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Low-temperature plasma gasification melting technology in cutting the treatment of epulis

Ages 7 to 55 years. Of which 20 cases of anterior teeth, posterior area in 12 cases, tumor diameter, 5 ~ 30ITIITI. I loose teeth in 5 cases, X ray showed alveolar bone loss I. . 2. 1 week before surgery during the operation routine full-mouth subgingival scaling,[link widoczny dla zalogowanych], gargle mouthwash compound metronidazole. Arthrocare Corporation by the United States ENTec-Cobaltor plasma surgery system, the choice of Plasma ~. atpetTM, Evac70 Plasma sword before surgery were immersed in normal saline, to ensure the ablation plasma can be formed when the thin layer of tissue. Surgery under local anesthesia. First choice PlasmaScalpelXM ~ _ cutting plasma cutter, in the normal tissue around the tumor 2lTlrn be cut directly on the bone surface, the wall along the bone to remove the tumor. And select Evac70TM ablation by the plasma-type knife,[link widoczny dla zalogowanych], the wound for precise ablation of soft tissue residues. For cases involving more than two teeth, using ReFlex45 Plasma knife into the gingival space for further ablation. For those exposed root under direct vision subgingival scaling and root planing. Surgical wound irrigation with saline after the Cypriot government agents using VocoPas periodontal wound covered and protected. 7d removal of periodontal treatment after Serbian agent. Results 7d plug removal periodontal treatment agents, wound granulation tissue growth, regeneration 2 weeks after the attachment of gingival wound well. After 6 months, review the X ray dental film, and preoperative contrast X ray dental film, no further absorption of alveolar bone. 32 patients were followed up for 2 years and 5 were followed up 1 to 2 years in 13 cases, 14 cases were followed up for 1 year and no recurrence in 1 case, no increase in tooth mobility. Discuss the treatment of epulis retained teeth and how best to prevent tumor recurrence. Yao Shi-hong by tooth replantation [, Chen Peng tumor resection with local injection with Pingyangmycin 2l, Li Zhenxian use of local injection of 5-Fu [, also using electrocautery l, frozen 【,[link widoczny dla zalogowanych], microwave, l, Nd-YAG laser [], etc. for the treatment of epulis. Statistical information on the 8 groups of 272 patients gingival tumor recurrence after conservative treatment in 17 cases, accounting for 6.2t%. In order to reduce recurrence, the majority of scholars on the involvement of alveolar bone, periodontal ligament thermal coagulation, scraping and removal of dental calculus and other supportive measures. Thus, in the course of treatment, the need for a targeted way to remove loose teeth and root planing dental calculus. Controlled ablation plasma technology is the use of bipolar radio frequency energy generated by the radio frequency electrode and the electrolyte between the organizations is called the plasma ions into the steam layer. Charged particles in plasma cells in the target tissue of the gradual disintegration of the molecular units. Because of this effect limited to the target tissue surface, and is achieved at a relatively low temperature, so thermal damage to surrounding tissue is minimized. Low-temperature plasma gasification melting cutting treatment of epulis has the advantage of easy operation, bleeding and reliable,[link widoczny dla zalogowanych], less bleeding, operative field is clear, to ensure that the treatment of thoroughness, and the use of ablation by the plasma cutter on the wound residual soft tissue precisely ablation, to prevent recurrence. Plasma sword low temperature, limited scope, the surrounding tissue injury,[link widoczny dla zalogowanych], postoperative wound healing. Plasma sword ReFlex45 smaller, the gap may be inserted adjacent further processing. However, follow-up time of patients in this group were less than 3 years, long-term effect remains to be further observed. [
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