DT Romania and Moldova No. 2, 2020
News / TempoCem ID — Vizibil doar când trebuie / Clinical Case / Advertoirial / Lifestyle
News / TempoCem ID — Vizibil doar când trebuie / Clinical Case / Advertoirial / Lifestyle
Array ( [post_data] => WP_Post Object ( [ID] => 81154 [post_author] => 0 [post_date] => 2020-12-10 08:50:21 [post_date_gmt] => 2020-12-10 08:50:21 [post_content] => [post_title] => DT Romania and Moldova No. 2, 2020 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => dt-romania-and-moldova-no-2-2020-2 [to_ping] => [pinged] => [post_modified] => 2024-10-24 01:29:08 [post_modified_gmt] => 2024-10-24 01:29:08 [post_content_filtered] => [post_parent] => 0 [guid] => https://e.dental-tribune.com/epaper/dtro0220new/ [menu_order] => 0 [post_type] => epaper [post_mime_type] => [comment_count] => 0 [filter] => raw ) [id] => 81154 [id_hash] => 4add4bbf55a9805d7980daf67ab253ab0ec78bf82c4fd1a32600957231605ce5 [post_type] => epaper [post_date] => 2020-12-10 08:50:21 [fields] => Array ( [pdf] => Array ( [ID] => 81155 [id] => 81155 [title] => DTRO0220(new).pdf [filename] => DTRO0220(new).pdf [filesize] => 0 [url] => https://e.dental-tribune.com/wp-content/uploads/DTRO0220(new).pdf [link] => https://e.dental-tribune.com/epaper/dt-romania-and-moldova-no-2-2020-2/dtro0220new-pdf-2/ [alt] => [author] => 0 [description] => [caption] => [name] => dtro0220new-pdf-2 [status] => inherit [uploaded_to] => 81154 [date] => 2024-10-24 01:29:02 [modified] => 2024-10-24 01:29:02 [menu_order] => 0 [mime_type] => application/pdf [type] => application [subtype] => pdf [icon] => https://e.dental-tribune.com/wp-includes/images/media/document.png ) [cf_issue_name] => DT Romania and Moldova No. 2, 2020 [cf_edition_number] => 0220 [contents] => Array ( [0] => Array ( [from] => 01 [to] => 02 [title] => News [description] => News ) [1] => Array ( [from] => 03 [to] => 03 [title] => TempoCem ID — Vizibil doar când trebuie [description] => TempoCem ID — Vizibil doar când trebuie ) [2] => Array ( [from] => 04 [to] => 07 [title] => Clinical Case [description] => Clinical Case ) [3] => Array ( [from] => 08 [to] => 10 [title] => Advertoirial [description] => Advertoirial ) [4] => Array ( [from] => 11 [to] => 11 [title] => Lifestyle [description] => Lifestyle ) ) ) [permalink] => https://e.dental-tribune.com/epaper/dt-romania-and-moldova-no-2-2020-2/ [post_title] => DT Romania and Moldova No. 2, 2020 [client] => [client_slug] => [pages_generated] => [pages] => Array ( [1] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-0.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-0.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-0.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-0.jpg [1000] => 81154-b12555ee/1000/page-0.jpg [200] => 81154-b12555ee/200/page-0.jpg ) [ads] => Array ( ) [html_content] => ) [2] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-1.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-1.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-1.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-1.jpg [1000] => 81154-b12555ee/1000/page-1.jpg [200] => 81154-b12555ee/200/page-1.jpg ) [ads] => Array ( ) [html_content] => ) [3] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-2.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-2.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-2.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-2.jpg [1000] => 81154-b12555ee/1000/page-2.jpg [200] => 81154-b12555ee/200/page-2.jpg ) [ads] => Array ( ) [html_content] => ) [4] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-3.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-3.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-3.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-3.jpg [1000] => 81154-b12555ee/1000/page-3.jpg [200] => 81154-b12555ee/200/page-3.jpg ) [ads] => Array ( ) [html_content] => ) [5] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-4.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-4.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-4.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-4.jpg [1000] => 81154-b12555ee/1000/page-4.jpg [200] => 81154-b12555ee/200/page-4.jpg ) [ads] => Array ( ) [html_content] => ) [6] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-5.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-5.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-5.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-5.jpg [1000] => 81154-b12555ee/1000/page-5.jpg [200] => 81154-b12555ee/200/page-5.jpg ) [ads] => Array ( ) [html_content] => ) [7] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-6.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-6.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-6.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-6.jpg [1000] => 81154-b12555ee/1000/page-6.jpg [200] => 81154-b12555ee/200/page-6.jpg ) [ads] => Array ( ) [html_content] => ) [8] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-7.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-7.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-7.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-7.jpg [1000] => 81154-b12555ee/1000/page-7.jpg [200] => 81154-b12555ee/200/page-7.jpg ) [ads] => Array ( ) [html_content] => ) [9] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-8.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-8.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-8.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-8.jpg [1000] => 81154-b12555ee/1000/page-8.jpg [200] => 81154-b12555ee/200/page-8.jpg ) [ads] => Array ( [0] => Array ( [post_data] => WP_Post Object ( [ID] => 81156 [post_author] => 0 [post_date] => 2024-10-24 01:29:02 [post_date_gmt] => 2024-10-24 01:29:02 [post_content] => [post_title] => epaper-81154-page-9-ad-81156 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => epaper-81154-page-9-ad-81156 [to_ping] => [pinged] => [post_modified] => 2024-10-24 01:29:02 [post_modified_gmt] => 2024-10-24 01:29:02 [post_content_filtered] => [post_parent] => 0 [guid] => https://e.dental-tribune.com/ad/epaper-81154-page-9-ad/ [menu_order] => 0 [post_type] => ad [post_mime_type] => [comment_count] => 0 [filter] => raw ) [id] => 81156 [id_hash] => 8c996f151475289afb5a854093e0b1b4082659103d56c60af0993c4899672ad1 [post_type] => ad [post_date] => 2024-10-24 01:29:02 [fields] => Array ( [url] => https://www.dental-tribune.com/c/e-m-s-electro-medical-systems-s-a/ [link] => URL ) [permalink] => https://e.dental-tribune.com/ad/epaper-81154-page-9-ad-81156/ [post_title] => epaper-81154-page-9-ad-81156 [post_status] => publish [position] => 0.31152647975078,0.65502183406114,99.376947040498,99.126637554585 [belongs_to_epaper] => 81154 [page] => 9 [cached] => false ) ) [html_content] =>) [10] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-9.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-9.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-9.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-9.jpg [1000] => 81154-b12555ee/1000/page-9.jpg [200] => 81154-b12555ee/200/page-9.jpg ) [ads] => Array ( [0] => Array ( [post_data] => WP_Post Object ( [ID] => 81157 [post_author] => 0 [post_date] => 2024-10-24 01:29:02 [post_date_gmt] => 2024-10-24 01:29:02 [post_content] => [post_title] => epaper-81154-page-10-ad-81157 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => epaper-81154-page-10-ad-81157 [to_ping] => [pinged] => [post_modified] => 2024-10-24 01:29:02 [post_modified_gmt] => 2024-10-24 01:29:02 [post_content_filtered] => [post_parent] => 0 [guid] => https://e.dental-tribune.com/ad/epaper-81154-page-10-ad/ [menu_order] => 0 [post_type] => ad [post_mime_type] => [comment_count] => 0 [filter] => raw ) [id] => 81157 [id_hash] => 94d3e6226c194e52247c1afca7cb12777e98fa25530e879fe14cc863ff287b69 [post_type] => ad [post_date] => 2024-10-24 01:29:02 [fields] => Array ( [url] => https://www.dental-tribune.com/c/e-m-s-electro-medical-systems-s-a/ [link] => URL ) [permalink] => https://e.dental-tribune.com/ad/epaper-81154-page-10-ad-81157/ [post_title] => epaper-81154-page-10-ad-81157 [post_status] => publish [position] => 5.3125,58.515283842795,52.5,37.554585152838 [belongs_to_epaper] => 81154 [page] => 10 [cached] => false ) ) [html_content] => ) [11] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-10.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-10.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-10.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-10.jpg [1000] => 81154-b12555ee/1000/page-10.jpg [200] => 81154-b12555ee/200/page-10.jpg ) [ads] => Array ( ) [html_content] => ) [12] => Array ( [image_url] => Array ( [2000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/2000/page-11.jpg [1000] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/1000/page-11.jpg [200] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/200/page-11.jpg ) [key] => Array ( [2000] => 81154-b12555ee/2000/page-11.jpg [1000] => 81154-b12555ee/1000/page-11.jpg [200] => 81154-b12555ee/200/page-11.jpg ) [ads] => Array ( ) [html_content] => ) ) [pdf_filetime] => 1729733342 [s3_key] => 81154-b12555ee [pdf] => DTRO0220(new).pdf [pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/81154/DTRO0220(new).pdf [pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/81154/DTRO0220(new).pdf [should_regen_pages] => 1 [pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/81154-b12555ee/epaper.pdf [pages_text] => Array ( [1] =>DTRO0220_01-12.pdf DENTALTRIBUNE The World’s Dental Newspaper · Romanian Edition PUBLISHED IN BUCHAREST www.dental-tribune.com NEWSS CLINICAL CASE &HUFHWČULOHLQGLFČEHQHÀFLLOH VFUHHQLQJXOXLGLDEHWXOXLvQFDEL QHWHOHVWRPDWRORJLFH )OX[GHOXFUXGLJLWDOYHUVXVDERU GDUHDFRQYHQĩLRQDOČvQVWRPDWR ORJLDHVWHWLFČ ”SDJLQD ”SDJLQLOH³ © wavebreakmedia/Shutterstock.com VOL. 17, NO. 2 GUIDED BIOFILM THERAPY (GBT) R HVWHXQVLVWHPPRGXODUSHQWUXR ɁHGLQĩČGHSUHYHQĩLHFRQWHPSR UDQČ ”SDJLQLOH³ Å/HEČGDDOEȵÅ/HEČGDQHDJUȵ 'H'U)ORULQ/Č]ČUHVFX 7HRULD ³OHEHGHL QHJUH´ UHSUH]LQWă R PHWDIRUă IRORVLWă SHQWUX XQ HYHQL PHQWH[WUHPGHUDUQHD܈WHSWDW܈LFXXQ LPSDFWIRDUWHPDUH (DUHSUH]LQWăXQFRQFHSWSURIXQG ܈LFRPSOH[FDUHVDQăVFXWSRUQLQGGH ODRFRQVWDWDUHFkWVHSRDWHGHVLPSOă ÌQDLQWHGHDGHVFRSHUL$XVWUDOLDRDPH QLLGLQ/XPHD9HFKHHUDXFRQYLQ܈LFă WRDWHOHEHGHOHVXQWDOEH6HQVXODFHVWHL PHWDIRUH HVWH FRQVWDWDUHD IUDJLOLWă܊LL FXQRD܈WHULLQRDVWUH1XHVWHQHYRLHGH FkWGHRVLQJXUăÄOHEDGDăQHDJUă´ SUH FXPFHDGHVFRSHULWăvQ$XVWUDOLD SHQ WUXFDWRWDFHVWHGL¿FLXGHFRQYLQJHUL VăVHQăUXLH &RQIRUP DXWRUXOXL DFHVWXL FRQ FHSW ³OHEăGDQHDJUă´HVWHXQHYHQL PHQWFDUHDUHWUHLDWULEXWHHVWHXQFD] L]RODWDÀDWGLQFRORGH܊ăUkPXOD܈WHSWă UDGLFDOH¿HFăSULYLPODQLYHOPLFUR SHUVRQDOVDXODQLYHOPDFURJOREDO *kQGL܊LYăODWRDWHDVSHFWHOHSR]L WLYHFDUHGHULYăGLQVLWXD܊LDvQFDUHQH DÀăPUHJkQGLUHDFRQFHSWXOXL܈LDVSD ܊LLORUGHOXFUXDYDQVXOWHKQRORJLFLQ FUHGLELOvQPHGLFLQă FXVLJXUDQ܊ăHIRU WXOXULDVIRORVLWvQGH]YROWDUHDWHKQROR JLLORUIRORVLWHSHQWUXLGHQWL¿FDUHDXQXL YDFFLQ v܈L YRU JăVL DSOLFDELOLWDWHD vQ YLLWRUXODSURSLDWvQWUDWDUHDDOWRUDIHF ܊LXQL GH]YROWDUHDSODWIRUPHORUvQYH GHUHDFRPXQLFăULLRQOLQH܈LLPSOHPHQ WDUHDDFHVWHLPRGDOLWă܊LODQLYHOXORUL FăUHLDFWLYLWă܊LHFRQRPLFH܈LHGXFD܊LR QDOH 'DFă SULYLP LQGLYLGXDO SXWHP VSXQHFăSULQRSULUHDWHPSRUDUăDOX PLLFXFDUHHUDPRELVQXL܊LVDSURGXVR LQVWURVSHF܊LHRFRQ܈WLHQWL]DUHDOXFUX ULORULPSRUWDQWHGLQYLD܊D¿HFăUXLD ULORUREL܈QXLWHDUHXQLPSDFWGHRVHELW ܈LvQDOWUHLOHDUkQGIDSWXOFăJăVLPH[ SOLFD܊LLSHQWUXDSDUL܊LDVDGXSăFHDFHVW OXFUXVDvQWkPSODWIăFăQGXOH[SOLFD ELO܈LSUHGLFWLELO 'DFăIDFHPRLQWURVSHF܊LHvQYLD܊D ¿HFăUXLDGLQWUHQRL YHGHPFă LQGLIH UHQWFkWGHPXOWvQFHUFăPVăFRQWUROăP FHHDFHVHvQWkPSOăvQMXUXOQRVWUXQH FRQFHQWUăPSHFXQRVFXW܈LSUHGLFWLELOL WDWHGHIDSWLPSUREDELOLWDWHDHVWHFHD FDUH JXYHUQHD]ă SULQFLSDOHOH HYHQL PHQWHPDMRUHSHWUHFXWHvQYLD܊D¿HFă UXLD¿HFăYRUELPGHVSUHODWXUDSURIH VLRQDOăVDXSHUVRQDOă ÌQ XUPD DFHVWRU HYHQLPHQWH LP SUHYL]LELOHH[LVWăVFKLPEăULGHGLUHF܊LH 6LJXU Fă DVSHFWHOH QHJDWLYH DFR SHUă PRPHQWDQ ,PDJLQHD GH DQVDP EOX$WkWLVWRULD YH]LSDQGHPLLOHDQWH ULRDUH FkW ܈L WHKQRORJLD DYDQVDWă vQ PHGLFLQă QH DUDWă LvQVă Fă YRP WUHFH SHVWHDFHVWHYHQLPHQWFKLDUGHVWXOGH UDSLG6FKLPEDUHDGHGLUHF܊LHvQVăVD SURGXV GHMD LQGLYLGXDO vQ PHQWDOXO FROHFWLYODQLYHOGHVRFLHWDWHvQLQGXV WULH܈LWHKQRORJLH܈Lv܈LYDDUDWăEHQH¿ FLLOHvQDQLLFHYRUXUPD ÌQFD]XOSDUWLFXODUDOFRQIHULQ܊HORU PHGLFDOH SUHFRQL]H] R LPSOHPHQWDUH DFRQFHSWHORUKLEULGHWUDQVPLVLLOLYH VWXGLRXUL79FRURERUDWHFXSUH]HQ܊D¿ ]LFă D SDUWLFLSDQ܊LORU 3RVLELOLWDWHD Vă UHYH]LvQWUHJXOHYHQLPHQWVăDSURIXQ GH]L FHOH SUH]HQWDWH YD UHSUH]HQWD R FRQGL܊LH REOLJDWRULH D RULFăUXL HYHQL PHQW LPSRUWDQW vQ GRPHQLXO QRVWUX /RFDOL]DUHDOHFWRULORUvQWLPSXOFRQIH ULQ܊HLYD¿PDLSX܊LQLPSRUWDQWăWHK QRORJLLOHDFWXDOH܈LYLLWRDUHYRUIDFHOX PHDvQFDUHVXQWHPVăGHYLQăGLQFHvQ FHPDLPLFă 3HQWUXFDDPSOHFDWGHODGHVFULH UHDXQXLFRQFHSWD܈YUHDVăPHQ܊LRQH] IDSWXO Fă DXWRUXO DFHVWXLD 1DVVLP 1LFKRODV7DOHEDSUHFL]DWXUPăWRDUHOH Ä3DQGHPLDSXWHD¿SUHYHQLWă܈L܈WLDP GLQ LDQXDULH FkQG D IRVW ODQVDW DQXQ܊XO Fă DU WUHEXL Vă vQFHUFL Vă RSUH܈WLGLQID܈ăHSLGHPLDGDFăSR܊L܈L VăDF܊LRQH]LIRDUWHUDSLG'HVLJXURD PHQLLDX LJQRUDWDFHVW OXFUX´ FDWDOR JkQGSDQGHPLDGH6$56&R9GUHSW R³OHEăGăDOED´ %ORRPEHUJ Ä/HEăGD DOEă´ VDX ÄOHEăGD QHD JUă´UHSUH]LQWăvQVăRGH]EDWHUHLQWH UHVDQWăFXVLJXUDQ܊ă AD[2] =>DTRO0220_01-12.pdf NEWS 02 Dental Tribune Romanian Edition | 2/2020 &HUFHWČULOHLQGLFČEHQHÀFLLOHVFUHHQLQJXOXL GLDEHWXOXLvQFDELQHWHOHVWRPDWRORJLFH 'H%UHQGDQ'D\'HQWDO7ULEXQH,QWHUQDWLRQDO MELBOURNE, Australia: ÎnWUXFkW =LXD 0RQGLDOă D 'LDEHWXOXL D IRVW VkPEăWă QRLHPEULH UHOD܊LD GLQWUHGLDEHW܈LPDQDJHPHQWXOVăQăWă܊LLRUDOHSRDWH¿DGXVăvQDWHQ܊LDSURIHVLRQL܈WLORU GLQ GRPHQLXO VWRPDWRORJLHL8QSURLHFWGHFHUFHWDUHGHVIă܈XUDW vQ$XVWUDOLD D FRQ¿UPDW Fă FRQGL܊LLOH GHDVLVWHQ܊ăPHGLFDOăRUDOăSRWMXFDXQ UROYDORURVvQVăQăWDWHDVLVWHPLFăDLQGLYL]LORUSULQVFUHHQLQJSHQWUXSDFLHQ܊LLFDUHDX¿HGLDEHWGHWLS¿HVXQW SUHGLDEHWLFL 2 HFKLSă GH FHUFHWăWRUL GH OD )DFXOWDWHDGHVWRPDWRORJLHD8QLYHUVLWă܊LL GLQ 0HOERXUQH D UHDOL]DW SURLHFWXO GHSDWUXDQLFDUHDLPSOLFDWGHFDELQHWH GHQWDUH ܈L GLQWUH SDFLHQ܊LL ORU ܈L D IRVW UHDOL]DW VXE GHQXPLUHD ÄL'(17LI\ ,GHQWL¿FDUHD WLPSXULH D GLDEHWXOXLGHWLS܈LDSUHGLDEHWXOXLvQ FDGUXODVLVWHQ܊HLPHGLFDOHRUDOH´ Ä3HUVRDQHOH FX GLDEHW DX XQ ULVF FUHVFXW GH D GH]YROWD R VHULH GH SUREOHPH JUDYH GH VăQăWDWH ܈L DIHFWHD]ă DSURDSH¿HFDUHRUJDQGLQFRUSSURYRFkQGGL]DELOLWă܊L܈LSUREOHPHGHVăQăWDWHFDUHSXQYLD܊DvQSHULFRO´DVSXV GU5RGULJR0DULxROLGHUGHSURLHFW܈L SURIHVRUDVRFLDWOD)DFXOWDWHDGH0HGLFLQă'HQWDUăDGHFODUDWSHQWUX'HQWDO 7ULEXQH ,QWHUQDWLRQDO '7, (O D H[- © wavebreakmedia/Shutterstock.com SOLFDW Fă SDFLHQ܊LL FX GLDEHW FRQWURODW ÄH[SHULPHQWHD]ă SUREOHPH SDURGRQWDOH PXOW PDL PDUL ܈L UH]XOWDWH PDL VODEH DOH WUDWDPHQWXOXL´ ܈L Fă DFHVWHD SRWGXFHODSUREOHPHSUHFXPHGHQWD܊LLOH &X WRDWH DFHVWHD PXO܊L SURIHVLRQL܈WLvQGRPHQLXOVWRPDWRORJLHLQXVH DQJDMHD]ă vQ VFUHHQLQJXO GH UXWLQă DO SDFLHQ܊LORU DVLPSWRPDWLFL FDUH SRW GLQ GLYHUVH PRWLYH Vă DLEă XQ ULVF FUHVFXWGHDDYHDVDXGHDGH]YROWDGLDEHWGHWLS Ä'HSLVWDUHD SUHFRFH D SDFLHQ܊LORU FX GLVJOLFHPLH vQ DVLVWHQ܊D PHGLFDOă SULPDUăVDFRQFHQWUDWvQSULQFLSDOSH VHWăULOHPHGLFDOH´DDGăXJDW0DULxR Ä'LQ FXQR܈WLQ܊HOH QRDVWUH L'(17LI\ UHSUH]LQWă SULPXO VWXGLX SURVSHFWLY FDUHYL]HD]ăHYDOXDUHDXQXLLQVWUXPHQW GHVFUHHQLQJDOGLDEHWXOXLGHWLSXWLOL]DW vQWUXQ FDGUX GH VăQăWDWH RUDOă SULYDW´ (FKLSD GH FHUFHWDUH GLQ VSDWHOH L'(17LI\ OXFUHD]ă vQ SUH]HQW OD PDL PXOWHOXFUăULGHFHUFHWDUHSHED]DUH]XOWDWHORUSURLHFWXOXLDLQIRUPDW0DULxR '7, (O D D¿UPDW Fă FRQFOX]LLOH ORU SUHOLPLQDUH DX LQGLFDW IDSWXO Fă ÄPHGLXOGHVăQăWDWHRUDOăHVWHXQFDGUX DGHFYDWSHQWUXVFUHHQLQJXOPHGLFDOGH DFHDVWăQDWXUă´܈LFăSURIHVLRQL܈WLLGLQ GRPHQLXO VWRPDWRORJLHL VXQW ÄGLVSX܈L VăSDUWLFLSHODVFUHHQLQJXOSHQWUXSUHGLDEHW܈LGLDEHWGHWLS´ 3ODQXULOHYLLWRDUHDOHOXL0DULxR܈L DOHHFKLSHLVDOHLQFOXGSUHJăWLUHDXQXL FXUVGHGH]YROWDUHSURIHVLRQDOăFRQWLQXăSHQWUXSURIHVLRQL܈WLLGLQGRPHQLXO VWRPDWRORJLHLD[DWSHGLDEHWXOGHWLS ܈L IXUQL]DUHD XQXL VHW GH LQVWUXPHQWH RQOLQH SHQWUX VFUHHQLQJ LGHQWL¿FDUHD VLPSWRPHORU SULQFLSDOH ܈L OXDUHD vQ FRQVLGHUDUH D DOWRU IDFWRUL FDUH ܊LQ GH DFHDVWăDIHF܊LXQH ,JLHQDRUDOČVODEČSRDWHDIHFWDDFXUDWHĩHD WHVWHORU6$56&R9 %\-HUHP\%RRWK'HQWDO7ULEXQH,QWHUQDWLRQDO 72.<2-DSRQLD8QVWXGLXHIHFWXDW ODXQVSLWDOGLQ7RN\RDFRQVWDWDWFăR LJLHQă RUDOă GH¿FLWDUă SRDWH GXFH OD YLQGHFDUHD SUHOXQJLWă OD SDFLHQ܊LL FX &29,'ÌQVWXGLXVDREVHUYDWFă SDFLHQ܊LLFXUHJLPXULGHVăQăWDWHRUDOă LQDGHFYDWH DX RE܊LQXW UH]XOWDWH SR]LWLYHODWHVWHOH3&5SHQWUXYLUXVODPXOW WLPSGXSăUHFXSHUDUHDORUFOLQLFăGHWHUPLQkQGFHUFHWăWRULLVăFUHDGăFăLJLHQDRUDOăDUSXWHDDIHFWDDFXUDWH܊HDWHVWăULLSHQWUXYLUXV &HUFHWăWRULLDXHYDOXDWFXUVXOWUDWDPHQWXOXL D RSW SDFLHQ܊L &29,' FDUHDXIRVWLQWHUQD܊LOD'HSDUWDPHQWXO GH1HXURORJLHGLQ6SLWDOXO1HXURORJLF 0HWURSROLWDQGLQ7RN\RvQWUHDSULOLH܈LPDL3DFLHQ܊LLDXWUHFXWGHID]D DFXWăDEROLLGDUDXIRVWDGPL܈LODXQLWDWHD PHGLFDOă GHGLFDWă SHQWUX EROLOH LQIHF܊LRDVH GDWRULWă UH]XOWDWHORU SHUVLVWHQWHDOHWHVWXOXL3&5SR]LWLYSHQWUX 6$56&R9 6WXGLXODFRQVWDWDWFăSULQWUHSDFLHQ܊LSHULRDGDDFWLYLWă܊LLYLUDOHSHULRDGDvQFDUHYLUXVXOHUDvQFăGHWHFWDELOGXSăUHFXSHUDUHDFOLQLFăDYDULDW GHODXQDODGH]LOH3HULRDGDPHGLH GHDFWLYLWDWHYLUDOăDIRVWGH]LOH GDUSHQWUXGRLSDFLHQ܊LSDFLHQWXO܈L SDFLHQWXODFRQWLQXDW]LOHUHVSHFWLY]LOH3HQWUXSDFLHQ܊LL± GRXă UH]XOWDWH FRQVHFXWLYH WHVWXOXL 3&5QHJDWLYDXIRVWFRQ¿UPDWHvQWHU- PHQGH]LOHGHODUHFXSHUDUHDFOLQLFă &HUFHWăWRULL DX FăXWDW Vă VWDELOHDVFăGHFHSDFLHQ܊LL܈LDXFRQWLQXDWVăVHWHVWH]HSR]LWLYSHQWUXSHULRDGDSUHOXQJLWă(LDXUHPDUFDWFăSDFLHQ܊LL܈LDXPHQ܊LQXWUXWLQHOHSHUVRQDOH GH LJLHQă FDUH LQFOXGHDX VSăODUHD GLQ܊LORU FX UHJXODULWDWH vQ WLPSFHHUDXVSLWDOL]D܊LvQFDPHUHSULYDWHGLQVSLWDO&XWRDWHDFHVWHDSDFLHQ܊LL܈LFDUHDYHDXWXOEXUăULPLQWDOH܈LVDXSVLKLDWULFHQX܈LDXFRQWLQXDWLJLHQDRUDOăSHWLPSXOVSLWDOL]ăULL 'XSăFHDXIRVWLQVWUXL܊LGHFHUFHWăWRUL VăSUDFWLFHVSăODUHDGLQ܊LORU܈LVSDUJHUHDGLQ܊LORUWHVWHOH3&5ODSDFLHQ܊LL ܈LDXUHWXUQDWXQUH]XOWDWQHJDWLYvQ SDWUXSkQăODQRXă]LOH Ä3DFLHQWXODDYXWVFKL]RIUHQLH܈L QXDSXWXWVăVHPHQ܊LQăvQPRGYROXQWDU vQ WLPSXO VSLWDOL]ăULL L]RODWH´ VH DUDWăvQVWXGLXÄ܇LDVSăODWGLQ܊LLSHQWUXSULPDGDWăvQDD]LGHVSLWDOL]DUHGDUGXSăDFHHDQXVDVSăODWGHORFSHGLQ܊L3HULRDGDGHDFWLYLWDWHDYLUXVXOXLDDWLQVGH]LOHFXUH]XOWDWH FRQVWDQWSR]LWLYHDOHWHVWXOXL3&5$P VSHFXODWFăvQJULMLUHDHLRUDOăQHFRUHVSXQ]ăWRDUH DU ¿ SXWXW GHWHUPLQD SHUVLVWHQ܊D SR]LWLYLWă܊LL WHVWXOXL 3&5 ÌQ FRODERUDUHFXDVLVWHQWDDPvQFXUDMDWvQ PRGUHSHWDWSDFLHQWXOVă܈LVSHOHGLQ܊LL/DGRXă]LOHGHODvQFHSHUHDDFHVWHL VSăOD IRDUWH UDU GLQ܊LL 'H DWXQFL DP LQVWUXLWRvQPRGUHSHWDWVăVHVSHOHSH GLQ܊L&XSDWUX]LOHGHVSăODUHLQWHQVăD GLQ܊LORUSDFLHQWXODDYXWGRXăUH]XOWDWHFRQVHFXWLYHDOHWHVWXOXL3&5QHJDWLYvQ=LOHOH܈LD܈DFăDIRVWH[WHUQDWă´DXVFULVFHUFHWăWRULL $FH܈WLDDXUHFXQRVFXWFăQXPăUXO VFă]XWGHSDFLHQ܊LFDUHDXIRVWXUPDUL܊L vQVWXGLXDIăFXWGL¿FLOăWUDJHUHDFRQFOX]LLORUVWDWLVWLFHGLQFHUFHWDUHGDUDX UHPDUFDWFăHVWHVHPQL¿FDWLYIDSWXOFă FHLGRLSDFLHQ܊LFXUHJLPXULGHVăQăWDWHRUDOăVăUDFHDXSUH]HQWDWVHPQL¿FDWLYPDLPXOWGHFkWSHULRDGHOHPHGLL GHYăUVDUHYLUDOăÄÌQDVWIHOGHFD]XUL GH DFWLYLWDWH YLUDOă SUHOXQJLWă DFLGXO QXFOHLF YLUDO QRQLQIHF܊LRV VH SRDWH DFXPXODvQWURFDYLWDWHRUDOăQHFXUDWă ܈L SRDWH FRQWLQXD Vă ¿H GHWHFWDW GH 3&53URSXQHPVSăODUHDGLQ܊LORUSHQWUX D vQGHSăUWD DFLGXO QXFOHLF YLUDO QRQLQIHF܊LRVDFXPXODWFHHDFHGXFH ODUH]XOWDWHFRQVWDQWQHJDWLYHDOHWHVWXOXL3&5܈LDVWIHOHYLWkQG܈HGHULLQXWLOHvQVSLWDO´DXFRQFOX]LRQDWFHUFHWăWRULL © Birgit Reitz-Hofmann/Shutterstock.com LQVWUXF܊LXQLvQDD]LGHODGHEXWXO VLPSWRPHORU SDFLHQWXOXL UH]XOWDWXO WHVWXOXL3&5DOSDFLHQWXOXLDIRVWQHJDWLYSHQWUXSULPDGDWăÄ 3DFLHQWXOFDUHDVXIHULWGHDIHF܊LXQLGLVRFLDWLYH܈LUHWDUGPLQWDOX܈RUD UHYHQLWODXQUH]XOWDWQHJDWLYDOWHVWXOXL 3&5ODGH]LOHGXSăFHDIRVWLQWHUQDWODXQLWDWHDPHGLFDOăFXWRDWHDFHVWHD SHULRDGD GH DFWLYLWDWH YLUDOă D DMXQVODGH]LOHvQDLQWHGHDSXWHD¿ RE܊LQXWHGRXăUH]XOWDWHFRQVHFXWLYHDOH WHVWXOXL 3&5 QHJDWLY Ä/D DFHO PRPHQWDPGHVFRSHULWFăSDFLHQWXOv܈L Studiul, intitulat “Effects of oral care on prolonged viral shedding in coronavirus disease 2019 (COVID-19)”, a fost publicat online pe 24 iulie 2020 în Special Care in Dentistry.[3] =>DTRO0220_01-12.pdf ADVERTORIAL Dental Tribune Romanian Edition | 2/2020 03 TempoCem ID — Vizibil doar când trebuie 7HPSR&HP,'DFHVWFLPHQWSUR YL]RULX HVWHWLF HVWH LQYL]LELO DWXQFL FkQGYUHLWXVă¿H܈LWRWX܈LGHWHFWLELO DWXQFLFkQGHVWHQHYRLH ,QYL]LELOVXEUHVWDXUăUL&RQFHSXW FXRWUDQVSDUHQ܊ăRSWLPă7HPSR&HP ,'QXYDDIHFWDQXDQ܊DUHVWDXUăULLSUR YL]RULL¿LQGDVWIHODOHJHUHDLGHDOăDWkW SHQWUX UHVWDXUăULOH SRVWHULRDUH FkW ܈L DQWHULRDUHZ 'HWHFWLELO SHQWUX vQGHSăUWDUHD X܈RDUăDH[FHVXOXL6SUHGHRVHELUHGH RULFHDOWFLPHQWSURYL]RULXHVWHWLFH[ FHVXO GH 7HPSR&HP ,' HVWH XVRU GH GHWHFWDW FKLDU܈LVXEOLQLDJLQJLYDOă ܈L GH FHOH PDL PXOWH RUL VH SRDWH vQGH SăUWDGLQWURVLQJXUăEXFDWă 7HPSR&HP ,' QX FRQ܊LQH HXJH QRO FXUJH ܈L VH DPHVWHFă IRDUWH X܈RU QXVHOLSH܈WHGHLQVWUXPHQWDU܈LVHUHFR PDQGăSHQWUXFLPHQWăULSURYL]RULLGH OXQJăGXUDWă 7RDWH JULMLOH HVWHWLFH GLVSDU UDSLG FX7HPSR&HP,' 'HVFRSHUă QRL SRVLELOL Wă܊L SHQWUX WLQH ܈L SDFLHQ܊LL WăL 7HPSR&HP ,' GH OD '0* AD RA IGIEN Torsten OEMUS ING ßO ND PUBLISHER/PRESIDENT/CEO: Lß BO IMPRINT EDITORS DT RO: Dr. Florin /Ă=Ă5(6&8 Andreea MUNTEANU CHIEF CONTENT OFFICER: Claudia DUSCHEK EXECUTIVE PRODUCER: Gernot MEYER AD PRODUCTION: Marius MEZGER M Published by DTI DENTAL TRIBUNE INTERNATIONAL Holbeinstr. 29, 04229, Leipzig, Germany AT E R IA Tel.: +49 341 48474-302 LE DE RESTAU R E R A Fax: +49 341 48474-173 General requests: info@dental-tribune.com Sales requests: mediasales@dental-tribune.com www.dental-tribune.com Regional Office: SSER HEADQUARTERS Dr. Louis Pasteur Street No. 1A District 5, Bucharest Romania contact@sser.ro www.sser.ro Material from Dental Tribune International GmbH that has been reprinted or translated and reprinted in this issue is copyrighted by Dental Tribune International GmbH. Such material must be published with the permission of Dental Tribune International GmbH. Dental Tribune VOCO SINGLE DOSE 7Ĵ144#2+&+)+'0+% is a trademark of Dental Tribune International GmbH. All rights reserved. © 2020 Dental Tribune International GmbH. Reproduction in any manner in any language, in whole or in part, without the prior written permission of Dental Tribune International GmbH is expressly prohibited. r+IKGPKEsRTQVGEœKGQRVKOàRGPVTWGEJKRCőKRCEKGPœK •7UQTőKTCRKF r%CPVKVCVGQRVKOàRGPVTWWPUKPIWTVTCVCOGPVs HàTàEQPUWOETGUEWVFGOCVGTKCN Dental Tribune International GmbH makes every effort to report clinical information and manufacturers’ product news accurately but cannot assume responsibility for the validity of product claims or for typographical errors. The publisher also does not assume responsibility for product names, claims or statements made by advertisers. Opinions expressed by authors are their own and may not reflect those of Dental Tribune International GmbH. 81%1)OD*#PVQP(NGVVPGT5VTC»G%WZJCXGP)GTOCP[YYYXQEQFGPVCN SingleDose[4] =>DTRO0220_01-12.pdf CLINICAL CASE 04 Dental Tribune Romanian Edition | 2/2020 Flux de lucru digital versus abordarea FRQYHQĩLRQDOČvQVWRPDWRORJLDHVWHWLFČ 'U)ORULQ/Č]ČUHVFX5RPkQLD Tehnologiile digitale sunt din ce în ce mai prezente în activitatea de zi cu zi a PHGLFLORUVWRPDWRORJLFKLDUGDFăXQH RULSDUWHDGLJLWDOăDOXFUăULLHVWHUHDOL ]DWă GH ODERUDWRU IRORVLQG WHKQRORJLD CAD/CAM. În prezent, în calitate GH PHGLFL VWRPDWRORJL QH vQWUHEăP DGHVHDFHWHKQRORJLHDUWUHEXLVăIROR VLP±DUWUHEXLVăDYHPvQFUHGHUHGRDU vQVROX܊LLGLJLWDOHQRLVDXPDLGHJUDEă VăUăPkQHPODPHWRGHFRQYHQ܊LRQDOH DQDORJLFH" ÌQ DFHVW DUWLFRO vQFHUF Vă UăVSXQG OD DFHDVWă vQWUHEDUH SUH]HQ WkQGDFHOD܈LFD]WUDWDWvQWUXQPRGGL JLWDO܈LDQDORJ )LHFDUH PHGLF VWRPDWRORJ IROR VH܈WH PDWHULDOH GH DPSUHQWDUH FR PXQHVXQWHPREL܈QXL܊LFXDFHVWHDDX WUHFXWWHVWXOWLPSXOXL܈LSDUD¿SUHYL ]LELOH3ULQXUPDUHPXO܊LGLQWUHQRLDU SXWHD vQWUHED GDFă VFDQDUHD GLJLWDOă HVWH ¿DELOă ܈L GDFă GD FH VFDQHU Vă DOHDJă&ROHJLLPHLGHOD8QLYHUVLWD WHDGH0HGLFLQă܈L)DUPDFLH,XOLX+D ܊LHJDQXGLQ&OXM1DSRFDGLQ5RPkQLD DXHIHFWXDWFHUFHWăULFXSULYLUHODDFX UDWH܊HD GLIHULWHORU VFDQHUH ܈L IUH]H DQDOL]kQGXOHSH¿HFDUHvQSDUWHSUH FXP ܈L FRPELQDWH SURGXVH DWkW GH SURGXFăWRULLQGLYLGXDOLvQFRPELQD܊LH FkW܈LGHSURGXFăWRULGLIHUL܊LvQFRPEL QD܊LHTabelele 1–5).1 &HUFHWăULOH ORU DX GHVFRSHULW R SUHFL]LH PHGLDQă GH ȝ SHQWUX VLVWHPHFRPSOHWHGHFDELQHWȝ SHQWUXVLVWHPH&$'&$0DGLWLYH܈L ȝ SHQWUX VLVWHPH GH ODERUDWRU 1 2 3 4 )LJî6LWXDĩLDFOLQLFČLQLĩLDOČ &$'&$0&kQGDXIRVWFRPELQDWH VFDQHUHOH܈LIUH]HOHGHODGLIHUL܊LSUR GXFăWRULVDRE܊LQXWRSUHFL]LHPHGL DQă GH ȝ SHQWUX VLVWHPHOH GH ODERUDWRUvQWLPSFHVLVWHPHOHFRP SOHWHGHFDELQHWDXDYXWRSUHFL]LHGH ȝLDUVLVWHPHOHGHODERUDWRUGH OD R VLQJXUă ¿UPă DX DYXW ȝ 5H]XOWDWHOH FHUFHWăULL GHPRQVWUHD]ă Fă SUHFL]LD HVWH IRDUWH EXQă LQGLIH UHQWGHFHVLVWHPVHIRORVH܈WHFăWHK QRORJLD&$'&$0HVWH¿DELOă܈LFă putem conta pe ea în practica de zi cu zi. FD] Vă ¿H WUDWDW FX DMXWRUXO DPEHORU 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 ODM SXWHP HIHFWXD R JLQJLYHFWRPLH 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 GHSkQăODOXQJLPH܈LvQGLD 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 ANICĂ EC Tratați cariile profunde cu expunere minimă la aerosoli ARE M R A EP Tratament restaurator atraumatic (ART*) Minimizați generarea de picături & aerosoli cu tehnica ART și Biodentine™ * Atraumatic Restorative Treatment www.septodont.ro[8] =>DTRO0220_01-12.pdf ADVERTORIAL 08 Dental Tribune Romanian Edition | 2/2020 6DWLVIDFĩLDSDFLHQWXOXLFXSUHYHQĩLD *XLGHG%LR¿OP7KHUDS\ *%7 HVWHXQVLVWHPPRGXODUSHQWUXR܈HGLQWDGHSUHYHQ܊LHFRQWHPSRUDQă&HLRSWSD܈L*%7SRW¿ DGDSWD܊LLQGLYLGXDOODWUDWDPHQW܈LVLWXD܊LDSDFLHQWXOXL¿HSHQWUXWHUDSLDLQL܊LDOă¿HSHQWUXWHUDSLDGHvQWUH܊LQHUH2HFKLSăGH DXWRULFDUHXWLOL]HD]ă*%7vQFDELQHWXOVWRPDWRORJLFDDGăXJDWQRLSD܈LFRQFHSWXOXLGHSUHYHQ܊LH܈LDHIHFWXDWXQVRQGDMSHQWUX DHYDOXDVDWLVIDF܊LDSDFLHQ܊LORUFXDFHVWVLVWHP *XLGHG %LR¿OP 7KHUDS\ *%7 HVWH XQ FRQFHSW GH SUHYHQ܊LH VWDQGDUGL]DW VLVWHPDWLF ܈L RULHQWDW VSUH QHFHVLWă܊L FDUH VH ED]HD]ă SH FHOH PDL UHFHQWH GHVFRSHULUL ܈WLLQ܊L¿FH ܈L SURJUHVH WHK QLFHSHQWUXDJHVWLRQDFXVXFFHVSODFD EDFWHULDQă *%7DIRVWGH]YROWDWvQFRPXQGH (06 $FDGHPLD 'HQWDUă (OYH܊LDQă 6'$ XQLYHUVLWă܊L vQVSHFLDO8QLYHU VLWDWHD GLQ %UHVFLD ,WDOLD 3URI 0 0HQVL ܈L GLYHU܈L SUDFWLFLHQL (Fig. 1) 3HOkQJăH¿FLHQ܊DGHFXUă܊DUH܈LJUDGXO ULGLFDWGHFRQVHUYDUHDVXEVWDQ܊HLGXUH RELHFWLYHOH WHUDSHXWLFH VXQW FRQIRUWXO PD[LPSHQWUXSDFLHQW܈LSUDFWLFLDQ (YROX܊LDWHUDSLHLDIRVWELQHVWXGL DWăvQFHHDFHSULYH܈WHWHKQLFD܈LPDWH ULDOHOH LDU H¿FLHQ܊D VD D IRVW GHPRQ VWUDWă SH ED]D GRYH]LORU $FHVW OXFUX VH DSOLFă ܈L VDWLVIDF܊LHL SDFLHQ܊LORU FX HWDSH LQGLYLGXDOL]DWH FXP DU ¿ $,5)/2:܈L3,(=21367–14 &XWRDWHDFHVWHDGDWHOHSULYLQGVD WLVIDF܊LDSDFLHQ܊LORUQXVXQWvQFăGLVSR QLELOH SHQWUX vQWUHJXO SURWRFRO *%7 'DUGLQPRPHQWFHVDWLVIDF܊LDSDFLHQ WXOXLHVWHXQHOHPHQWLPSRUWDQWDOXQXL VLVWHP FDUH IXQF܊LRQHD]ă ELQH ܈L IDFH SDUWHGLQPDQDJHPHQWXOQRVWUXLQWHUQ DOFDOLWă܊LLRELHFWLYXOQRVWUXDIRVWVă UHGXFHPDFHVWGHFDODMSULQVRQGDMXOD GHSDFLHQ܊L Protocolul Guided %LRÀOP7KHUDS\ *%7HVWHXQSURFHVVLVWHPLFVWDQ GDUGL]DW ED]DW SH Ä$[HOVVRQ/LQGKH UHFDOO VHVVLRQ´1–3 VHVLXQL GH vQWUH܊L QHUH %D]DW SH SD܈L *%7 SRDWH ¿ XWLOL]DWDWkWODSDFLHQ܊LLQRLFkW܈LSHQ WUXFHLFDUHXUPHD]ăWHUDSLHGHvQWUH܊L QHUH ([SOLFD܊LLOH XUPăWRDUH VH UH IHUăODWHUDSLDGHvQWUH܊LQHUH3URWRFR OXOSRDWH¿DSOLFDWLQGLYLGXDOvQIXQF܊LH GHYkUVWă܈LGLDJQRVWLFXOGHULVF ÌQ FHOH FH XUPHD]ă VXQW H[SOLFD܊L GRDUSD܈LL*%7QRL PRGL¿FD܊LYHUVXV $[HOVVRQ/LQGKH ÄUHFDOO VHVVLRQ´ ± VHVLXQLOHGHvQWUH܊LQHUH 7UDWDPHQWXOvQFHSHSULQDSULPLSDFL HQWXO܈LGHDVHPHQHDFRQWUROXOLQIHF ܊LHL SHQWUX SHUVRQDOXO PHGLFDO ÌQD LQWH GH ¿HFDUH WUDWDPHQW SDFLHQ܊LL QR܈WUL FOăWHVF FX R VROX܊LH &+;$FHVWOXFUXIDFLOLWHD]ăRUHGX FHUHDJHUPHQLORUGLQDHURVROLFXFFD 15 $FHDVWă YDORDUH SRDWH VD FUHDVFăSkQăODUHGXFHUHDJHU PHQLORU IRORVLQG XQ VLVWHP GH DVSL UDUHFXGHELWPDUH (YLGHQ܊LHUHDSOăFLLEDFWHULHQHVXSUD JLQJLYDOH±SHQWUXDGHWHUPLQDXQLQ GLFHGHSODFăH[DFWSHQWUXDPRWLYD SDFLHQ܊LLVăv܈LvPEXQăWă܊HDVFăLJLHQD RUDOă DFDVă ܈L Vă vQGHSăUWH]H SODFD EDFWHULDQă SURIHVLRQDO ܈L VLVWHPDWLF 3HQWUXDSURWHMDVXEVWDQ܊DGXUăGHQ WDUăYRU¿WUDWDWHGRDUDFHOH]RQHHYL GHQ܊LDWHSULQFRORUDUH± *HVWLRQDUHDSOăFLLEDFWHULHQH±'HRD UHFHSODFDEDFWHULDQăHVWHDFXPUHFX QRVFXWă FD ¿LQG FDX]D SULQFLSDOă D FHORU PDL IUHFYHQWH EROL DOH SDUR GRQ܊LXOXL vQFHSHP FX vQGHSăUWDUHD SOăFLL EDFWHULHQH VXEJLQJLYDOH ܈L VXSUDJLQJLYDOH /XFUăP H[FOXVLY FX $,5)/2: 3URSK\OD[LV 0DVWHU ܈L 08 <'' 01 DIAGNOSTICARE 9 ,C>,C0>Ʋ9 ,C< C 3URJUDPDUHD IUHFYHQĦHL GH UHFKHPDUH vQ IXQFĦLH GH HYDOXDUHD ULVFXULORU ÍQWUHEDĦLYĆ SDFLHQWXO GDFĆ HVWH PXOĦXPLW GH WUDWDPHQW C>CF B ,' ZF <Z' , 'LQĦL VĆQĆWRüL FDULL JLQJLYLWĆ SDURGRQWLWĆ ,PSODQWXUL VĆQĆWRDVH PXFR]LWH SHULLPSODQWLWH ÍQFHSH SULQ D FODWL FX DSD GH JXUD 07 0,C<0' 02 N ,F Z F 9 ,CG'>Z+> (IHFWXDĦL R YHULILFDUH ILQDOĆ D ELRILOPXOXL UĆPDV $VLJXUDĦLYĆ FD WDUWUXO HVWH FRPSOHW HOLPLQDW 'LDJQRVWLFDĦL FRUHFW FDULLOH 3URWHMDĦL FX IOXRU F 0 '+G'N Z ' 3UH]HQWDĦL SDFLHQWXOXL ELRILOPXO HYLGHQĦLDW &XORDUHD YD vQGUXPD vQGHSĆUWDUHD ELRILOPXOXL 2GDWĆ FH ELRILOPXO HVWH HOLPLQDW WDUWUXO HVWH PDL XüRU GH GHWHFWDW R 06 9 Z0, PS ® ",98WLOL]DĦL LQVWUXPHQWXO PLQLP LQYD]LY (06 36 VXSUD üL VXEJLQJLYDO SkQĆ OD PP &XUĆĦDĦL EX]XQDUHOH ! GH PP FX PLQLFKLXUHWD 8WLOL]DĦL LQVWUXPHQWXO (06 3, vQ MXUXO LPSODQWXULORU SDQD OD P VXEJLQ JLYDO üL D UHVWDXUĆULORU 03 +0C N< 0,BC ,C Z<B ",NF< 3XQHĦL DFFHQW SH SUHYHQLUH ,QVWUXLĦLYĆ SDFLHQĦLL FX SULYLUH OD LJLHQD RUDOĆ (06 UHFRPDQGĆ SHULXĦH GH GLQĦL üL SHULL LQWHUGHQWDUH 6RQLFDUH VDX $LUIORVV 8OWUD ŭű <'0O® +T ",9 [9] => DTRO0220_01-12.pdf METODA NOASTRĂ MODERNĂ[10] =>DTRO0220_01-12.pdf ADVERTORIAL 10 UDQWFăGLQ܊LLORUVDXVLP܊LWPDLQH WH]LGXSăWUDWDPHQW • Timp cerut GLQWUH UHVSRQGHQ܊L VFRU PDL PDUHGH DXFRQVLGHUDWFRUHVSXQ]ă WRUWLPSXOQHFHVDULDUXQSDFLHQWQX VDSXWXWGHFLGH VFRUH (Fig. 6) • Rata de recomandare VFRU! DU UHFRPDQGD DFHVW FRQFHSW GH WUDWDPHQW ܈L DOWRUD GH IDSW GLQ HL ÄQHFRQGL܊LRQDW´ VFRU ܇LODDFHDVWăvQWUHEDUHXQSDFLHQWQX DSXWXWGHFLGH VFRU &RPSDUD܊LHFXIRVWDPHWRGă $FFHSWDUHD WHUDSLHL FXUHQWH FX *XLGHG%LR¿OP7KHUDS\DIRVWFRQ VWDQWSR]LWLYăGLQWUHUHVSRQ GHQ܊L FRQVLGHUă Fă QRXD DERUGDUH HVWH PDL EXQă &RPHQWDULLOH DX LQ FOXVXUPăWRDUHOH ÄPDLUDSLG܈LPDLH¿FLHQWVHVLPWH PDL EOkQG FXUă܊DUH VHQ]D܊LRQDOă D GLQ܊LORUVHQ]D܊LHEXQăPXOWPDLSOă FXWPDLSX܊LQGXUHURV´ ,QWHQVLWDWHDGXUHULL QXDXDYXWGXUHULDXVSXV FăVLPWPDLSX܊LQăGXUHUH܈LGRDU XQSDFLHQW DVLP܊LWDFHHD܈LGXUHUH FDODWUDWDPHQWHOHDQWHULRDUH • Când a început durerea? 5H]XOWDWHOH SHQWUX XWLOL]DUHD SLHVHL $,5)/2:DXIRVWGHRVHELWGHSR]L WLYH ܈L QLFLXQ SDFLHQW QX D H[SHUL PHQWDWGXUHUH܇DSWHSDFLHQ܊LDXUD SRUWDW GXUHUL vQ WLPSXO PăVXUăULL SXQJLORUSDURGRQWDOH܈LvQWLPSXO IRORVLULL XOWUDVXQHWHORU 'LQ SăFDWH QXVDHIHFWXDWPDLGHSDUWHQLFLRGL IHUHQ܊LHUH 9$6 DGXUHULL 5H]XOWDWHOHSRW¿HYDOXDWHFD¿LQG IRDUWH EXQH$FHVW OXFUX HVWH HYLGHQW PDLDOHVGLQvQWUHEDUHDUHFRPDQGăULL܈L DVDWLVIDF܊LHLSDFLHQ܊LORUDUUHFR PDQGDWUDWDPHQWXODOWRUD܈LFRQ VLGHUăFăQRXOFRQFHSWHVWHPDLEXQGH FkW SURWRFROXO YHFKL GH WUDWDPHQW ÌQ SOXVQXDXH[LVWDWFRPHQWDULLQHJDWLYH FX SULYLUH OD XWLOL]DUHD GLVSR]LWLYXOXL $,5)/2: Dental Tribune Romanian Edition | 2/2020 QLFHWLPSXOGHWUDWDPHQWDIRVWGHWUHL RUL PDL VFXUW FRQVXPXO GH DQHVWH]LF GHRULPDLPLF܈LFRQIRUWXOSDFLHQ WXOXLPXOWPDLPDUH$VOXQG܈LFRODER UDWRULL DX DMXQV OD UH]XOWDWH VLPLODUH8 $WXQFL FkQG VH FRPSDUă FKLXUHWHOH FX 3,(=21 vQ WHUDSLD SDURGRQWDOă QRQFKLUXUJLFDOă vQ FHHD FH SULYH܈WH GXUHUHD ܈L KLSHUVHQVLELOLWDWHD FHUYL FDOăSDUDPHWULLFOLQLFLVDXvPEXQăWă ܊LWODIHOGHSR]LWLYvQDPEHOHJUXSXUL &XWRDWHDFHVWHDGXSă܈LVăSWă PkQL XWLOL]DUHD 3,(=21 D FDX]DW VHPQL¿FDWLYPDLSX܊LQHGXUHUL܈LKLSHU VHQVLELOLWDWH :HQQVWU|P ܈L FRODERUD WRULL9DXHIHFWXDWXQVWXGLXFRPSDUDWLY Fig. 4:5ČVSXQVXULOHODvQWUHEČULDXIRVWSUH]HQWDWHJUDÀFDLFLHYDOXDUHDVHQWLPHQWXOXLVXELHFWLY Fig. 5:&RORUDUHD HYLGHQĩLHUHD GLQĩLORUDIRVWSHUFHSXWČvQXQDQLPLWDWHFDRPRWLYDĩLHXWLOČ Fig. 6:$SURDSHWRĩLSDFLHQĩLLDXFRQVLGHUDWFČWLPSXOQHFHVDUWUDWDPHQWXOXLHVWHMXVWLÀFDW FLPHQWGHQWLQăvQWHUDSLDGHvQWUH܊LQHUH SHRSHULRDGăGHDQL&RQIRUWXOSD FLHQWXOXLDFk܈WLJDWGHDVHPHQHDLP SRUWDQ܊ăGHRDUHFHGHRELFHLGRDUSD FLHQ܊LLPXO܊XPL܊LUHYLQODSURJUDPăULOH GHvQWUH܊LQHUH 'DWHOHVWXGLXOXLSULYLQGXWLOL]DUHD GLIHULWHORUDMXWRDUH܈LFRQIRUWXOUH]XOWDW DOSDFLHQWXOXLVXQWGLVSRQLELOHGHFHYD WLPS:HQQVWU|PDFRPSDUDWXWLOL]D UHDLQVWUXPHQWHORUPDQXDOHFXXOWUDVX QHWHOH 3,(=21 vQ WHUDSLD LQL܊LDOă $YDQWDMHOH VXQW FODUH SHQWUX VLVWHPXO 3,(=213HQWUXDFHOHD܈LUH]XOWDWHFOL FXSXOEHULVODEDEUD]LYH JOLFLQăHULWUL WRO HVWH R DERUGDUH GH WUDWDPHQW ¿D ELOă H[WUHP GH H¿FLHQWă ܈L SUDFWLFă SHQWUXGHEULGDUHDVXEJLQJLYDOă3DUHD ¿VXSHULRUDERUGăULLWUDWDPHQWXOXLFRQ YHQ܊LRQDOvQFHHDFHSULYH܈WHFRQIRUWXO SDFLHQWXOXL VLJXUDQ܊D ܈L WLPSXO QHFH VDU(WKDQ܈LFRODERUDWRULLDXDMXQVOD XUPăWRDUHOHFRQFOX]LLvQUHYL]XLUHDORU VLVWHPDWLFă$YDQWDMHOH$,5)/2: FX SXOEHULOH FX DEUD]LYLWDWH VFă]XWă JOLFLQăHULWULWRO FRQVWDXvQvQGHSăUWD UHDH¿FLHQWăDSOăFLLEDFWHULHQHIăUăGH WHULRUDUHD ܊HVXWXOXL PRDOH ܈LVDX GXU SDURGRQWDO$OWHDYDQWDMHVXQWFRQIRU WXOSDFLHQWXOXL܈LWLPSXOQHFHVDU0R HQH܈LFRODERUDWRULLDXFRPSDUDWXO WUDVXQHWHOHFXSXOEHUHD3(5,2)/2: 3/86vQWHUDSLDGHvQWUH܊LQHUHSHQWUX SDFLHQ܊LL FX SXQJL SDURGRQWDOH FX DGkQFLPL!PP3DFLHQ܊LLDXSUHIHUDW vQ PRG FODU SXOEHUHD 3(5,2)/2: 3/86 GHRDUHFH GXUHUHD D IRVW PDL PLFă vQ WLPSXO WUDWDPHQWXOXL 6FKLP EkQG WHKQLFD SULQ vQGHSăUWDUHD SOăFLL EDFWHULHQH vQDLQWH GH vQGHSăUWDUHD WDUWUXOXL WHKQLFD *%7 vPEXQăWă܊H܈WH FRQVLGHUDELO FRQIRUWXO SDFLHQWXOXL $FHVWHUH]XOWDWHVXQWGHDVHPHQHDvQ FRQFRUGDQ܊ă FX UH]XOWDWHOH VRQGDMXOXL QRVWUX 'HFHYDWLPSOXFUăPFXDMXWRDUH EOkQGHvQFOLQLFDQRDVWUDOD܈HGLQ܊HOHGH vQWUH܊LQHUH FXP DU ¿ $,5)/2: ܈L 3,(=2136'HRDUHFHDPRIHULW*%7 SDFLHQ܊LORUQR܈WULFDXQSDVvQDLQWHvQ SURWRFROXOGHvQWUH܊LQHUHFXDFHVWVRQ GDMDPGRULWVăRE܊LQHPLPSUHVLLOHDF FHSWăULLDFHVWHLPHWRGHHIHFWXDWăODSD FLHQ܊L 6RQGDMXO D IRVW UHDOL]DW FX XQ JUXSGHSDFLHQ܊LFDUHDIRVWLPSOLFDW܈L UHFKHPDWODVHGLQ܊HOHGHvQWUH܊LQHUHvQ PRGUHJXODWvQFOLQLFDQRDVWUăSHRSH ULRDGDGHPDLPXO܊LDQL $QFKHWD D IXUQL]DW LQIRUPD܊LL SUH GRPLQDQWGHVFULSWLYHLDUUH]XOWDWHOHDX IRVW IRDUWH SR]LWLYH SH WRW SDUFXUVXO $FHVWOXFUXvODWULEXLPvQSULQFLSDOWUD WDPHQWXOXLVSHFL¿FEOkQG܈LQHGXUHURV GHUHGXFHUHDDQ[LHWă܊LL&HHWDSHLQGL YLGXDOHDOH*%7 FRORUDUHHYLGHQ܊LHUH vQGHSăUWDUHDSOăFLLEDFWHULHQHPDLvQWkL FX SXOEHUH $,5)/2:3(5,2)/2: 3/86 HULWULWRO DSRL 3,(=21 36 'LVFXĩLL ÌQGHSăUWDUHD H¿FLHQWă ܈L X܈RDUă D SOăFLL EDFWHULHQH ܈L D WDUWUXOXL VXQW FRPSRQHQWH HVHQ܊LDOH DOH WHUDSLHL GH SUHYHQLUH LQL܊LDOă ܈L GH vQWUH܊LQHUH 0XOWă YUHPH DFFHQWXO D IRVW SXV H[ FOXVLYSHSHUIRUPDQ܊DGHFXUă܊DUH3UR WHF܊LD ܊HVXWXULORU ܈L VXEVWDQ܊HL GXUH GHQWDUHGHYLQHGLQFHvQFHPDLLPSRU WDQWăvQ܈HGLQ܊HOHGHvQWUH܊LQHUH ÌQ )OHPPLJ± D GRULW Vă HYLWH R SLHUGHUH PDL PDUH GH PP vQWHUDSLDGHvQWUH܊LQHUH 3,(=21YV $,5)/2:JOLFLQă 1X DX H[LVWDW GLIHUHQ܊HvQYDORULOHFOLQLFH܈LPLFUREL HQH GDU FRQIRUWXO SDFLHQWXOXL D IRVW PXOW PDL PDUH vQ JUXSXO$,5)/2: %KOHU܈LFRODERUDWRULLDXSXEOLFDWR DQDOL]ăVLVWHPDWLFăDGLVFRQIRUWXOXLvQ WHUDSLD SDURGRQWDOă QRQFKLUXUJLFDOă 5H]XOWDWXODDUăWDWPDLSX܊LQGLVFRQIRUW OD XWLOL]DUHD$,5)/2: GHFkW FX GLV SR]LWLYHOHFXXOWUDVXQHWH܈LLQVWUXPHQ WHOHPDQXDOH6XOWDQ܈LFRODERUDWRULL DX DMXQV OD XUPăWRDUHD FRQFOX]LH vQ DQDOL]DFULWLFăDOLWHUDWXULL$,5)/2: DX FRQGXV OD VDWLVIDF܊LD IRDUWH PDUH D SDFLHQWXOXLQXDXSXWXW¿FODUL¿FDWHvQ FHOHGLQXUPăFXDFHVWVRQGDM&HUWHVWH Fă WHKQRORJLD $,5)/2: PDL SUHVXV GHWRDWHSUHFXP܈LWLPSXOUHGXVQHFHVDU SHQWUXDSOLFDUHDXOWUDVXQHWHORUGDWRULWă VFKLPEăULLWHKQLFLLVXQWIDFWRULHVHQ܊L DOLSHQWUXVDWLVIDF܊LDULGLFDWăDSDFLHQWX OXL Rezumat 3ULQVFKLPEDUHDSURWRFROXOXL SHQWUX ܈HGLQ܊D GH vQWUH܊LQHUH *XLGHG %LR¿OP7KHUDS\D܈DFXPHVWHGHVFULV PDLVXVFDUHUHÀHFWăFHOHPDLUHFHQWH GHVFRSHULUL܈WLLQ܊L¿FH܈LSURJUHVXOWHK QLFDPUHX܈LWVăDWLQJHPXQVWDQGDUG ULGLFDWGHFDOLWDWH0DLPXOWVDWLVIDF܊LD SDFLHQWXOXL FDOLWDWHDUH]XOWDWHORU MRDFăXQUROFKHLHvQVXFFHVXOSUHYHQL ULLFDUHVHFRUHOHD]ăSXWHUQLFFXORLDOL WDWHDSDFLHQWXOXLSHWHUPHQOXQJ$FHVW OXFUXODUkQGXOVăXGHSLQGHGHFDOLWD WHD WUDWDPHQWXOXL HIHFWXDW ܈L GH GXUH UHDEXQăVWDUHD H[SHULPHQWDWă GHRD UHFHQXPDLSDFLHQ܊LLPXO܊XPL܊LYRUUH YHQL 3HQWUXDGHWHUPLQDVDWLVIDF܊LDSD FLHQ܊LORU QR܈WUL GXSă FH DP WUHFXW OD *XLGHG%LR¿OP7KHUDS\DPVROLFLWDW GLQWUHHLVăFRPSOHWH]HXQFKHVWLR QDU)HHGEDFNXODIRVWFRQVWDQWSR]L WLYODWRDWHvQWUHEăULOHÌQVSHFLDOFRP SDUD܊LD FX WUDWDPHQWHOH DQWHULRDUH D IRVWFODUă7R܊LFHLGHSDFLHQ܊LFKHV WLRQD܊LSUHIHUăQRXDPHWRGăGHFkWFHD YHFKH ,PDJLQL'U.'%DVWHQGRUIЮL(06 5HIHULQаHOLWHUDUHODZZZ]PNDNWXHOO GHOLWHUDWXUOLVWHQ Dr. Nadine Strafela-Bastendorf Dr. Klaus-Dieter Bastendorf &DELQHW'HQWDUGH)DPLOLH *DLUHQVWU (LVOLQJHQ*HUPDQLD SUD[LV#VWUDIHODEDVWHQGRUIGH LQIR#EDVWHQGRUIGH[11] =>DTRO0220_01-12.pdf Dental Tribune Romanian Edition | 2/2020 Lifestyle 11 6ČQČWDWHDPLQWDOČvQSURIHVLDGHQWDUČvQ WLPSXOSDQGHPLHL&29,' 0RQLTXH0HKOHU'HQWDO7ULEXQH,QWHUQDWLRQDO &KLDUGDFăPLOLRDQHGHRDPHQLVXIHUă GHDQ[LHWDWH܈LGHSUHVLHSRWULYLW2UJD QL]D܊LHL0RQGLDOHD6ăQăWă܊LLWXOEXUă ULOHSVLKLDWULFHUăPkQGHVHRULLQVX¿FL HQW UHFXQRVFXWH ܈L VXEGLDJQRVWLFDWH 6WLJPDWXOSHUVLVWHQWvQFHHDFHSULYH܈WH SUREOHPHOHGHVăQăWDWHPLQWDOăH[DFHU EHD]ă SUREOHPD GHRDUHFH VXIHULQ]LL VLPWUX܈LQH܈LYLQRYă܊LHSHOkQJăVWDUHD ORUH[LVWHQWă܈LSULQXUPDUHQXFDXWă DMXWRUXODGHFYDW'DWRULWăVWUHVXOXLFUR QLFDVRFLDWSURIHVLHLORUPHGLFLLVWRPD WRORJLVXQWvQVSHFLDOSUHGLVSX܈LODHSX L]DUH SURIHVLRQDOă ܈L GHSUHVLH GXSă FXPUHLHVHGLQVWXGLL$FXPRGDWăFX UăVSkQGLUHD 6$56&R9 SUHVLXQHD ¿]LFă܈LSVLKRORJLFăDFUHVFXWvQUkQGXO VSHFLDOL܈WLORUvQVWRPDWRORJLH 6HVXV܊LQHGHPXOWăYUHPHFăSUR IHVLDGHVWRPDWRORJDUHRUDWăULGLFDWă GHVXLFLGGDWRULWăXQHLJDPHGHIDFWRUL GH VWUHV ¿]LF ܈L PLQWDO 8Q DUWLFRO GH VSHFLDOLWDWH DO PHGLFXOXL RUWRGRQW 5DQG\/DQJGLQUH]XPăVWDWLVWL FLOHSHFDUHOHDvQWRFPLWvQED]DPDL PXOWRU VWXGLL FDUH LQGLFă IDSWXO Fă VSHFLDOL܈WLL vQ VWRPDWRORJLH SUH]LQWă vQWUDGHYăU XQ ULVF PDL PDUH GH EROL SVLKLFH ܈L ¿]LFH OHJDWH GH VWUHV 'H H[HPSOX/DQJDGHFODUDWFăÄVWRPDWR ORJLL VXIHUă GH WXOEXUăUL SVLKRQHYUR WLFHFXRUDWăGHRULPDLPDUHGHFkW PHGLFLL´܈LÄERDODFRURQDULDQă܈LWHQVL XQHD DUWHULDOă PăULWă VXQW FX SHVWH PDLUăVSkQGLWHvQUkQGXOPHGLFL ORU VWRPDWRORJL GHFkW DO SRSXOD܊LHL ODUJL´ ÌQWURLQYHVWLJD܊LHPDLUHFHQWăXQ DUWLFROSXEOLFDWGH9LFH0HGLDDUDSRU WDW SUHVLXQHD VHPQL¿FDWLYă VSHFL¿Fă SURIHVLHLVXEIRUPăGHÄSUREOHPHOH JDWH GH EDQL VWUHV ¿]LF ܈L HPR܊LRQDO L]RODUH ܈L SHUFHS܊LD SXEOLFă QHIDYRUD ELOăDVXSUDGHQWL܈WLORUvQJHQHUDO´ &RQVHFLQĩHOHSDQGHPLHL GHFRURQDYLUXV 3HOkQJăIDFWRULLGHVWUHVSUHH[LV WHQ܊LVSHFL¿FLORFXULORUGHPXQFăVSH FLDOL܈WLLvQVWRPDWRORJLHDXIRVWGHRVH ELW GH DIHFWD܊L GH SURYRFăULOH GHFODQ ܈DWHGH6$56&R96DFRQVWDWDWFă VWRPDWRORJLDHVWHXQDGLQWUHRFXSD܊LLOH FXFHOPDLPDUHULVFSRWHQ܊LDOGHLQIHF ܊LH GHRDUHFH YLUXVXO HVWH WUDQVPLV vQ DHULDUVWRPDWRORJLLOXFUHD]ăvQLPHGL DWDDSURSLHUHDSDFLHQ܊LORUORU 0DLPXOWLQPXOWH܊ăULVDXvQFKLV FDELQHWH VWRPDWRORJLFH vQ WLPSXO FD UDQWLQHORUFHHDFHDPăULWSUHVLXQHD¿ QDQFLDUăLPHQVă܈LDGXVODUHGXFHUHD SHUVRQDOXOXLvQXQHOHFD]XUL ÌQWUR OXFUDUH SXEOLFDWă UHFHQW 'U $QGUHD 9HUJDUD %XHQDYHQWXUD ܈L HFKLSDVDGHFHUFHWDUHGHOD8QLYHUVL GDG&LHQWL¿FDGHO6XUGLQ/LPD3HUX DXRIHULWRDQDOL]ăFXSULQ]ăWRDUHDFRQ VHFLQ܊HORU HSLGHPLLORU GLQ WUHFXW DVX SUDVăQăWă܊LLPLQWDOH܈LDXHYDOXDWSRVL ELOHOHDVSHFWHFDUHDUSXWHD¿DVRFLDWH LPSOLFD܊LLORU PLQWDOH SHQWUX VWRPDWR ORJLGLQFDX]DSDQGHPLHL&29,' ÌQWUXQ LQWHUYLX DFRUGDW UHYLVWHL 'HQWDO7ULEXQH ,QWHUQDWLRQDO9HUJDUD %XHQDYHQWXUDDVSXVFăLGHHDDUWLFROX OXLDDSăUXWvQWLPSXOXQXLDSHOYLGHR FXFROHJLFDUHDXvPSăUWă܈LWJULML܈LWH © eamesBot/Shutterstock.com ´6WRPDWRORJLLWUHEXLHVČÀHSUHJČWLĩLVČMRDFH XQ URO PDL LPSRUWDQW ɂL VČ OXSWH vPSRWULYD QRLORUEROLFDUHSXQYLDĩDvQSHULFROµ 'U$QGUHD9HUJDUD%XHQDYHQWXUD PHUL VLPLODUH Ä/D vQFHSXW FkQG DP SDUFXUVVFULHULOHGHVSHFLDOLWDWHDYHDP GRDUFkWHYDUHIHULQ܊HGHVSUH&29,' ܈LVăQăWDWHDPLQWDOă܈LPXOWPDLSX܊LQ GHVSUH VăQăWDWHD PLQWDOă OD VWRPDWR ORJL7RFPDLDPJăVLWGDWHGHVSUHHSL GHPLLOH GLQ WUHFXW GDU DX IRVW H[DFW DFHOHD܈LVHUDSRUWDXDFHOHD܈LVWăUL´D H[SOLFDWHD6RQGDMHOHHIHFWXDWHvQ,Q GLD܈L,VUDHOGHH[HPSOXFRQ¿UPăVX IHULQ܊D SVLKRORJLFă SH FDUH R WUăLHVF VSHFLDOL܈WLLvQVWRPDWRORJLHFDUăVSXQV ODSDQGHPLD&29,' ÌQ FLXGD SURYRFăULORU 9HUJDUD %XHQDYHQWXUDVSHUăFăDFHDVWăSDQGH PLHÄQHYDvQWăULFDLQGLYL]L܈LFDVLV WHP´ÄÌQ܊DUDPHD3HUXDFHDVWăSDQ GHPLH D VFRV OD LYHDOă SXQFWHOH VODEH DOHVLVWHPXOXLGHVăQăWDWHSHUXYLDQ܈LD GHPRQVWUDWFăPHGLFLLVWRPDWRORJLWUH EXLHVăIDFăSDUWHGLQVLVWHPXOGHVăQă WDWH6WRPDWRORJLLWUHEXLHVă¿HSUHJă WL܊LVăMRDFHXQUROPDLLPSRUWDQW܈LVă OXSWH vPSRWULYD QRLORU EROL FDUH SXQ YLD܊DvQSHULFRO´DFRQFOX]LRQDWHD 3URYRFČULOH GHSkQČDFXP 'U6XMDWD%DVDZDUDMFRQGXFHXQ FDELQHW SULYDW vQ /HZLVYLOOH 7H[DV 68$܈LDUHH[SHULHQ܊DGLUHFWăDSURYR FăULORUULGLFDWHGH6$56&R9Ä'LQ SXQFWGHYHGHUHPHQWDODFWLYLWDWHDvQ WLPSXOXQHLSDQGHPLLDIRVWIRDUWHVWUH VDQWă܈LRERVLWRDUHGLQFDX]DQXPăUX OXLGHVDUFLQLVXSOLPHQWDUHSHQWUXFUH DUHDXQXLPHGLXVLJXUSHQWUXPLQHDQ JDMD܊LL܈LSDFLHQ܊LLGLQFDELQHWXOPHX 7UHEXLHVăWUDWăP¿HFDUHSDFLHQW ܊LQkQGFRQWFăHOVDXHDDU¿SXWXWFRQ WUDFWD 6$56&R9´ 6$56&R9´ DH[SOLFDWSHQWUX'HQWDO7ULEXQH,QWHU QDWLRQDO$SRL ³6LPW Fă XQ QLYHO GH FRPXQLFDUHFDUHHUDLPSHUDWLYSHQWUX VWRPDWRORJL D IRVW HOLPLQDW GLQ FDX]D QRXOXLHFKLSDPHQWSHFDUHWUHEXLHVăO SXUWăP1XHVWHODIHOGHX܈RUVăYRU EH܈WLFXSDFLHQ܊LLGDUODVIkU܈LWXO]LOHL FUHGFăVLJXUDQ܊DWXWXURUDUWUHEXLVă¿H SHSULPXOORF´ %DVDZDUDMDDGăXJDWFăvQFDOLWDWH GHSURIHVLRQL܈WLGLQGRPHQLXOPHGLFDO HD܈LFROHJLLHLVXQWUHVSRQVDELOLGHvQ JULMLUHD VăQăWă܊LLSDFLHQ܊LORUORU OXFUX GHFDUHDXIRVWvQWRWGHDXQDUHVSRQVD ELOL (D D DGăXJDW Ä6SHU Fă RDPHQLL YRU FRQWLQXD VDX YRU vQFHSH GDFă QX DX vQFHSXW GHMD Vă XUPH]H OLQLLOH GL UHFWRDUHSULYLQGVLJXUDQ܊D܈LGLVWDQ܊D UHDVRFLDOăSUHFXP܈LVăDLEăUăEGDUH FXQRLPHGLFLLvQWLPSFHLvQJULMLPvQ WLPSXOSDQGHPLHL´ ÌQFLXGDGL¿FXOWă܊LORUSHFDUHOHD vQWkPSLQDW %DVDZDUDM UăPkQH SR]L WLYă܈LVHvQJULMH܈WHFkWPDLELQHGHVă QăWDWHDVDPLQWDOăÄÌQDFHVWPRPHQW WLPSXOSHWUHFXWFXIDPLOLDPHDJăWLWXO SOLPEăULOHvQSDUFSXUWkQGRPDVFă܈L SăVWUkQG GLVWDQ܊D VRFLDOă DX IRVW PRGXOPHXGHDDPHOLRUDRSDUWHGLQ VWUHVXOFDUHUH]XOWăGLQPXQFDGHVIă܈X UDWă vQ WLPSXO DFHVWHL SDQGHPLL 7RWFHSXWHPIDFHvQDFHVWPRPHQWHVWH VăVSHUăPODPDLELQH´ &UHDUHDXQXLPHGLXGH OXFUXPDLVČQČWRV 8Q VWXGLX UHDOL]DW GH FHUFHWăWRUL GLQ/RQGUDDLQYHVWLJDWDVLVWHQ܊DPHGL FDOăPLQWDOăSHQWUXSHUVRQDOXOPHGLFDO ܈LOXFUăWRULLPHGLFDOLD¿OLD܊LvQWLPSXO SDQGHPLHL&29,'܈LPRGXOvQFDUH DFH܈WLDSRW¿VSULMLQL܊L$XWRULLGHFODUă FăÄDFFHVXOUDSLGODFRQVLOLHUHSVLKLD WULH܈LVLWXD܊LLGHXUJHQ܊ăSHQWUXWLPSXO OLEHU´HVWHLPSRUWDQWGDUÄSUHYHQLUHD ܈LDWHQXDUHDVXQWPXOWPDLLPSRUWDQWH GHFkWYLQGHFDUHD´ ([SHU܊LGLQPDLPXOWHXQLYHUVLWă܊L GLQ68$DXSXEOLFDWRDQDOL]ăvQFDUH FRQVWDWăFăÀH[LELOLWDWHDSVLKRORJLFă܈L vQJULMLUHD GH VLQH VXQW DVSHFWH IXQGD PHQWDOHDOHVăQăWă܊LLSVLKRORJLFHvQJH QHUDO 'H DVHPHQHD H[HUFL܊LLOH ¿]LFH DXRLQÀXHQ܊ăSR]LWLYăDVXSUDEXQăVWă ULLJHQHUDOHSRWULYLWFHUFHWăWRULORUGLQ ,WDOLDFDUHDXDQDOL]DWvQVSHFLDOPRGXO vQFDUHVDXVFKLPEDWQLYHOXULOHGHDF WLYLWDWH vQ UkQGXO SRSXOD܊LHL vQ WLPSXO SDQGHPLHL 'DWRULWă L]ROăULL ¿]LFH ܈L GLVWDQ܊ăULL SRW DSăUHD VHQWLPHQWH GH VLQJXUăWDWH܈LDQ[LHWDWHFDUHDUWUHEXL DERUGDWH(VWHHVHQ܊LDOVăFRQWDFWD܊LID PLOLD܈LSULHWHQLLvQWUXQPRGVLJXUGH H[HPSOX SăVWUkQG OHJăWXUD SULQ WHOH IRQVDXDSHOXULYLGHR ÌQFăXWDUHDVăQăWă܊LLSVLKRORJLFHDU WUHEXL Vă QH GăP VHDPD Fă SDQGHPLD &29,' HVWH IăUă SUHFHGHQW ܈L ¿H FDUH SHUVRDQă R UHVLPWH ܈L UăVSXQGH IRDUWH GLIHULW 'LQ DFHVWH PRWLYH UHV SHFWDUHDULWPXOXLSURSULX܈LJULMDGHVLQH FkWPDLDWHQWăVXQWDEVROXWFUXFLDOH 0XOWH DVRFLD܊LL VWRPDWRORJLFH RIHUăUHVXUVHDVLVWHQ܊ă܈LVIDWXULSHQWUX VSHFLDOL܈WLL vQ VWRPDWRORJLH FDUH VXQW DIHFWD܊LGHPXQFă܈LVWUHVSHUVRQDO'H H[HPSOX$VRFLD܊LD 'HQWDUă %ULWDQLFă OH RIHUă PHPEULORU VăL FRQVLOLHUH ܈L DVLVWHQ܊ă HPR܊LRQDOă QRQVWRS SULQ LQWHUPHGLXO OLQLHL GH DVLVWHQ܊ă +HDOWK $VVXUHGLDU$VRFLD܊LD'HQWDUă$PHUL FDQăRIHUăUHVXUVHGHVăQăWDWHPLQWDOă &29,' SH SDJLQD VD GH LQWHUQHW 8QDOWLQVWUXPHQWXWLOHVWHRSODWIRUPă QXPLWă&RQ¿GHQWDOFDUHv܈LSURSXQHVă OHRIHUHSULPXODMXWRUHPR܊LRQDOVWRPD WRORJLORUEULWDQLFLDÀD܊LvQGL¿FXOWDWH © GrAl/Shutterstock.com[12] =>DTRO0220_01-12.pdf ) [page_count] => 12 [pdf_ping_data] => Array ( [page_count] => 12 [format] => PDF [width] => 794 [height] => 1134 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] => [cover] => [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] =>Table of contentsNews / TempoCem ID — Vizibil doar când trebuie / Clinical Case / Advertoirial / Lifestyle
[cached] => true )