正確判斷牙髓活力對(duì)制訂合理的治療計(jì)劃有著十分重要的意義,moorVMS激光多普勒血流儀可對(duì)牙髓血流情況進(jìn)行直接檢測(cè),可大大提高臨床診斷的準(zhǔn)確性。使用激光多普勒血流儀測(cè)量正常牙及不同牙病患牙的牙髓血流量,可以準(zhǔn)確評(píng)估牙髓活力,為提前治療提供準(zhǔn)確的依據(jù)。
所需儀器
·moorVMS激光多普勒監(jiān)測(cè)系統(tǒng)
檢測(cè)方法
·制作橡膠夾板:用硅橡膠印模材料取上前牙的印模。修整印模外表面,然后在印模上相當(dāng)于被測(cè)牙牙冠唇面中線上,距齦緣2~3 mm處鉆孔,直徑稍大于4rnm以容納探頭。
·檢測(cè)牙髓血流量:在安靜的實(shí)驗(yàn)室進(jìn)行。測(cè)量時(shí)受試者端坐于簡(jiǎn)易牙科椅上,術(shù)者將牙面擦干,戴上事先預(yù)制的橡膠夾板,將激光血流探頭插入橡膠夾板上的小孔與牙面接觸。測(cè)量結(jié)果顯示在計(jì)算機(jī)顯示器上。
·對(duì)于齲壞牙患者,治療前測(cè)量血流量。然后去凈腐質(zhì),用Dycal間接蓋髓,氧化鋅一丁香油糊劑皙封。分別在治療后3d 及1、2、4、8周復(fù)診測(cè)量血流量。最后1次測(cè)量結(jié)果若無(wú),則進(jìn)行永久性充填。
·信號(hào)帶寬:由于牙齒血流較低,因此請(qǐng)?jiān)跈z測(cè)前將信號(hào)處理帶寬調(diào)整為 20Hz-3kHz,以得到最高的信噪比,從而取得最準(zhǔn)確的測(cè)量結(jié)果。
所需設(shè)備
moorVMS-LDF
Reference
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