DT Romania and Moldova No. 2, 2020DT Romania and Moldova No. 2, 2020DT Romania and Moldova No. 2, 2020

DT Romania and Moldova No. 2, 2020

News / TempoCem ID — Vizibil doar când trebuie / Clinical Case / Advertoirial / Lifestyle

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DTRO0220_01-12.pdf






DENTALTRIBUNE
The World’s Dental Newspaper · Romanian Edition

PUBLISHED IN BUCHAREST

www.dental-tribune.com

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CLINICAL CASE

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ADVERTORIAL

Dental Tribune Romanian Edition | 2/2020

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)LJî6LWXDĩLDFOLQLFČLQLĩLDOČ

&$'&$0&kQGDXIRVWFRPELQDWH
VFDQHUHOH‫܈‬LIUH]HOHGHODGLIHUL‫܊‬LSUR
GXFăWRULVDRE‫܊‬LQXWRSUHFL]LHPHGL
DQă  GH ȝ SHQWUX VLVWHPHOH GH
ODERUDWRUvQWLPSFHVLVWHPHOHFRP
SOHWHGHFDELQHWDXDYXWRSUHFL]LHGH
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OD R VLQJXUă ¿UPă DX DYXW ȝ
5H]XOWDWHOH FHUFHWăULL GHPRQVWUHD]ă
Fă SUHFL]LD HVWH IRDUWH EXQă LQGLIH
UHQWGHFHVLVWHPVHIRORVH‫܈‬WHFăWHK
QRORJLD&$'&$0HVWH¿DELOă‫܈‬LFă

putem conta pe ea în practica de zi cu
zi.

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PHWRGHDQDORJ‫܈‬LGLJLWDO

Raport de caz

$ERUGDUHDQDORJLFČ

2SDFLHQWăGHGHDQLDYHQLWOD
FOLQLFDQRDVWUăSHQWUXDvPEXQăWă‫܊‬LLHV
WHWLFD]kPEHWXOXL'XSăDQDOL]DVLWXD
‫܊‬LHLLQL‫܊‬LDOH(Fig. 1–4), am recomandat
REWXUD‫܊‬LLSHGLQ‫܊‬LLGHODOD‫܈‬LFR
URDQH FHUDPLFH SH GLQ‫܊‬LL  ‫܈‬L 
3HQWUXDRSWLPL]DUH]XOWDWXO¿QDOVD
GHFLV vPSUHXQă FX SDFLHQWXO FD DFHVW

Am început cu amprentele dentare
OXDWHFXPDWHULDOHREL‫܈‬QXLWH$SRLFX
DMXWRUXODUFXOXLIDFLDOVHHIHFWXHD]ăR
vQUHJLVWUDUH‫܈‬LVHWULPLWHvQODERUDWRUXO
GHQWDUvPSUHXQăFXDPSUHQWHOH7HKQL
FLDQXO D SUHJăWLW DSRL ZD[XSXO ‫܈‬L D
PRQWDWRvQWUXQDUWLFXODWRU vQFHHDFH
SULYH‫܈‬WH RFOX]LD ‫܈‬L PL‫܈‬FăULOH IXQF‫܊‬LR

Tipul sistemului

Scaner și freză
(produs și producător)

Măsurare

Precizie (μ)

Sisteme complete de cabinet

Lava C.O.S. (3M ESPE)

MVS

46,81

E4D (Planmeca)

MVS

85,98

CEREC 3 MC (Dentsply Sirona)

MVS

102,43

Precizie mediană (μ)

78,40
Sisteme aditive CAD/CAM

PM100 Dental (Sisteme Phenix)

MVS

62,60

Scaner EOS 3D + EOSINT M 270 (EOS)

MVS

72,60

sinterizare cu laser (BEGO Medical)

MVS

92,93
76,04

Sisteme de laborator CAD/CAM

Zenotec (Wieland)

MVS

13,78

Decim (Dentronic)

MVS

23,00

NobelProcera (Nobel Biocare)

MVS

30,78

KaVo Everest (KaVo Dental)

MVS

41,50

M5 (Zirkonzahn)

MVS

47,26

DECSY SCAN (Proces digital)

MVS

49,00

CORiTEC 250i (imes-icore)

MVS

53,00

Lava ls (3M ESPE)

MVS

55,68

CEREC inLab (Dentsply Sirona)

MVS

56,10

Gn-l

MVS

66,80

Cercon eye (Dentsply DeguDent)

MVS

66,85

Ceramill Motion 2 (Amann Girrbach)

MVS

71,31

DigiDent (DigiDent Labs)

MVS

75,00

Cynovad Pro 50 (Inovații cibernetice)

MVS

79,50

E4D (Planmeca)

MVS

90,47

iTero (Align Technology)

MVS

93,13

Compartis (Laborator complet de frezat)

MVS

114,70

5

6

60,46
MVS = Spațiu vertical medium

7

Tabelul 1: PrecizLHSHQWUXGLIHULWHVLVWHPH&$'&$0vQIXQFĩLHGHSURGXV

)LJî$QDOL]DIXQFĩLRQDOČDZD[XSXOXL

nale; Fig. 5–7 3ULPDREVHUYD‫܊‬LHLP
SRUWDQWăvQDFHVWFD]DIRVWWUHDSWDVD
JLWDOăSR]LWLYă3HQWUXDRE‫܊‬LQHRRFOX
]LHSHUIHFWăD‫¿܈‬UHFRPDQGDWREWXUD‫܊‬LL
GXEOH EXFDOH ‫܈‬L SDODWDOH  GH OD GLQ‫܊‬LL
 OD  2 DERUGDUH DQDORJLFă SHU
PLWH IDEULFDUHD GH REWXUD‫܊‬LL GXEOH ‫܈‬L
HVWHRSURFHGXUăREL‫܈‬QXLWăGDURDERU
GDUHGLJLWDOăIRORVLQGXQVLVWHPGHFD
ELQHW&$'&$0QXSHUPLWHDFHDVWă
VROX‫܊‬LH VDX R FRPSOLFă HVWH QHFHVDUă
VFDQDUHDGXEOă‫܈‬LHVWHSRVLELOăQXPDL


[5] => DTRO0220_01-12.pdf
CLINICAL CASE

Dental Tribune Romanian Edition | 2/2020

05

Tip scaner

Măsurare

Precizie mediană (μ)

Intra- orală

MVS

81,25

Model

MVS

75,32

Tabelul 3:3UHFL]LDPHGLDQČvQIXQFĩLHGHWLSXOVFDQHUXOXL

8

9

Tip scaner

Măsurare

Precizie mediană (μ)

În cabinet

MVS

78,40

O singură marcă de laborator

MVS

60,46

Laborator compus

MVS

49,85

7DEHOXO3UHFL]LDPHGLDQČvQIXQFĩLHGHWLSXOGHVLVWHP

Tip scaner

Măsurare

Precizia și intervalul median (μ)

În cabinet

MVS

78.32 (39.60–161.40)

O singură marcă de laborator

MVS

60.46 (13.78–114.70)

Laborator compus

MVS

49.85 (19.80–71.80)

Tabelul 5: 3UHFL]LDPHGLDQČɂLLQWHUYDOXOvQIXQFĩLHGHWLSXOGHVLVWHP

10

11

)LJî9HGHUHPLFURVFRSLFČDJUDYČULLDFLGHDVXSUDIHĩHLVPDOĩXOXLSULVPHWČLDWHORQJLWXGLQDOɂLWUDQVYHUVDODÀɂkQGFHOHWUHL
PRGHOHGHJUDYDUHDFLGČ5

Scaner și freză (produs și producător)

Măsurare

Precizie (μ)

TRIOS (3Shape) D900 + RXD5 (Röders)

MVS

19,80

Dental Wings DW-5-140 (Dental Wings) + D40 (Yenamak)

MVS

29,25

Lava C.O.S. (3M ESPE) + Mori Seiki (DMG MORI)

MVS

48,00

TRIOS (3Shape) D900 + DNM500 (SMT)

MVS

51,50

TRIOS (3Shape) D900 + Zanotec (Wieland)

MVS

60,16

iTero (Align Technology) + mașină de frezat E4D (Planmeca)

MVS

68,50

Dental Wings 3D (Dental Wings) + DC 40 (Yenadent)

MVS

71,80

Precizie mediană (μ)

12

49,85


Tabelul 2: 3UHFL]LHSHQWUXVLVWHPHOHGHODERUDWRU&$'&$0DOHGLIHULĩLORUSURGXFČWRUL

GXSăFLPHQWDUHDXQRUSăU‫܊‬LGLQREWXUD
‫܊‬LLSDODWLQDOHVDXEXFDOH 
6D UHDOL]DW XQ PXODM XUPDW GH
SUHJăWLUHDJKLGDWăDGLQ‫܊‬LORUFXDMXWRUXO
PXODMXOXL SHQWUX D DYHD R SURFHGXUă
PLQLP LQYD]LYă ÌQ FRQWLQXDUH DP
DQDOL]DWOXQJLPHD‫܈‬LUDSRUWXOLQFLVLYX
OXL FHQWUDO &,  YL]LELOLWDWHD GLQ‫܊‬LORU
DQWHULRULvQGLIHULWHSR]L‫܊‬LLDOHEX]HORU
vQUHSDXVvQWLPSXO]kPEHWXOXL‫܈‬LvQ
WLPSXOPL‫܈‬FăULORUIXQF‫܊‬LRQDOH QLYHOX
ULOH JLQJLHL ¿[H ‫܈‬L SXQFWHOH GH ]HQLW
'DFăHVWHQHFHVDUSHED]DDFHVWXLPX
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SHQWUXDRE‫܊‬LQHXQUH]XOWDW¿QDOIRDUWH
estetic.
&RQIRUP PXOWRU VWXGLL OHJăWXULOH
Uă‫܈‬LQăVPDO‫ ܊‬VXQW ¿DELOH ‫܈‬L GXUDELOH
3UH]HQ‫܊‬DVPDO‫܊‬XOXLODPDUJLQHDSUHSD
UDWXOXLRIHUăRVLJLODUHSHUIHFWăvPSR
WULYDSăWUXQGHULLOLFKLGHORU‫܈‬LDEDFWHUL
LORU &kQG PDUJLQLOH FDYLWă‫܊‬LL VXQW OL
SLWHGHVPDO‫܊‬OHJăWXULOHFXGHQWLQDVXQW
PDLGXUDELOH FKLDU‫܈‬LXQDGH]LYVLPS
OL¿FDWPDLKLGUR¿OLFSRDWHVXSUDYLH‫܊‬XL
GDWRULWăHIHFWXOXLSURWHFWRUDOVPDO‫܊‬X
OXL OLSLW vPSRWULYD GLIX]LHL DSHL SHVWH
LQWHUID‫܊‬DOLSLWă ±

13

)LJî3UHSDUDĩLHPLQLPLQYD]LY

&XFkWHVWHPDLPDUHGLIHUHQ‫܊‬DGLQ
WUHVROXELOLWDWHDDFLGăDSHULIHULHLVPDO
‫܊‬XOXL‫܈‬LPLH]XOSULVPHLFXDWkWHVWHPDL
SXWHUQLFăOHJăWXUD(WLFKHWHOHGHUă‫܈‬LQă
GHSkQăOD—OXQJLPH‫܈‬L—vQGLD
PHWUXVHIRUPHD]ăvQPLFURSRUR]LWă
‫܊‬LOH VPDO‫܊‬XOXL FRQGL‫܊‬LRQDW RIHULQG R
OHJăWXUăGHOXQJăGXUDWăSULQvQFKLGHUH
PHFDQLFă YDORULOHPHGLLDOHUH]LVWHQ
‫܊‬HLODUXSHUH‫܈‬LIRU‫܊‬HLODIRUIHFDUHVXQW
±03DPDLPDULGHFkWWHQVLXQHD
VXSHU¿FLDOă GXSă FRQWUDF‫܊‬LD GH SROL
PHUL]DUH D Uă‫܈‬LQLL FRPSR]LWH >±
03D@Fig. 8–11).±
ÌQ WLPS FH VPDO‫܊‬XO HVWH SUHGRPL
QDQWPLQHUDOGHQWLQDHVWHXQ‫܊‬HVXWYL
WDO 3HUPHDELOLWDWHD GHQWLQHL GHSLQGH
GHGLDPHWUXOWXEXOLORUGHQWLQDUL6WUDWXO
GHIURWLXVHH[WLQGHFX±—vQSDUWHD
LQL‫܊‬LDOă D WXEXOLORU GHQWLQDUL 6WUDWXO
IURWLXOXLHVWHGLUHFWSURSRU‫܊‬LRQDOFXPă
ULPHDXQXLEREGHJUkX6WUDWXOIURWLX
OXLDUHROHJăWXUăVODEăFXGHQWLQDVXEL
DFHQWă )HQRPHQHOH GH PLFUR ‫܈‬L QDQR
VFXUJHUHvQFăUHSUH]LQWăSURYRFăULWHR
UHWLFH‫܈‬LFOLQLFHPDMRUH(Fig. 12).±
'DWRULWă SUHSDUăULL PLQLP LQYD
]LYH OLPLWDWă OD VXSUDID‫܊‬D VPDO‫܊‬XOXL

14

DQHVWH]LDORFDOăQXDIRVWQHFHVDUăvQ
DFHVWFD]9LWDOLWDWHDWXWXURUGLQ‫܊‬LORUD
IRVW PHQ‫܊‬LQXWă 'LQ FDX]D QHFHVLWă‫܊‬LL
GH vQFKLGHUH D WUHSWHL VDJLWDOH VD
HIHFWXDW R SUHSDUDUH X‫܈‬RU SDODWLQDOă
(Fig. 13–15)3UHSDUD‫܊‬LLOHFHUDPLFHQX
DX IRVW PDL JURDVH GH PP ‫܈‬L GLQ
FDX]DJURVLPLLPLQLPHDUHVWDXUăULORU
FHUDPLFHDIRVWXWLOL]DWăRSDVWăGHWHV
WDUHSHQWUXDGHWHUPLQDFHFLPHQWVăVH
IRORVHDVFă(Fig. 16–19).

$ERUGDUHGLJLWDOČ
$IRVWHIHFWXDWăRVFDQDUHLQWUDR
UDOă D VLWXD‫܊‬LHL LQL‫܊‬LDOH 3ULPHVFDQ
'HQWVSO\6LURQD ‫܈‬LWULPLVăODODERUDWR
UXOGHQWDU,QL‫܊‬LDODPSODQL¿FDWVăVFD
QăPZD[XSXOSUHJăWLWDQWHULRUvQWUXQ
PRGFRQYHQ‫܊‬LRQDO DQDORJLF ‫܈‬LVăIR
ORVLPDFHVWHUHIHULQ‫܊‬HSHQWUXSUHSDUD‫܊‬L
LOH¿QDOH&XWRDWHDFHVWHDVRIWZDUHXO
VFDQHUXOXL QX D UHX‫܈‬LW Vă SRWULYHDVFă
GLQ‫܊‬LLGLQPRGHOXOGHFHDUăFXFHLGLQ
FDYLWDWHDEXFDOăD‫܈‬DFăDWUHEXLWVăUH
SHWăPVFDQDUHD‫܈‬LVăSUHJăWLPPDQXDO
PRGHODUHDHVWHWLFă0RGHODUHDHVWHWLFă
QHFHVLWă PXOW WLPS ‫܈‬L DFHVW OXFUX WUH
EXLH OXDW vQ FRQVLGHUDUH DWXQFL FkQG

Fig. 12: 3HUVSHFWLYDPLFURVFRSLFČDGHQWLQHLGHPLQHUDOL]DWHɂLSHQHWUDUHDVWUDWXOXL
KLEULGvQWXEXOLLGHQWLQDUL5

DOHJH‫܊‬LvQWUHRDERUGDUHGLJLWDOă‫܈‬LFHD
FRQYHQ‫܊‬LRQDOăÌQDERUGDUHDGLJLWDOăD
FDELQHWXOXLWRDWHOXFUăULOHVHIDFvQFD
ELQHWXOVWRPDWRORJLF(Fig. 20).
'DFăVHGRUH‫܈‬WHSăVWUDUHDÀX[XOXL
GHOXFUXQXPDLGLJLWDOVHSRDWHHIHFWXD
‫܈‬L ZD[XS YLUWXDO PRGHO LPSULPDW
' XUPDWăGHXQPXODM‫܈‬LGHDQDOL]D
WHRUHWLFăPHQ‫܊‬LRQDWăDQWHULRU3UHJăWL
UHDJKLGDWăDVPDO‫܊‬XOXLVHIDFHFXDMX
WRUXOPXODMXOXLSHQWUXDSăVWUDFkWPDL
PXOWGLQVWUXFWXUDGLQ‫܊‬LORU
5HVWDXUăULOH FHUDPLFH GH¿QLWLYH
FXRJURVLPHGHPPDXIRVWIUH]DWH
$FHVWHD DX IRVW WULPLVH OD ODERUDWRUXO
GHQWDUSHQWUXFRORUDUHSHQWUXDRE‫܊‬LQH
RHVWHWLFăPDLEXQă3HQWUXXQUH]XOWDW
IRDUWH HVWHWLF FRODUHD VDX WHKQLFD GH
UHGXFHUH vQ ODERUDWRUXO GHQWDU HVWH
REOLJDWRULH$IRVWXWLOL]DWăRSDVWăGH
WHVWDUH SHQWUX D REVHUYD WUDQVSDUHQ‫܊‬D
structurii dintelui (Fig. 21–24).

Alegerea pacientului
3DFLHQWXO D IRVW UXJDW Vă DOHDJă
XQXOGLQWUHVHWXULOHGHUHVWDXUăULFHUD
mice (Fig. 25–31) 'LQ SXQFW GH YH
GHUHFOLQLF‫܈‬LWHKQLFDPEHOHVHWXULGH

15

UHVWDXUăUL DX IRVW SHUIHFWHDPEHOH DX
IRVWDGDSWDWHPL‫܈‬FăULOHIXQF‫܊‬LRQDOHDX
IRVWSUH]HQWHSHQWUXDPEHOH‫܈‬LDPEHOH
DXIRVWIRDUWHHVWHWLFH3DFLHQWDDDOHV
SORPEH ‫܈‬L FRURDQH SUHJăWLWH IRORVLQG
WHKQLFL FRQYHQ‫܊‬LRQDOH DOHJHUHD HL D
IRVWWRWDOVXELHFWLYăvQWUXFkWQX‫܈‬WLDFH
VHW GH UHVWDXUăUL DX IRVW SURGXVH FX
DERUGDUHDGLJLWDOă‫܈‬LFDUHFXSURFHGX
rile analogice.

Concluzie
3XWHPXUPăULXQÀX[GHOXFUXGL
JLWDO SHQWUX R UHDELOLWDUH GHQWDUă PD
MRUă"ÌQRSLQLDPHDGDFXWRDWHDFHV
WHDHVWHQHFHVDUVăVHHIHFWXH]HVWXGLL
‫܈‬LvQPXOWHFD]XULPHWRGHOHDQDORJLFH
‫܈‬LGLJLWDOHDUWUHEXLFRPELQDWH
3XWHPFRQFOX]LRQDXUPăWRDUHOH
±$WkW WUDWDPHQWHOH FRPSOHW GLJLWDOH
FkW‫܈‬LFHOHFRPSOHWDQDORJLFHVXQWSR
VLELOH‫܈‬LGDXUH]XOWDWHHVWHWLFHH[FH
OHQWHDYkQGvQYHGHUHFăFRORUDUHD‫܈‬L
WHKQLFDGHUHGXFHUHVXQWREOLJDWRULL
±*URVLPHD UHVWDXUăULORU GH¿QLWLYH
SRDWHYDULDvQWUH‫܈‬LPPSHQWUX
DPEHOHDERUGăUL


[6] => DTRO0220_01-12.pdf
CLINICAL CASE

06

16

17

18

19

20

22

Dental Tribune Romanian Edition | 2/2020

21

23

24

)LJî5HVWDXUČULFHUDPLFHDQDORJLFHÀQDOHî Fig. 20::D[XSGLJLWDOî )LJî5HVWDXUČULFHUDPLFHGLJLWDOHÀQDOH

31
25

26

±3UHFL]LDHVWHSHUIHFWăSHQWUXDPEHOH
DERUGăUL
±7HKQLFDSORPEHLGXEOHQXHVWHSRVL
ELOăDWXQFLFkQGVHXWLOL]HD]ăDERUGD
UHDGLJLWDOă
9LLWRUXO DSDU‫܊‬LQH FX VLJXUDQ‫܊‬ă
DERUGăULLGLJLWDOH5HFRPDQGDUHDPHD
HVWHDFHHDGHDSHUPLWHPHGLFLORUVWR

27

29

28

30

)LJî5H]XOWDWHOHÀQDOHDOHDERUGČULLDQDORJLFHɂLGLJLWDOH

PDWRORJLRSHULRDGăGHvQYă‫܊‬DUHvQFDUH
VăLQWHJUH]HPHWRGHGLJLWDOH‫܈‬LDQDOR
JLFHVăvQFHDSăFXFD]XULPLQRUH‫܈‬LVă
SURJUHVH]H WUHSWDW FăWUH R UHDELOLWDUH
FRPSOHW GLJLWDOă ‫܈‬L  VDX D FDYLWă‫܊‬LL
orale în întregime.
1RWă HGLWRULDOă 2 OLVWă GH UHIHULQаH
HVWHSXVăODGLVSR]LаLHGHHGLWRU

'U)ORULQ/Č]ČUHVFX
RFOLQLFăvQ%XFXUH‫܈‬WLXQGHDFWLYLWDWHDVDVHFRQFHQWUHD]ăSHVWRPDWRO
JRLDHVWHWLFăFXDFFHQWSHSURFHGXULGHUHVWDXUăULFHUDPLFH‫܈‬LLPSODQ
WRORJLH(VWHDXWRUXODQXPHURDVHSXEOLFD‫܊‬LLvQGRPHQLXOVWRPDWRORJLH
‫܈‬LHVWHDXWRUXO‫܈‬LHGLWRUXOFăU‫܊‬LL³,QFXUVLXQHvQHVWHWLFDGHQWDUă´SXEOL
FDWăGHFăWUH6RFLHWDWHDGH6WRPDWRORJLH(VWHWLFăGLQ5RPkQLD‫܈‬LUH
SXEOLFDWăDSRLGHFăWUH4XLQWHVVHQFHvQOLPEDHQJOH]ă  ‫܈‬LDSRL
vQOLPEDFKLQH]ă  'U/ă]ăUHVFXHVWHGHDVHPHQH‫܈‬L5HGDFWRU
‫܇‬HIDO'HQWDO7ULEXQH5RPkQLD
'U/ă]ăUHVFXHVWH3UH‫܈‬HGLQWHDO6RFLHWă‫܊‬LL(XURSHGH&RVPHWLFă'HQWDUă (6&' PHPEUX
IRQGDWRUDO6RFLHWă‫܊‬LLGH6WRPDWRORJLH(VWHWLFăGLQ5RPkQLDGDU‫܈‬LPHPEUXIRQGDWRUDO
'LJLWDO'HQWDO6RFLHW\5RPkQLD


[7] => DTRO0220_01-12.pdf
FĂRĂ PR

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Tratați cariile
profunde
cu expunere
minimă
la aerosoli

ARE M
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EP

Tratament restaurator atraumatic (ART*)

Minimizați generarea de picături & aerosoli
cu tehnica ART și Biodentine™

* Atraumatic Restorative Treatment

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ADVERTORIAL

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Dental Tribune Romanian Edition | 2/2020

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*XLGHG%LR¿OP7KHUDS\ *%7 HVWHXQVLVWHPPRGXODUSHQWUXR‫܈‬HGLQWDGHSUHYHQ‫܊‬LHFRQWHPSRUDQă&HLRSWSD‫܈‬L*%7SRW¿
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DT Romania and Moldova No. 2, 2020DT Romania and Moldova No. 2, 2020DT Romania and Moldova No. 2, 2020
[cover] => DT Romania and Moldova No. 2, 2020 [toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => TempoCem ID — Vizibil doar când trebuie [page] => 03 ) [2] => Array ( [title] => Clinical Case [page] => 04 ) [3] => Array ( [title] => Advertoirial [page] => 08 ) [4] => Array ( [title] => Lifestyle [page] => 11 ) ) [toc_html] => [toc_titles] =>

News / TempoCem ID — Vizibil doar când trebuie / Clinical Case / Advertoirial / Lifestyle

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