areas of collaboration for medical and dental students

1. A dentist’s discovery of anesthesia
shaped the future of medicine
“On Sept. 30, 1846, a man named Eben
Frost came to Dr. Morton’s office
complaining of a severe toothache, com
plicated by a healthy fear of its pending
removal. Mr. Frost agreed to undergo th
e first experimental use of ether on a pa
tient for a surgical procedure and becam
e the first person in history to experienc
e a painless surgery with the benefit of
anesthesia. Dr. Morton then proceeded
to perform an academic demonstration
of general anesthesia during a surgery,
and the rest is history.”

2. ALLPPT.com _ Free PowerPoint Templates, Diagrams and Charts
Dr Saee Deshpande
MDS, Fellow FAIMER
Reader & PG Guide
Dept of Prosthodontics
VSPMDCRC, Nagpur
An Introduction To
Dentistry
LOGO

3. Why this lecture..?
medical
emergencies in
dental practice
common medical
conditions with
dental implications
relationship of
general and
oral health

5. Contents
• Anatomy and Physiology of oral cavity in brief
• Oral care or preventive aspects
• Branches of dentistry
• Common dental procedures
• Inter-relationaship of oral and general health

6. The Dental Arch
• Maxillary (upper) Ar
ch: part of the skull,
incapable of move
ment.
• Mandibular (lower)
Arch: capable of mo
vement.
• The action of the te
mporomandibular j
oint brings the man
dibular arch into co
ntact with the maxil
la as we talk, chew
or swallow.

9. Teeth
Deciduous, primary, “baby”
permanent

10. Quadrants
One of four equal
sections into which
the dental arches
can be divided.
Each quadrant
begins at the
midline of the arch
and extends
distally (back) to
the last tooth.

11. Dental Specialties
• Oral Diagnosis, Medicine & Radiology
• Oral Pathology
• Oral and Maxillofacial Surgery
• Endodontics
• Periodontics
• Prosthodontics
• Orthodontics
• Pedodontics
• Public Health dentistry

12. Tobacco pouch lesion Leukoplakia
Erythroleukoplakia
Tobacco induced oral lesions
Squamous cell carcinoma

13. Oral submucous fibrosis

14. Recurrent apthous stomatitis
Geographic tongue Smokers palate

15. Oral Lesions in HIV/AIDS

16. Orofacial Pains
1. Trigeminal Neuralgia
2. Temporomandibular Disorders
3. MPDS : myofacial pain dysfunction sy
ndrome
4. sleep bruxisum
Sleep apnea/ snoring

17. Non carious tooth surface loss
• Attrition:
parafunctional habits
• Abrasion:
faulty tooth brushing
• Erosion :
reflux esophagitis

18. Saliva: Helpful diagnostic tool
1. Cortisol levels in saliva are used to test for stress responses in n
ewborns.
2. fragments of certain bone-specific proteins may be useful in mo
nitoring bone loss in women and men prone to osteoporosis.
3. Certain cancer markers are also detectable in saliva.
4. In the future, saliva testing may replace blood testing as a mean
s of diagnosing and monitoring diseases such as diabetes, Parki
nson's disease, cirrhosis of the liver and many infectious diseases
Importance of Saliva
Saliva is also one of your body's main defenses against disease-causing org
anisms, such as bacteria and viruses. It contains antibodies that attack viral
pathogens, such as the common cold and HIV.

19. Xerostomia

20. Dental plaque is a biofilm or mass of bacteria that
grows on surfaces within the mouth. It appears as
a white/pale yellow "slime layer", that is commonly
found between the teeth and along the
cervical margins

21. Gingival recession
Periodontal pockets

23. Periodontitis as precursor for low birt
h weight & preeclampsia: The theory is
that oral bacteria release toxins,
which reach the placenta through the mot
her's bloodstream and interfere with the g
rowth and development of the fetus. At th
e same time, the oral infection causes th
e mother to produce labor-triggering subs
tances too quickly, potentially triggering p
remature labor and birth.

25. Decay / Caries
Tooth decay is the most p
revalent chronic disease
of childhood-5 times m
ore frequent than
asthma.
Decay
Plaque + Food + Tooth = Decay

26. Prevention
• Correct tooth brus
hing habit (modifi
ed Bass)
• Fluoride applicatio
n in children
• Pit & fissure seala
nts
• Flossing
• Mouthwash

27. Dental fillings/ Restorations
1. Silver Amalgum
2. Composites
3. Ceramics
4. Metal

28. Endodontics

29. Panorex / panoramic radiograph
Dental Radiographs

30. Bitewing
X-Rays
Periapical Xray- IOPA
(Intra Oral Periapical)

31. Orthodontics

32. Pediatric Dentistry
Cleft lip & palate deformity
in neonates: presurgical naso
alveolar moulding
Rampant caries:
Tt under GA

33. Exodontia/ tooth extraction
Short acting LA
Lignocaine with vasoconctrictor (adrenaline)

34. Medical referral
Before Extraction
• Systemic conditions such as
diabetics, hypertension, pts
on anticoagulants etc.
• Immunocompromised pt
• Multiple trauma pts.
After Extraction
• Anaphylactic reactions to
LA
• Syncope
• Bleeding problems

35. Fixed Bridge
Removable Denture
Dental implants
Prosthetic Dentistry

36. Maxillofacial prosthesis

37. Quality
patient
care
Shared
learning
Shared
decision
making
Referrals
Patient
education

38. Thank you..!