Treatment for aphtha-herpes

One of the most impressive Laser applications! Immediate pain elimination and rapid cure of aphtha and herpes injuries, without the patient experiencing any pain during the treatment, considering it is about two diseases that afflict a large percentage of the population, without any essential and conventional form of treatment. Our dental infirmary provides the following services:

 

Direct elimination of aphtha and herpes symptoms using Er: YAG Laser, Nd: YAG Laser, or Laser Diodes.

Systematic treatment with Nd: YAG Laser to gradually reduce the recurrence frequency of cold sore (herpes).

7 tips for apex detection using detectors.

7 tips for apex detection using detectors.

 

Although many companies believe that the apex detectors operate in a wet environment no matter what kind of fluid there is in the root canal (blood, pus, NAOCL, etc.), we all actually get strange indications in some cases. Some tips from my experience are:

  1. Always measure in a dry field. I have seen quite a big difference and in some cases it’s the only way to get the right indication.
  2. Personally, I do not only trust the apex detector and I always conduct an x-ray. The combination, I think, is the best and the most correct.
  3. If the apex detector in a dry field deals with long distances in movements of only a few tenths of a millimeter, change the file to the next bigger size and remeasure it. In many cases, my problem was solved by doing this simple move.
  4. If the detector shows a different indication than the x-ray, a simple way to get a third indication is as follows. Take a cone of paper and push it into the channel (I usually get the size 10 and rarely 15) as much to the edge of the root as possible if there is no apex piercing. The cone will get wet as soon as it passes through the apex and will bend.
    When you take it out measure the dry part of the cone. It’s unbelievable how many times this trick will save you from the dilemma.
  5. If you have a tooth where you have to do a root canal treatment after a trauma and you put the apex detector and it shows that you are off the apex, while you know you are inside, it is likely that there is a fracture at the root.
  6. If you use an apex detector underneath a crown (although many companies claim that indications do not change even if it touches amalgam crowns, etc.), and you get a wrong indication, do something simple. Cut a small piece from the handle’s protective bag or from the intraoral camera’s protective bag and place it around the cavity at the height of the file stopper.
    This has saved me several times so I almost always do it from scratch in such cases.
  7. In upper molars whose roots are close to the sinus, the first indication is more correct because if you go out into the sinus, it is most likely to show you that you are still far from the apex due to its structure.

Sleep apnea

Sleep apnea is the interruption of breath during sleep, which lasts more than 10 seconds.

Sleep Apnea Syndrome (SAS) is considered to be the presence of a specific clinical symptomatology, along with the detection of a pathological number of episodes, obstructive apnea and hypopneas. The current name of the syndrome is an evolution of the so-called “Pickwick Syndrome”.

Types of sleep disorders:

 

1. Apnea

Interruption of breath (airflow) for more than 10 seconds

Types of apnea:

Central: Air flow interruption and lack of respiratory chest and ventricular movements

Obstructive: Interruption of the flow of air with breathing activity of either the chest or ventricle or both

Mixed: Apnea begins as Central & continues as Obstructive

 

2. Hypopnea

Reduction of airflow over 50% or corresponding reduction in chest and ventricular respiratory movements and decrease of saturation Hb over 4%.

 

3. Awakening

Recently, the American Sleep Disorder Study suggested adding the concept of arousal, meaning transition to a lighter sleep state or vigilance.

 

What does sleep apnea mean?

Every breath of the respiratory cycle for more than 10 seconds is characterized as (significant) sleep apnea.

Apnea occurs when the pharyngeal walls coincide, and breath is completely obstructed, as opposed to simple snoring, where airway obstruction is partial.

The number of apneas per hour of sleep is called an apnoic index, and is a measure of the severity of hypopnea syndrome. An index of less than 5 is conventionally accepted as normal.

Other criteria for the severity of hypopnea syndrome are the degree of desaturation of hemoglobin into oxygen, the percentage of time that hemoglobin remains desaturated, and of course the severity of the symptoms of the patient.

Hypnosis is also similar to the concept of apnea and its practical significance is the same as apnea.

The distinction of apneas in central type and obstructive type is of big diagnostic importance. Central type apneas is a respiratory center dysfunction and the obstructive type ones are due to coincidence and obstruction of the pharynx’s/larynx’s airway. Often these two types coexist.

What does sleep apnea syndrome mean? Is it the same as apneas?

Sometimes, while it is certain that there is heavy snoring with apnea, the patient does not show any symptoms. This is mainly, but not only, observed in elderly patients.

We refer to sleep apnea syndrome only when there are symptoms, as a result of snoring and apneas. In cases of simple heavy snoring, or even with apneas, but without symptoms and without desaturation of hemoglobin, we refer to Increased Airway Resistance Syndrome.

It is an innocent syndrome, but it needs monitoring, because it can at any time switch to a sleep apnea syndrome, so it will need to be treated. It is not uncommon in sleep apnea syndrome, for example, for the patient’s air supply to be interrupted for 20 seconds every minute !!!

It’s almost like strangling someone in doses or passing one third of sleeping time…

 

Treatment

According to the latest new findings, it is worth noting that the American Academy of Sleep Medicine recommends intra-oral applications as the first-line therapy for the treatment of mild to moderate sleep apnea and snoring, and for the most severe forms of the sufferers in whom CPAP Treatment has failed .

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