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    DETERMINAREA DIMENSIUNII VERTICALE A ETAJULUI INFERIOR AL

    FETEI.DETERMINAREA I NREGISTRAREA RELAIEI CENTRICE

    ANUL UNIVERSITAR

    2014-2015

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    DETERMINAREA DIMENSIUNII VERTICALE DE OCLUZIE

    Defnitie- dimensine! "e#ti$!%! &DV' #e(#e)int! in!%time!et!*%i in+e#i,# !% +etei m!te#i!%i)!t! (#in dist!nt! $ese(!#! (n$t% sn!)!% de .n!ti,n/

    Dimensine! "!#i!)! int#e in$ide#e! .#ii ininte#$s(id!#e m!im! &IM' m!i (#e$is int#e IM sides$ide#e! m!im! ! .#ii &medie 4 $m'/

    Dimensine! "e#ti$!%! de ,$%)ie &D/V/O/' este dist!nt!dint#e (n$te%e sn!si,n si .n!ti,n $!nd dintii se !3! ininte#$s(id!#e m!im! &IM'/ Se m!i nmeste si dimensine"e#ti$!%! de inte#$s(id!#e m!im! &D/V/I/M/'/ S(#ede,sei#e de et!*% in+e#i,# $!#e (,!te !"e! dimensinim%ti(%e DVO !#e , dimensine $,nst!nt! (ent# $! este

    dimensine! $!#e se m!s,!#! $!nd dintii snt in $,nt!$t/Dimensine! "e#ti$!%! de #e(!s &D/V/R/' este dist!nt!dint#e (n$te%e sn!si,n si .n!ti,n $!nd m!ndi%! se!3! in (,)itie de #e(!s !(,#t #e%!ti" $,nst!nt $!#e se(,!te m!s#!'/

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    E"!%!#e! dimensinii "e#ti$!%e ! et!*%i in+e#i,# !%+etei se +!$e $ !*t,#% (,)itiei de (,st#!m!ndi%!#! si (,)iti! de inte#$s(id!#e m!im! &%!dent!t' (#in m!s#!#e! dist!ntei dint#e n #e(e#m,i% m!ndi%!# &.n!ti,n' si n (n$t f m!i%!#&sn!s!%e'/ Di+e#ent! dint#e dimensine! "e#ti$!%! !

    #e%!tiei de (,st#! m!ndi%!#! si de dimensine"e#ti$!%! ! (,)itiei de inte#$s(id!#e m!im!#e(#e)int! s(!ti% inte#,$%)!% $ "!%,!#e! medie de-4 mm/ in!%time! et!*%i in+e#i,# !% +etei "!#i!)!find m!im! d!$! (!$ient%

    des$ide .#! $ , !m(%itdine m!im! d!# (,!te fsi in (,)iti! de (,st#! $!nd m!ndi%! se mentineint#-n e$i%i# #e%!ti" inst!i%/

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    6ent# t#!t!ment% edent!tiei t,t!%e snt

    ti%i)!#e dimensine! "e#ti$!%! de #e(!s& DV6R' si dimensine! "e#ti$!%! de ,$%)ie&DVO'/ Dimensine! "e#ti$!%! ti%i)!t! (ent#m,nt!#e! in !#ti$%!t,# ! m,de%%i m!ndi%!#este dimensine! "e#ti$!%! de ,$%)ie/Dimensine! "e#ti$!%! (,!te f $%!sif$!t! in7- dimensine "e#ti$!%! in #e%!tie $ent#i$!/ DVRC/- dimensine "e#ti$!%! in inte#$s(id!#em!im!/ DVIM &(ent# dent!t'/

    - dimensine "e#ti$!%! de ,$%)ie/ DVO/- dimensine "e#ti$!%! de (,st#!/ DVR6/

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    Dete#min!#e! $%ini$! ! dimensinii "e#ti$!%e &DV' se +!$e (#in7

    A/ Met,de !nt#,(,met#i$e

    - (#e%!#e! "!%,#ii DVO s! DVIM din fs! ,%n!"%i $,m(%et!t!in (e#i,!d! dent!t! int#e (n$te%e sn!s!%e-.n!ti,n/- met,d! (n$te%,# t!t!te (e f#,m$,!s! #e,#d%i !%"e,%!#/Se t!ti!)! in$! din (e#i,!d! de dent!tie n (n$t sit!t int#e#!d!$ini%e in$isi"%i %!te#!% si $!nin !t!t %! m!i%!# $!t si %!m!ndi%!/ Se m!s,!#! dist!nt! dint#e !$este d,! (n$te in

    DVO si se n,te!)! in fs! (!$ient%i &teni$! Si%"e#m!n'/- m!s#!#e! et!*%i in+e#i,# (e #!di,.#!fi $e+!%,met#i$e(#!$ti$!te !nte#i,# &sn!s!%e-.n!ti,n' in IM si dete#min!#e!DVO/Te%e#!di,.#!fi%e #e(#e)int! d,$mente (#eet#!$ti,n!%e(ent# e"!%!#e! et!*%i in+e#i,# in #e%!tie de #e(!s m!ndi%!#$!#e !#e #m!t,!#e%e $!#!$te#isti$i7 (ent# !n,m!%ii%e de $%!s! !

    I-! dist!nt! n!si,n-s(in! n!s!%! !nte#i,!#! #e(#e)int! 458 i!#dist!nt! s(in! n!s!%! !nte#i,!#!-ment,n 558 (ent# !n,m!%ii%ede $%!s! ! Ii-! #et#,.n!tie m!ndi%!#! #!(,#t% este 498 : 528(ent# !n,m!%ii%e de $%!s! ! I%I-! (#,.n!tie m!ndi%!#!#!(,#t% este 428 : 598/

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    - ti%i)!#e! de +,t,.#!fi de +!t! din (e#i,!d! dent!t!

    (e $!#e se m!s,!#! I dist!nt! inte#((i%!#! si I1 dist!nt!,+#i,n-.n!ti,n/ Se #!(,#te!)! !$e%e!si (n$te m!s#!te(e (!$ient i #e(#e)ent!nd dist!nt! inte#((i%!#! !3!mi d(! +,#m%! I : I e.!% $ i : i /& met,d! ;#i.t'7

    dist!nt! inte#((i%/

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    - dist!nt! n!si,n-sn!s!%e e.!%! s! m!i m!#e $ 1$m de$!t dist!nt! sn!s!%e-.n!ti,n in DVR6 &met,d!Le,n!#d, D! Vin$i'/- "e#if$!#e! >nm!#%i de !#? &A((en#,dt'7 eist! n

    #!(,#t $,nst!nt int#e dimensine! et!*%i in+e#i,# $.#! des$is! %! m!im &"!%,!#e! 5' si dimensine!"e#ti$!%! de #e(!s &"!%,!#e! ' #!(,#t% 5: m!s#!tde (e n (n$t !% "!#+%i n!s%i si .n!ti,n/ 6ent#!$e!st! se +,%,seste n $,m(!s s(e$i!% $!#e (!st#e!)!si #e!%i)e!)! !$est #!(,#t/

    - dist!nt! inte#((i%!#! e.!%! $ dist!nt! m!s#!t!int#e (n$t% (%!s!t %! inte#se$ti! %iniei mediene $%ini! $t!ne,-m$,!s! ! #,s%i )e%,# si .n!ti,n(ent# DVO &met,d! @i!n,"'/- dist!nt! dint#e +!nt! %!i!%! si n.i% ete#n !%,$i%i este e.!%! $ dist!nt! sn!s!%e- .n!ti,n

    (ent# DV6R &met,d! ;i%%is'/- e.!%it!te! se.ment%i din "e#te %! (%!n%

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    - met,de $e +,%,ses$ #!(,#t% dint#e $#este%eedent!te m!s#!te !st+e%7- de %! (!(i%! in$isi"! %! m!#.ine! in$i)!%! !in$isi"i%,# m!ndi%!#i se ,tine "!%,!#e! de 2 mm&$!nd nm!i m!i%!#% este edent!t t,t!%'/

    - de %! (!(i%! in$isi"! %! "!#+% $#estei !%"e,%!#em!ndi%!#e se ,tine "!%,!#e! deB mm (ent#edent!t t,t!% im!i%!#/- e.!%it!te! dist!ntei i)i.,m!ti$e e(#e)int!%!time! +etei' $ n!si,n-sn!s!%e &et!*% mi*%,$i'

    $ sn!s!%e-.n!ti,n &et!*% in+e#i,#'/ S! #e!%i)!tm!s#!t,#i !nt#,(,met#i$e dete#min!nd indi$iin!s,-)i.,m!ti$i medii $ "!%,#i int#e 445-4145 mm &met,d! e,#.es$'/

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    @/ Met,de +n$ti,n!%e/Se +,%,ses$ met,de%e +n$ti,n!%e +,neti$e sitest% de.%titiei $n,s$te (ent#dete#min!#e! #e%!tiei de (,st#!/ E!

    $,#es(nde dimensinii "e#ti$!%e de #e(!s sim!s,!#! dist!nt! int#e (n$te%e $n,s$tesn!s!%e-.n!ti,n/ Se s$!d -4 mm si se,tine dimensine! "e#ti$!%! de #e%!tie

    $ent#i$! s! de ,$%)ie/

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    C/ Met,de esteti$e/As(e$t% f)i,n,mie !% +etei $!t!t de $%ini$i!n#e(#e)int! n mi*%,$ intiti" si sie$ti" $!#eeste $!(!i% s! inf#me s! s! $,nf#mee"!%!#i%e !nt#,(,met#i$e si +n$ti,n!%e +!$te

    !nte#i,#/ Ast+e% $ m!$ete%e de ,$%)ie in$!"it!te! ,#!%! t,!te t#!s!t#i%e +etei t#eie s!fe in !#m,nie7 (%i#i%e si s!nt#i%e (e#i,#!%e si(e#in!)!%e #edse )e%e int#-n $,nt!$tim(e#$e(tii% si s! #e!%i)e)e n e$i%i# !%ms$%!t#ii ,#,-+!$i!%e t,!te e%emente%ementi,n!te int#-n !$,#d $ ti(% m,#+,%,.i$ siti(% $,nstitti,n!% !% indi"id%i/

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    Ve#if$!#e! ,tine#ii DV- 6ent# ! ,tine , DV $,#e$t!e"!%!#e! se +!$e !t!t (ent# R6 ! m!ndi%ei & #e!%i)!nd

    DV de (,st#! ' $!t si (ent# (,)iti! de IM/ Se ti%i)e!)!int#e!.! .!m! de met,de !nt#,(,met#i$e si +n$ti,n!%e$n,s$te de $!t#e $%ini$i!n "!%,#i%e ,tinte se $,m(!#!int#e e%e si se !%e.e "!%,!#e! dimensinii "e#ti$!%e ,(time(ent# (!$ient% #es(e$ti"/

    M,dif$!#i%e (!t,%,.i$e !%e DV !(!# si in $!)% dent!t%iin7

    - !#!)ine! dent!#! (!t,%,.i$! .ene#!%i)!t!/

    - #e$,nstiti#i (#,teti$e sdimensi,n!te in s,$%)ie/- s%e+i#e! $s(i)i%,# de s(#i*in/- edent!tii te#min,-te#min!%e $ (#!si#e! ,$%)iei/- sind#,m% ,$%)iei !d!n$i/

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    M,dif$!#i%e (!t,%,.i$e !%e DV dete#min! m,dif$!#e!s(!ti%i %ie# inte#dent!#/ Ast+e% $!nd DV este dimin!t!s(!ti% %ie# inte#dent!# !(!#e m!#it si in"e#s/R,%% DV7 DVO este ti%i)!t! (ent# m,nt!#e! m,de%e%,#in !#ti$%!t,#/ Ese$#i in dete#min!#e! $%ini$! ! DV(ent# edent!t% t,t!%7- %i(s! m!$ete%,# din $!"it!te! ,#!%! in m,ment%

    e"!%!#ii DVO/- ,#d#i%e m!$ete%,# de ,$%)ie (#e! ",%min,!se/- !)! m!$ete%,# ",%min,!se si ne!d!(t!te m!#.in!%/- %i(s! de st!i%it!te ! m!$ete%,# (e $!m(% (#,teti$/- st!#i tensi,n!%e ne"#,)it!te din (!#te! (!$ient%i s!! medi$%i/

    - %i(s! de $,%!,#!#e dint#e medi$ si (!$ient/- s(#!e"!%!#e! DVO/ E! este (s! in e"ident! %!(#,! $%ini$! $ m!$ete%e $ dinti si int#-n $!)ne+e#i$it %! !(%i$!#e! (#,te)e%,# fnite in $!"it!te!,#!%!/

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    S(#!e"!%!#e! se $!#!$te#i)e!)! (#in7- "i)ii%it!te! e!.e#!t! ! dinti%,#/- $,nt#!$ti! ms$%!t#ii (e#i,#!%e $ dis(!#iti! s!nt#i%,# din*#/

    - +!$ies $#is(!t/- !(!#iti! ).,m,t%i de >$!st!.nete? in tim(% ",#i#ii s! !m!sti$!tiei %! (#t!#e!(#,te)e%,# fnite dintii find !(#,!(e (e#m!nent in $,nt!$t/- tendint! (!$ient%i de ! st#!n.e (e#m!nent dintii (ent# !-si e$i%i#! DVO

    s(#!e"!%!t!/- ,,se!%! ms$%!#! (e#m!nent! %! (#t!t,#% de (#,te)!/

    Se"!%!#e! DVO dete#min!7- !$$ent!#e! s!nt#i%,# (e#i,#!%e/

    - e"e#s!#e! )e%,# si $!de#e! $,mis#i%,#/- !(!#iti! +#e$"ent! ! #!.!de%,# $,mis#!%e (#in int#etine#e!midit!tii $,mis#i%,# ,#!%e(#in #e%!#e! s!%i"ei/- ste#.e#e! #,s%i )e%,#/- ,,se!%! ms$i%,# #idi$!t,#i/

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    ANALIZA RELATIEI CENTRICE

    Defnitie7 Re%!ti! $ent#i$! &RC' #e(#e)int! (,)iti!st!ti$! de #e+e#int! ,tint! (#in (,)iti! $e! m!i in!%t!

    $ent#!t! si (,ste#i,!#! ne+,#t!t! ! $,ndi%i%,# in$!"it!te! .%en,id! ! ATM (,)itie ,tint! (#in$,nt#!$ti! sim%t!n! si e$i%i#!t! ! ms$i%,#m!sti$!t,#i $e #e!%i)e!)! , $,#es(,ndent! ! (%!n#i%,#mediene m!ndi%,-$#!niene %! , dimensine "e#ti$!%!,(tim!/RC s-! d,"edit ! f $e! m!i $,nst!nt! in $#s% "ietiiindi"id%i !t!t %! dent!t $!t si %! edent!t% t,t!%/ E!se +,#me!)! in $#s% "ietii indi"id%i (#in #e3eed,!ndite/ Este (#!$ti$ sin.#! (,)itie #e(#,d$tii%! sist!i%! ! m!ndi%ei +!t! de m!i%!# $!#e (e#mite

    t#!ns+e#!#e! m,de%e%,# de stdi !%e $e%,# d,! !#$!de(e n !#ti$%!t,# in !$e%e!si #!(,#t#i !%e m!ndi%ei+!t! de m!i%!# si $#!ni $ !! !%!m! $! %! (!$ientsi (e#mite !n!%i)! $,#e$t! ! #!(,#t#i%,# ,$%)!%e/

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    Dete#min!#e! $%ini$! ! RC/

    6ent# dete#min!#e! $%ini$! ! RC este ne$es!#!(#e.!ti#e! in m,d s(e$i!% ! (!$ient%i (ent# ! ,tine#e%!!#e ne#,-(sii$! , #e%!!#e ! ms$%!t#iis$e%eti$e (#e"e#te#!%e ms$i%,# $e+ei si ! ms$i%,#m!sti$!t,#i/ Le)ini%e ATM/ ! ms$%!t#ii ,#,-+!$i!%e set#!te!)! (#int#-, te#!(ie !de$"!t! i!# !(,i se (,!te

    dete#min! RC/Te#!(i! de #e%!!#e (sii$! in$e(e (#in #e%!ti! ,(tim!,tint! int#e medi$ si (!$ient #e%!tie $!#e se "! inst!%!in$! de %! in$e(t% t#!t!ment%i (#,teti$/ 6,)itii%em!ndi%,-$#!niene de(ind in m!#e m!s#! dem,dif$!#i%e +!$t,#i%,# em,ti,n!%i si in m,d (!#ti$%!# de$!%it!te! si intensit!te! $,mni$!#i%,# "e#!%e sin,n"e#!%e $e #e$#. si se des+!s,!#! int#e medi$ si(!$ient/ De !semene! n t#!t!ment medi$!ment,s $t#!n$i%i)!nte min,#e s! mi,#e%!!nte $ent#!%e d!#e)%t!te +,!#te ne/

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    Dete#min!#e! $%ini$! ! RC %! edent!t% t,t!% ti%i)e!)!

    m!$ete%e de ,$%)ie $ "!% s! !%te mi*%,!$eme$!ni$e si de in#e.ist#!#e .#!f$!/ D(! in#e.ist#!#e!RC #me!)! t#!ns+e#!#e! d!te%,# ,tinte (e!#ti$%!t,# $ !*t,#% di+e#ite%,# mi*%,!$e de t#!ns+e#&!#$#i +!$i!%e (!nt,.#!+e '/ A#$#i%e +!$i!%ein#e.ist#e!)! !% s!#nie#! (,)iti! %i +!t! de m!i%!#%

    edent!t si +!t! de !%te #e(e#e ,s,!se/6,)iti,n!#e! m!ndi%ei in RC se ,tine $%ini$ (#in m!im%te met,de7 - met,d! $%!si$! $!#e se +!$e (#inmet,d! de.%titiei #e3e% ,m,t#,(ism%i %in.,-m!ndi%!# $,m(#esine! (e ment,n 3ei! s!i(e#etensi! +,#t!t! ! $!(%i m!ne"#! m!sete#in!

    si stim%!#e! #e3e%i de ,$%)ie m,%!# et$/ -met,d! in#e.ist#!#ii .#!f$e/

    Se "e#if$! $%ini$ #e(e#e%e RC7 #e(e# ATM #e(e#ems$%!#e #e(e#e !nt#,(,met#i$e et$/

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    DETERMINAREA CLINICA A RELATIILORINTERMAILARE

    Dete#min!#e! $%ini$! ! #e%!tii%,# inte#m!i%!#e %!edent!t% t,t!% im!i%!# se #e!%i)e!)! $ !*t,#%s!%,!ne%,# de ,$%)ie s! ! m!$ete%,# de ,$%)ie/Et!(e%e de #e!%i)!#e $(#ind #m!t,!#e%e ,(e#!tini71/ Ve#if$!#e! s!%,!ne%,# de ,$%)ie/2/ Dete#min!#e! $##ii "esti%!#e ! s!%,n%i

    s(e#i,#// Dete#min!#e! ni"e%%i si ,#ient!#e! (%!n%ide ,$%)ie in #e.ine! +#,nt!%! si ),n!%!te#!%!/4/ Dete#min!#e! dimensinii "e#ti$!%e ! et!*%iin+e#i,# in #e%!tie de (,st#! si #e%!tiede ,$%)ie/5/ Dete#min!#e! si in#e.ist#!#e! #e%!tiei $ent#i$e/B/ C,nse#"!#e! si s,%id!#i)!#e! m!$ete%,# de,$%)ie/

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    1/ Ve#if$!#e! s!%,!ne%,# de ,$%)ieC !*t,#% s!%,!ne%,# de ,$%)ie se dete#min! #!(,#t#i%e m!ndi%,-m!i%!#e in #e%!tie $ent#i$! si t#!ns+e#% !$est,# d!te si #e%!tii (e n!#ti$%!t,# (e $!#e se ",# #e!%i)! et!(e%e #m!t,!#e de $,n+e$ti,n!#e !(#,te)e%,# t,t!%e/ S!%,!ne%e de ,$%)ie t#eie s! inde(%ine!s$!#m!t,!#e%e ,ie$ti"e7- s! #e+!$! $,nt##i%e $e%e m!i !#m,ni,!se (ent# )e si ,#!*i&,ie$ti"e esteti$e'/- s! #ede! din n, #,s% )e%,# $ %imit! $%!#! $t!ne,-m$,!s! (#in

    #e+!$e#e! ",%m%i ,(tim !% )e%,# &,ie$ti"e esteti$e'/- s! #e+!$! (ie#de#e! de sst!nt! ,s,!s! !%"e,%!#! &,ie$ti"em,#+,%,.i$e'/- s! ,#iente)e (,)iti! ",%m% in!%time! dinti%,# !#tif$i!%i !si.#!nd ,!#ti$%!#e $%!#! si distin$t! ! +,neme%,# i%!i!%e +#i$!ti"e s!%!i,dent!#e &,ie$ti"e +,neti$e'/- s! fe st!i%e (e $!m(% (#,teti$ si s! (#,d$! , (#esine! %! +e% $!

    (ent# in#e.ist#!#e! !m(#entei +n$ti,n!%e/- s! (e#mit! dete#min!#e! ni"e%%i si ,#ient!#e! (%!n%i (#,teti$ de,$%)ie/- s! (e#mit! e"!%!#e! dimensinii "e#ti$!%e ! et!*%i in+e#i,#/- s! (e#mit! m!ne"#e%e $%ini$e de #e!%i)!#e si in#e.ist#!#e ! #e%!tiei$ent#i$e si e$ent#i$e si t#!ns+e#% #e)%t!te%,# (e n !#ti$%!t,#!d!(t!i% s! semi!d!(t!i%/

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    S!%,!ne%e de ,$%)ie snt !%$!tite din7- !)! s!%,n%i #e!%i)!t! din !$#i%!t s! (%!$! de !)!/- ,#d#i%e s! "!%#i%e de ,$%)ie #e!%i)!te din $e!#! s! m!te#i!%te#m,(%!sti$/- $,nt#,%% et#!,#!% !% s!%,!ne%,# de ,$%)ie/Ve#if$!#e! m,de%e%,# +n$ti,n!%e/ M,de%% m!i%!#/S,$%!#e! (,ste#i,!#! ! m,de%%i +n$ti,n!% se "! +!$e (!#!%e% $ !!(te#i,.,m!i%!#!/ S!nt#i%e (te#i.,m!i%!#e n snt m,dif$!te de+en,men% de #es,#tie si de !$ee! e%e se #e(e#e!)! +,!#te s,#/

    T!n.ent! "i#t!%! (#in !$este d,! s!nt#i (#e#i.,m!i%!#e %! (,%%

    dist!% !% te#,)it!ti%,# m!i%!#e dete#min! !! +nd!ment!%!(te#i.,m!i%!#!/ R,%% ei este de ! ,#ient! "!%% de ,$%)ie in (%!n%+#,nt!% si +!t! de e! se ,#iente!)! !! s!#nie#! ! !#ti$%!t,#%i/Cent#% de .#!"it!tie !% m!i%!#%i este d!t de inte#se$ti! di!.,n!%ei$e neste $ent#e%e $e%,# d,i m,%!#i (#imi $ di!.,n!%! $e neste$ent#e%e te#,)it!ti%,# ,(,)!nte/ Ae de #e+e#int! &+nd!ment!%e'(te#i.,m!ndi%!#e s! s!.it!%e (te#i.,m!i%!#! si t#e$e (#in $ent#%

    (!(i%ei n,ide si s(in! n!s!%! (,ste#i,!#!/ R,%% ei este de !dete#min! !! de simet#ie medi,-s!.it!%! +!t! de $!#e se m,nte!)!m,de%% (e #!t% s(e#i,# !% !#ti$%!t,#%i/ A! +nd!ment!%!s!.it!%! se "! (#e%n.ii in ),n! +#,nt!%! si (e s,$%% m,de%%i/1 -!! +nd!ment!%! (te#i.,m!i-%!#! 2- !! +nd!ment!%!s!.it!%! - %ini! $#este%,#

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    Lini! $#este%,# ! mi*%,$%i $#este%,# $!#e se t#!se!)! si se(#e%n.es$ (,ste#i,# si !nte#i,# (e s,$%% m,de%%i nde se.#!"e!)!/Lini! .id m!i%!# ! se t#!se!)! (e t,!t! $i#$m+e#int!

    m,de%%i/ Este , %inie $e m!te#i!%i)e!)! (%!n% ,#i),nt!% s!(%!n% de t#!ns+e# (!#!%e%! $ s,$%% m,de%%i si este(%!s!t! %! 10 mm +!t! de %ini! de #e3eie ! m$,!sei m,i%e/V!%% de ,$%)ie !% s!%,n%i s(e#i,# t#eie s!inde(%ine!s$! , "!%,!#e esteti$! +,neti$! si +n$ti,n!%! si in!$est s$,( se #e$,m!nd! ! !"e! , $%,!#e des$is! s! !%!si t#eie m,de%!t (#,.#esi" %! dete#min!#e! ni"e%%i si,#ient!#e! (%!n%i de ,$%)ie/ E% "! f !se)!t (e mi*%,$%$#estei edent!te in ),ne%e %!te#!%e si !nte#i,# de (!(i%!n,id! in #e.ine! +#,nt!%! $ , .#,sime de 5 mm in ),n!+#,nt!%! si 9 mm in ),n! (#imi%,# m,%!#i $! in ),n! dist!%!.#,sime! s! se #ed$! %! B mm/ $ , in!%time de 10 mm !!e%,# +nd!ment!%e de #e+e#int! si (,)iti! "!%%i de ,$%)ie

    in ),n! +#,nt!%! si $!#e se #ed$e %! B-9 mm din in!%time in),n! (,ste#i,!#!/ Limit! dist!%! ! "!%%i de ,$%)ie este %! 1Bmm de te#,)it!ti%e m!i%!#e/ In ),n! %!te#!%! "!%% de,$%)ie m!i%!# se #ed$e (#,.#esi" de %! "!%,!#e! in!%timii de10 mm %! B-9 mm s(#e dist!% (ent# ! f in !#m,nie $ (%!n%C!m(e#/

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    - Planul de refern!aeste n !%es (e m!si"%

    $#!ni, - +!$i!% +!t! de $!#e",m dete#min! % de,#ient!#e (#,teti$!/

    Un% din #i%e de #e+e#int! +#e$"ent ti%i)!t $! #e(e#este $e% (#,(s de C!m(e# si denmit $! !t!#e %

    C!m(e#/- Planul Ca#$ereste % $!#e neste mi*%,$%

    t#!.s%i $ (n$t%sn!si,n &(e te%e#!di,.#!fe -$ent#% $,nd$t%i !diti" ete#n $ s(in!n!)!%!

    !nte#i,!#!'/6%!n% C!m(e#

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    M,de%% m!ndi%!#-(#e)int! !! +nd!ment!%! s!.it!%! (#e%n.it! (e

    s,$%I #et#,m,%!#! (e#(endi$%!#! (e !! s!.it!%!/Este , %inie "i#t!%! e#i,#i !i te#$%i%,# (i#i+,#mi/C,ntine de !semene! %ini! .id i ),n! de #e3eie !m$,!sei (!si"-m,i%e %ini! $#este%,# F$%%m,de%%i/ Dist!nt! de %! (%!n% ,$%)!% !% "!%%i de

    ,$%)ie sei (!si"-m,i%e este de !(#,im!ti" 19mmi!# int#e (%!n% de ,$%)ie si %ini! .id de 29 mm/ in),n! +#,nt!%! s(#!+!t! ,$%)!%! ! "!%%i se !3!sit!t! $ 2 mm s m!#.ine! %ie#! ! )eiin+e#i,!#e i!# (,ste#i,# s(#!+!t! ,$%)!%! ! "!%%i

    se !3! %! ni#e! t#eimii s(e#i,!#e $ 2: in+e#i,!#e! ),nei te#$%%i (i#i+,#m/ Limit! dist!%! este %!15 mm !nte#i,# de te#$%% (i#i+,#m/

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    @!)! s!%,n%i (ent# m!i%!# s! m!ndi%! t#eie7

    - s! fe $,n+e$ti,n!t! din m!te#i!%% (e $!#e %-!m indi$!t7

    !$#i%!t s! (%!$! de !)! nm!i (ent# m!i%!#/- s! fe nede+,#m!i%! si #i.id!/- ine !d!(t!t! (e m,de%% +n$ti,n!% $ m!#.ini%e#,tn*ite (%!s!te %! %imit! de m$,!s! (!si"-m,i%!identi$! $ %imit! "iit,!#ei (#,te)e fnite/- s$,!te#e! si #e(ne#e! s!%,n%i (e m,de%% +n$ti,n!%

    t#eie s! se #e!%i)e)e $ s#int!/

    C,nt#,%% int#!,#!% !% s!%,!ne%,# de ,$%)ieSe $,nt#,%e!)! mentine#e! si st!i%it!te! s!%,!ne%,# (e$!m(% (#,teti$ !(!s!nd !%te#n!ti" (e s(#!+!t! ,$%)!%! !"!%#i%,# de ,$%)ie in d#e(t% (#em,%!#i%,# si se $,nt#,%e!)!

    d!$! n !(!#e !s$%!#e! in *#% ni !s!.it!%/ Se "e#if$! m!#.ini%e !)ei s!%,n%i si #!(,#t% %,#$ %imite%e $!m(%i (#,teti$/

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    2/ Dete#min!#e! $##ii "esti%!#e !s!%,n%i s(e#i,#

    D(! !(%i$!#e! s!%,n%i in $!"it!te! ,#!%! see!mine!)! $,nt#% $e% m!i !#m,ni,s !% )eis(e#i,!#e (%enitdine! ,#!*i%,# si se "e#if$!(#,nnti! +,neme%,# %!i,-dent!#e/ Se e!mine!)!(#in ins(e$tie din +!t! si (#,f%/

    D!$! )! s(e#i,!#! este s(#!e"!%!t! si(#,eminent! se #ed$e dint#-, !)! de s!%,n.#,!s! $e int#! in +nd% de s!$ se #!di!)! din"!%% de $e!#! (!n! $e se st!i%este $,nt#% $e%m!i !#m,ni,s !% )ei s(e#i,!#e/

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    / Dete#min!#e! ni"e%%i si ,#ient!#e! (%!n%i de,$%)ie in #e.ine! +#,nt!%! si ),n! %!te#!%!

    Ni"e%% (%!n%i de ,$%)ie se dete#min! in ),n!+#,nt!%! si %!te#!%!/ 6%!n% de ,$%)ie #e(#e)int! n(%!n "i#t!% $!#e i! n!ste#e (#in ni#e! m!#.inii%ie#e ! in$isi"i%,# s(e#i,#i $ "!#+#i%e $s(i)i%,#dist,-%in.!%i !i m,%!#i%,# d,i in+e#i,#i/ A$est (%!n

    este denmit (%!n de ,#ient!#e (#,teti$! s! de,#ient!#e ,$%)!%! &d(! G!n!'/ L! dent!t (#e)int!t#ei $#e $!#!$te#isti$e7

    - in (%!n t#!ns"e#s!% %! ni"e%% dinti%,# +#,nt!%i

    s(e#i,#i- $#! in$i)!%!/- in (%!n t#!ns"e#s!% %! ni"e%% dinti%,# %!te#!%i- $#!%i ;i%s,n/- in (%!n s!.it!% %! ni"e%% dinti%,# %!te#!%i- $#! %iS(ee/

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    Ni"e%% (%!n%i de ,$%)ie

    6ent# ),n! +#,nt!%! %! m!i%!# (,#tine! "i)ii%! din"!%% de ,$%)ie $!nd (!$ient% st! $ .#! s,#int#edes$is! este de 1-2 mm +!t! de m!#.ine!in+e#i,!#! ! )ei s(e#i,!#e/ #!d% de "i)ii%it!te

    se mi$s,#e!)! $ "!#st! este %imit!t %! se%m!s$%in %! indi"id% #et#!s s! int#,"e#tit/ #!d% de"i)ii%it!te este m!i m!#e %! tine#i +emei (!$ientiet#!"e#titi/ L! ,%n!"ii $ (!#e)e s! (!#!%i)ii +!$i!%ese #m!#este !s(e$t% f)i,n,mie !#m,ni,s si n

    $#ite#ii%e $%!si$e de dete#min!#e ! .#!d%i de"i)ii%it!te dent!#!/ L! ni"e%% ),nei +#,nt!%ein+e#i,!#e "!%% de ,$%)ie se .!seste $ m!#.ine!s! %ie#! sit!t! $ 2 mm s %imit! s(e#i,!#! !)ei in+e#i,!#e int#e $e%e d,! $,mis#i/

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    O#ient!#e! (%!n%i de ,$%)ie

    6ent# ),n! +#,nt!%! m!i%!#! "!%% de ,$%)ie t#eies! fe (!#!%e% $ %ini! i((i%!#! $!nd indi"id% (#i"estes(#e infnit/ in ),ne%e %!te#!%e ,#ient!#e! (%!n%i de,$%)ie %! m!i%!# se #e!%i)e!)! in #!(,#t $ (%!n% %iC!m(e# &s(in! n!)!%! !nte#i,!#! si $ent#%

    $,nd$t%i !diti" ete#n' s! (%!n% A%!-T#!.s&Ande#sen' $ $!#e se $,n+nd! &%ini! t!n.ent! %!!#i(! n!s%i - mi*%,$% t#!.s%i'/ @,#d#i%e de,$%)ie in ),ne%e %!te#!%e t#eie s! fe (!#!%e%e $(%!n% %i C!m(e#/ 6#!$ti$ se #e!%i)e!)! $ d,! #i.%e

    s! $ (%!n% %i

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    - $,n"e#.ent! dist!%! d!$! s(!ti% (#,teti$dint#e $e%e d,! $#este edent!te se mi$s,#e!)!s(#e dist!%/- in (#,.enie !de"!#!t! se #e!%i)e!)! ,di"e#.ent! s(#e dist!%/- (#,f%% d#e(t !% (!$ient%i "! !"e! n

    (!#!%e%ism (e#+e$t/- (#,f%% $,n"e (%!n% ,$%)!% $,n"e#.ent $(%!n% %i C!m(e#/- (#,f%% $,n$!" (%!n% ,$%)!% di"e#.ent $(%!n% %i C!m(e#/

    Ad!(t!#e! s!%,n%i de ,$%)ie in+e#i,# se +!$ein #!(,#t $ d!te%e ,tinte (#in !d!(t!#e!s!%,n%i s(e#i,# si (e !)! dete#min!#iidimensinii "e#ti$!%e ! et!*%i in+e#i,#/

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    4/ Dete#min!#e! dimensinii "e#ti$!%e !et!*%i in+e#i,# in #e%!tie de (,st#! si #e%!tiede ,$%)ieDete#min!#e! dimensinii "e#ti$!%e de(,st#! si ! dimensinii "e#ti$!%e de ,$%)ie! +,st (#e)ent!t! !nte#i,#/

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    5/ Dete#min!#e! si in#e.ist#!#e! #e%!tiei $ent#i$e

    Et!(! de dete#min!#e ! #e%!tiei $ent#i$e #me!)! $%ini$et!(e%,# !nte#i,!#e $!#e in ,#dine ! +,st7 st!i%i#e!ni"e%%i si ,#ient!#e! (%!n%i de ,$%)ie %! m!i%!# si %!m!ndi%! dete#min!#e! dimensinii "e#ti$!%e ! et!*%iin+e#i,# in #e%!ti! de (,st#! $ s!%,!ne%e de ,$%)ie sist!i%i#e! "!%,#ii dimensinii "e#ti$!%e in #e%!tie $ent#i$!/6ent# dete#min!#e! RC n #,% de,seit de im(,#t!nt i% !#e(#e.!ti#e! (sii$! si de #e%!!#e ms$%!#! ! (!$ient%ide e$i%i# (sii$ si ne#,-ms$%!#/ 6,)iti! %i este de#e%!!#e ms$%!#! semise)!nd! s! $%$!t $ $!(%s(#i*init (e tetie#!/ O se#ie de ee#$itii de #e%!!#ems$%!#! ee#$itii de ste#.e#e ! #e3ee%,# dete#min!tede (#,te)e m,i%e "e$i in$,#e$te $i!# n t#!t!mentmedi$!ment,s !ntist#es t#!n$i%i)!nte min,#e s!mi,#e%!!nte $ent#!%e (,!te f +!$t $ 1-2 )i%e in!inte de!$e!st! sedint! $%ini$!/ Ve#if$!#e! (!t,%,.iei ATM sit#!t!ment% ei !nte#i,# este de !semene! +,!#teim(,#t!nt/

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    Teni$i de dete#min!#e ! #e%!tiei $ent#i$e

    1/ Teni$! $%!si$!A"!nd st!i%ite $ !*t,#% s!%,!ne%,# de ,$%)iedimensine! "e#ti$!%! de ,$%)ie si %ini! medi!n!

    din (%!n% medi,-s!.it!% in $,#es(,ndent! (ent#m!i%!# si m!ndi%! ni"e%% si ,#ient!#e!(%!n%i de ,$%)ie "e#if$!t esteti$ si +,neti$ set#e$e %! dete#min!#e! RC/L! ni"e%% s!%,n%i s(e#i,# din "!%% s!%,n%i

    se inde(!#te!)! din d#e(t% (#em,%!#i%,# sim,%!#i%,# n st#!t ni+,#m de 2 mm din (%!n% de,$%)ie/ d(! $!#e se !(%i$! n st#!t ni+,#m de25 mm de $e!#!/

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    S!%,n% in+e#i,# "! (#e)ent! "!%% de ,$%)ie s +,#m!nei %!me de in.ste de mm i!# in ),n! +#,nt!%!m!#.ine! "!%%i de ,$%)ie se .!seste $ 2 mm sm!#.ine! s(e#i,!#! ! )ei in+e#i,!#e de %! , $,mis#!%! !%t!/ Limit! (,ste#i,!#! ! (%!n%i de ,$%)ie se(#,ie$te!)! %! ni#e! t#eimii s(e#i,!#e $ d,!t#eimi in+e#i,!#e ! ),nei te#$%%i (i#i+,#m/ 6e "!%%de ,$%)ie in+e#i,# in ),ne%e %!te#!%e snt #e!%i)!te$!sete t#in.i%!#e $ !)! s(e#i,# int#e#(!nd$,ntinit!te! "!%%i (ent# ! "e#if$! (,)iti,n!#e! %iin "!%% s!%,n%i s(e#i,#/ D!$! .#!d% de !t#,fe si#es,#tie !% $#este%,# edent!te este m!#$!nt si (ent# ,m!i n! st!i%it!te ! s!%,n%i in+e#i,# se$,n+e$ti,ne!)! in d#e(t% fe$!#i m,%!# de B !ni mi$i!#i(i,!#e de s(i*in (ent# inde$si din e##/ E%e sntf!te %! %imit! "!%%i in+e#i,# $ !)! s!%,n%i/

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    Ve#if$!#e! $,nt!$te%,# (#em!t#e si ! de#!(!*%i/

    Se int#,d$e int!i s!%,n% in+e#i,# si !(,i s!%,n%s(e#i,# in $!"it!te! ,#!%! si (!$ient% in$ide .#!/D!$! eist! $,nt!$te int#e !)e%e s!%,!ne%,# in

    ),n! dist!%! $ !*t,#% !#tiei de !#ti$%!tie seVe#if$!#e! $,nt!$te%,# (#em!t#e si ! de#!(!*%iin#e.ist#e!)! si se inde(!#te!)! $ +#e)! din.#,sime! !)ei s(e#i,!#e/ Nm!i d!$! $,nt!$t%(#em!t# (e#sist! in !$est %,$ si .#,sime! !)ei

    s(e#i,!#e n (e#mite d(! in#e.ist#!#e! $ !#ti!de !#ti$%!tie se inde(!#te!)! din !)! s!%,n%iin+e#i,#/

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    C!)! este $,n+,#m!#e! .#esit! ! ,#d#iim!ndi%!#e d(! $e! m!i%!#! $ inti%ni#e!in $,nt!$t (#em!t# (e , (!#te +!t! de$e!%!%t!/ C,#e$t!#e! se +!$e fe (#in !d!s de$e!#! %! ni"e%% ,#d#ii (#e! #edse&in sdimensi,n!#e' fe (#in #!die#e! nist#!t de $e!#! din (!#te! s(#!dimensi,n!t!/

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    D!$! %! $,nt!$t% $ "!%#i%e de ,$%)ie s(e#i,# si in+e#i,#eist! , mis$!#e de !%ne$!#e int#e s(#!+ete%e ,$%)!%e

    d!t,#it! nei ne$,n$,#d!nte int#e $e%e d,! s(#!+ete!$e!st! de(%!s!#e (,!#t! denmi#e! de de#!(!*/ De#!(!*%(,!te f7- de#!(!* simet#i$ (,ste#i,# s! !nte#i,# d!$! eist!$,nt!$te simet#i$e (#em!t#e ,(sedi#e$tiei de de#!(!#e/

    - de#!(!* !simet#i$ d!t,#it! $,nt!$t%i (#em!t# (e ,emi!#$!d! si se (#,d$e de(%!s!#e! +!t!de %ini! medi!n!/T#!t!ment% $,nst! in in$!%)i#e! "!%%i de ,$%)ie %! ni"e%%$,nt!$t%i (#em!t# se #eint#,d$ s!%,!ne%e in $!"it!te!,#!%! si se $!t! (,)iti! $e! m!i #et#!s! ! m!ndi%ei (#inmi*%,!$e%e $%!si$e/

    At#,f! m!#$!nt! ! $#este%,# !%"e,%!#e m!i%!#e sim!ndi%!#e d$e %! m,dif$!#e! s(!ti!%! ! #!(,!#te%,#m!ndi%,-$#!niene in $e%e t#ei (%!n#i de #e+e#int!/ Din!$e!st! $!)! "!%#i%e de ,$%)ie n se m!i (,t int!%ni in#e.ine! +#,nt!%! d!# este ,%i.!t,#i #!(,#t% si $,nt!$t%%,# in ),ne%e %!te#!%e d#e!(t! si st!n.!/

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    Dete#min!#e! RC in!inte de ! t#e$e %! #e!%i)!#e! RC in

    (,)iti! de #e(!s m!ndi%!# $ $e%e d,! s!%,!ne in$!"it!te! ,#!%! se #m!#este7- t#!s!#e! (e s!%,n% s(e#i,# si in+e#i,# ! %inieimediene/- se "e#if$! %i(s! de#!(!*%i/- se "e#if$! (,)iti! m!ndi%ei in dimensine "e#ti$!%! de

    ,$%)ie/- se in$!%)este in m,d e.!% "!%% s!%,n%i in+e#i,#/Detemin!#e! RC se #e!%i)e!)! $ !*t,#% met,de%,#$%!si$e/ Int#,d$e#e! s!%,n%i in+e#i,# se +!$e #!(idd(! in$!%)i#e! "!%%i (!$ient% este #.!t s! in$id!$!"it!te! ,#!%! %ent #et#!.!nd !#i! si %im! s(#e

    (,ste#i,# $!t m!i m%t (,sii%/ D(! #!$i#e! "!%%i in+e#i,#se #et#!.e s!%,n% in+e#i,# si se #e.%!#i)e!)! s(#!+!t!,$%)!%! ! "!%%i (#in inde(!#t!#e! e$ese%,# &nm!i din"!%% in+e#i,#'/ 6%!n% de ,$%)ie s(e#i,# "! f im(#im!t (et,!t! intinde#e! de "!%% de ,$%)ie in+e#i,#/ S!%,n%in+e#i,# este in$!%)it si int#,ds din n,/

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    Met,d! de.%titiei/ Re3e% de.%titiei se(#,d$e $ m!ndi%! $ent#!t! s !$tine!$,m(%e! ! ms$i%,# %imii $,nst#i$t,#ii+!#in.e%i si ms$ii $in.ii ,#i$%,-

    $$in!t,!#e/ Re3e% este (#e)ent %! n!ste#esi $,m(%e% ms$%!# in tim(% in.iti#ii!$ti,ne!)! (#in #et#d!#e! simet#i$! !m!ndi%ei s(#e RC/ @,%n!"% in.ite ,

    $!ntit!te mi$! de !(! de 9-10 ,#i $! !(,i s!(!st#e)e (,)iti! ,tint! ! m!ndi%ei/

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    Re3e% ,m,t#,(ism%i %in.,-m!ndi%!#/M!ndi%! #me!)! %im! in mis$!#e! ei din!mi$!s! st!ti$!/ Se (%!se!)! , ,it! de $e!#! (e ,%t!(!%!tin! ! m!$etei s!%,n%i s(e#i,# $!t m!i(,ste#i,# (e %ini! medi!n!/ @,%n!"% in$ide$!"it!te! ,#!%! in$e#$!nd $ "!#+% %imii s! !tin.!

    ,it! ms$ii .eni,.%,si !nt#ene!)! m!ndi%! (e$!%e #e3e! si m!ndi%! "! #m! %im! si se "!inde(!#t! s(#e RC/C,m(#esine! (e ment,n/ 6#in s#(#inde#e $!ndedent!t% t,t!% n se !ste!(t! se $,m(#ese!)!ment,n% m!ndi%!# in mis$!#e! de in$ide#e in

    di#e$tie (,ste#,-s(e#i,!#! s(#e RC in !s! +e% in$!t$,ndi%ii m!ndi%!#i s! se (%!se)e in (,)iti! %,# $e!m!i (,ste#i,!#! in $!"it!te! .%en,id!/ Este ,m!ne"#! ne#e(et!i%! +,%,sit! $! mi*%,$ de $,nt#,%fn!% si $e#e , e(e#ient! $%ini$! din (!#te! medi$%i

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    Stim%!#e! #e3e%i de ,$%)ie m,%!#/ C (%(e%ede.ete%,# (e ,#d#i%e de ,$%)ie in d#e(t%m,%!#i%,# s(e#i,#i ,%n!"% in$ide $!"it!te!,#!%! si este di#i*!t s! st#!n.! in %,$% nde

    (e#$e(e$,nt!$t% di.it!% de.ete%e ,(e#!t,#%i stim%!nd(#in mis$!#e! %,# "e$i%e #e3ee (!#,d,nt,-ms$%!#e de (,)iti,n!#e $ent#i$!/

    O,se!%! ms$i%,# (te#i.,idieni ete#ni/ O(#,(%sie et#em! ! m!ndi%ei mentint! tim(de 45-B0 se$ ,,seste !$esti ms$i (#,",!$!#e%!!#e! %,# si #eint,!#$e#e! m!ndi%ei in RC/

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    Mem,#i! tis%!#! este d!t! de !tin.e#e! $ n inst#ment ,nt"!%% (!%!tin s! %et! (!n! %! !(!#iti! #e3e%i de ",m!/ L!

    in$ide#e! $!"it!tii ,#!%e (!$ient% "! ind#e(t! "!#+% %imii$!t#e ),n! !tins! i!# m!ndi%! se "! (,)iti,n! s(#e RC/Mem,#i! ,$%)!%! m,%!#! se $,nditi,ne!)! (#in (%!s!#e! ! $!ten m,%!# i%!te#!% (e n "!% de ,$%)ie !"!nt "!%% de $e!#!#!m,%it! $! !nt!.,nist/

    Teni$! D!Hs,n/ 6!$ient% este !se)!t $%$!t $ $!(% ins,!#! etensie !#i! ind#e(t!t! in ss si .!t% intins $!(%find tint de ,(e#!t,# int#e !nte#!t% st!n. si $ti! %it,#!$i$!/ Medi$% !se)!t in (,)itie (,ste#,-%!te#!%! +!t! de(!$ient (#inde m!#.ine! !)i%!#! ! m!ndi%ei $ !me%e m!inisi di#i*e!)! m!ndi%! in ss si in!(,i $ mis$!#i de in$ide#e si

    des$ide#e +,!#te #edse (!n! $e ,tine %i(s! de #e)istent! din(!#te! (!$ient%i/ Din !$est m,ment se #e!%i)e!)! $,nd$e#e!m!ndi%ei in!(,i si s(e#i,# dete#min!nd m!ndi%! s!!s$%e)e in *#% inse#tiei %i.!ment!#e dete#min!nd$,,#!#e! $,ndi%i%,# in $!"it!te! .%en,id!/

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    Ve#if$!#e! #e(e#e%,# (ent# ,tine#e! RC7

    Re(e# ATM/ C,ndi%ii (%!s!ti $ent#i$ in $!"it!te! .%en,id! se(!%(e!)! %! 1 mm de m!#.ine! t#!.s%i (e %ini! t#!.s-n.i% ete#n !% ,$i%i/Re(e# ms$%!#/ C,nt#!$tii%e ms$%!#e s! fe sim%t!ne sie$i%i#!te/ E%e se (n in e"ident! (!%(!t,#i/Re(e#e !nt#,(,met#i$e/ Et!*% in+e#i,# e.!% s! m!i mi$

    de$!t et!*% mi*%,$i %ini! medi!n! m!ndi%!#! s!$,#es(nd! $ (%!n% medi,-s!.it!% dist!nt! .,ni,n-n!si,n de (!#te! d#e!(t! s! fe e.!%! $ $e! de (!#te!st!n.! si $ simet#ie dimensi,n!%!/Linii .id/ D(! dete#min!#e! RC (e $e%e d,! "!%#i de,$%)ie se t#!se!)! %ini! medi!n! si d,! %inii %!te#!%e/ Se

    dete#min! din n, RC i!# $,#es(,ndent! %inii%,# d(! m!im%te in$e#$!#i dem,nst#e!)! #e%!ti! $,#e$t!/6#,! s(!t%ei/ D(! dete#min!#e! (,)itiei RC s!%,!ne%e#!m!n in $,nt!$t intim ,$%)!% (e t,!t! s(#!+!t! %,# si sein$e!#$! (#,! s(!t%ei/ 6#,! s(!t%ei (,)iti"! im(ne#e+!$e#e! RC/

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    N eist! , met,d! $%ini$! $,m(%et! de in#e.ist#!#e !

    RC/ De !$ee! ,(t!m ! #e!%i)! RC (#in m!i m%temet,de "e#if$!nd-se !(,i (e !#ti$%!t,# e!$tit!te!in#e.ist#!#i%,#/Ese$#i in ,tine#e! RC $,#e$te se d!t,#es$7- %i(sei $%im!t%i !de$"!t dint#e (!$ient si medi$/- %i(s! de st!i%it!te ",%m si +,#m! ,(tim! !s!%,!ne%,# de ,$%)ie/- inst!i%it!te! s!%,!ne%,# de ,$%)ie in $!"it!te!,#!%!/

    - met,d! de dete#min!#e ! RC ne!d!(t!t!(!$ient%i/- +,%,si#e! nei sin.#e met,de de dete#min!#e ! RC/- %i(s! "e#if$!#ii #e(e#e%,# RC/

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    St!i%i#e! RC find #e!%i)!t! s!%,!ne%e de ,$%)ie ses,%id!#i)e!)! int#e e%e +!#! ! m,dif$! (,)iti! %,# $7

    - !*t,#% n,# !nse de s!#m! int#,d-se in "!%#i%es!%,!ne%,#/- s! se m,de%e!)! d,! $!sete (i#!mid!%e %! !me%e "!%#ide ,$%)ie "esti%!# ind#e(t% (#em,%!#i%,# se int#,d$ si se (,)iti,ne!)! $,#e$t

    s!%,!ne%e in $!"it!te! ,#!%! in RC se #!m,%este m!te#i!%te#m,(%!sti$ $!#e (%!s!t (e n mi$ s(,#t met!%i$d#e(tn.i%!# se !(%i$! in $!sete%e (#e(!#!te !nte#i,#/Ans!m%% #!$it se inde(!#te!)! din $!"it!te! ,#!%!/- s,%id!#i)!#e! (#in +,%ie de $e!#!/ L! ni"e%% "!%%i de,$%)ie s(e#i,# in d#e(t%

    m,%!#i%,# se m,de%e!)! d,! $!sete t#in.i%!#e $ !)!,$%)!% i!# , +,%ie d#e(tn.i%!#! de $e!#! este #!m,%it! si!d!(t!t! (e +!t! ,$%)!%! ! "!%%i in+e#i,#/ in $!"it!te! ,#!%!se (,)iti,ne!)! s!%,!ne%e in RC $e!#! #!m,%it! "! (!t#ndein $!sete%e s(e#i,!#e si $ !*t,#% nei s(!t%e in$!%)ite se$,m(%ete!)! mentine#e! s!%,!ne%,# in (,)iti! st!i%it!/

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    U#me!)! (,)iti,n!#e! s!%,!ne%,# in RC nde snt s,%id!#i)!te (#in!$este d,! sti+t#i/

    6ent# !%e.e#e! si m,nt!#e! dinti%,# !#tif$i!%i (e s!%,!ne%e de,$%)ie se t#!se!)! #m!t,!#e%e #e(e#e7

    - %ini! medi!n! medi,-s!.it!%! #!(,#t!t! %! +#en#i%e %!i!%emi*%,$% f%t#%i n!)!% si

    (i#!mid! n!s!%!/- %ini! s#!s%i #!(,#t!t! %! , %inie $e #m!#este $,nt#% )eis(e#i,!#e $!nd(!$ient% s#!de/ Se de%imite!)! !st+e% in!%time! dinti%,# +#,nt!%is(e#i,#i $,%ete%e dent!#e se ",# (%!s! %! ni"e%% %iniei s#!s%i/- %ini! $!nini%,# #!(,#t!t! %! , %inie t#!s!t! din .%!e%! t!n.ent! %!m!#.ine! ete#n! !

    !#i(ii n!s%i $e inte#se$te!)! (%!n% ,$%)!% !% s!%,n%i s(e#i,#/De !i$i se #idi$! ,(e#(endi$%!#! s(#e ((i%! $!#e #e(#e)int! %ini! $!nin%i/ E!fe!)! +!t! dist!%! ! $!nini%,# si %!time! $e%,# t#ei dinti +#,nt!%is(e#i,#i (!n! %! %ini! medi!n!/

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    2/ In#e.ist#!#e! .#!f$! ! RC

    Se in#e.ist#e!)! .#!f$ di#e$tii%e de mis$!#e m!ndi%!#!in %!te#!%it!te d#e!(t! si st!n.! (#,(%sie si #et#,(%sie/in +n$tie de m,d% de f!#e ! sisteme%,# de in#e.ist#!#ein#e.ist#!#e! .#!f$! (,!te f int#!,#!%! s! et#!,#!%!/- in#e.ist#!#e! .#!f$! int#!,#!%! ! RC (#es(ne n!ns!m% de dis(,)iti"e !%$!tite din7- !$ ins$#iit,# f!t (e %ini! medi!n! ! ,#d#iis(e#i,!#e in !% s!.it!%medi!n int#-, $!set! (!#!%e%i(i(edi$! m,de%!t! in "!%%s(e#i,#/ Et#emit!te! !$%i

    ins$#iit,# se .!seste (e (%!n% de ,$%)ie/- (%!$t! de in#e.ist#!#e f!t! (e s(#!+!t! ,$%)!%! !"!%%i in+e#i,# $ $!#eeste in !$e%!si (%!n (e %ini! medi!n! in d#e(t% !$%iins$#iit,# $ $!#e "ine in $,nt!$t/

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    In!inte de int#,d$e#e! s!%,!ne%,# in $!"it!te!,#!%! se #!di!)! in d#e(t% m,%!#i%,# in+e#i,#i %mmdin s(#!+!t! ,$%)!%! ! "!%%i si se "!se%ine!)!s(#!+ete%e ,$%)!%e !%e "!%#i%,#/ 6!$ient% des$ide

    %!#. $!"it!te! ,#!%! (!n! %! ,,si#e! ms$i%,#$,,#!t,#i $! !(,i (#in (,)iti,n!#e! m!ndi%!#!$ !*t,#% $%ini$i!n%i (!$ient% s! in$id! .#! sis! in.it! s!%i"! (!n! %! $,nt!$t% dint#e $e%e d,!

    s!%,!ne/ Din !$e!st! (,)itie "! d$e m!ndi%! in(#,(%sie $ $,nt!$t int#e $e%e d,! "!%#i de,$%)ie $! !(,i s! #e!%i)e)e #et#,(%si! m!im! in!$e%e!si $,nditii/

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    A$% ins$#iit,# "! t#!s! , %inie !nte#,-(,stei,!#! $

    %imit! m!im! (,ste#i,!#! nde este $,nside#!t(n$t% in $!#e m!ndi%! este in RC/ De !i$i(!$ient% ee$t! d,! t#ei mis$!#i de %!te#!%it!ted#e!(t! st!n.! din (n$t% de RC se "! de%imit! (e(%!$t! de in#e.ist#!#e n n.i s! ! ni !#$n.i% .,ti$ $ "!%,!#e! n,#m!%! de 120/ V!#+%!#$%i .,ti$ $,#es(nde $ RC/

    Se fe!)! s!%,!ne%e in RC si se in*e$te!)! nm!te#i!% de !m(#ent!#e in $!set! (!#!%e%i(i(edi$!int#e !$% ins$#iit,# (%!$t! de in#e.ist#!#e sis!%,!ne/ D(! (#i)! m!te#i!%%i (,t f s$,!se din$!"it!te! ,#!%!/

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    - in#e.ist#!#e! .#!f$! et#!,#!%! ! RC/ A$%ins$#iit,# este f!t et#!,#!% (e "!%% s!%,n%is(e#i,# (e %ini! medi!n! i!# (%!$t! dein#e.ist#!#e et#!,#!% %! ni"e%% m!ndi%ei/

    C,nt!$t% dint#e !$% ins$#iit,# si (%!$t! dein#e.ist#!#e &!$,(e#it! $ ne.# de +m s! $e!#!m,!%e $,%,#!t!' !#e %,# in dimensine! "e#ti$!%! de

    ,$%)ie i!# mis$!#i%e m!ndi%ei si #e)%t!te%e,tinte snt !sem!n!t,!#e $! (ent# in#e.ist#!#e!.#!f$! int#!,#!%!/

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    / Dete#min!#e! RC (#in met,de $,m(%ee

    1/ Teni$! in#e.ist#!#ii RC $ (n$t de s(#i*in $ent#!%/

    Sistem% este +,#m!t din7

    - (%!$t! de in#e.ist#!#e .#!f$! (%!s!t! ,#i),nt!% (!#!%e% $(%!n% de ,$%)ie in+e#i,# in d#e(t% m,%!#i%,# (e ,#d#!in+e#i,!#!/- (n$t de s(#i*in ins$#iit,# $ in!%time #e.%!i%! f!t in$ent#% .e,met#i$ de .#!"it!tie !% m!i%!#%i %! ni"e%% !)eis!%,n%i s(e#i,# %! ni"e%% ,%tii (!%!tine &dete#min!t de

    inte#se$ti! di!.,n!%e%,# $e nes$ $!ninii de !% d,i%e! m,%!# de(!#te! ,(s!'/Se st!i%este dimensine! "e#ti$!%! de ,$%)ie +!#! "!%#i%e de,$%)ie $ (n$t% de s(#i*in $ent#!% in $,nt!$t $ (%!$t! dein#e.ist#!#e de nde se #e!%i)e!)! mis$!#i%e m!ndi%!#e$n,s$te (ent# st!i%i#e! !#$%i .,ti$/

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    2/ Teni$! L!nde% de in#e.ist#!#e ! RC $ (n$t de

    s(#i*in #et#,in$isi"/

    At,#% (,#neste de %! n (#in$i(i (e#s,n!% $,n+,#m$!#i! m!ndi%! #e!%i)e!)! in$ide#e! n,#m!%! s(#e,$%)i! $ent#i$! !t!t! tim( $!t m!ndi%! n int!%nesteni$i n ,st!$,%/ E% $,nside#! n (e#m!nent de#!(!*#e!%i)!t %! $,nt!$t% $e%,# d,! "!%#i de ,$%)ie de!$ee! n se +,%,ses$ si (#,(ne n dis(,)iti" +,#m!t dind,! (%!$te met!%i$e/ 6%!$t! s(e#i,!#! f!t! de n"!% de ,$%)ie de %$m %!time si .#,sime $!t m!i #eds!$,ntine n sistem de !#ti$%!#e si f!#e ! nei ti*e

    "e#ti$!%e/ 6%!$t! in+e#i,!#! se fe!)! de !)!s!%,n%i in+e#i,# si $,ntine in (!#te! !nte#i,!#! simedi!n! n m!ns,n de $%is!#e si %,$!#e ! ti*ei"e#ti$!%e/ C !*t,#% !$esti sistem se dete#min!dimensine! "e#ti$!%! ,(tim! de ,$%)ie/

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    / Teni$! $ent#,$,#d%i O(,t,H de in#e.ist#!#e ! RC

    $ (n$t de s(#i*in im,%!#A$e!st! teni$! !#e %! !)! #m!t,!#e%e (#in$i(ii7

    - m!sti$!ti! este $,nt#,%!t! si $,,#d,n!t! (e $!%e#e3e! !st+e% in$!t #e)%t!nt! +,#te%,#

    m!sti$!t,#ii este int,tde!n! !(%i$!t! !$,%, nde estene$es!#! (e !#$!d! dent!#!/

    - (,)iti! de i(e#estensie +,#t!t! ! $!(%i t#eie s!s(#ime !$tine! ms$i%,# (te#i.,idieni ete#ni inde(%!s!#e! m!ndi%ei/

    - in#e.ist#!#e! .#!f$! ! de(%!s!#i%,# m!ndi%ei sein#e.ist#e!)! .#!f$ fe %! ni"e%% (n$t%i inte#in$isi"fe sim%t!n %! ni"e%% m,%!#i%,#/

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    Dis(,)iti"% este !%$!tit dint#-, ,#d#! met!%i$! in+,#m! de !#$!d! +,#m!t! din t#ei (%!$i met!%i$es(#!(se7 , (%!$! s(e#i,!#! $ n "!#+ !nte#i,#(%!s!t (e %ini! medi!n! si d,! "!#+#i (%!s!te %!ni"e%% fe$!#i !% d,i%e! (#em,%!# s(e#i,# , (%!$!in+e#i,!#! $ n dis(,)iti" !nte#i,# de in#e.ist#!#e !de(%!s!#i%,# "!#+%i !nte#i,# +#,nt!% %!te#!% d,!%,*ii $e ",# ,+e#ii #e!%i)!#e! %,$!*%i int#e.%idis(,)iti" , (%!$! inte#medi!#! de s,%id!#i)!#e !

    $e%,# d,! (%!$i d,i t,ni e$i%i#!nti/6ent# dete#min!#e! RC se m!i +,%,ses$7 teni$!mem,#iei ,$%)!%e Le*,e teni$! J!ne%s,n destim%!#e e%e$t#i$! i%!te#!%!/

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    V!

    %tmimK


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