ABSTRACT Background: Piezosurgery device is a system developed recently to overcome the limitation of the traditional surgical technique in implant site preparation, which use the principle of ultrasonic microvibrations to create precise & selective cut in bone in harmony with the surrounding tissues. The aim of this study was to evaluate the outcomes of implants inserted by ultrasonic implant site preparation protocol (UISP) using piezosurgery device, regarding the survival rate, stability and other related factors, at 16 weeks postoperative follow up period. Materials and Methods: A total of (24) patients, (6) males and (18) females, aged between (19-51) years old, contributed in this study receiving a total of (42) implants, all of these implants bed were prepared by means of special tips mounted in piezosurgery device. For each patient thorough clinical and radiographical preoperative assessment was applied. Implant stability quotient (ISQ) values were measured at baseline, 8 weeks and at 16 weeks. Postoperative clinical and radiographic evaluation was applied for each patient for 16 weeks postoperatively. Results: (24) patients received (42) implants accomplished the follow-up period, After 16 weeks all implants (42) were osseointegrated and the overall implants survival rate was 100% with no failure and no complication was observed. The mean ISQ value at baseline was (74.32±6.42), the mean ISQ value at 8 weeks was (72.62±9.05) and at 16 weeks the mean ISQ (±SD) value was (76.68±7.35) the changes in the mean stability during the healing period showed significant increase in the implant stability (P≤0.05). At the 16th week the number of implants that achieved ISQ≥70 was 35 (83.3%), and 7 implants attained ISQ> 70 (16.7%). Conclusions: high and significant survival rate, significant secondary stability, early positive shifting of the mean ISQ value, no remarkable complications in implants inserted by ultrasonic implant site preparation indicated that piezosurgery is a reliable alternative and safe method used in dental implant osteotomy.
Vorwort:
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... Show MoreObjective : Sciatic nerve block (popliteal approach) and femoral N block is a new technique other than general anesthesia in below knee surgery because it provides adequate muscle relaxation, with good intraoperative and post-operative analgesia. Nefopam is non opioid, non-respiratory depressant and non-sedative was mixed with local anesthetics drug to study the effects. This study was done to compare the onset and duration of sensory and onset time and duration of action of motor block following administration of either bupivacaine alone with administration of bupivacaine and Nefopam in patients undergoing below knee lower limb surgeries under ultrasound guided regional anesthesia.
Methods: 100 patients with American society of anest
Addressed this research the impact of intelligence emotional dimensions of the main(self awareness, and self-management, and social awareness, and relationship management) in the performance excellence the university(performance optimization, and strategic development) this is by middling the styles decision making which are (rational and intuitive, and dependent, and spontaneous, and avoidant), and Go search of an intellectual dilemma raise fundamental questions revolve around the search was to answer those questions through a theoretical framework for search variables first and test models of the relationship and second through the impact six hypotheses President.The objective of the research to make sure the contr
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