Cutting efficiency for minimally-invasive  endo treatments

SUMMARY Minimally invasive dentistry advocates the maintenance of all repairable tooth structures during operative caries management in combination with remineralization strategies. This study evaluated the effect of air-abrasion operating parameters on its cutting efficiency/pattern using bio-active glass (BAG) powder and alumina powder as a control in order to develop its use as a minimally invasive operative technique. The cutting efficiency/pattern assessment on an enamel analogue, Macor, was preceded by studying the powder flow rate (PFR) of two different commercial intraoral air-abrasion units with differing powder-air admix systems. The parameters tested included air pressure, powder flow rate, nozzle-substrate distance, nozzle angle, shrouding the air stream with a curtain of water, and the chemistry of abrasive powder. The abraded troughs were scanned and analyzed using confocal white light profilometry and MountainsMap surface analysis software. Data were analyzed statistically using one-way and repeated-measures analysis of variance tests (p=0.05). The air-abrasion unit using a vibration mechanism to admix the abrasive powder with the air stream exhibited a constant PFR regardless of the set air pressure. Significant differences in cutting efficiency were observed according to the tested parameters (p<0.05). Alumina powder removed significantly more material than did BAG powder. Using low air pressure and suitable consideration of the effect of air-abrasion parameters on cutting efficiency/patterns can improve the ultraconservative cutting characteristics of BAG air-abrasion, thereby allowing an introduction of this technology for the controlled cleaning/removal of enamel, where it is indicated clinically.

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A Mechanical Comparison of Traditional and Minimally Invasive Acetabular Reamers for Total Hip Arthroplasty

Volume 3: 16th International Conference on Advanced Vehicle Technologies; 11th International Conference on Design Education; 7th Frontiers in Biomedical Devices ◽

10.1115/detc2014-35692 ◽

2014 ◽

Author(s):

Kari L. Puma ◽

Mark T. Ehrensberger

Keyword(s):

Total Hip Arthroplasty ◽

Minimally Invasive ◽

Hip Arthroplasty ◽

Orthopaedic Surgery ◽

Surgical Instruments ◽

Cutting Efficiency ◽

Total Hip ◽

Incision Site ◽

Mechanical Performances ◽

Biomechanical Comparison

Minimally invasive (MIS) total hip arthroplasty is a recently advanced and popularized technique in orthopaedic surgery. The smaller incision site requires the use of small surgical instruments. The purpose of this study was to perform a biomechanical comparison of the cutting efficiency of traditional acetabular reamers and newly designed minimally invasive reamers for use in total hip arthroplasty. Both types of reamers were tested in two different sample materials, Bonesim™ and RenShape®. This study concluded that the new MIS and the traditional acetabular reamers are comparable in their mechanical performances with respect to the force and torque produced while reaming.

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Considerations in Dysphagia Management Following Esophagectomy

Perspectives of the ASHA Special Interest Groups ◽

10.1044/persp1.sig13.169 ◽

2016 ◽

Vol 1 (13) ◽

pp. 169-176

Author(s):

Lisa M. Evangelista ◽

James L. Coyle

Keyword(s):

Esophageal Cancer ◽

Minimally Invasive ◽

Minimally Invasive Surgical Procedures ◽

Esophageal Resection ◽

Minimally Invasive Surgical ◽

Operative Complications ◽

Swallowing Difficulties ◽

Epidemiological Impact ◽

Invasive Techniques ◽

Management Of Dysphagia

Esophageal cancer is the sixth leading cause of death from cancer worldwide. Esophageal resection is the mainstay treatment for cancers of the esophagus. While curative, surgical resection may result in swallowing difficulties that require intervention from speech-language pathologists (SLPs). Minimally invasive surgical procedures for esophageal resection have aimed to reduce morbidity and mortality associated with more invasive techniques. Both intra-operative and post-operative complications, regardless of the surgical approach, can result in dysphagia. This article will review the epidemiological impact of esophageal cancers, operative complications resulting in dysphagia, and clinical assessment and management of dysphagia pertinent to esophageal resection.

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