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Diagnostic aids in endodontics /certified fixed orthodontic courses by Indian dental academy

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Welcome to Indian Dental Academy …

Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.


Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients

State of the art comprehensive training-Faculty of world wide repute &Very affordable.

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  • 1. Diagnostic aids in endodontics INDIAN DENTAL ACADEMY Leader in Continuing Dental Education www.indiandentalacademy.com
  • 2. ContentsIntroductionCase historyClinical examinationDiagnostic tests Visual and tactile inspection Palpation Percussion Mobility and depressibility test Electric pulp testing Thermal test Anesthetic test Test cavity Transillumination Staining Wedging Radiographs www.indiandentalacademy.com
  • 3. Advances Xeroradiography RVG Digital subtraction radiography TACT Pulse oximetry LDF Liquid cholesterol method Infrared thermography (Hughes Probeye camera) Computed tomography MRIReferencesconclusion www.indiandentalacademy.com
  • 4. INTRODUCTION www.indiandentalacademy.com
  • 5. Diagnosis can be defined as :“The translation of data gathered by clinical and Radiographic examination in to an organized, classified definition of the conditions present”. www.indiandentalacademy.com
  • 6. Diagnostic sequence Demographic information with respect to name, age, sex etc Chief complaint and history of present illness Medical and dental history Clinical examination Radiographic findings Other tests, laboratory values or consultations if required Provisional diagnosis / diagnosis Treatment plan www.indiandentalacademy.com
  • 7.  Presenting Symptoms; Subjective symptoms Objective symptoms Pathway to correct clinical diagnosis; Case history Clinical examination Diagnostic tests investigations www.indiandentalacademy.com
  • 8.  Dental history PAIN: Type of pain Duration of pain Localization of painwww.indiandentalacademy.com
  • 9.  Clinical examination: Extraoral examination Intraoral examination DIAGNOSTIC TESTS : visual & tactile inspection:- soft tissue: Hard tissue: colour Colour contour Contour consistency consistency  Palpation :-  Percussion :-www.indiandentalacademy.com
  • 10. Mobility and depressibility test: as classified by: Grossman & Cohen Miller www.indiandentalacademy.com
  • 11. Electric pulp testing (EPT)Advantages Comfortable for patients Digital displayDisadvantages Interferes with cardiac pacemakers Teeth with immature apex Recently traumatized teeth No indication about vascular supply www.indiandentalacademy.com
  • 12.  Pulp tester classification: Monopolar Bipolar False positive response False negative response www.indiandentalacademy.com
  • 13. Commercially available pulp testers Digilog pulp tester Parkell pulp tester Analytic technique tester Pelton crane system Greenwood pulp tester Neosono ultima EZ-apex locator + pulp tester www.indiandentalacademy.com
  • 14. Thermal tests Heat test- Warm stick temporary stopping Hot water bath Hot air Hot burnisher Cold test- Ice sticks Compressed gases CO2 snow Ethyl chloride www.indiandentalacademy.com
  • 15. Anesthetic testing: Test cavityTransillumination: www.indiandentalacademy.com
  • 16. StainingWedgingRadiography www.indiandentalacademy.com
  • 17. Advances Xeroradiography - Based on electrostatic process Types: Medical 125 system Dental 110 system www.indiandentalacademy.com
  • 18.  Radiovisiography 3 components of RVG Advantages Elimination of x-ray film Reduction in exposure time www.indiandentalacademy.com Instant image display
  • 19. Digital subtraction radiographyCan detect 0.12 mm change in thickness of cortical boneUseful in: Evaluating osseous healing Accurate detection of active disease www.indiandentalacademy.com
  • 20. TACT consists of: Standard radiographic unit Digital image acquisition device TACT software Uses visualization of canals Detection of secondary caries Diagnosis of external root resorption www.indiandentalacademy.com
  • 21. Pulse oximetryProbe sensor consists of:Two LED  red light ( 640 nm)  infrared light (960 nm)Photo detectorAvg value  O2saturation 94% ( tooth )  PR = 72 / min www.indiandentalacademy.com
  • 22. Laser Doppler flowmetry Used to assess blood flow HeNe or diode lasers used www.indiandentalacademy.com
  • 23. Liquid cholesteric crystalmethod Introduced by Howell (1970) inference Vital Non Vital blue-green red Red-green yellow green yellow-red www.indiandentalacademy.com
  • 24. Infrared Thermography  (Hughes probeye camera) Can detect temperature changes assmall as 0.10 C .Consists of :Thermal video systemSilicon close-up lens www.indiandentalacademy.com
  • 25. Spiral CTwww.indiandentalacademy.com
  • 26. Micro CTwww.indiandentalacademy.com
  • 27. Magnetic resonance imaging www.indiandentalacademy.com
  • 28. Advantages of MRI• It offers the best resolution of tissues of low inherent contrast.• No ionizing radiation is involved with MRI• Direct multiplanar image is possible without reorienting the patient.Disadvantages: Long imaging time. Potential hazard imposed by the presence of ferromagnetic metals in the vicinity of the imaging magnet. www.indiandentalacademy.com
  • 29. References1. Pulse oximetry as a diagnostic tool of pulp vitality .JOE,1991 vol 17 ,488-902. Pulpal blood flow assessed by laser Doppler flowmetry in a tooth with horizontal root fracture. Oral surgery oral med oral path,feb 1996,vol 81, 229-333. Three dimensional quantization of periradicular bone destruction by micro-computed tomography. JOE,2003 vol 29 , 252-56 www.indiandentalacademy.com
  • 30. Conclusionwww.indiandentalacademy.com
  • 31. www.indiandentalacademy.com