Ultrasonic backscatter technique has shown promise as a noninvasive cancellous bone assessment tool. A novel ultrasonic backscatter bone diagnostic(UBBD) instrument and an in vivo application for neonatal bone evaluat...Ultrasonic backscatter technique has shown promise as a noninvasive cancellous bone assessment tool. A novel ultrasonic backscatter bone diagnostic(UBBD) instrument and an in vivo application for neonatal bone evaluation are introduced in this study. The UBBD provides several advantages, including noninvasiveness, nonionizing radiation, portability, and simplicity. In this study, the backscatter signal could be measured within 5 s using the UBBD. Ultrasonic backscatter measurements were performed on 467 neonates(268 males and 199 females) at the left calcaneus. The backscatter signal was measured at a central frequency of 3.5 MHz. The delay(T_1) and duration(T_2) of the backscatter signal of interest(SOI) were varied, and the apparent integrated backscatter(AIB), frequency slope of apparent backscatter(FSAB), zero frequency intercept of apparent backscatter(FIAB), and spectral centroid shift(SCS) were calculated. The results showed that the SOI selection had a direct influence on cancellous bone evaluation. The AIB and FIAB were positively correlated with the gestational age(|R| up to 0.45, P < 0.001) when T_1 was short(< 8 μs), while negative correlations(|R| up to 0.56, P < 0.001) were commonly observed for T_1 > 10 μs. Moderate positive correlations(|R| up to 0.45, P < 0.001) were observed for FSAB and SCS with gestational age when T_1 was long(> 10 μs). The T_2 mainly introduced fluctuations in the observed correlation coefflcients. The moderate correlations observed with UBBD demonstrate the feasibility of using the backscatter signal to evaluate neonatal bone status. This study also proposes an explicit standard for in vivo SOI selection and neonatal cancellous bone assessment.展开更多
Aim of the study was to evaluate if there is a constant and significant reduction in traumaticity when mas- sively traumatic oral surgical procedures such as the removal of third molars are conducted with only ul- tra...Aim of the study was to evaluate if there is a constant and significant reduction in traumaticity when mas- sively traumatic oral surgical procedures such as the removal of third molars are conducted with only ul- trasonic surgical devices (Piezotomes) expressed in a reduction of postsurgical pain and swelling on the patient’s side since such clinical experiences by the authors suggested this. Since oral surgeons criticize a higher time consumption for surgeries with Piezoto- mes also the objective time consumption was evalu- ated and compared to the traditional methods. Mate- rial and Methods: 56 female and male patients were selected that already underwent a removal of an im- pacted third mandibular molar on one side with rota- ry instruments by bone destructive burring with a still persisting comparable third mandibular molar on the contralateral side complaining about recur- rent pain episodes and were already documented for pain and swelling before. The ultrasonic surgical re- moval with the Piezotome was conducted with a buc- cal osteotomy of the compacta lateral to the impacted third molar, preservation of the resected compacta in saline solution, removal of the third molar by single or multiple dentotomy and full anatomical restitution of the surgical site with the preserved buccal com- pacta. The swelling was documented by kephalome- try 24/48/72 hours and 1 week post surgery, the pain index by the total consumption of ibuprofen-400 mg—tablets. Lesions of the mandible nerve were documented. Netto surgery time was taken from the first incision to the last suture of the procedure. Re-sults: 6 patients had to be excluded from evaluation due to incomplete post surgical follow up. A signify-cant (***, p > 0.999) decrease in pain and swelling of 50% was detected both for the parameters swelling and pain with Piezotome-surgery. No lesions of the mandible nerve were detected with Piezotome sur- gery whereas surgery with rotary instruments re- sulted in 16% hypesthesia at least up to one week. Although netto surgery time was approximately 50% longer when done with the Piezotome at the begin-ning the time consumption normalized with the growing experience of the surgeons back to the time schedule when surgery was performed with rotary instruments revealing no significant differences (-, p < 0.73). Conclusions: The results of this retrospective study suggest that Piezotome-surgery is superior in atraumaticity and soft-tissue safety compared to tra- ditional procedures with burs and grants the patients significantly less post surgical pain and swelling. Al- though—as it is with all new surgical tools and pro- tocols—surgery time is longer at the beginning when purely working with ultrasonic surgical devices time consumption reduces to normal values after a learn- ing curve.展开更多
Aim: The objective of this study was to evaluate the effectiveness of manual and ultrasonic instrumentation with varying irrigation protocols on removal of the smear layer from root canal walls. Methods: Forty extract...Aim: The objective of this study was to evaluate the effectiveness of manual and ultrasonic instrumentation with varying irrigation protocols on removal of the smear layer from root canal walls. Methods: Forty extracted single rooted human teeth stored in 0.5% saline were used. Periodontal soft tissues were removed followed by crown separation at the CEJ. All the teeth were randomly divided into two groups. Manually Instrumented Group 1 was irrigated with 5.25% NaOCl and 17% EDTA alternately, same as Ultrasonically Instrumented Group 2. The controls for both groups were irrigated with saline solution. Results: Ultrasonic instrumentation and the combined use of two different solutions (5.25% NaOCl and 17% EDTA) yielded better results on smear removal. Conclusions: Irrigation with 17% EDTA followed by 5.25% NaOCl was successful in complete removal of smear layer on cervical and middle thirds of the root canals. Ultrasonic instrumentation was slightly more successful on the apical one third of the root canals.展开更多
基金supported by the National Natural Science Foundation of China (11174060, 11327405, and 11504057)the Science and Technology Support Program of Shanghai (13441901900)+1 种基金the PhD Programs Foundation of the Ministry of Education of China (20130071110020)the China Postdoctoral Science Foundation (2015M571490)
文摘Ultrasonic backscatter technique has shown promise as a noninvasive cancellous bone assessment tool. A novel ultrasonic backscatter bone diagnostic(UBBD) instrument and an in vivo application for neonatal bone evaluation are introduced in this study. The UBBD provides several advantages, including noninvasiveness, nonionizing radiation, portability, and simplicity. In this study, the backscatter signal could be measured within 5 s using the UBBD. Ultrasonic backscatter measurements were performed on 467 neonates(268 males and 199 females) at the left calcaneus. The backscatter signal was measured at a central frequency of 3.5 MHz. The delay(T_1) and duration(T_2) of the backscatter signal of interest(SOI) were varied, and the apparent integrated backscatter(AIB), frequency slope of apparent backscatter(FSAB), zero frequency intercept of apparent backscatter(FIAB), and spectral centroid shift(SCS) were calculated. The results showed that the SOI selection had a direct influence on cancellous bone evaluation. The AIB and FIAB were positively correlated with the gestational age(|R| up to 0.45, P < 0.001) when T_1 was short(< 8 μs), while negative correlations(|R| up to 0.56, P < 0.001) were commonly observed for T_1 > 10 μs. Moderate positive correlations(|R| up to 0.45, P < 0.001) were observed for FSAB and SCS with gestational age when T_1 was long(> 10 μs). The T_2 mainly introduced fluctuations in the observed correlation coefflcients. The moderate correlations observed with UBBD demonstrate the feasibility of using the backscatter signal to evaluate neonatal bone status. This study also proposes an explicit standard for in vivo SOI selection and neonatal cancellous bone assessment.
文摘Aim of the study was to evaluate if there is a constant and significant reduction in traumaticity when mas- sively traumatic oral surgical procedures such as the removal of third molars are conducted with only ul- trasonic surgical devices (Piezotomes) expressed in a reduction of postsurgical pain and swelling on the patient’s side since such clinical experiences by the authors suggested this. Since oral surgeons criticize a higher time consumption for surgeries with Piezoto- mes also the objective time consumption was evalu- ated and compared to the traditional methods. Mate- rial and Methods: 56 female and male patients were selected that already underwent a removal of an im- pacted third mandibular molar on one side with rota- ry instruments by bone destructive burring with a still persisting comparable third mandibular molar on the contralateral side complaining about recur- rent pain episodes and were already documented for pain and swelling before. The ultrasonic surgical re- moval with the Piezotome was conducted with a buc- cal osteotomy of the compacta lateral to the impacted third molar, preservation of the resected compacta in saline solution, removal of the third molar by single or multiple dentotomy and full anatomical restitution of the surgical site with the preserved buccal com- pacta. The swelling was documented by kephalome- try 24/48/72 hours and 1 week post surgery, the pain index by the total consumption of ibuprofen-400 mg—tablets. Lesions of the mandible nerve were documented. Netto surgery time was taken from the first incision to the last suture of the procedure. Re-sults: 6 patients had to be excluded from evaluation due to incomplete post surgical follow up. A signify-cant (***, p > 0.999) decrease in pain and swelling of 50% was detected both for the parameters swelling and pain with Piezotome-surgery. No lesions of the mandible nerve were detected with Piezotome sur- gery whereas surgery with rotary instruments re- sulted in 16% hypesthesia at least up to one week. Although netto surgery time was approximately 50% longer when done with the Piezotome at the begin-ning the time consumption normalized with the growing experience of the surgeons back to the time schedule when surgery was performed with rotary instruments revealing no significant differences (-, p < 0.73). Conclusions: The results of this retrospective study suggest that Piezotome-surgery is superior in atraumaticity and soft-tissue safety compared to tra- ditional procedures with burs and grants the patients significantly less post surgical pain and swelling. Al- though—as it is with all new surgical tools and pro- tocols—surgery time is longer at the beginning when purely working with ultrasonic surgical devices time consumption reduces to normal values after a learn- ing curve.
文摘Aim: The objective of this study was to evaluate the effectiveness of manual and ultrasonic instrumentation with varying irrigation protocols on removal of the smear layer from root canal walls. Methods: Forty extracted single rooted human teeth stored in 0.5% saline were used. Periodontal soft tissues were removed followed by crown separation at the CEJ. All the teeth were randomly divided into two groups. Manually Instrumented Group 1 was irrigated with 5.25% NaOCl and 17% EDTA alternately, same as Ultrasonically Instrumented Group 2. The controls for both groups were irrigated with saline solution. Results: Ultrasonic instrumentation and the combined use of two different solutions (5.25% NaOCl and 17% EDTA) yielded better results on smear removal. Conclusions: Irrigation with 17% EDTA followed by 5.25% NaOCl was successful in complete removal of smear layer on cervical and middle thirds of the root canals. Ultrasonic instrumentation was slightly more successful on the apical one third of the root canals.
