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1. Verfasser:	Letícia Karine Fronza
Format:	Artículo científico
Sprache:	es
Veröffentlicht:	Universidad Peruana Cayetano Heredia 2017
Schlagworte:	Medicina Papaína mecánica caries dental remoción químico
Online-Zugang:	https://www.redalyc.org/articulo.oa?id=421552417007
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Remoción quimica-mecánica del tejido cariado em dientes permanentes: reporte de caso clínico Letícia Karine Fronza Mariane Schmitz Jeferson Luis Porn Eugenio Jose Garcia Sandra Kalil Bussadori Sérgio Paulo Hilgenberg Medicina Papaína mecánica caries dental remoción químico En odontopediatría, una de las principales difi cultades que se presentaen la remoción del tejido dental cariado, es el manejo del paciente niño debido al miedo y a la ansiedad por el uso de anestesia e instrumentos rotatorios. A fi n de resolver este problema, el método químico-mecánico para la eliminación del tejido cariado, es una alternativa conservadora y efi caz ya que evita el uso de anestésicos e instrumental rotatorio. Según estudios, este método es más aceptado por los pacientes comparado con el método tradicional. Este artículo tiene como objetivo presentar un caso clínico del uso del gel a base de papaína (Papacárie ®) para la eliminación químicomecánica del tejido cariado en dientes permanentes. 2017 artículo científico 1019-4355 https://www.redalyc.org/articulo.oa?id=421552417007 es http://www.redalyc.org/revista.oa?id=4215 Revista Estomatológica Herediana application/pdf Universidad Peruana Cayetano Heredia Revista Estomatológica Herediana (Perú) Num.2 Vol.27

if (filemtime($filename) + $maxlifetime < time()) { unlink($filename); $count++; } } return $count; } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ protected function saveSession($sessId, $data): bool { $sessFile = $this->path . '/sess_' . $sessId; if ($handle = fopen($sessFile, 'w')) { $return = false; // Lock the file for exclusive access to avoid issues with multiple // processes writing session simultaneously: if (flock($handle, LOCK_EX)) { $return = fwrite($handle, $data); // Make sure that there's no trailing data by truncating the file to // the correct length: ftruncate($handle, strlen($data)); fflush($handle); flock($handle, LOCK_UN); } fclose($handle); if ($return !== false) { return true; } } // If we got this far, something went wrong with the file output... // It is tempting to throw an exception here, but this code is called // outside of the context of exception handling, so all we can do is // echo a message.

// Anecdotal testing Today and Yesterday seems to indicate destroy() // is called by the garbage collector and everything is good. // Something to keep in mind though. return 0; } /** * Write function that is called when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ public function write($sessId, $data): bool { if ($this->writesDisabled) { return true; } return $this->saveSession($sessId, $data); } /** * A function that is called internally when session data is to be saved. * * @param string $sessId The current session ID * @param string $data The session data to write * * @return bool */ abstract protected function saveSession($sessId, $data): bool; }

* * @return void */ public function writeClose() { // The assumption is that we're using PHP's ext/session. // session_write_close() will actually overwrite $_SESSION with an // empty array on completion -- which leads to a mismatch between what // is in the storage object and $_SESSION. To get around this, we // temporarily reset $_SESSION to an array, and then re-link it to // the storage object. // // Additionally, while you _can_ write to $_SESSION following a // session_write_close() operation, no changes made to it will be // flushed to the session handler. As such, we now mark the storage // object isImmutable. $storage = $this->getStorage(); if (! $storage->isImmutable()) { $_SESSION = $storage->toArray(true); session_write_close(); $storage->fromArray($_SESSION); $storage->markImmutable(); } } /** * Attempt to set the session name * * If the session has already been started, or if the name provided fails * validation, an exception will be raised. * * @param string $name * @return SessionManager * @throws Exception\InvalidArgumentException */ public function setName($name) { if ($this->sessionExists()) { throw new Exception\InvalidArgumentException( 'Cannot set session name after a session has already started'

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