scholarly journals Robótica na cirurgia odontológica: Revisão integrativa

2021 ◽  
Vol 10 (4) ◽  
pp. e1010413730
Author(s):  
Isis Samara de Melo Queiroga ◽  
Maria Clara de Aquino Veras Falcão ◽  
Esdras Gabriel Alves-Silva ◽  
Eloiza Leonardo de Melo ◽  
Marleny Elizabeth Márquez de Martínez Gerbi ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Oral Surgery ◽  
Robotic Surgical Procedures

Os robôs são uma inovação tecnológica adaptada para utilização em procedimentos cirúrgicos dos mais variados âmbitos, auxiliando o profissional de saúde no cumprimento de seu papel. Quando associados à odontologia, tem-se aplicabilidade em diversas áreas como a oncologia e implantodontia. O objetivo deste trabalho foi realizar uma revisão integrativa da literatura atual sobre procedimentos cirúrgicos robotizados na odontologia, destacando suas técnicas, indicações, vantagens e desvantagens. Foi feita uma pesquisa dos artigos nas bases de dados eletrônicas CAPES, PubMed e MEDLINE, utilizando os descritores: “Robotic Surgical” “Procedures”, “Dentistry”, “Oral Surgery”, indexados no período de 2015 a 2020, que tratavam de relatos de caso, revisões de literatura, estudos in vivo que relatam a utilização de robôs em procedimentos cirúrgicos odontológicos, estudos de viabilidade e ensaios clínicos. Após os critérios de elegibilidade, foram analisados 18 artigos integralmente publicados em língua inglesa. Os estudos mostraram que a utilização de robôs na cirurgia odontológica traz mais precisão ao procedimento, diminuindo a perda de tecido, reduzindo a possibilidade de hemorragia, reduzindo possíveis cicatrizes resquiciais, e pós-cirúrgico. A cirurgia robótica em diversos âmbitos da odontologia já demonstrou alta confiabilidade permitindo desde melhor precisão até maior assertividade, além de proporcionar um acesso cirúrgico menos invasivo com dano tecidual adjacente à área de atuação relativamente menor, otimizando o procedimento cirúrgico.

Consent in Oral Surgery: a Guide for Clinicians

Dental Update ◽  
2020 ◽  
Vol 47 (2) ◽  
pp. 92-102
Author(s):  
Mohammed M Dungarwalla ◽  
Edmund Bailey
Keyword(s):  
Surgical Procedures ◽  
Secondary Care ◽  
Clinical Relevance ◽  
Oral Surgery ◽  
Clinical Care ◽  
Consent Process ◽  
Oral Surgical Procedures ◽  
Informed Decisions ◽  
The Law

The consent process remains a pillar of excellent clinical care. The changes in the law after the Montgomery ruling in 2015 has changed the shape of consent, and now, taking adequate consent can be extensive and sometimes confusing for clinicians and patients. Dentists are sometimes faced with the unenvious task of weighing up what patients should know versus what they want to know. This paper aims to describe the consent process for more common oral surgical procedures, helping clinicians to allow their patients to make informed decisions. CPD/Clinical Relevance: To assist primary and secondary care clinicians in taking adequate consent for oral surgical procedures.

scholarly journals “Evidence-Based Dentistry in Oral Surgery: Could We Do Better?”

2010 ◽  
Vol 4 (1) ◽  
pp. 77-83 ◽  
Author(s):  
Pier Francesco Nocini ◽  
Giuseppe Verlato ◽  
Andrea Frustaci ◽  
Antonio de Gemmis ◽  
Giovanni Rigoni ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Evidence Based Medicine ◽  
Oral Surgery ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Research Problems ◽  
Cad Cam ◽  
The Moment ◽  
Based Medicine ◽  
Evidence Based Dentistry

Evidence-based Dentistry (EBD), like Evidence-based Medicine (EBM), was born in order to seek the “best available research evidence” in the field of dentistry both in research and clinical routine.But evidence is not clearly measurable in all fields of healthcare: in particular, while drug effect is rather independent from clinician’s characteristics, the effectiveness of surgical procedures is strictly related to surgeon’s expertise, which is difficult to quantify. The research problems of dentistry have a lot in common with other surgical fields, where at the moment the best therapeutic recommendations and guidelines originates from an integration of evidence-based medicine and data from consensus conferences.To cope with these problems, new instruments have been developed, aimed at standardizing clinical procedures (CAD-CAM technology) and at integrating EBM achievements with the opinions of expert clinicians (GRADE System).One thing we have to remember however: it is necessary to use the instruments developed by evidence-based medicine but is impossible to produce sound knowledge without considering clinical expertise and quality of surgical procedures simultaneously. Only in this way we will obtain an evidence-based dentistry both in dental research and clinical practice, which is up to third millennium standards.

Use of Porcine Factor VIII in the Management of Seventeen Patients with Factor VIII Antibodies

1984 ◽  
Vol 51 (03) ◽  
pp. 379-384 ◽  
Author(s):  
Loredana Gatti ◽  
Pier Mannuccio Mannucci
Keyword(s):  
Side Effects ◽  
Factor Viii ◽  
Surgical Procedures ◽  
Post Partum ◽  
Cross Reactivity ◽  
Severe Thrombocytopenia ◽  
Therapeutic Choice ◽  
The Mean ◽  
In Vivo Recovery

SummaryA polyelectrolyte-fractionated porcine factor VIII concentrate was given to 16 hemophiliacs with anti-F VIII antibodies (Ab) and to a woman with post-partum-acquired Ab during 24 courses of treatment including three major surgical procedures. Before treatment, antiporcine F VIII Ab was always lower than antihuman F VIII Ab, with a median cross reactivity of 32%. After treatment, the mean rise in F VIII was 1.5 U/dl/Unit infused/Kg b.w. and in vivo recovery was 50% of the theoretical values. Anamnestic rises in anti-porcine F VIII Ab (3 × the baseline titer) were seen after 9 of 22 courses of treatment with porcine F VIII only; similar rises in anti-human F VIII Ab, after 6 courses of treatment; median cross reactivity did not change significantly. Lower than expected increases in plasma F VIII without marked changes in Ab titers and severe thrombocytopenia occurred during surgery in two patients. Porcine F VIII is a rational and effective therapeutic choice for patients who have anti-human Ab titers above 10 U/ml; it can solve clinical situations that would otherwise be very difficult to manage; anamnesis is perhaps less frequent than after human F VIII; however, the incidence of thrombocytopenia, resistance and other side- effects is still higher than desirable.

A Four-DOF Laparo-Endoscopic Single Site Platform for Rapidly-Developing Next-Generation Surgical Robotics

2016 ◽  
Vol 01 (04) ◽  
pp. 1650006 ◽  
Author(s):  
Lou Cubrich ◽  
Mark A. Reichenbach ◽  
Jay D. Carlson ◽  
Andrew Pracht ◽  
Benjamin Terry ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Degrees Of Freedom ◽  
Haptic Feedback ◽  
Gynecologic Oncology ◽  
Single Site ◽  
Fundamental Limitations ◽  
Surgical Tool ◽  
Wide Range ◽  
Proven Efficacy

Minimally-invasive laparoscopic procedures have proven efficacy for a wide range of surgical procedures, but have notable shortcomings, including limited instrument motion and reduced dexterity. Endoscopic robots, like the intuitive surgical da Vinci system, have become an effective tool for many types of surgeries; however, these tools still have fundamental limitations with manipulator access, which reduces their effectiveness for many surgical procedures, like colectomy, cholecystectomy, and gynecologic oncology. Laparo-endoscopic single-site (LESS) robots operate in vivo, and overcome many of these limitations. Here, a four-degrees of freedom (DOF) surgical robot is presented as a tool to enable refinement of the LESS platform as a surgical tool, while also looking forward to applications in telesurgery and haptic feedback.

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