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1、PerFect TCSTissue Contouring System組織修形高頻電刀系統(tǒng)組織修形高頻電刀系統(tǒng)專門為口腔臨床操作設計的專門為口腔臨床操作設計的8種不同形態(tài)種不同形態(tài)、角度的電刀手柄,包括:球形凝血電刀、角度的電刀手柄,包括:球形凝血電刀、45直線型、直線型、 45錐型、直柄圓圈型錐型、直柄圓圈型、 45長圈型、直柄長圈型、長圈型、直柄長圈型、 45鉆石鉆石型、型、90 AP 1 1/ 2電刀手柄,均可整支電刀手柄,均可整支135高壓蒸汽滅菌,或化學藥劑冷浸滅高壓蒸汽滅菌,或化學藥劑冷浸滅菌。菌。凝血(止血)凝血(止血)加寬牙齦溝加寬牙齦溝牙冠延長術牙冠延長術暴露齦下齲暴露齦下齲
2、增生牙齦切除增生牙齦切除埋伏齒暴露埋伏齒暴露牙齦美學修形牙齦美學修形牙冠延長術牙冠延長術膿腫切開膿腫切開系帶手術系帶手術翻瓣術翻瓣術活檢活檢選擇切割凝血輸出強度的原則是選擇切割凝血輸出強度的原則是“最低有效最低有效”。同一部位反復操作,需間隔至少同一部位反復操作,需間隔至少1015秒,以使熱秒,以使熱量散發(fā)。量散發(fā)。切齦時應切齦時應“分段切割分段切割”、“層層切削層層切削”。不要用電刀切割骨骼和牙齒。不要用電刀切割骨骼和牙齒。避免電刀觸碰麻醉范圍以外的金屬修復體。避免電刀觸碰麻醉范圍以外的金屬修復體。各凝血凝血對于牙體預備或者排齦造成的齦溝對于牙體預備或者排齦造成的齦溝滲血,用直線型電刀只需滲
3、血,用直線型電刀只需12次點次點觸,即可瞬間止血。觸,即可瞬間止血。凝血凝血也可使用球線型電刀。也可使用球線型電刀。暴露齦下齲暴露齦下齲不流血的切齦工作,提供了清晰的不流血的切齦工作,提供了清晰的工作區(qū)域。工作區(qū)域。暴露齦下齲暴露齦下齲可即刻進行充填工作??杉纯踢M行充填工作。牙齦的美學修形牙齦的美學修形在不流血或很少流血的情況下,達在不流血或很少流血的情況下,達到精確、美觀的效果。到精確、美觀的效果。牙齦的美學修形牙齦的美學修形易如反掌易如反掌OptionsDo nothing Inability to view whole lesion, unpredictable restorative
4、resultScalpel & gingival curettage Cannot shave tissue in fine layers Produces bleeding , prolonged patient waiting or re-appointmentResultRestoration cannot be completed immediatelyLower productivity, less incomeOptionsScalpel Produces bleeding , prolonged patient waiting or re-appointmentResul
5、tRestoration cannot be completed immediatelyLower productivity, less incomeOptionsScalpel Difficult to contour tissue exactly Produces bleeding , prolonged patient waiting or re-appointmentResultTreatment cannot be be completed immediatelyLower productivity, less incomeOptionsRetraction cord (w/o ha
6、emostatic agent) Time consuming to pack cord Can cause bleeding, prolonged patient waiting or re-appointmentResultTreatment cannot be be completed immediatelyLower productivity, less incomeCost Comparison Analysis Time Time Cost Material Cost Total Cost Hemo. agent 10 min. $23.67 $0.33 $24.00 PerFec
7、t TCS 1 min. $2.37 $0 $2.37 Saving 9 min. $21.00 $0.33 $21.33 Retail price $995.00Savings per use $21.33 PerFect TCS is paid back in 47 days if used only once per dayAll dentists need to:Control bleedingGain access to tissue occluded cariesEsthetically contour gingivaCreate gingival troughsExpose im
8、pacted teethQ:What is the difference between Electrosurgery and Radiosurgery ?A: None, some say that Electrosurgery has an operating frequency below 2MHz. Radiosurgery units have a higher frequency, typically 3 -4 MHz.Q: Is electrosurgery the same as cautery?A: No, Cautery uses a hot electrode to bu
9、rn tissue. An electrosurgery electrode is cold and uses radio frequency energy to cut by separating tissue cells. Q: What is the difference between Laser and Electrosurgery ?A: Practically Speaking - Cost !For all procedures mentioned a laser could be used, but the cost difference is astronomical. T
10、his question reflects fear that bone necrosis and bone sloughing may follow the use of electrosurgery.Can injury occur?It can, and sometimes it does. Fortunately, it is uncommon. To get such unfavorable sequelae, one must grossly misuse electrosurgery.Cardinal rule: Avoid overuse of electrosurgery Q
11、uestions & answersFear of injury to the pulp is bugaboo that deters many dentists from using electrosurgery. In practice, it is almost impossible to employ electrosurgery in its broad range of uses without occasional contact with amalgam fillings, gold inlays, crowns or other metal devices. Such
12、 contacts, even under anesthesia, often produce pain, since the high frequency energy is transmitted through the metal restauration to the sensitive dentin. The operator will have to decrease the power to a minimum. A few reassuring words to the patient will be of great help.Finally, pulp death does
13、 not occur because of electrosurgeryQuestions & answersThe patient as well as the dentist, has an emotional reaction to the instrument. This reaction is proportional to the patients response to dentistry in general; at best, an experience to be tolerated; at least, an almost unendourable necessi
14、ty. Regardsless of attitude, a patient who trusts his dentist to use an air-rotor (with ist shrill whine, high speed, and occasional whiff of scorched tooth) will not demur at the use of electrosurgery.Questions & answersYes, the smoke and odor of electrosurgery are acrid and unmistakable, but t
15、olerable by patient and doctor if they are prepared for. The best way to treat this problem is with a high speed evacuation (suction) equipment that preferably carries the odor outside of the treatment room. Even an efficient saliva ejector may be helpful, through to a much lesser degree. A drop of
16、a volatile oil, such as spearmint, wiped on the electrode holder, suction tip, or saliva ejector may help. Aromatic aerosol sprays and air fresheners effectively mask the odor in the treatment room after electrosurgery.Questions&answersNo, Acrylic is nonconductive and the electrode remains cold
17、during use. Questions&answersThe patient might bleed to deathWill he? No, he will notI am playing with forces of lightning. I can electrocute my patientThe so-called forces of lightning usually operate at between 5 to 15 watt and with low current (miliamperes) about enough to power a small light
18、 bulb. Electrocution cant happenThe odor of frying flesh will make me and my patient feel faint, or throw upIt wontQuestions&answersIf I touch something metallic, sparks will fly and Ill set fire to the patient and the officeYou wontIam only a dentist. What am I doing passing electric current through a patients bodyYou are indeed a Dentist! You have the right and th
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