low level laser on hard tissue / orthopedic view :

8/14/2019 Low Level Laser On Hard Tissue / Orthopedic View :

1/78

6?/5?/6< 5

Jes`r lgKrtckpàlbRuro`ry(Vert-1)

Lgt`rebtlkg& `hh`bts

kh Jes`r (PX-L) realetlkgkg !lk"kolbe" #era $lssu`s

ega

lts epp"lbetlkg lg

Krtckpàlb Ruro`ry%

Vr`s`gtà my

Ar. Na Gezruj lsjen.Esslstegt ]òlstrer,Krtckpàlb ega reunetkjko!A`p"t.#cec`à #ucre$era!%kspltej,#c`r&'&(egoje Geokr, Ace)e&5*6?.

(egojea`sc. emmlrr5Fonelj.bkn..
mailto:[email protected]:[email protected]


2/78

6?/5?/6< *

+ Vrkor`ss lg surolbej nàlblg` ls kht`gr`jetà tk eg lnprkvà t`bcglqu` kh

p`rhkrnlgo kst`ktknl`s, l.`.mkg``xblslkgs.

Rtegaera tkkjs lg krtckpàlbs er` sews,nljjlgo-nebclg`s ega n`bceglbej arljjs. Ejjkh tc`n kp`ret` lg bkgtebt nka` ega

pksslmjy lgaub` s`v`r` n`bceglbejvlmretlkgs ega c`nkrrceo`. Lt ls tcus

strelocthkrwera tk es wc`tc`r jes`rsnloct r`pr`s`gt e bkgsla`remj` ejt`rgetlv`lg krtckpàlb suro`ry!.

Ner)kj- %. Gl`nz


3/78

6?/5?/6<

!eslbs

kh#er a

Cera tlssu`Cera tlssu`Meslbs kh Cera tlssu`Meslbs kh Cera tlssu`
http://upload.wikimedia.org/wikipedia/commons/5/51/Caput_femoris_cortex_medulla.jpg


4/78

6?/5?/6<

$yp`s kh #era$lssu`

'k pe bt k g` kr ( 'kr tl be" k g` ) $c` cera kut`r "ey`r kh kg`s ls

bkpksà kh bkpebt kg`tlssu`* $clstlssu` ol+`s kg`s tc`lr skktc* ,clt`*ega sk"la eppèregb`* ega ebbkugts hkr./ kh tc` tkte" kg` ess kh eg eau"ts6`"`tkg%

be gb` "" kus ($ re ` bu" er k g`) 5l""lgo tc` lgt`rlkr kh tc` kroeg ls

tc` tre`bu"erkg`tlssu` (eg kp`gb`"" pkrkusg`t,kr6 e"sk be""àbegb`""kus kr spkgoy kg`)* $re`bu"erkg` ebbkugts hkr tc` rèlglgo =./ khtkte" kg` ess ut ces gèr"y t`g

tl`s tc` surheb` erè kh bkpebt kg`%

$ls su ` tce t c es ` bk ` l g`r e" ls` a*ce+ lg o e h lr l gt` rb `" "u" er su st eg b` *`%o %* be rtl "eo ` ega kg `%

Meslbs kh Cera tlssu`4Meslbs kh Cera tlssu`4
http://en.wikipedia.org/wiki/Cortical_bonehttp://en.wikipedia.org/wiki/Cancellous_bonehttp://en.wikipedia.org/wiki/Cancellous_bonehttp://en.wikipedia.org/wiki/Porosityhttp://en.wikipedia.org/wiki/Porosityhttp://en.wikipedia.org/wiki/Cancellous_bonehttp://en.wikipedia.org/wiki/Cancellous_bonehttp://en.wikipedia.org/wiki/Cortical_bone


5/78

6?/5?/6<

2`eg bkpksltlkgkh #ueg !kg`

2ett`r 'kgstltu`gt V`rb`gteo` gkroeglb #yark0yepetlt` . 8 ?./

3et`r


6/78

6?/5?/6< =

!e sl bs kh#e ra $l ssu `

Meslbs kh Cera tlssu`Meslbs kh Cera tlssu`


7/786?/5?/6< ?

e s bs k#era$l ss u`Meslbs kh Cera tlssu`Meslbs kh Cera tlssu`44


8/786?/5?/6< 2

e al k get k ykh ! kg` Meslbs kh Cera tlssu`Meslbs kh Cera tlssu`


9/786?/5?/6< r`p"lbetlkg+le pcktlb stlu"etlkg% Jes`rlrrealetlkg et tcls hr`;u`gby ls selatk ` gkg uteo`glb slgb` lt ls gkt lg

tc` rego` tk e"t`r tc` o`g`tlb prkorey ehh`btlgo bcrkkske" u"trestrubtur`% $c` "ett`r ls kr` "l6`"y tkkbbur et u"tre-+lk"`t "loct lrrealetlkget 7.. tk 1.. g%

Jes`r4Jes`r4

O`g`rej Xl`w.O`g`rej Xl`w.


15/78

6?/5?/6< 5

Jes`r tc`kry'`""u"er ksbl""etlkgtc`kry

'`""u"er ksbl""etlkg tc`kry - tc` "es`rè berrl`s `"`btrkeog`tlbksbl""etlkgs kh a`hlglt` hr`;u`gby%

3c`g lt rèbc`s tc` tlssu`s tc``"`btrkeog`tlb ksbl""etlkgs oreaue""yFs,lgo ega `0blt`F slgo"` b`""s% $clsls tckuoct tk `+`gtue""y lgt`gslhy tc`lkgklbe" prkb`ss`s tcet u"tlet`"y

ròu"et` tc` p`rhkregb` kh +erlkus+lte" kroegs% Rk+l`t sbl`gtlsts ok kgtk sey tcet tc` b`"" lts`"h òlgs tk`lt "loct sll"er tk tc` reys kh tc`"es`r* ,c`g tc` r`skgegb` s`ts lg%

Jes`r4Jes`r4



16/78

6?/5?/6< 5=

Jes`r tc`kry!lk"kolbe" hl`"atc`kry%

!lk"kolbe" hl`"a tc`kry - bkgg`btlkgs`t,``g tlssu`s ega kroegs lg tc`lgtebt kroegls er` gkt "llt`a tkcu`re" `hh`bts ega g`r+kus bkgtrk"`bceglss e"kg`% etc`r* tc`r` `0lstugl;u` erkuga `+`ry b`""* tlssu` egakroeg ega cloc`r strubture" "`+`"s(kroegls* kroeg) `0`rtlgo egkre"lElgo lgh"u`gb` kg "k,`r "`+`"s(tlssu` b`""s)% $c` r`skgegb` `hh`btkh tc` "k, pk,`r "es`r ls tckuoct tkr`stkr` tc` gkre" `g`ro`tlb stetus khtc` kroegls* tcet ls* r`stkr` lts

gkre" pcyslk"kolbe" stet`.

Jes`r4Jes`r4



17/78

6?/5?/6< 5?

$lssu` &'`""u"er`spkgs`

à"loct ehh`bts e"" b`""

eskrà y tc` ltkbckgarle

pr`s`gt lg e"" b`""s

Lghrerà "loctls kr`

s`"`btl+` eskrà ysp`blhlb prkt`lgs lg tc`

b`"" `reg` & ehh`bts

p`rèl"lty alr`bt"y%

Jes`r4Jes`r4



18/78

6?/5?/6< 52

$lssu` &'`""u"er `spkgs` 'ytkbcrk`s(r`splretkry bcelg `gEy`s)

,ltclg tc` ltkbckgarle ce+` ``gla`gtlhlà es tc` prlery lkstlu"etlkgbcrkkpckr`s (prl(ery "loct-e)skr)lgo(k"`bu"`s)%

'ytkbcrk`shugbtlkg tk bkup"` tc`r`"ès` kh `g`roy hrk b`""u"er`tek"lt`s tk tc` hkretlkg kh cloc`g`roy pckspcet` kgas lg ea`gkslg`trlpckspcet` ($V)

'ytkbcrk`s e"sk beg eskr `g`royalr`bt"y hrk l""ulgetlkg* lt lspkssl"` tcet aurlgo JJJ$ "loct `g`roybeg ` tregsh`rrà tk b`"" `tek"ls

+le tc` sygtc`sls kh $V%

Jes`r4Jes`r4



19/78

6?/5?/6< 5``as sp`ble" trelglgoB

errego``gt%

'eralkpu"kgery r`susbltetlkg('V) errego``gt ls

r`bk`ga`a tk e+klaB egeo`

`"`btrlbe" lgbla`gb`%

Jes`r4Jes`r4



27/78

6?/5?/6< *?

'K>$L>:L'$LK>R


28/78

6?/5?/6< *2

Lpkrtegt pere`t`rs kh"es`r kh `albe"lgt`r`st

Jes`r4Jes`r4


Jes`r4Jes`r4


29/78

6?/5?/6< *kre" 14 ' #yp`rtc`rle 4. ' `aubtlkg lg `gEy` ebtl+lty*

b`"" lkl"lty ?. ' :`geturetlkg kh prkt`lgs ega*

bk""eo`g*bkeou"etlkg . ' V`r`el"lEetlkg kh `reg`s


52/78

6?/5?/6< *

Ruery kh$c`re"Lgt`rebtlkg 2elg laèebcl`+lgo e b`rtelg

t`p`retur` ,clbc "èas tk tc`

a`slrà tc`re" `hh`bt Ks`r+etlkgs`ltc`r bkeou"etlkg*

+epkrlEetlkg*berkglEetlkg kr`"tlgo

Rp`ble" epp"lbetlkgsbkeou"etlkg*+epkrlEetlkg* `"tlgo*tc`re"a`bkpksltlkg*trèt`gt kh r`tlge"a`tebc`gt*"es`r-lgaubàlgt`rstltle" tc`rktc`repy%

)ka`)ka`

kh ebtlkgkh ebtlkg

kh Jes`r wlt!kh Jes`r wlt!

Cera lssu`4Cera lssu`4

44


53/78

6?/5?/6<

Ru er ykh$c`r e "Lg t` reb tlkg

$yplbe" "es`rs

'K=* >aD9* MrD9* #kD9*erokg lkg egaalka` "es`rs%

$yplbe" pu"s` auretlkgs < Is % % %


54/78

6?/5?/6<

pp"lbetlkg kh"es`r kg #era$lssu`$c` re" `hh`b ts- lgblslkg.

:uttlgo k- %era lssu`

8Kst`ktkn!. :eut`rlzetlkg.

(kg` :keoujetlkg.

lssu` epkrlzetlkg. Egolknes, )gk$g es pkrt&

$lg` stelgs

:uteg`kus bkga!jknes.

)ka`)ka`

kh ebtlkgkh ebtlkg



)ka`)ka`

kh ebtlkgkh ebtlkg


55/78

6?/5?/6<

2ka` kh ebtlkg kh"es`r ebt kg #era$lssu`2`bceglbe"`hh`bts-

>aD9 "es`rs* e +`ry cloclgt`gslty kh "ulgkus h"u0 k+`r ese"" er`e (`t,``g


56/78

6?/5?/6< =

pp"lbetlkg2`bceglbe" `hh`bts kh"es`r kg #era $lssu`

)ka`)ka`

kh ebtlkgkh ebtlkg



J mj tlJes`r4Jes`r4

)ka` ebtlkg kg)ka` ebtlkg kg


57/78

6?/5?/6< ?

Jes`r emjetlkg

Jes`r

Nlbrk

Gegk

Emjetlkg

Buttlgo

Alss`btlkg

Ruro`ry

Rblsskrs

)ka` ebtlkg kg)ka` ebtlkg kg

Cera kg lssu`4Cera kg lssu`4


58/78

6?/5?/6< 2

r lg blp j` s k hpc kt kem je tlk g4 skrptlkg kh cloc-`g`roy PX pcktkgs

Vrkktlkg tk r`pu"sl+` `0blt`a stet`s

:lsskbletlkg

M`btlkg kh hreo`gts (gk g`brksls)

"etlkg%

)ka`)ka`

kh ebtlkgkh ebtlkg




59/78

6?/5?/6< k gkp `r et l+`

'crkglb !eb6 & >`b6 Velg

àubtlkg kh Lgh"eetlkg

2`teterse"ole%

$rlo`lge" >ùre"ole% !rebcle" >ùre"ole%

V"egter 5esble%

5rkE`g Rcku"a`r%

'erpe" $ugg`" sygark%

%elg

negeo`n`gt-

""""

Krtckpàlb pp"lbetlkg,rt!k"àlb,rt!k"àlb""jlbetlkg kh Jes`r.""jlbetlkg kh Jes`r.


69/78

6?/5?/6< = `b6 ) R ur o` ry '`r+lbe" Mgaksbkplb :lsb`btky ('M:)gt`rlkr '`r+lbe" :lsb`btky (':)gt`rlkr '`r+lbe" 5uslkg ('5)%%Juer (!eb6) Ruro`ry Vrkb`aur`sJuer Mgaksbkplb :lsb`btky(JM:B$)

:lsb prk"eps`B:lsb a`o`g`retlkg-V`rbuteg`kus J% :lsb

:`bkpr`sslkg% Lgt`rsplgkus Vrkb`ss :`bkpr`sslkg

(N-R$KV)2lbrk alsb`btky (2:)$c`re" ggu"kp"esty($)%

Qceg"s


78/78

R`` yku g`0t aey ,ltc-

Jes`r lg Krtckp`albRuro`ry(Vert-! ,-kumj` mj lga

gkglgveslv`eppjl be tlkg kh .e s` tk

`v`r#kg` hkrpetl`gb`$M#`%

low level laser on hard tissue / orthopedic view :

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