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

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

  1. 1. Diagnostic aids in endodontics INDIAN DENTAL ACADEMY Leader in Continuing Dental Education www.indiandentalacademy.com
  2. 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. 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. 4. INTRODUCTION www.indiandentalacademy.com
  5. 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. 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. 7.  Presenting Symptoms; Subjective symptoms Objective symptoms Pathway to correct clinical diagnosis; Case history Clinical examination Diagnostic tests investigations www.indiandentalacademy.com
  8. 8.  Dental history PAIN: Type of pain Duration of pain Localization of painwww.indiandentalacademy.com
  9. 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. 10. Mobility and depressibility test: as classified by: Grossman & Cohen Miller www.indiandentalacademy.com
  11. 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. 12.  Pulp tester classification: Monopolar Bipolar False positive response False negative response www.indiandentalacademy.com
  13. 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. 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. 15. Anesthetic testing: Test cavityTransillumination: www.indiandentalacademy.com
  16. 16. StainingWedgingRadiography www.indiandentalacademy.com
  17. 17. Advances Xeroradiography - Based on electrostatic process Types: Medical 125 system Dental 110 system www.indiandentalacademy.com
  18. 18.  Radiovisiography 3 components of RVG Advantages Elimination of x-ray film Reduction in exposure time www.indiandentalacademy.com Instant image display
  19. 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. 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. 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. 22. Laser Doppler flowmetry Used to assess blood flow HeNe or diode lasers used www.indiandentalacademy.com
  23. 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. 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. 25. Spiral CTwww.indiandentalacademy.com
  26. 26. Micro CTwww.indiandentalacademy.com
  27. 27. Magnetic resonance imaging www.indiandentalacademy.com
  28. 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. 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. 30. Conclusionwww.indiandentalacademy.com
  31. 31. www.indiandentalacademy.com

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