{"id":7,"date":"2024-04-03T23:13:49","date_gmt":"2024-04-03T20:13:49","guid":{"rendered":"https:\/\/sisu.ut.ee\/juureravi4\/5-ohutustehnika-nikkeltitaanist-juureraviinstrumentide-kasutamisel\/"},"modified":"2024-04-09T09:59:41","modified_gmt":"2024-04-09T06:59:41","slug":"5-ohutustehnika-nikkeltitaanist-juureraviinstrumentide-kasutamisel","status":"publish","type":"page","link":"https:\/\/sisu.ut.ee\/juureravi4\/5-ohutustehnika-nikkeltitaanist-juureraviinstrumentide-kasutamisel\/","title":{"rendered":"4. Ohutustehnika nikkeltitaanist juureraviinstrumentide kasutamisel"},"content":{"rendered":"<p><strong>Reeglid <\/strong>NiTi roteeruvate instrumentidega ohutuks t\u00f6\u00f6tamiseks:<\/p>\n<p><span style=\"line-height: 1.6em;\">1. Enne nikkeltitaanist instrumendi kasutamist peab olema juurekanal l\u00e4bitav ehk <\/span><strong style=\"line-height: 1.6em;\">peab olema tehtud l\u00e4bistav tee minimaalselt viilini # 15.02<\/strong><span style=\"line-height: 1.6em;\">, soovitatavalt #\u00a020.02.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">2. Madalaim tootja poolt soovitatud t\u00f6\u00f6tamiskiirus on turvalisim.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">3. Kasuta lubrikanti, et v\u00e4hendada instrumendi h\u00f5\u00f5rdumist dentiiniseina vastu.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">4. Juurdep\u00e4\u00e4sud juurekanalitesse peavad olema <\/span><strong style=\"line-height: 1.6em;\">v\u00f5imalikult sirged<\/strong><span style=\"line-height: 1.6em;\">, et v\u00e4hendada instrumendi sisepingeid sellega t\u00f6\u00f6tamisel. Selleks on olemas erinevatel instrumendis\u00fcsteemidel suudmeosa kujundajad.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">5.<\/span><strong style=\"line-height: 1.6em;\"> Arsti k\u00e4si peab olema toetatud naaberhammastele<\/strong><span style=\"line-height: 1.6em;\">, et kompenseerida patsiendi liigutamist, suurendada kontrolli viili \u00fcle ja v\u00e4ltida sissekruvivat efekti. See aitab v\u00e4ltida instrumendi murde.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">6. Vajalik on <\/span><strong style=\"line-height: 1.6em;\">hoida kanalites NaOCl lahust instrumentatsiooni ajal<\/strong><span style=\"line-height: 1.6em;\">, kuna lahus k\u00e4itub lubrikandina ning h\u00f5lbustab instrumendi t\u00f6\u00f6d.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">7. Soovitatav on kasutada <\/span><strong style=\"line-height: 1.6em;\"><em>crown-down<\/em> instrumenteerimistehnikat<\/strong><span style=\"line-height: 1.6em;\">, et v\u00e4hendada instrumendi t\u00f6\u00f6tavat kontaktala dentiiniseinaga ning v\u00e4hendada viili l\u00f5ikavat t\u00f6\u00f6aega.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">8.<\/span><strong style=\"line-height: 1.6em;\"> Apikaalsele suruda ning kiirustada ei tohi<\/strong><span style=\"line-height: 1.6em;\">. Soovitatav on kasutada instrumenteerimisel kerget nn. nokkivat liigutust.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" width=\"607\" height=\"391\" class=\"alignnone wp-image-19 aligncenter\" style=\"margin-left: auto; margin-right: auto;\" title=\"4-1.png\" src=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/42\/4-1.png\" alt=\"4-1.png\" srcset=\"https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/42\/4-1.png 607w, https:\/\/sisu.ut.ee\/wp-content\/uploads\/sites\/42\/4-1-300x193.png 300w\" sizes=\"auto, (max-width: 607px) 100vw, 607px\"><\/p>\n<p><em>Pildil on hammas 36, millel on alustatud juureravi \u00fcmberravi roteeruvate nikkeltitaanist instrumentidega seoses periapikaalse radolutsentse koldega mesiaalse juure all. T\u00f5en\u00e4oliselt on \u00fcmberravi k\u00e4igus surutud roteeruvat instrumenti juurekanalis pidevalt s\u00fcgavamale. Tulemuseks on mesiobukaalse juure perforatsioon mesiaalsele \u00a0juure keskmise ja apikaalse kolmandiku piiril. Oluline on t\u00e4hele panna erinevust sirge instrumendi ja juurekanali kurvatuuri vahel.<\/em><\/p>\n<p><span style=\"line-height: 1.6em;\">9. Viili on vajalik hoida <\/span><strong style=\"line-height: 1.6em;\">pidevas liikumises<\/strong><span style=\"line-height: 1.6em;\">, et ei tekiks ohtu paindemurru tekkeks.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">10. T\u00f5mba viil tagasi kohe, kui on saavutatud sobiv pikkus.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">11.\u00a0<\/span><span style=\"line-height: 1.6em;\">Peale igat viili kasutamist on vajalik <\/span><strong style=\"line-height: 1.6em;\">viili puhastada ja kontrollida<\/strong><span style=\"line-height: 1.6em;\">. Viil visata minema p\u00e4rast v\u00e4ga k\u00f5verate juurekanalite instrumenteerimist.<\/span><\/p>\n<p><span style=\"line-height: 1.6em;\">12.\u00a0<\/span><span style=\"line-height: 1.6em;\">Peale igat viili kasutamist <\/span><strong style=\"line-height: 1.6em;\">loputa, kontrolli rekapitulatsiooniviiliga ja loputa uuesti.<\/strong><\/p>\n<p><span style=\"line-height: 1.6em;\">13. Enne uute instrumentide kasutamist on vajalik hoolikas instruktsioonide lugemine ja praktiseerimine plokil.<\/span><\/p>\n<p style=\"text-align: center;\"><\/p><div class=\"ratio ratio-16x9 mb-3\"><div class=\"video-placeholder-wrapper video-placeholder-wrapper--16x9\">\n\t\t\t    <div class=\"video-placeholder d-flex justify-content-center align-items-center\">\n\t\t\t        <div class=\"overlay text-white p-2 w-100 text-center d-block justify-content-center align-items-center\">\n\t\t\t            <div>Kolmandate osapoolte sisu n\u00e4gemiseks palun n\u00f5ustu k\u00fcpsistega.<\/div>\n\t\t\t            <button class=\"btn btn-secondary btn-sm mt-1 consent-change\">Muuda n\u00f5usolekut<\/button>\n\t\t\t        <\/div>\n\t\t\t    <\/div>\n\t\t\t<\/div>\n<\/div>\n<p style=\"text-align: center;\"><em><a href=\"http:\/\/www.youtube.com\/watch?v=c_Q1XlD43XI\" target=\"_blank\" rel=\"noopener\">http:\/\/www.youtube.com\/watch?v=c_Q1XlD43XI<\/a><br>\n<span style=\"line-height: 1.6em;\">Video kordab \u00fcle 3 p\u00f5hireeglit, mida tuleks j\u00e4rgida nikkeltitaaninstrumente kasutades. Minutitel 1.09-1.36 tuleks j\u00e4lgida t\u00f6\u00f6liigutuse kirjeldust. Illustreerivalt on n\u00e4idatud juurekanalite preparatsiooni viili retsiprookse liikumisega.<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Reeglid NiTi roteeruvate instrumentidega ohutuks t\u00f6\u00f6tamiseks: 1. Enne nikkeltitaanist instrumendi kasutamist peab olema juurekanal l\u00e4bitav ehk peab olema tehtud l\u00e4bistav tee minimaalselt viilini # 15.02, soovitatavalt #\u00a020.02. 2. Madalaim tootja poolt soovitatud t\u00f6\u00f6tamiskiirus on turvalisim. 3. Kasuta lubrikanti, et v\u00e4hendada &#8230;<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-7","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/pages\/7","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/comments?post=7"}],"version-history":[{"count":2,"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/pages\/7\/revisions"}],"predecessor-version":[{"id":66,"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/pages\/7\/revisions\/66"}],"wp:attachment":[{"href":"https:\/\/sisu.ut.ee\/juureravi4\/wp-json\/wp\/v2\/media?parent=7"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}