1、PerFect TCS Tissue Contouring System组织修形高频电刀系统,专门为口腔临床操作设计的8种不同形态、角度的电刀手柄，包括：球形凝血电刀、45直线型、 45锥型、直柄圆圈型、 45长圈型、直柄长圈型、 45钻石型、90 AP 1 1/ 2电刀手柄，均可整支135高压蒸汽灭菌，或化学药剂冷浸灭菌。,Perfect TCS 临床适应症:,凝血（止血） 加宽牙龈沟 牙冠延长术 暴露龈下龋 增生牙龈切除 埋伏齿暴露,Perfect TCS 临床适应症:,牙龈美学修形 牙冠延长术 脓肿切开 系带手术 翻瓣术 活检,Perfect TCS 操作要领:,选择切割凝血输出强度的原
2、则是“最低有效”。 同一部位反复操作，需间隔至少1015秒，以使热量散发。 切龈时应“分段切割”、“层层切削”。 不要用电刀切割骨骼和牙齿。 避免电刀触碰麻醉范围以外的金属修复体。,在不流血的状态下，帮助医生简单、快速地处理每天面临的各种口腔软组织问题，完成即刻修复！,凝血 对于牙体预备或者排龈造成的龈沟渗血，用直线型电刀只需12次点触，即可瞬间止血。,凝血 也可使用球线型电刀。,暴露龈下龋 不流血的切龈工作，提供了清晰的工作区域。,暴露龈下龋 可即刻进行充填工作。,牙龈的美学修形 在不流血或很少流血的情况下，达到精确、美观的效果。,牙龈的美学修形,暴露埋伏齿,使龈下病变快速有效的暴露，即刻进
3、行充填工作。,美学修形使牙龈线均匀对称。,精确、高效的软组织处理，以及凝血控制，是现代口腔临床工作所必需的。 PerFect TCS组织修形高频电刀系统使这些工作变得易如反掌。一旦你使用了它，你将离不开它 Nathaniel H. Lenchner, D.D.S,Tissue Occluded Caries,Options Do nothing Inability to view whole lesion, unpredictable restorative result Scalpel & gingival curettage Cannot shave tissue in fine laye
4、rs Produces bleeding , prolonged patient waiting or re-appointment Result Restoration cannot be completed immediately Lower productivity, less income,Exposing Impacted Teeth,Options Scalpel Produces bleeding , prolonged patient waiting or re-appointmentResult Restoration cannot be completed immediat
5、ely Lower productivity, less income,Esthetic Contouring of Gingiva,Options Scalpel Difficult to contour tissue exactly Produces bleeding , prolonged patient waiting or re-appointment Result Treatment cannot be be completed immediately Lower productivity, less income,Creating a Gingival Trough,Option
6、s Retraction cord (w/o haemostatic agent) Time consuming to pack cord Can cause bleeding, prolonged patient waiting or re-appointment Result Treatment cannot be be completed immediately Lower productivity, less income,Control Bleeding Cost Comparison Analysis,Pay-back time if only used to Control Bl
7、eeding,Retail price $995.00 Savings per use $21.33 PerFect TCS is paid back in 47 days if used only once per day,All dentists need to: Control bleeding Gain access to tissue occluded caries Esthetically contour gingiva Create gingival troughs Expose impacted teeth,Questions & Answers,Questions & Ans
8、wers,Q:What is the difference between Electrosurgery and Radiosurgery ?A: None, some say that Electrosurgery has an operating frequency below 2MHz. Radiosurgery units have a higher frequency, typically 3 -4 MHz.,Questions & Answers,Q: Is electrosurgery the same as cautery?A: No, Cautery uses a hot e
9、lectrode to burn tissue. An electrosurgery electrode is cold and uses radio frequency energy to cut by separating tissue cells.,Questions & Answers,Q: What is the difference between Laser and Electrosurgery ?A: Practically Speaking - Cost !For all procedures mentioned a laser could be used, but the
10、cost difference is astronomical.,Does Electrosurgery cause injury to bone?,This question reflects fear that bone necrosis and bone sloughing may follow the use of electrosurgery. Can injury occur? It can, and sometimes it does. Fortunately, it is uncommon. To get such unfavorable sequelae, one must
11、grossly misuse electrosurgery.Cardinal rule: Avoid overuse of electrosurgery,Questions & answers,Does Electrosurgery injure the dental pulp?,Fear of injury to the pulp is bugaboo that deters many dentists from using electrosurgery. In practice, it is almost impossible to employ electrosurgery in its
12、 broad range of uses without occasional contact with amalgam fillings, gold inlays, crowns or other metal devices. Such contacts, even under anesthesia, often produce pain, since the high frequency energy is transmitted through the metal restauration to the sensitive dentin. The operator will have t
13、o decrease the power to a minimum. A few reassuring words to the patient will be of great help. Finally, pulp death does not occur because of electrosurgery,Questions & answers,Does the patient have an emotional response to Electrosurgery?,The patient as well as the dentist, has an emotional reactio
14、n to the instrument. This reaction is proportional to the patients response to dentistry in general; at best, an experience to be tolerated; at least, an almost unendourable necessity. Regardsless of attitude, a patient who trusts his dentist to use an air-rotor (with ist shrill whine, high speed, a
15、nd occasional whiff of scorched tooth) will not demur at the use of electrosurgery.,Questions & answers,Is Electrosurgery accompanied by unpleasant odor?,Yes, the smoke and odor of electrosurgery are acrid and unmistakable, but tolerable by patient and doctor if they are prepared for. The best way t
16、o treat this problem is with a high speed evacuation (suction) equipment that preferably carries the odor outside of the treatment room. Even an efficient saliva ejector may be helpful, through to a much lesser degree. A drop of a volatile oil, such as spearmint, wiped on the electrode holder, sucti
17、on tip, or saliva ejector may help. Aromatic aerosol sprays and air fresheners effectively mask the odor in the treatment room after electrosurgery.,Questions&answers,Will Electrosurgery damage acrylic facings?,No, Acrylic is nonconductive and the electrode remains cold during use.,Questions&answers
18、,Other Apprehensions,The patient might bleed to death Will he? No, he will not I am playing with forces of lightning. I can electrocute my patient The so-called forces of lightning usually operate at between 5 to 15 watt and with low current (miliamperes) about enough to power a small light bulb. El
19、ectrocution cant happen The odor of frying flesh will make me and my patient feel faint, or throw up It wont,Questions&answers,Other Appehensions,If I touch something metallic, sparks will fly and Ill set fire to the patient and the office You wont Iam only a dentist. What am I doing passing electri
20、c current through a patients body You are indeed a Dentist! You have the right and the obligation to use any safe, proven therapeutic device in pursuit of better dental health for your patient.,Questions&answers,Other Apprehensions,If I place the indifferent plate behind the patients back, hell be b
21、urned - or even electrocute No, he will not If I place the indifferent plate behind a female back, shell think Iam making a pass at her.Shell think, Whats a dentist doing with my back?“ No, she wont. A simple explanation beforehand will suffice.,Questions & answers,What should you know?,Avoid contact with bone or metalsNever use if patient has a pacemakerHigh frequency = low currentPerfect TCS is the managment of soft tissue only.,
