol filling oon vxunrr:ln*;nl#?rnoEiFfln'jrn?ynn9l 1l
,/6dwtLa? rfll tvrlanilFmet'ltuil atufruiluur tJrfi prrYlrffu{x rfis.l frrs
composite tLav bonding system rnfrrnrainurytr:l'irflnre
a v a I fl ro.t ?l n d r un e y n n rufia er n rffufr fl n.t? rq?il nr r :i il n fr rra yllu
fi r il l ?n n.i Fr ?tJ ?lurfl o { n ?y er nlfr rilu r? alulu1l
,4a-'a'NndU l9 tnfl?nU Denfal Trauma1J
d'tu't?n filltJ q'tfrfi www, iadf-dentatfrauma,org
nnnn?'I ^. ^.4./ ,=V Egto 34 6l ,eJ 3&%nTfruqnJ nwr|,nuryrA'l n']A2?qa nnTnJ't-lvtri'tilinw"lun')?tilftuunnnunitrt
a./ g/ <t I .< I ^,, t t g/ 9/
auuvtut ' Ttltninmuniru n'til-nnu flq1m Denfal Trauma frfrutfrn1q'tnn,t?u??Et.t1tn{ufru
@ rsulaars : tiri z ofuri 2 2s4s
o -l
n -l
s rJ ) R rJ s : El'l n I n s tD fi tia ilu D'r u 5n u r a a o D s'r n utru
(Tngernlnal neuralgia ancl Endoc{ontic treatment)--ora--d9vn^rm. g€r,lvrifrrnrd n€drrlru :qJu
trl.ilrru. 4ntilu 4vr6ri6r,r?{r na : n-rrtiurrdrrrtnrrNriornnrr nnwriLrsrnrnrvrsnraorC annrtrnsr#urufina
unrirC6' t (l\ A I r A 9./ (;t 6 o'
Fr'nr rquilr nt" u?rrnrriarrlrn ua v'hufir rflluar lu ne{r Aeu3u
fi virl# fr r-h fl il'r t,\ r vr'u n urvr u ri Fr r l :r 16 r rh er fl rfli url r y a L n r a rri1l
ar4' w
Lilv\ l y n1 {.r r-r,.r.r n fth-i a 1 il l ?n fl6:-L r s o 0 n rJ l rfl u nir vrr n u6o r o nLl
lr ur F.r 11 0 .r Fr ? l u 16 u :-h Fr 0 0 n il r ril u ni r fi rurfr q? 11 fr LLa y a r n frn :grr ;.a,a ! t o-:
olnl??rl'r F'raun{{ola rLnn Fn{nulfrillnillEJ 6rarqvir'[fi
frunrLv\ r,r { fr1rfr n r ein :Er"L:j a rlr r ani fr q #tLTe n'l fr n n fr a r r,16o fr o.r9t 9l
!Gl?1,.r d.l L?1 Fr ?r il'r 1r fl .r Fr ? l rJ uq il il r pr fi { a r q il l a r fl '[:L
rrr rir fi ruy a Tg r y9
n r r'[uria r r] r n rLa v rilu
ar r?1 Flfl 0.r Fr?r:r 16rrlr n:L? lrruria'rrlrn rLa v'h vtilt orqflI
fi'rt?l4ornrffu liay/vr6oaTsry?aLarnfiu (odontogenic poin)9
rrr6ahilfrfiarLunarnrffu (Non-odontogenic poin)t'' " Ft?'tLtI
G , !^lquilr pryr:rar lu nrqrnfiu rra v/rrr6aaTsr v?flr?lnrffu ola rfr nqrn
I
'o' 9)
nl?noilau0llatr,Yar{ (putpot pcrin) riofr{n?v{unrfluon alfl
1ilflnraffn rfiLqufirflnraffn rail ua v lfr nn1?Fr'rErflorrffarfrnrJrJr
rufr r A n n r :r a r'[r] r r t il a r fl ?r n rta v a Tu'r v ?o l ?r n rffu (peri rod ic u to rI
!d.'ta-t,qlpoi n) frr fr n r a unr r v lqL er r n:r n't? un pr ao slt n fi r-la r fl ?l fl LLa yola
fl nr er r r :-6 ur n:?o r-r ?l n fiuar r fr r rL uo n a r n dflo r'', q lfl u n r rlt r6:-L
,!lo-v4aJ-'
rl r n fr n n air:r l a r n rffur,r?a a Ts r vd u'[urio.r r] r n ua y'[u rrr rircl
(referred poin) lfrG,orA.,l
Fr'r'uJ rq L il r er fihi fl a r r?1 n rJ'r q r n flu lfr pr q rn a Ts r rd u 1 G ir iuI
'[urrrrir ua vrio.u]rnfihihiriluLLa v ldo lfitea:mnfiu orq ufllunra
1116guu:-la{to.t?laanrlfranatJ0.t (neurovosculor origin) n1?
tfr n n s r6a n r ytr rrr6a nr r r:.t fr n rl n fr r o I a v :-L :-L il a v a r ?1 ( n eu ropoth ic
origin) nrefin LALfl ollvtr?{oln't Fl LLIJnfraar (moxillory sinusitis)
nrtrlrnrrLatnfr',u,dru^,4u, (myofosciol poin) nr:ilrerfinfrru& a-./61 , 3rfrori'r'[q (ongino pectoris) nrailr na']n luaton (neoplostic
diseose) tLavalnA'tt?14ilrlfrruQn'[q (psychogenic origin)I
ornreilrprriavaru'L?l?tafrria flrigeminol neurolgio) rfllu
Fr ? r Lr 16 u ri r n fi hi1 fr fl a r Lu n a r n fiu ua v a t n ?n vtr :l1 fr1u fr rh s fi :l911
aJ aJ re''tr-t fiunrivrrufr oLTfrnrarrila{nraufrnTany\Lrafig?Lnl??nHla''tn?luFtttv\
e
3-3,5 nru'[u I o0,ooo F]u v\rlrn'[uln niufi{Lnnn'iril1g'[uaJ I A !, I 9) 9)
u
I
#prdru 5 : 2J rfr nfr{r{fl?'rlnnn'l'r1ll.r{,.rrr vrrulfr1ufrfiflors1tI
Y r -1,&n'r uri zo elfr uhl rua vyrrueiruhndlufrrjr sol Elil'rnn'ir s0 fl ar ru Fr0)9199
n 0 { n r ?:-h pr il a v a r n'lvr e lq fl fia u:-i 11 fr ril u 2 n ei :r 6 a n ci r d r r', u99
arL?1n rfrpralnnl?npriflgnfi rfiurl?vart,l rl:rrl?vfil?1 rLlru.r9
il r v a r u r,16o :Ier rfi u"t s rh v a l ?r 1r o r lfi url e v a r vr'hr ? ra fr rialufr r u
ailo'r LLa vv\u'ithrhvarll rLa v rururilevdrilq v uilurf'r uuvrurdv,,utt
nrrufr nrrlnfrlfr:rrnn'jrfidu nl?ner rfiEinnrrGrrn:nix 1 rvrcir
{A34u olatnnalntuo{on ?laontaaFlailotfr nrlnfr (orterio-venous
molformotion) lfiurfio erTrl{v\a't (oneurysm) vr6affafr ufra
a Lnaotafra (Muttipte scterosis) lfllufru eirund:rfihi?r?'m3
al L?l n&nLa u vrr r't fr r r n n'i r n ei :r fi vr al L a 1 L?l Fr 0 r n l ?1r r t n 6 fr nq9q
av?\:rlnrnar{u (trigger zone) fivil1#ufrnornl?rlrerfiuuiluau9
4 a1 Yv- t r??rJflo.rfrr.hgfir,rfinufigrnr?n?vfrufrvira{o'taa'ttnn Lnalny\qnf il Et?luanLafl{f
e
1rfr lfr narnl?rh nr rriu r,rfi n,duon'.tafiir ffa nra'Srtr,rrir nl?,du,
n'r ? url er rffu n r ar ffu n fr u ido'lu rrrrir r il v y\ Fr rrr6o rrfi ru ri n'] ?n n11 9l
arrffnr arnrtillna;hlnlrJ rLflu{rarrfiurlavarm'[mauqfrfia fio
!AdA-V\ll?1tLflU{14{ttiln{AA'l? (Moxillory division) LLAvLLLIUFtLAI?
(Mondibulor division) illnn'jruutu.to0rlvr'afrn (Optholmic
division) finr*ruvolnr?q v l6u rrrlffir ur,rfloufl nill Fr vr6orat tLuarJ
:o4
?1 il n' r 14 ?o rvr fl 0 un nlvrl fil r fr o n ufr n1 ile tpr l5r lds r vtr fru'[u L'] a''.r1l
Aa{4<
2-3'lU1?1n{ 2-3 U'l1]LtAv3J11?{V\n (refroctory period) 2-3
iurfifir t urfi orn'r?qvrfrnrlilurirr.r runiavrir{uruuflluI
ffilnnfrvrGo rfl u rfi a u rufr r n r il fr r g rir r fi hj fl a r n r ?ur u uil u#rl nnfi
r,16o lilurfiaurriurYu ornreill Fla vlil ufr erfiulurilvuouufiu LLa v
:Tn1il rfr nrerruff:-larnr??nravu:-lil xarnilniu:Ifr rriu vtiltLLFr.r
#rrun'lr,ra #r nr'h,ra Lrav,drrrn u'r.i?'rtrarqfinr?n?vnnflo.rqlq
lurrrrir'luevu'irt rfr prnrerlt n'[frt' "
n r fr fr q a'n'[ urJq I rTu flihJ a r :J r ? n n n a ?r r $ o nJ fr ffi n r e r,16 a9
'lfinrvrrirfi'lun r ai frq #EiT? n'o'u' 6 r1fin r?a oiltrr rrlavTfr er:r rYu
rsulaars : riri z uu-uri 2 zs4s tD
@ rsuToars : ifi t oouri 2 2s4s
fl r'lil rio u Lv\ ?''r ;hi uru"Lq'ir rilu(^ooeJ
Fl ?,.t il tq L ? v L ]J q 1 fl nl ?t_il u Fl
qn rduilrriouvr6ah-i frrhsnfrl991
4 Y t u, e'
rJlon n?{ ornrailr erffi'[:-ififiu
uua v"Lfrrci1aln'rerjr erir rilflau
leruflnLL?1{naonr?a'l ornr?
rhpravil,^rnduufla *nyrilud r r
ru,rfl ou"tvrlfro nululflluurfi L1{Yo
Fr?.rruo1nl?n?y nrnileyilltu z-gI
urfi ufrrr,ns'lr] ffn riluvln 'l I sc
urfi arnrailr nrffi rfr erlfrqrnarr
ar i Ys./ 4 {vrrnr prrurSou rtuvv\prttSolngrfl'lt,l'.t? *rih]tnrailrnruyuau
r,rfiu arn0lnreuudrfiuovqrnfinuu;ratrilufi I I lunilLL?n.{A, '&&rr<a{ n nr'rar Lvn 1Jo.r Fr?lr 16rrl': erfi lfr e.rfruf,lilurfrar L?1narnrilufi
99
I I 6 r e{ r ni o frrl. shJ ffr n r nri tr r? { Fila n Sria ul r n fi t rr;rJ r s1frf:rlJ 1l
nr?n??a ua vifrqa'fl'ir rilunrarh nriltvarutvrrrqflfia rra v'lrfrnra
ilnrErlprs'l#sr Tegretol@ (Corbomozepine) eirun'aa.ltrnfiu
1fr1rXnrailnHlnrrrlnfr LLa v aniltfrufr'tEr FrorTvtrfr n lafru9
QlJfr 3, 4) LLavelnnmfr Frrnrr{anr?fnr4r vrrjrarnmilrnr
11rala'r fililr?n1fifrvr6or{rfifiHrTarffufi I I 1fr ruriffrfra.rlrX9
are./llinl??nlg t Ft?Elfllafl'].l Fl0 Luo.l
un5orsni
olnrarl? nror frrl'rEr?lun;oufrr.r?utL?.r rrr#talnfi1frfl9l 9
offi ru n frunuvrrvrtifi'lrfin'refnr*r6r:j.lh-]ff.1rffufi1frfu offi u,r n ua y19999
Al rAvoldld nr r r a r n r eil r pr ufr n a 1 n n r affn La L I o t nTa vrr (pu I pitis) fil fr fi n r ?
n?v?ttn?v LL?ln (troumo) LLa v lfr nnl?r.udu 6t'[rXnreinur
' Qr rrdu'Lufin:*uyufisrrYuua,.,u^#o virhXfrrlrufrorfiLLA vLl ll F.]Af
11J
a r n r ? 16 u rh nr o d ur u A't #un r efi'n rl a v ffi fi a v rd s nr au fi t fin :*u v1J
arn'rarl'r na ;rirs'[unraifrq#nTen1frfi frr-]rn?'rndurfiq ylfrilr9l
affi ru Frua y'tfrff:-lnraf,n:sr nao.i?1nrffu'[u,flro fruufrr rurih-iFr01r99
au0.rnianraf,nur ornrrilrn'L:-iaFra.r *avflfint*zuvrilv\lvra.r
ornrailrn rriu h-ifiornrarhnr'[utrnruou tfrnrornrar6rr-]rnr
!AAcJr , '19 l
LiloaLil?L?ru?:rflh-lrnuur,rBorilufi I I iuavilr erSrrhlfiflnqrrn11 1l
4' ar r A 4{ Yo o 9)
d.r n a t rT:r uur ut il a y fi 1 ?r ttil n {a a l ? il't.t Fr ?.1 tJ n 1 ?n ? v nr n r a.r'LL il ul9
u'ruriluu'rfi ura yfl rlurixfih-ifl arnrailr pr frrs uona'rnflfrthuct
q/ <$ A'r'[unrerrrfin,duon'.lanavvirdurn, --iluqorfivir"LrXrfrerfl.uJy\qnn??il Lunl?uanLaEJ{nl?n?; e e
Fr'r''lr 16rrh nr iriu ,duon'.ltfrxr,rri'r nrafiir rTa nl?lrr-latrffu
r,16o n mil pr fll o thilrXa I r,Vpr Lr l n ? y ?1 r fi '[u vr rir a l n'r ? u,r ei r d rfl ufr r
e{r ffryfiq vdrnifrq#n usnTenrqrnTanrorfiuLLa v lflo ufioeo:rarnflu
! ar do-t I
Luo.r I'r n ?r u Fr LLv\ 1r fl il n a v ril u fr fi fr r.l r fl il'r v\ r-r ri o u Lt,\ ?'.t v l{r'[q'i r9tu
o r n r arh nr fl a r Lu n a r n lifr o n r,r6a iilu 6 r q r ril u fr o r vm u fi r fin :Eu vI
Lavvr y lr o { o r n r ?rh nr rvr ei r d lra v'[# n e v u #n"t{ ra r a'i r o r n r a 16 rrlr nfi rfr
^fiu#u arq"Lil'Lriar,,
^du',aln urrian ua vfiu Tprs Lnv\r v
q
'[uer s fi'[:j n a u a uo r ni o n r rfn :*r nr u il n A ( I I )
LLa v ufi 'i r q v"h-i vr ar r!t a
a r L?1 n t,'r I Luua u'u o { n l ? Ln Fr o r n'] ?rl r enI a v a r m'[u a rq fr #a fl a.i fr r] r s91J
{ lu h A & aJ v 9)o-t o^ <?rflu run zuilrs rfr prornr?Tunrflua.rqrn'[frf:rorTn r?1Fl q{n n?''r
9l 91
o ffi Lu Fl 0 r a'[rl n a y vr L n ? y rfi o u r,16o virhX ifr nr n r affn Lfi ! 11 0.r LLlr u.r99
il a v a r n"tvr e lq fr #a1uu? rr *fll fr
n r e in Hr o'r n r a il r n rl ? y ar vr'lvr r lq fr #ahj q r ril u fr a .r fl n r ?
f,n:*r Flao{?lnfluarl frra Lt,\?'r yalurrr n'L:-j'lfr:rrqrnflu runifrr frar9
4 a) aa{flnfiueufrrs rriulufrilrsmsd nreffn:4'rrlno.rrJfll??nHlnaa{flnv\u?1ilFllEt LlJu Ll il
?r n rilua u r a n vf 11#,aF u du1 frt er g1 il fr o r ea r,16o rfi s r fr a t rYu n 1 ?
in ur o r n r ail ? n a l n r] e v a r n'tn a rq fl #a
rsulaars : riri z uriuri 2 2s4s efJ
,\' *uhoou nnlssnu'lnlDto
!!F-I- L \' Imifrut
(The Encloclontic Treatment involving Maxillary Sinus Disorclers)
a.vrut.at. rJqT n$uutfrul*a - ,a.., :.n1m6 ui fi un fl t q r.l U ttr,rv H fl.r# frun H,rruvr s nr a orf annrirn,Hl Ft,u1rl uulrai*i
Tvr e t o r n I Fi t ru n fr a a r lil uTvrr a { o r n 1 rr fi rfi rL r fr a r rYu frunL rvtr n ri
^-!. Y X A a) A ! rA a,, aJillnild n ?1.luLuotalnanlgilvnl EJ?nl n?lfl rL nt nrnl n ?y n n?a lf:_t9 -il ---11
Y tA a+ s./ Jarnfiu (olveotor bone) fr'rurru6nufiunaufiofliluaufl?y?r.r
fi trffun ?'l l 1t u u nr s fi frrl a v il 1 iln r aIl'i t r fi r'[ua r il r o rTa nr fi lfi s ril
frorrTrlvrrrorn,.r Fiurunfraarflar Lu n rfi ar ifiorrYrrffu (odonto-9
genic couses)t" Fr'l'r:Jrnulr0.rn?ynn?0rfr?rnrilufi rlvrar9l
ornlflLnJnfraar flnit-layilru 2 fir n frafrLlrrr? LrayFr?rila
to.llvl?.10'rnl fi LLrnfaarlufr"[vrniq yflrur n F]?lilqileyrJlil 20clug
4 d6 Ail.r 2s anL'lnrnufruFrilFl? (cc)(')TJ
r ahunrnlunlu5nrnuoulwsuornrfl uunBaar
(Anatomy of the maxill ary sinusf
tvl at o r n r fl uru n fr a a r ril uTv\ ?.r 0 r n r ri frx rio.i a il n (po ro noso I
,'si nuses> fi fl rffmrul n.l? tt?n a nr'[ur ru; fi rilu n'r ei o u (feto I I ife) nir
!tadalollurnrtvlalarn'rrtlrrnfraar:t^nurnrileyilltu 40 x 26 x
28 f, a fr Lil n ?t" lvr a.r o't n r Fi ir:r n fra a r :r^ ar-l er .r nr,fr r s rTril ar fl nT er a9l
fleirugruaqjGrrrufrrufrrrlorTvlaroryn (toterot nosot wol)ce 9l -91
fluanraqjGL?un?yprn"Ltln:.tr (zygomotic bone) r-6rrrua'ru9lu
:l ull o tlvl a t 0 1 n I Fi LL il n fr a a r o si fr pr rYl n ? y n n ?o :-t Fr ?,t m iltud r .l91 9J
(floor of orbit) ua vffi lrrudrucirtodfr errYln?y ernffaiToarilo.l1J 1J
fiuuu (otveolor bone) TprsflnevFlnur.r 6r &urrwir{rla'rEr1Jl
il n 1 0 .t rilurrr fft t-l u LLa vTvr a r a l n 1 n uru n fr a a I zu rir iltuvilr r o,lTvl a.l
olnr Fi rL:rnfraaru? lrm't frntfl vio rfiu lfi a n LLa y#urla yalrn
6uv{araafrnoa (infroorbitol neurovosculor bundte) lrayfi
frn:Eruvrflluruci.rfi r6nn'irlnlurj yrloatr (conine fosso) GrruaJVa,
n f.l ntu',,t#l I o I T vrr ? { o r n l Fi LL :J n fr a a r fi o 6 u vrl ?''r L ?1 :r T vrr ffa rr n y
v\ L?to?tn u:lnfraar? vrlaatr (infrotemporot ond pterygo-
moxillory fosso) GrrrufiuootTvrr?{0lnrFirmnfraa16.rodtnfr1J
rTl rl n't El ? I n rffur,r frw u T n ri r ily\ r y fiun ?''r rJ * rfr dfi vr fl r LL a y fi o .r
Ytc\alLl I .l n ft vtr I'i rT v,r ? { 0 r n l Fi rr tJ n fr a a r fi u fr o rL hI ffr l? L ? il n ? y Ft n
'taiTaarilorfiun?rilLu Gilfr r)!U
zu ti.l tL a tTv,r ? { o r n r fi u r n fr a a r d r ufi fr er rYrTvrr ? { a r n fl e lil nr fr nrct 9J
latl <AA<n0nL{o{ailnL?L?fijltFrLna utgna (middle meotus) tagnrr
9l
do)A4J
00fi tFtEl]J (osteum) qrnan]4uy?l.t,tnlrLinrFtl0.to0aldflilay
lfiuifr'irvrrnflvruot'[uTvrr?{alnl fl LL]Jnfraar q yfirrr?n?yurEJ
I p-t u I \r9-,, I
t llu00nrllapr'lneirr1frfll nilln lflo.rqr nnr?L't ilorqvir1rfrefr er nio9l --:qJ--
er'lneirrlnilFra{ tailfr zlutu
tvtre{atnt fi ttsJ nfra arfl n rfi u rT pr fl LLfl u.i1ro.r Lfiurfi o ercl
u:lnfraaG (moxillory ortery) LLavrfiuua^anuvrlrdsa (fociot or-
tery) rfru:-iavarnfi:l udgrtv,r?{o..rnr riimnfraar do LLflu.iflo.r rfiu
ilevaru ulnfraarB (moxiilory bronch) lLar rfiurl?;dt?1ailo.tri v Aa-/
Atvt s lrrruqil#a (trigeminot nerve) lnsrLflu.rer'lneirrqyrjru1t
Lta)AVaJ
tll rlt r fft G lr ru pr I uu a { I 0 rTvr e r o r n I nt ril u rfi uil a y a r n'ffa110 a r fJotltg)a,,luila{ fi?unal{LLaya?uuur (posterior, middle, ond
!onterior superior olveolor nerves) tfro{qrnrfrurjeyaruff.l
neirrhi uflstrffurufrrs 6rvirl#nr?LLEInornrailr prrilurYra'rn.r?
rh erTvrr ?.r o'r n'r F{ rr :r n Ea a r rfll u'[L]l fr ni a u{r { fl r n t"
fO rsulaars : ifr t oururi 2 zs4s
.?
Tvrararnr fl uuunfraa'rflrrlirfio rix'[efft'[:-ivrarl uurYer fi frnr erU
'i rTvrr a r a r n l rt uu:r n fr a a r fl r,rrir fi1# ^
r', u du ua v vir'[tXo r n r nifi vn s
1q fl o uu n fr ci u Lln Ln y a il rir s'[u 16o .r n r ? F] ? u pr rJ Fr yr lJ er'u'Luria r991 99
ailn naonquvirl#nevlilafl fier*v uurdu"'1l
I wsrFanlwuoulwsuolnrfluuniiaar,'
fl r a LLL .r a r rrrr n fi vir 1rZ ifr nr n s r6a n r v\ I a ttvr a.r a l n l n u m n fr a a r9
lfrrfllu 4 odrr'lr,rni ,r fioo)l
a)!!l, artunaulngruuotlrqrnfiu (odontogenic couses)
I
2, Anrrrnfi'h-i ufi arfrat,fi,ournflu (non-odontogenic couses)I
lard3, AltUnLUO{AlnXlUFltLV\?1fl (iotrogenic couses)
9
{4, A|rLUnAlnLUO{Ofl (tumor couses)
9
A t.'Ta n r o rtvr ?.i 0'r n r fi ur n fr a a r fr il a r t?l
4 il l a r n rffu:Tn rfi uTe n
A{oc<' tdr oAaJ
fr erufro'luTvrerornl fl{.r rrrir rflluivtre{ornr FILtiln{aalan raL rmrJ
rdslvtr#u (ocute moxillory sinusitis) LLnvTvlrtolnlnuuHnfra
arffnLaLtLllu6of.l (chronic moxillory sinusitis) lan6'lneirr
ffn q v ril ur r': un r e ni a rfi a { il l e r nTa nr l o t rffu1 fr ruri Tr n ao :-r il a r a
?ln (perirodiculor diseose) ttavTeflffirf,uil (periodontitis)
la nr Ei a .rTn e r o 1 n l Fi rLrJ n fr a a r o r a ufr nr q r n a 1 r?1 n d u1 fr lriu n r ?I
A {o o A ! s ar <fr er rfro"luTvrerarnl FiLriln{aar Lua{alnTrnrrrTpr ?1?oolnl?LLv\
nirr 1 uilufru
ei r uTa n fl 0 rTvrr ? { o l n 1 fl Lr rJ n fr a a r fi fl a r Lil Fl a l n vr'u n *yrr u flI
! I v9/ I ot 9,/ 4{ aJ
fr vrr r :-i o sl fi uri n r ?n o uflun m il u u LLa'r rJ ?'r n un il v a rfrrl:]luTv\ ?.r9
olnr fl urJnfraar Gilfr g nrafifi unr6atflori'n ufrr'lr]'Lu1vrra.r1U
flln'rrtrurnfraal tailfi al u6anradr,urarfnurnaot?'rnrilufi!U
lfr uqrnrlarfl ?rn rfrrhlluTne.raln1 Fi LLrnfraar 1er g Lavvr r,-1. u'',
I
lsulaars : tiri z ruluri z 2s4s GD
r5ulcars : ifi t auluri 2 2s4s
n?; ernfirTueyu'ir rrilufier'.rneirrrY:rTnerarnr ni:Inq vurfl'lil r{udfi rfi ar9l
9/aJd,al4oQ9/C6qlo-t.'fl o { il n a y tJ tl\ El r6a n r n il a r s a r n 1116 o r.r r pf 'r'LrX rfi ulun r vrr ri r s f,r fi L 1 .r n f,i
olaifllurffufilfriunt?f,nur?rnlruuililfi (insufficient root conot treot-
m e nt) n fl n', ei fr q #fl q y yir m ruhl rTu n r a'[fi n r v'r ri r a f,t fi tLL ]r'r 0 L n 0 6 rfi o
Fr t,\ EJ rG a n r vr'luTvrr t r o 1 n''] Fi LLr n fr a a r n r tin rErTvtr ? { a'r n 1 fi u ru n fr a a r9l
a-/ aJ I v ral , ' I I
ffn ra r fn q y q n 1 1 .r LL r..r uar uhl ffu n r e f,n rEr rilufi fi ufi r r fr a t n ai r r 6 o
nrailey ufruriludfi rftu iluntrrflottvretolnl n *:rnfraatir nl?a v rfr:-rI
uo rlll r n rio g rfi s r'l n frr ril urilufi n n vir a r s'[rl il r n,fl , o u., n fiu zu ua v"[:j1lI
a r il r ? n r a ru y't fr rilufi er'r n ei m Fn ? a v n n fr q'r ?tul n a ua o n ar :r'Lrl rYr n r eil pr9l 9l
A ' u'jxTvlatalnlfiLL:JnAaaltuavdotilrn (oroontrum com-1a{ nnn0lvY {o, o 5l ar o, &o
m u nicotion) ?t'tuillr o uru; ur'Lun rein:Er pr tun o uln frr.L r a fl ornrail r pr1l
il r n ria y rir fl o 1 fl r ?fl a rln a.r 0 1 n l ni uru n Ea a r ffn La L tn-r u uds r vtr fiu ni o u{r .l
I qJ I t<-t 6.t V a) 9) lt I 9./ aJ
?u Lr?.i n fl un'r an o ufiu n ? ?a v q r ri a r rJ fr fir u v'LrXrYu t tl, a a rj r r rio s 3 TuI
I o a-Y ,. '
nauvir nranoufiu arrJfrfiruvfi utuvur 6oo vtanfifrafru (omoxycitlin)
4 A aJ A
w
ar o g./ aJ aJ
u ea nr a u nr r firL Bu (cl i ndo myc i n) n r ?n a ufiu nr r avir nr r fl n 1 I Lr a v fnr e v T.l
hi1rfrrfr nrnravr'nrol?lnrilu firolaua erufrr'lrl'luTv,ratolnl niurun8aar vrfi.l9
qr n vir n 1?n ourilu uufrr n r ?a vvir n rafrr {nt g'[uTvtre.to'1fl ''l ni ttr n?a a 1 riru
urirrilufr r u #.r rnfi o cju 1 ura y vir nm ufr uil er fr r gr-Tn ffa uuv'l al (buccot ftop)
ffi alfr e'[ur x ^
io r'.r n n o ufiu rrfr r n tl.i r fi vr ua { 0 E i :i r n'[uly\ ?.r 0.] n r Ft
uurnfraar fr nrafiq y rilerfr r1l rua vvir nrafrr tTvr atarn'r FILL:J nfrnnnTuquI
lil ilrrruor 6 rvir nreil nrTyre.ro.lnr nt *rnf aa1frr si6nre rir fi'er'Lunr sufi'llr4a-yll'ral66l
LLFl?lrnnrailay rf,urilufifi rfirLrfrar rufrr urfiu'ir n??a v rfrr rorl{ rilufi
tionol root conol treotment) rrr6ainr*t6lgnravirnravirfl'l?r^i'rfi'n
Grrnllalfl?1fl (periopicol surgery)
r nrsshurnaoDsrnrilulquSdsssuor49,/ " o-, ,&o I ot 9./ o aJ ! d i
lJ 1l o LLU y Ul Ft .t U F't O ? y ?1'l I { n I ??n Hl A Y nA{ V\ El''t El I il A 1 n n L n ?0 .l Ll 0 11
1fi uriu 1v'16 r.1r grfi'[fi'[unrefrx nao{?rnrilu rLrvr6ofi u:rupl nao F]au
Ta nr a er'lrXo ri n r s'[uar n rilu uvi r #uhilrXo o n"trl f,i u? ur iluo n il n r s m n t" u{
99 1J
lot dt v rve/ o 6te)61 e Z d iEl't?r Lturnurluhllfruuuvurl#1fi ,.1',,nu, (normol soline solution) Luo.i
<J 9'/
alnil?'trLru'jr ursr1rufil:r'la1r-]nao'lad (sodium hypochtorite) vir
lrl rfr n rJ fr ffi s r ffn La L ?u ue.r'l fr'[uTvr a r o l n l nt ur n fr a a l (u'u)
t]. u'.t pr'r n ei r r
ffr rilufrH?u ruet rio utaAufia:Jro.rlvrt.roln'l niurnfraar 0rnr?fl0.r frrlr ri9C1l
!o & ad oe./ e <11 Ln n fl u?l'r n il u{s,.rlt rfi s :rl aTrl n a o"tr d ufr rhllult,\ ?.r o''r fl l Ft Lru fl {a n 1 n a
fi otnta r6rLrlr n o rjr {?utL?.t u?tJ uta vfl tdo proon (profuse hemorrhoge)
1 pr fl a r q q y r^i'r ua o n r r ff.r F'r a a'r er n fiu u fr.r q r n,iur a u q v vir'ltX ufr nr a r n r a
rsulaars : riri z ouluri 2 2s4s eED
GD riuloars : tiri z oriuri 2 2s4s
Endodontic Lesion???srt.urru. t6orr dnF. Iufinna
t
n-r niuriu 6iim u1 nru;ri%a uwrn snr a sr 6 qrih aun r rulennriu sr #u
nrwsludd 1
frr-hsvrrir'[nr orEr so fl Hrrof,:-lnrtf,n:*rtenr-l?vr'uel rfrar9lul
q r n il lvr .r o n au rLa v vr uur a r r {r o qj fr 16 rr ru n a fiu ft rh a'[ fr ir n r e9.t
rirsnrnilrfi rorriluvr',rrlrn nrvrrfrfi'[ueiruro.rrilurrlir fi I I LLa y
21 uo n a l n a v Lra er .r'[# rfi ufi { n l ? v n l ?a ru rfi fl n a v n n rXr er n rffu"tuilu 9l i
?vEJviltunal.l (moderote olveolor bone loss) lrfrr a;vt'jrl
G rr rurl a r fl ?r n riluvr'r a o r vl yi r fi inhl e r it fi a:j ar .r n a rJ fl u.r erlr,r ni1lu
9./ld
raurJr FiuErnarr:-lavrJlru o,B ufrufr ril Fr? Lta vflrou rfllueiruflo.i9t
n?v4nfil (corticot bone) froteo:-t frrnav nn t:irarnfiulol1J
rilurh'r a r o Afl #n rEru v rl n fr a l n nl ? n ? ? q il l .r n 6 fl n vrr yi r rilurfo *, .,
!" t.J A r A <frhj fr o r n r a fr en-l n fr uo n a r n fl n r aTrL n r o t rilulurTurl r un a 1 { rfl a r
q r n fl n r ?fl il ufi s n a v n n frrh uhi r n s fl rl a v ffi rfful frfu o ffi lu n r,16o
fi n n ? v tL?r n Lta v a l n n l ? F.t ?? a fi a L n'i l Lr r-r lJ? Fr fl o.r rilu fr r glvrl rXl rU
(etectric pulp test) vrwjrrffur'oatodnnnl?F.toLauardaufrr.l<{a-/Y'{4vrqrrn n{uu?osTrlarilrfifivrruu a{ LrJ triaofltanfi rfisrfro.rrYu n'r'uJ
fr nrln fr r0{nr?aeu lfi fl n?v nnfi rtruvr'raa.r ?1'ln uri riluffnHily9lu 1l
A!,n r si n r n fr r-l n fr r o rt rr er a 5r r r r n ea'tn ar u fr a lfll ue ril pr rl e yavl
9t
!o,f,ufi'nrrnrir (incisive foromen) fr:TnvrrulufrrhtTtrnal.tnuvrTo
a{orfl firfrrvnnfinuilvnlflinrnr e.r'tnei1'rorilnfrrlarEi?rnrilu9J9qJ
a r q vir't #frunuvl vr {fiu a u1 fr 'i r lfll uao sTa n fi lfr n flur? ur niil a r n ?r n
a-y
v\u
nrwsludii 2
frrhsvrfir'lvrs oltr tB fl sJrFl??aalnrv,rria'rrlrnr]eyqrfl91 u93
nr:rrln fr ua v'lrXrlevTfr'ir lnsnourrtun nfi rilurffulfruadevyrr'r.r9lt
fiunauriorLeiroAfiar{uayflunrudrod,,rnor', rrileyillil 2
4 'r?Fr??a?n.rr
oo rfrrlrafiaflnrvtr'luriatr-]rnfitPlflu alnn't?Fl?'la?11{naun l/\Ll?^il
e
,A !" ,o- o-y G'<J w I
LLa vr?r?il1l tfrf,:lnranaufiun erfrflan'rv\flar lflo rfio rfllurlnfr arnI
o-t d I o I I r aJ g./ I I
n r t,\ ? { a v\ L ? r n r LLln ur e v u'i r r il a r s er n rilun ar ru fi a s ei r rfifi a a { L La y
fiun ar H ei r r fi ut?n r'n fl umhl a.r f,rfi arl dr r n a r fl u.r r fi l ir fi 'fr o H ?o rl1l
w ' riu{nnxil?vrJrru 0,8 lfrufrr:JFr? lravfrrn?;nrnr:irllulntfiuhl ,, vultu 0,B t{uFtt:JFt? tL6 e,
ernfiurarfiun^r0fifl frnuru;r-ln fr rLn rlu'[uLrr rir uvrurfi pr1l
4lv,!lLfi rJ o u?'r?l.nlLl lf, a {q r nhl lvrfi a H ff:r aa rLTrl er frfi il a y n a u rYu
a-y Y looy r A I <J {^
riluvr'.r a a r fr fl #n :-*tu v il n fr r ia v n 0 r a u0 .r n o n l ? F.t ?'r a a o L n m :r il ili n
talflufrrs'[v"lrXh (electric pulp test) nt?n??qfrtnerrrfrlen
eir vriueaslenir-lerfrfrlurrr rd 6rurq v rflludrullorTyre.r
n?vnn (bone covity) fi rfr nqlnfl1?fiauf,unnrfiffi1ililei':urLo.r1l\"c
n ? v nr n lqe ru rJ r ?r Fr LL?r uo ri r .r a :rt.t arri,fi , o u'', n fr rh s1 fr 5r n l ?n o u9lu9l9l
rffuhl rfi r.iaa t upr^ourvir#u er'r#unra'lfinrvrrf,rfr fr nr nu Eiafl 0.r
gywr
n r ?fi ?' .r
{ n ? v n n1uu? ur rufl6 r fr o r vir o d ril ua v a v a fl r r{r rrr f:l'[ua v a v91 9l
x u de'/ o A d -nfil:ifitrjrzffiUUln?lUFlLLy\?lEl tl?1I nI?n??qV\ LFlI1Y1/1 lj'l Flnf ?{'
nrein:qrmrtfi'unnaar'Luo fi nflo r frrlr s orqvfr'lrZflnrafr rner vrfril
cr !o I r;r c' w a,v
Ta n fr fr n y\ a r eyi r uil uea ate nr r a r n r u r rl a r rL er n fiu vr?a ufi o r o n qfr erI
hiSrs *ar'Lfr
rsulaars : llfr I oouri 2 2s45 @
- t\' rt tuhtd'lstltuUrUR'ltO
@fiauao6a"rrnf,lqnnao{?'.lnv]iluunraufigltaFt?ofl*t{nrr[iu
eirulltvnol fi n'irvlrnfr.r6oon'ltdgduaafia unai adxlr LLa ;9l
qvdrEJuurirTryrnrnarflfifi opicol tronsportotion tlriurfrnr zip)
Uq) A z{ V
ifrqTrusohi runvfrt-larn?lnriJnrfiaa 1 q;drnn x4tfi#rJnrs<l \4v 4
ilnupr tprvrea'lil ?
ItI <t 6 o a) <J<s <r .-,
gdaraoir{rr,rf,uqnnaoternfril*nrarfrrLiltgpraan'[tri(CH
seoler) rflludruilarnru#ufl vrarstrui{afi aiirauu'irfl nrrruI
rilufr:griofln'irvrrrnfrrniaan'[rd nduoa GoE seorer)U
(Vojrobhoyo et ol, JoE 1997, willershousen et ol, JoEvyt
2ooo) rn'l fi rfl o { q r n fia la a frj a v m n u fi.r q y il a n rJ ei o s rG uo a o o n1l
tJl lnrr-levalritotnraur cH rfrr:rrriluciruileynaurorfiaraof9
! o/a6l 9) |
tila{qrnnru6ru:-Tfrlunrea5rt cotcified tissue fiGurruilara9
dia)oG'tq)?'rn ilmg.r'rutnEJ?nL r.Ja n'n:Jal r?a rflolfifia raofri:y lnnfi rrni
a-lv 16r i aJ I y ! o] |
ff.rlru lil ufr fl 0 Lt ?l o Er r .r f't ?'r .t 1J ? l'r Luo { a l n flu u r n r ?a y a l g fr .r vir
1rfin?rJ rLurJafrvrfir?uruilarfl ?rnrilua ^oo
rv\?r yfl r?a ; rfr pr
!Acolcified tissue vtu?nuila''tfl?ln nvilalflnrerleios co** 00n
q-l d r t r <J 61 w o/a6r e)t I
tJ't a't fl n'r da La o ? { { EJ a il fl zu a1# nr rua :r ffi '[ un r e il o r ffu n r a ir fi :-r9
d d A { r 4 J<1lAWn LA0?{UnUAnA{ tLnA'tnn't?finHrntafrttlo.tFtno{?lnarlwfiufrqnrfrrs cH seoter url?gurfisurYr Grossmon's seoter
9
(7:OE seoler) vtrl'jriilrirtffu drunrafinLauralilarrLernrilu
vtrulfr1 ulytrvL?a.l l-6 ufiou ro,tna':rfilfi Grossmon's seoler9
rurih-ivtrLLaslunej:rfieprfrrs cH seorer (pitt-Ford & Rowe199)
JOE l9B9) uonqrnfl Fitho rravFtilv (Fitho et ot, tnt Endo J
I 989) i q'Eilufiua ril fi { n r ? ul fi rL u uul a { I 0.r uda rfi o fi rl a r s r', n,d,I
q n naa.lnnfiufrrsfia uaofrftaortfrnr vrr:r'irnrsufrtnrafr n nlLr9
tJaflfl{nr?u'rrLuiluurar 9 udau neirfio niltu cH seorer fl
minerotized tissue a5'xdu b Ai u.n ,'oA eiru zoEseorer<{ ,'
w I I I I
vlltfrst t fiqrnriluri'tvrtnfidnrEr r sfi riurr^oufla cH seoter
tLnn frtl# Co** LLav oH frqvufrnrnraa5rt minerotized tissue
A,Ar ArAG.r irilu:rrilpru?lrruilalEJ?,.rnrfrnrfllu bocterio-tight seot frncirr
Yvr
lrfi'tvtrnfihi'Lfrr,r:rrsnrr:r'ir zoE seoter lflu seoter filil
<{ o 6e a Ola ^
|
L?1lJl va ilfrq vur il'rfl F.r F..ra o tarn flu nr elfi'turl?:-rrrufivrro L?lLIl;c
h-irfruoon'Lrluanernfiurrllfftlnrerir q'n uL nfi r?s nao naunr?q Fl
naotrnfiufrrsrYnnrr:-lafrr 1tXfl hermeric seot'lfrtrnfiq^
fr hi ur q v fl r.r ahX nr r u eir l6q I o .r n r ef,n :Er ri r rhl q r n n m1fi da ln a 5
A!IJUnAU rl
I
'lunarflfi rfrn opicol tronsportotion uriu "zip" ulfrrr,rTt'jr
!te)qvfl colcified tissue lrilpru?L'luopicol foromen ?tptoulll.t9./Yvt-r\r,' I
nirt*uarqqv'lilrilu'Lr]nrilfinrnruTr rt,\?'ryrflolfr n zip ufrr
a v4r-u rfr a opicol constriction'[r-] et'l#uTonrafi q yauilturYn nrLlu,---
rr-loftrtuavfiaraof 1tX1frfiLLayrfr:r1ufrnuily 3-D obturorionlcYa\l
a v Ft o ult r I s r n t pr a Lettvl v fr r zip fi ufr er ni o ufr x'[vr qi ?? il rYl fi I a I
tuaru6o rfia erfi:r rfir:rr nretu? rrurl a'rrJ?1n il1fl ,i.f * rfr prnrefr pr
rioavvrirtnrn'[u Lta vnr flu0n?rfl riufionrefr r.r lflofivra r lr,ra^oa si9J
nrs'lunao{?lnolaavoon"Lr-h rflorfiaeor 1 arn'lfr er'{tiuqyhJ9l
tfrnnrevrrsfifl cotcified tissue rfrerfilla1fl?'tn nrevir'[#rfre.r
6r .*! 6 <opicol seot 1vr:Jlertlnl?flEntlFraotarn"lunarf,fr zip lfrn 1 r,r6a
1fi MTA arl'[unerilfi zip nioufrrrnlrrudovirtrXrfrn opicotI r=t .dt ,t
stop urq y lfllunrr ufi onfi n^n'jr
o -J!'Lun anlfr rl a r s ?r n lil nnio a 1 fr r fr o r n'r ?n ? y 4
ulrZrl a r s ar nil nr
urqv1fi cH poste tJlnn'jrqvuTrilaqrnfiaraafrv\?ly co**
LLa; oH fiuunrnn're1n poste fl:rrnn'jr virl#rfrn cotcified
borrier lfrfi LLa; 16rn'ir nnnrlEr.nunrefin:gr?n.r nfrfrn *a ylirL
iartlJ I n u r s fr a ril a r4u'j' r n r e'[fi CH poste lrX zu a e{r r6q I a r n r riln :qr.Jt.J w r at ot
I
frF firrJarn?lnrilnriaa 1 lanrafi i^qqF.rnan.r?rnaylfruoon
hJuan?rn uiluhJlfrirrr LLa; lfllu foreign body fir rilu:Jqd'Ermil
ar<' !o69./vl<lffur,ril,rfrvir1rX1:-irfr Frnr?ilrs nrrufi nr nvrT.r (woymonetot JoE
1 992) A't #ufr r il a r s er n rtl erh-i r r n ura v q r ril u fr o { 0 pr pr a o .r er n fiu!yto- o | 4J 9./ 9)
9
vl Ln?Ln']??l1FllllJayalFtotll.tptu6r 0la0nnrrrL sectionol worm
d' c/<J vgutto-percho technique fir{rfrsulfr1fi1unl?aprfiu Dens in! r o, a,
I
d e nte fr rl a r s er n ffr lil er o ri rfi oil er ei r url a r n ?r n ri o u lil un r efll o .r9.1
rYurYnnrnlaitrfiq nilurid thermo-plosticized worm gutto9
percho technique'[urir iluna]Jl rfr u0onlrjuon?1n
@ r5uTaars : ifi t orluri 2 2s4s
(Vojrobhoyo JoE l9B9) vr6a1fi MTA qnrfirJaraarnriourufrr
4rq .i o n a ? ur ufl o { n a o r ar n fi uiltl rTn n r uil o ftr ri ahj
I
?Ft,nwru, avnannfln ffimsftt
frlj,:g,erq I I fl firffurn#ruuiln1,fl?rflrtlnr *nvru#.rlJ9
lilnilEiail'l:]fi'errfiarffu 6'rrTu "lfluarfir"'lfrrnn
nw{a,fr"t?'tfr? qun?m|J?n tt::i::t:tltl::
::::i::!rti:;:l
::I:::tii:::j::; ::::::::,i:::l:::::l::::::::l:::: ::::l:::::i:::l l::::
ii:i::::::::ri::::i::::r:::::ii:::i:::: :::: :::j;i:::r :::: i
@rSulaars: iiri z au:uri 2zs4s
,l
UOA)1U,D'ln)TSEl"lS
The Effect of Preflaring on the Rates of Separation forO.O4 Taper Nickel Titanium Rotary Instruments.David D. Roland, Wallis E. Andelin, David F. Browning, G-Hong Roloert Hsu, and Mahmoud Torabinejad
J Endod eoo4 FrEll]/l. E4S-E4E,l ,,. bz+*r_!rzlb4Vara-rnilrrl r- Firmdrr Tlrr:ptrra.vtiltru, frl.nfrg tluutlr*-a
nrnTa t:ilunnttilar4dnr*rravfil+rtnttrurJt=fir*gf nru;rdr,.rmur,rvtsnraord alrnrTusr#sn€un€urnrtlrrer
nre'[fi rnr6o rfl ofl Eir fl naa {?'rnrffutfr prTanrBfr rfr a'[m um lfis:.r
(rotory nickel titonium instruments) virlrfrnr?TEt'tEJFtao{?1n
rffuflrjavfrvr6n.^ ulndu ur ni ufio {arn un6o tflaflar Fn LLv\.r virlrX
fl nrrrilqr rilufi qvilatlfi#r Hrnn'irvrfir ^fo
fisvirhfrrn6orflafl
Tonrari'n frrt'[unno.i?rnrilu1fr ru:i'ir lrr6arflrfiu yfi nrrrl-tfi err,rsiu9
'! <(elosticity) q{ urri ifl ofl nrrr:rfrrloltailyelnnre'[fr]']ua y lfr nrnl?
vr'ntershifl nrafr Ftf,il (deformiry) ra{ lnr6otfl a rfllufrryzururfiouI v vl Aq./ I vlcuot ! 4 Ia?{ilul LL]J?l1t?t4ilnr{ I Lnl/\plJulLFt?0.uJoualfl?;1jt_t00n4
9l
v t4 Y v t<Je/ |
?10.t nal Fr LLn Ln0L?r.r?1rJ erq vlilflfra:ra ufi rr rY:rar s nre'[fi{lulo.iqlI! 4 d " y ! o"t
LFr?o.rro ?1?aarulunratfra'ril1?nlfrdr1fr qufi {rJqqfiufrffilil9
fi fr o a ail vr r .t n fr fr n fi q ; dr fl n'Fr fr u'[q'j r q ;'[fi .r r ufi r.r ft6 r q y L] a o pr ffg9
4 {< <Jq-/ |
n r a d n :Er f, 6 t l= Tn q rl a v d { ni r fi a r il? s :-r r fi s r ffnr ? 1 n r a ri'n n o .r
tanr?frifra"Lvrrn rfls:rtvrl6fifl n?'uJ r6sr (roper) 0.04 ayu'ir.r<v o<! o
n I ? I g,,t Et Fl ? EJ ? fi ?1 LrU v Ur T pr s u?:ivr fr zu fr n LL a v n I ? I Et r s fr r si6
' .rffunra1filv{6n'onri,.,,Possive step-bock ?'lt
\ r6on Lilvnynao{?lnrilu
fr r u'[ n fr n a r .i fl 0 I fiun a rlt'[r,r ni ei x LLa y fr r ul n fr uu ri r r o r fiun ?l Lr
o I 4 <J 6w -{ \, ,, I"tui:-ru frrfl Fr?rrulfr'r 20-30 0{ flr 1enr6f, rfra'ln un lfis:r1v"16fi
1fi ;. proFite Series 29 n'r'rrJGerr 0,04 flu'rprruaf 2fir 6fi0
iludur.irflunnaxfirlalflrvirriu 0,129, 0,167 , 0,216, 0,279 LLav1l
0,360 f,afrLilFr? nr:reirfi':-r qiruru 20 1In rril.lrtp'rn?arflauilu99
I
2 nciryrF.rao{ (A LLay B) 1fir4virnl?flEl'rtrnd:ray 2 nu flEj.rtr9
FIUAY 51lPt9
tun{ru A u?HltlrtrnaomrnfiufrrsrusuAl?rld (hond fites)9
series 29 n?lln6sr o.o2 luof r (0, r o) qu1?rl6r:loi 3 arfr.l
Fr')'t:Jri't?vir nu ufrr6r1fi1enr61vrl6 rfllsTnsid crown-down
FnrJrir uu;urrow?rivrfrzufr nqufirrrai 4 fi nrrr:rsrrvir{1u9J
rlnAu B lbuqlfllttnao.i?lnrffueirufru1#n{rr (preftoring) riouI
lers1fiuaud1vrl6 series 29 frrsiG possive step-bock qu
Jdn?v?1.t Lila? 2 alrJ.l?n1c{1frodr{?1alrJqufir nrlrJsrrvir {ru a.ln
fiuonrsilalfl?lnfrrsTanr?1v'l61ersi6 step-bock qufi tu-Loi 4
! 6 6Q/ .= t , I
n Frtllgrrvir {ru lfinrrr r5r 3oo ?0l riaurfi r,reiofrufrrs
RC-Prep frrr Frao.i?'rnrilufrrfl fi r?a varaltlfi r:r"LaTrl nao"Lad rfrrg,/g./l4dAt<Jl
nuaofla v s,2s n?1aaflL'ililnl?n pre:-har rnfirLr un'?orflovrio9l
tritnEr anrs1frnfro{qailaaririfi1fi1unfrfrnrfi'unn??rr 1vrl6q ynn1J9-91
tfi tr ulu Fr a 0 rer n fiuaun ? v vr'tri'n rrr6o a un'i r q y n ?r 20 n #rhilqa,'
? la v Ln n nr afr nr eilr o r l nr6o.r fl ovrBahi fr n r :rql
zuan1?vtnaa{ v,ru'ir'[uncil A fl1vrl6r,r'n t9 tu airuneit B99! a-)
fl1vtl6ri'n 3 Au ufiovrrtaoLfrrs Monn-whitney u test ?l?ynr:t
riae{r ffry o,ob vlt-ri'r nqlr B flnrari'nriosn'irneir A arirtfi9q
rilc{r frr.,l (p< o,ooo t )
a I n zu a n r e fi n u1 rLfi n .r1rZ uri u'i r n l ?fl rL r n d r u fr ut o .r n a o { ?r n
rffu1#n{rtriaunial{Tenr6frrfra'lvr rm rflsr1v{6 fifl nrrlr r6ar 0,04
o q9/A aJ V rdU I V ^O!?1 r Lil Ln Ft n't ?rrr'n t a t'lvrl 6ria fl n ? r n l ?T En El F] 1 El't fi ?t uru y ur t er g G:ivr
frnfr n'luneit A uu:i'ir1fr1fi*auA"Lvrl6ln']naufirr:rof 3 rioufi9l 9
l,la v L?trnEirn frrsTeerG frrurq yvirlrfrar:rran'lailanr6lild lfrirs
fi u a nrTo n r a n r efi pr fr pr rTr zu rir n a o .r ar n fiuu?o n r avr'nt fr ru ni n a :r
vtru'irfl 1v{6ruof 2 qruru 2 frufiosituneir A ri'nn'.rurinfi1lI
!o. v -v
ruanfr"l{Tfl lfl naotarnflu uonqrnfi fftvrrunrefr nraillorlvrl6vr'.19l
2 ndu fire{ru'lvrqu r rfr nrfiulu^io Lr?n I filfitru urrifrff.r
aril'r?nlfi rialfrTern"L:-ivr'naun?r 20 ^;o
nra'[fr rL?.rn er ufi fl { L]rr
flo ufllufrod ^ru
FrrErln '[uanrunrarrifi fiunuvlvr$?r uds rflofi L.:arI
q r rYFt LLa v I r Fr a I rG ni o n r r H 5fi n frir rTa l o rlv'l A1u n a o { ?''r n fiuq y9l
i !eu.i Lv\:l Lonra rfr erlvrldrrr'n Tns Lilv\l ndmEtIEl naorerniilueirutnfr
r-l ar n?r n frr slv,l 6r ur pr rfr n
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a't n n I ? d n :gr fi a erjl fr 'i l n 1 ?fl EJ'r fl Fr a 0 { m n flud r u fr u1rfr n lx9
riaunra'lfiTaen?fl rfr a'[vr rn ufirLr1v,'l6 fl nr1ilq'] rilurianl?a Fr
1o n r a,d u o o, t n r afi'n fr r r r a rlv'l 61u n a a rer n fiu u ri o si r.r1afr n 1 :J
Ft ? ? ]J n'l ? fi n Hl 11 I { Ft A Un Ly\ O Et U fJ U tJ A n I ? FI n H1 n f t U
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@ rsulaars : riri z orruri z 2s4s
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The Encloclontic Society of Thailand
lua ria sa ur 8 n u us u rdulaoo ufr ndurio Us: rna1n u
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3, nl? F{ntg"t
- rlrvnr rifrfl:inrr
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O arrfrnnnon'fivtr ar:Try/4il11:l 2000 lr?1
ar:Irp/arJrlr 2oo rr?1
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Surgical Products f rom Carl Zeiss
MicFoscopy Endodonticstn
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Carl Zeiss Co.,Ltd.
Tel. 0-2274-0643-5Fax A-2274-0727E-mail : [email protected]
