Review of Storage Media before Tooth Replantation

Review of Storage Media before Tooth Replantation Save cells before tooth replantation- A Review Abstract Avulsion is one of the most complex traumatic injury affecting both teeth and children. Avulsed teeth can be replanted. Management protocols for avulsed teeth should include management of the pulp and periodontal ligament (PDL) cells in order to improve the long-term prognosis and survival of these teeth. If immediate replantation is not possible, the clonicity and progenicity of the viable PDL cells can be maintained with aid of suitable storage medium at the place of trauma. The incorrect use of a storage medium potentially increases the risk of PDL cell necrosis, which can result in ankylosis and replacement resorption of the tooth root. Considering the importance of the storage media, an informed choice of a media is essential for a favourable outcome. This review discusses the common storage media that are available and some of the unique features of each media along with the problems associated. Keywords Avulsion, Replantation, Storage media Introduction According to WHO classification, Avulsion or ex-articulation is complete displacement of the teeth from its alveolar socket. [1, 2] Avulsion of permanent teeth is seen in 0.5- 3% of all dental injuries. Andreasen Andreasen predicted that the incidence of these injuries may eventually surpass the incidence of dental caries. Numerous studies show that this injury is one of the most serious dental injuries, and the prognosis is very much dependent on the actions taken at the place of accident and promptly after the avulsion. The immediate replantation of teeth is the ideal treatment of choice for the avulsed teeth to prevent post replantation complications such as inflammatory resorption, ankylosis or replacement resorption. If immediate replantation is not possible, the clonicity and progenicity of the viable PDL cells can be maintained with aid of suitable storage medium at the place of trauma. The lack of first aid knowledge about the avulsion among the public and health care centers delays immediate replantation and limits the prognosis of the avulsed tooth. Various storage media are available maintain the progenicity and clonicity of PDL cells to improve the outcome of the replantation. The purpose of this article is to, review the current storage media with their pros and cons and to provide an insight about the efficacy of newer storage media available. Historical perspective Cvek [3] showed that storage of knocked out teeth in saline could improve the success of replanted teeth. Lindskog et al [4] reported that the key to retention of the knocked-out teeth was to maintain the vitality of the periodontal ligament. Andreasen [5] also mentioned that crushing of cells on the tooth root could cause death of the cells and lead to resorption and reduction in prognosis. Blomlof [6], mentioned that the best storage medium was a medical research fluid called Hank’s Balanced Salt Solution maintained the cell viability for two hours. Matsson et al [7] showed that soaking in Hank’s Balanced Solution for thirty minutes prior to reimplantation could revitalize extracted dog’s teeth which were dry for 60 minutes. Blomlof L [8] recommended milk as a storage media prior to reimplantation when immediate replantation is not possible. Krasner et al [9] reported that the systematic storage device â€Å"Save-A-Tooth† was developed to optimally store and preserve knocked out teeth. Layug et al [10] quoted that milk packed in ice seems to be best alternative, due to its wide availability and minimum detrimental effect. Marino T G et al [11] showed that long shelf life milk is more effective than Save A Tooth. Pearson et al [12] mentioned that Baby Milk formula (Enfamil) is more effective storage media than pasteurised milk for atleast 4 hrs. Al-Shaher et al [13] reported that 75% PDL cells had been kept viable after 20 hr maintenance in propolis solution. Sonoda CK et al [14] mentioned that saliva can be storage medium for avulsed tooth when no medium is present at accidental site. Khademi et al [15] introduced egg albumin as a storage medium for up to 10 hrs. Gopal K et al [16] reported that coconut water can be used as a storage medium due to its readily acceptable by the body and sterile in nature. Ji Young Hwang et al [24] invented green tea extract as a suitable, alternative storage media for avulsed teeth. Likewise there a re many storage media available for the success of replanted tooth [Table-1]. Factors considered for storage media The prognosis of the tooth re-implantation depends on the existence of feasible cells in the periodontal ligament and also depends on those which are able to proliferate on the damaged areas of the root.[17,18] Therefore either immediate replantation or storage of the tooth should be done in an appropriate storage media. Two important factors considered for storage medium are Hydrogen ionic potential/ pH and Osmolality. According to Marino et al, the pH and the osmolality of the storing environments must be physiologic, for both interfere in the surviving of cells of the periodontal ligament. Each storage media has different pH and osmolality based on which the survival of PDL cells is assessed [Table-2]. Authors have reported that the cellular growth may occur between 290 and 330mOsm/kg. The pH must be between 7.2 and 7.4, but growth may occur between pH 6.6 and 7.8.[19] Ideal requirements of storage media An ideal storage media should have the osmolality and pH closer to physiological conditions to maintain the viability, clonogenic capacity and mitogenicity of the Pdl cells.[20] It should be readily available at the site of accident [1] so that, the tooth can be immediately placed into it, should have a longer shelf life,[20] should have anti-inflammatory and anti-microbial properties which reduces inflammation and replacement resorption.[21,22] It should also have an antioxidant property which will protect the cells from oxygen radical mediated damage.[23] Finally last but not the least the storage media should be economical. Not a single storage media fulfill all the ideal requirements, so various comparable studies been conducted to evaluate the efficiency in maintaining the cell viability of PDL cells of replanted teeth. Container for the transport of avulsed teeth along with the medium must be unbreakable, nontoxic to the cells of PDL, should be leaking proof, easy handling, should be sterile as well the internal walls must be made of soft material.[24] Some of the commercially available are â€Å"tooth rescue box† (Dentosafe) containing a culture medium, salts, amino acids, glucose and vitamins [25] and â€Å"Save A Tooth† system, a 6-part system containing HBSS media, that was designed to prevent damage to the PDL cells of an avulsed teeth.[24] Newer Medias in Research Ascorbic acid: Addition of ascorbic acid to osteoblastic cell lines can stimulate type 1 collagen production, followed by expression of specific markers associated with osteoblastic phenotypes such as alkaline phosphates (ALP) and osteocalcin. Ishikawa et al [60] studied the effect of ascorbic acid on PDL cells and observed that ascorbic acid increased the ALP activity which is required for binding of PDL cells to type 1 collagen via ÃŽ ±2ÃŽ ²1 integrin whose expression is again increased by ascorbic acid, so it may serve as potential storage media. L-DOPA (Levodopa; Sigma chemical, Perth, WA, Australia): is drug with possible mitogenic effect. It stimulates secretion of growth hormone from pituitary gland which aids in healing process. Mandana et al [61] observed the effect of levodopa on human PDL fibroblasts and stated that it can also have local effect on growth of cells and can act as preserving medium for avulsed teeth. Cryoprotective agents: The effect of low temperature storage on clinical success of reimplantation has been studied. Schwatz and Andreasen [62] studied the effects of the cryopreserving agents, 5% and 10% dimethyl sulphoxide (DSMO) and 10% glycerol on PDL. They observed that use of different cryoprotectives, combined with controlled freezing rates can preserve the PDL of reimplanted teeth. Conclusion The success of dental reimplantation depends on the existence of viable cells on the periodontal ligament, which are able to proliferate on the denuded areas of the root surface. This can be reached through immediate reimplantations taking place within up to 30 minutes or transporting the tooth in an adequate storage medium for dental reimplantation. Tap water, saliva and saline must be avoided for the storage of avulsed teeth, because they do not offer any benefit to the healing. Contact lens solutions and Emdogain also do not offer any good results over other media. Propolis and egg white needs additional studies where propolis is not easily available in emergency situations whereas egg white is a promising media considering its availability. Milk is significantly better than other storage media, but it is not so efficient as Hank’s balanced salt solution, viaspan and eagle’s medium as storage medium for avulsed teeth for the maintenance of vitality and proliferative capacities of periodontal ligament cells. Although HBSS, ViaSpan and Eagle’s medium have great potential to maintain the PDL cells in a viable state of avulsed teeth, lack of ready availability to the general public as well the cost makes them less than ideal for developing countries like India. Milk remains the most convenient, cheapest and re adily available solution in most situations, also being capable of keeping PDL cells alive.

Review of the research paper on effect of positioning program Essay

The paper entitled â€Å"The effect of positioning on spontaneous movements of pre term infants†, is a well tailored research paper on the effect of positioning program in the neonatal intensive care unit on the movement patterns of the new born. The abstract of the paper include a short sentence of the objective, a summary of methods and results and a sentence of concluding remarks. It would be better if this part is not having sub headings. The last line of the methods section of abstract has some problem in the sentence construction. â€Å"The data was analyzed by appropriate statistical methods† would be more ideal. The introduction clearly highlights the need for a position program by briefly explaining the drawbacks of hypotonic extension posture, which would be assumed by pre term babies normally and has compared that with the developments of a full-term infant. But the explanation is too elaborate. It could be briefed. In the second paragraph of the introduction the objective of the study is clearly expressed. But the objectives are in the question form. It would be better if it is in the form of sentences. The detailed description of the positioning mat and the different positions in which it was used would have better included under the methods section. In introduction is very long and it could be reduced a bit especially the first paragraph. The selection criteria used is not properly cited or a reason for using such a criteria is not given. In the method section the detailed description of the position mat and different positions would have been given in the beginning of the paragraph. The use of first person â€Å"we† in the paper is not recommended. As a whole the paper express a good quality research work with significant findings that could contribute substantially towards future studies in this line.

The process of teaching English as a remote language within the Arab kingdom in West Asia with focus in Jordan

Abstraction Having countless cogent evidence sing the consequences of civilization on acquisition scheme usage in manus, this survey aims to fit the acquisition scheme pick of pupils from wholly wholly different cultural backgrounds in Jordanian and jointly compared to different non English speech production states as Spanish and where English is learnt as an abroad linguistic communication in their native states. The analysis was disbursed by mistreatment the comparative descriptive analysis theoretical account and cognition were collected by agencies of the SILL signifier seven.0 touching on â€Å"Strategies Inventory of Language Learning† by Rebecca Oxford and a semi-structured interview designed by the individual of scientific discipline. the form was conducted on 100 pupils so on look into the gathered info and a spread of trials were accustomed look into the gathered info. These variable categories of pupils have shown some fluctuations in scheme usage every typically scheme groups and single ways towards larning English as a 2nd linguistic communication. The Jordanian participants use memory methods and flectional methods at following rate therefore } the Jordanians show higher usage of societal ways so on determine English. This survey tried to analysis the fluctuations in acquisition scheme pick and so the cultural grounds behind them and came up with some specific findings. Table of Contents CHAPTER ONEIntroductionThe procedure of learning English as a distant linguistic communication within the Arab land in West Asia with focal point in Jordan continues to desire the skillfulness within the educations for a variable scope of grounds that can be listed as: socio-cultural, philosophical, economic, psychological, academic and teaching method. It ‘s traveling to in hence type at this phase map a method of learning West Germanic linguistic communication at the first phase of acquisition and this brings within the effects for providers to organize extra opportunity for the scholars to detect the linguistic communication notably within talk suites and extra so outside talk suites. There have collectively been rather an scope of instances wherever faculty members of the subject have encountered issues in promoting scholars of the mark linguistic communication following instances wherever pupils do n't look to be first-class within the mark linguistic communication or instances wherever the scholars of the mark linguistic communication notice its use in and out-of-doorss the school suites awfully troublesome. Thus instruction of English within the Arab land in West Asia with major focal point in Jordan has continued to catch the oculus of assortment of research workers and collectively pupils peculiar to instances of the mark linguistic communication within the talk rooms’ things. In measure with a expression by Tavil, 2009 that has tried the demand for West Germanic linguistic communication as awfully relevant as a consequence of the mark linguistic communication delivered to scholars will ease scholars notably those at the first phase to help specific t heir sentiment, dreams and even hopes ( Tavil, 2009 ) . The foreign Language that is been deliberated on in its acquisition method is being influenced by assortment of things get downing from attitudes, aptitudes, age, intelligence, anxiousness, personalities and motive etc. ( Gardner, 1960 ; Lehmann, 2006, cited in Shams, 2008 ) . Fakaye, 2010 recognized the attitudes of scholars reciprocally of the foremost of import factors with impacts within the method of larning the linguistic communication. This analysis work as applied can take a deep scrutinize the attitudinal thought that reciprocally of the awfully major emotional factors for the derivation of success in larning the mark linguistic communication and even extra therefore the other foreign linguistic communication because the instance is besides. extra notably it takes presently extra enquiries in Jordanian college pupils at grammar school levels’ angles towards larning the mark linguistic communication with deep and extra concerns within the 3 facets of attitude i.e. , behavioural, emotional and psychological characteristic. collectively the attitudes of scholars of the foreign linguistic communication collectively provides to boot attempts in decisive the influences of students’ demographic profile in gender, age and collectively field of survey on their attitudes towards larning the mark linguistic communication. The demand of learning the mark linguistic communication has well-tried awfully of import following its socio-cultural thought.Background of surveyKara ( 2009 ) ironed on the importance of attitudes meshed towards larning that is besides beliefs and sentiments that hold apparent influence on the behaviours and accordingly on their public presentation. It’s debated that scholars of the mark linguistic communication have positive beliefs in mention to the linguistic communication hold the disposition to possess extra positive attitudes towards larning the linguistic communication. Alhmali ( 2007 ) expressed that the purpose of instruction is entirely for acquiring high classs and disbursement of exams nevertheless this goes even extra than that, we have a inclination to might unconditionally establish apprehension and originative thought of the character of the scholar and collectively the wants of taking into consideration their perceptual experiences. We can collectively foreground on the functions faculty members of the foreign linguistic communication drama in transmittal of the informations to scholars efficaciously. even saying from deep penetration, there still exists really small power on the most effectual of ways to be applied on the event of scholars of the mark linguistic communication non merely cognitively nevertheless collectively demoing emotion and behaviorally. Orafi & A ; Borg, 2009 within their analysis acknowledge the Numberss of programme that are introduced urging the employment of English in high grade as possible by pupils and faculty members in the school suites, talk suites and out-of-doorss. Gardner ( 1985 ) created abundant emphasis on the scholar ‘s attitudes towards the mark linguistic communication. He went extra in saying that learners’ behaviours meshed towards larning another linguistic communication notably the mark linguistic communication of this analysis work plays a truly of import function in progressing and actuating them to larning the mark linguistic communication which matches extra in affecting their public presentation yet.Identifying Problems in Learning EnglishI gave my pupils a trouble right from the beginning of the 2nd month of the class to reply by e-mail or on the sheet at intervals 2 yearss: What country unit the jobs you face happen out English poesy? The two-day measure was meant to allow pupils equal clip to swear the jobs they two-faced in reading poesy on a private footing, to put in composing in acceptable and clear English their ideas and constructs, either by confer withing with those that knew English beyond themselves or by confer withing linguistics books or the opposite mentions that may be utile. As for the agencies that of act with Maine, I selected the electronic mail or the blackboard, making the communicating personal to provide them larger freedom in showing their positions. the sum of participants throughout this class was one hundred and 40, and upon having their replies, I classified the jobs into several classs, viz. , linguistic communication, rhetoric, figures of address, civilization, analysis, comprehension, category ambiance, or a mix of 2 or plentifulness of these jobs. It’s necessary to aim that the immense category atmosphere aggravated the affair, as a consequence of the 60-minute talk could non offer equal clip for the engagement of such associate outsized choice.The Nature of ProblemsAbout ninetieth of the pupils found linguistic communication as a important downside that hindered their comprehension of the significances of the books they studied at school or the assigned 1s for his or her ain scrutiny. Some pupils even thought of the linguistic communication used within the books as debatable. This misinterpretation of the character of English arose, from two chief factors. the first related to their survey of Arabic at school concentrating on pre-Islamic literature that employs enunciation of Arabic words and sentences and necessitating the employment of specialised vocabularies. This crystal rectifier several pupils to see West Germanic linguistic communication in a really similar mode. The 2nd issue was the students’ restricted familiarity with land linguistic communication normally and so the literary linguistic communication specially.Purposes of the StudyThe purpose of this analysis is to conc entrate and research on the socio-cultural troubles two-faced by Jordanian pupils in West Germanic linguistic communication acquisition in primary phase and therefore the ways taken by governments and policy makers to bodily penalty the planned ways. The purposes would be done through the divergent discourse on the academic systems and policies so, so as to achieve this purpose ; this analysis are traveling to be diging into variable thoughts of academic Torahs and policies, associated collectively an analysis of relevant policy paperss.Research statementTaking an intensive scrutinize the critical causes of issues confronting English scholars in Jordan, this analysis wo n't turn out its cogency while non a constructive live and analysis of assortment of alternate causes or in some type placed beneath context and comparing with alternate states confronting same socio-cultural troubles. In therefore making would this analysis verify states extra distantly placed and United Nations bureau regard English as critical as their ain linguistic communication. so this analysis would implicitly nevertheless critically and numerically verify states as Asiatic state, Turkey, Kingdom of Spain amongst others and would what is more place them in deep differentiation and comparing with our chosen states. In hence making it might turn out the velocity at that advancement is formed within the conveyance of the Language at varied degrees, it might what is more scrutinize nevertheless efficaciously it will be same to turn and last it might seek and look its public-service corporation and acceptability. This analysis would show in an equable portion of understanding the challenges two-faced at the phase of larning the linguistic communication, the acceptability of the linguistic communication and its public-service corporation yet.Research ProblemLearning the mark linguistic communicat ion of this analysis work as a distant linguistic communication in states notably within the Arab land in West Asia with specific focal point in Jordan has tried non really easy nevertheless Numberss of analysis over clip have continued to proffer to which this processes will be achieved in such short clip and with inexpensive attempts. Further saying the instances of larning the linguistic communication with concerns of variable factors as age, sex and milieus during which the linguistic communication is been transmitted, learnt and decently understood. this can be exceeding of another factors which will turn out troublesome as a distant linguistic communication wherever sounds, alphabet and elegance of composing country unit absolutely wholly different gesture even extra quandaries. Learners of the mark linguistic communication notably those at the first phase tend to confront some kind of psychological barriers and anti-social cultural effects. All of those factors are traveling to be thought-about during this analysis work and far extra factors that might restrict the achievement of the mark linguistic communication. In alternate words, the driving purpose sought-after by this survey is that the method of stock list societal and psychological issues that may be exposed to linguistic communication scholars, and notice applicable solutions.Research QuestionsThe analysis seeks to reply the subsequent inquiries: Following our analysis on the socio-cultural challenges two-faced by Jordanian pupils, we might unconditionally put abundant dressed ore on the subsequent as listed below ; 1.The attitudes of Jordanian grammar school pupils towards larning the mark linguistic communication with dealingss to their activity, psychological characteristic and emotional positions? 2.Are there any statistically of import divergence in Jordanian grammar school students’ attitudes towards larning the mark linguistic communication by gender and what is more by age? 3.Are there any a statistically of import divergence in Jordanian grammar school students’ attitudes towards larning the mark linguistic communication by twelvemonth of survey?Research MethodologyThe methodological analysis to be adopted during this analysis are traveling to be qualitative, quantitative and supported analysis as a consequence of this analysis aims to measure the milepost of the advancement created within the hand-picked modules in Jordan. Analysis is best appropriate for this analysis as a consequence of it deals with the analysis of reforms and methods. ( Bryman 2012 ) during this instance, the reforms and policies meshed towards accomplishing an efficient academic system are traveling to be highlighted. In Bryman’s book on analysis schemes, he explains that analysis delves into indispensable questions like encompasses a policy and or reforms achieved awaited ends? so, experimental manner are traveling to be utilized in analysis to find bunch houses ad hesive and non adhesive within the policy method ( Bryman 2012, Flick 2011 ) On the opposite manus, rationalist metaphysics are traveling to be accustomed derive empirical cogent evidence on the organic structure of literature that exist during this analysis. This in measure with Bryman ( 2012 ) helps a research worker to state apart the philosophical place in analysis. The analysis may be a qualitative chiefly based as a consequence of empirical analysis and reading are traveling to be drawn from illative applied mathematics cognition, questionnaires, reviewed texts with the purpose of understanding the educational procedures in Jordan and hence the attempts towards the acceptance of English as a 2nd linguistic communication. The rule behind qualitative and quantitative analysis is to possess a comprehensive inductive and deductive read of the analysis with results gotten from thorough survey. ( Bryman 2012 ) .Datas AnalysisThis analysis intends to research paperss in enlightening constitutions so as to return up with a wide apprehension of chances and challenges that modules in Jordan could confront in understanding or learning English as a 2nd linguistic communication. Related analysis of the steps taken by the govt. Since the beginning of the linguistic communication through the analysis methodological analysis is traveling to be applicable for analysis. Therefore, taking into awareness method, it might offer in inside informations advancement within the reforms, stairss undertaken, troubles in activity accurately the advancement created, the challenges which will likely move upon or impede the authorities and accountable constitutions of Jordan from accomplishing these motivations of following English as 2nd linguistic communication. The analysis will foreground lessons to be learnt and methods for get the better ofing these challenges. In accomplishing this, Numberss of policy paperss from the academic board are traveling to be evaluated, policy paperss, past analysis work, printed texts and diaries, are traveling to be reviewed hence on acquire first-hand info on the plan. A Numberss of modules in colleges are traveling to be used as instance surveies which are able to all be reviewed with attending on the stairss and execution ways of the mark schools in accomplishing the mark linguistic communication.Restrictions of the StudyThe survey are traveling to be restricted to Jordan as this can be the instance survey that may be accustomed explore the topic. Alternate ends within the Language attachment wo n't be self-addressed as a consequence of the immense range of the ends and hence the restricted time-frame for the entry of the undertaking. On the opposite manus, buttocks to complete policy and reform paperss are besides another restriction to the survey as by and large, these could turn out debatable. so restricting this survey to entirely the troubles and restrictions of larning the foreign linguistic communication can necessarily rub this work of the advantages of deriving a deeper apprehension from alternate constituents of larning a distant linguistic communication.Organization of the StudyThis piece of labour can consist 5 ( 5 ) chapters. Chapter one is associate debut of the topic and provides a general sum-up of the subject of survey. Chapter 2 trades with the reappraisal of relevant literature. Chapter 3 is bothered with the methodological analysis applied for this instance survey. The 4th chapter presents the findings through associate analytical reading of the analysis, which specialize in the cardinal subjects that are known within the analysis. Chapter 5, that is that the ultimate chapter, brings refering t he complete thesis, docking the legion theoretical and empirical strands hence on hit the decision. Last, the decision offers an egg-shaped lineation and analysis of the findings, its recommendations, readings and collectively incorporates a treatment of the deduction of the findings for future analysis work.

Presentar mocin para reabrir un caso de deportacin

La mocià ³n para reabrir un caso es una posibilidad que las leyes de inmigracià ³n permiten para luchar una orden de deportacià ³n en circunstancias concretà ­simas. Requisitos previos para poder presentar una mocià ³n para reabrir un caso Tiene que haber una orden de deportacià ³n.El extranjero contra el que se ordena la deportacià ³n tiene que estar presente en Estados Unidos. Si deja el paà ­s, voluntariamente o forzosamente, la mocià ³n se considera abandonada. Tampoco aplica si el extranjero salià ³ de Estados Unidos y despuà ©s regresà ³ ilegalmente.  ¿Cuà ¡les son las circunstancias que permiten que pueda presentarse una mocià ³n para reabrir un caso? Para que una mocià ³n para reabrir un caso ya sentenciado y que acabà ³ con un orden de deportacià ³n sea admitida debe alegarse: a) ha habido un cambio en la ley o pueden aplicarse argumentos legales que no se tuvieron en cuenta b) no se tuvieron en consideracià ³n ciertos aspectos del caso. Como ejemplos, aunque hay mà ¡s, pueden nombrarse: Cuando se puede alegar circunstancias como tener derecho a una green card por matrimonio con un ciudadano americano o residente, empleo, TPS, etc.Cuando se aprueba una ley de inmigracià ³n que favorecerà ­a al extranjero.Cuando el abogado que defendià ³ al extranjero en el caso de deportacià ³n no fue profesional y no tuvo en cuenta plazos, notificaciones, argumentos legales, etc.  ¿Cuà ¡l es el plazo para presentar una mocià ³n para reabrir? El plazo es de 90 dà ­as pero se computa de manera diferente si la decisià ³n de la deportacià ³n procede de un juez de inmigracià ³n o del tribunal de apelaciones (BIA, por sus siglas en inglà ©s). En casos especiales en los que la deportacià ³n se ordenà ³ in abstentia, es decir, sin que el extranjero afectado estuviese presente, podrà ­a reabrise el caso incluso aà ±os mà ¡s tarde si se puede probar que no se enterà ³ de que tuviese en su contra esa orden de deportacià ³n y que no fue su culpa la razà ³n por la que no acudià ³ a la vista en la que se ordenà ³ su expulsià ³n del paà ­s. Por ejemplo, si puede demostrar que nunca recibià ³ la citacià ³n, o que estaba muy enfermo y por esa razà ³n no acudià ³. Por ejemplo, hay personas que llevan aà ±os en Estados Unidos como indocumentadas y sin enterarse que tienen en su contra una orden de deportacià ³n. Y puede que algunos de ellos con el paso de los aà ±os se casen con un ciudadano o con un residente y podrà ­an tener abierta la puerta a obtener una tarjeta de residencia por matrimonio. En estos casos habrà ­a que considerar muy seriamente con un abogado de inmigracià ³n si es posible reabrir el caso de la orden de deportacià ³n de la que durante aà ±os no supieron ni que existà ­a. En todo caso, estos asuntos son delicadà ­simos y antes de hacer nada, presentar escritos o acudir a una oficina de inmigracià ³n es muy recomendable obtener buen consejo legal especà ­fico para el caso de cada uno y averigà ºar si hay o no una orden de deportacià ³n en contra.  ¿Cà ³mo se solicita una mocià ³n para reabrir un caso? Con el formulario del Servicio de Inmigracià ³n y Ciudadanà ­a (USCIS, por sus siglas en inglà ©s) con el nà ºmero I-290B. El arancel por este servicio es de $630. Para asegurarse de que el USCIS ha recibido la documentacià ³n dentro de plazo puede solicitarse ese servicio. Consecuencias Es muy importante entender que la presentacià ³n dentro de plazo de una mocià ³n para reabrir un caso no paraliza la orden de deportacià ³n, que sigue su curso. Excepto que asà ­ lo decida el juez de inmigracià ³n. Lo que sà ­ la paraliza es una apelacià ³n. Nada impide presentarla junto con la mocià ³n.  ¿Quà © pasa si no se tiene razà ³n? Sà ³lo en algunos casos es posible apelar la desestimacià ³n de una mocià ³n para reabrir.    ¿Se puede suspender temporalmente la deportacià ³n? Si se han agotado todos los caminos para luchar contra una orden de deportacià ³n y es necesario mà ¡s tiempo por razones personales graves y justificadas entonces es posible solicitar una suspensià ³n o aplazamiento temporal de la deportacià ³n. Es lo que se conoce en inglà ©s como stay of deportation or removal.