فهرست:
عنوان...................................................................................................................................................................... i
چکیده فارسی ................................................................................................................................ ii
فصل اول: مروری بر متون و مقالات
1-1-مقدمه.................................................................................................................................................................... 1
اقدامات اولیه در دندانهای دچار اوالژن در محل حادثه..................................................................................... 4
گایدلاین درمانی برای دندانهای Avulsed با آپکس باز (Apex≥1mm)................................................ 5
اقدامات پس از درمان................................................................................................................................................... 7
1-2- مروری بر مقالات.................................................................................................................................................. 25
1-3-بیان مسئله........................................................................................................................................................... 30
1-4- اهداف و فرضیات................................................................................................................................................ 31
فصل دوم: روش کار و مواد
روش کار و مواد................................................................................................................................................................. 34
حجم نمونه......................................................................................................................................................................... 34
معیارهای ورود به مطالعه............................................................................................................................................... 35
پروتکل بیهوشی................................................................................................................................................................. 39
گروه بندی نمونه ها......................................................................................................................................................... 41
وایتال پرفیوژن................................................................................................................................................................... 48
مراحل آماده سازی نمونه ها.......................................................................................................................................... 51
مدفون سازی در پارافین................................................................................................................................................. 52
بررسی رادیولوژیک........................................................................................................................................................... 57
ارزیابی آماری..................................................................................................................................................................... 58
فصل سوم: یافتهها
یافتهها............................................................................................................................................................................. 58
3-1- نتایج حاصل از ری پلنت فوری در دندان های Avulsed شده........................................................ 59
3-2- نتایج حاصل از ری پلنت دندان ها پس از نگهداری در آب به مدت 30 دقیقه.............................. 66
3-3- نتایج حاصل از ری پلنت دندان هاپس از نگهداری در بزاق به مدت 30 دقیقه............................. 74
3-4- نتایج حاصل از ری پلنت دندان هاپس از نگهداری در محیط خشک به مدت 45 دقیقه............ 80
3-5- سایر یافته های هیستولوژیک........................................................................................................................ 88
فصل چهارم: بحث
بحث..................................................................................................................................................93
4-1- تاثیر کاربرد لیزر بر میزان آنژیوژنز و تعداد عروق خونی به دنبال ری پلنت در دندان های Avulsed شده........................................................................................................................................................94
4-2- تاثیر کاربرد لیزر بر نوع و شدت آماس به دنبال ری پلنت در دندان های avulsed شده........95
4-3- تاثیر کاربرد لیزر بر پارامترهای ترمیم بافتی شامل وجود بافت جوانه ای، ادم، پیوستگی ادنتو بلاستها، نکروز، فیبروز و اسکار..............................................................................................................................97
4-4- تاثیر کاربرد لیزر برمیزان تولید کلاژن توسط فیبروبلاست ها............................................................99
4-5- تاثیر کاربرد لیزر بر موفقیت رادیوگرافیک ری پلنت دندان های Avulsed شده......................99
فصل پنجم: نتیجه گیری پیشنهادات
نتیجه گیری....................................................................................................................................103
پیشنهادات.........................................................................................................................................104
منابع................................................................................................................................................106
Abstract........................
منبع:
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