This document discusses gum disease (gingivitis and periodontitis). It describes healthy gums and the stages of gum disease from gingivitis to early, moderate, and advanced periodontitis. Treatment options are also summarized, including scaling, surgery such as flap procedures, bone grafting, and pharmacological interventions. Regular prevention, detection, and periodontal maintenance are emphasized for treatment of gum disease.
A absolutely minimalist way to describe each and every diagnostic aid in the beautiful stream of endodontics.
one has to understand the topic by going through the bible, "Grossman 13th Edition" along with the slides I've created.
Hope this helps.
by Dr. Ishaan Adhaulia
Anesthesia for Restorative Dentistry and Endodontics PresentationIraqi Dental Academy
This lecture discuss very important topic in dental practice and that is the science and art of dental anesthesia. This lecture discuss various techniques, precautions, and tips about dental anesthesia for restoration and endodontics.
Due to the complex morphology of the root canal system in primary teeth, the clinician must rely primarily on chemical cleansing and sterilization and secondarily on mechanical instrumentation during pulpectomy procedure.
And in order to increase the chance of success of the endodontic treatment, substances with antimicrobial properties are frequently used as root canal filling materials in deciduous teeth
In this presentation, we answer two questions about the mouth-body connection. Why can the health of your mouth affect your whole body. And why are simple habits like daily brushing and flossing more important than you might think.
A absolutely minimalist way to describe each and every diagnostic aid in the beautiful stream of endodontics.
one has to understand the topic by going through the bible, "Grossman 13th Edition" along with the slides I've created.
Hope this helps.
by Dr. Ishaan Adhaulia
Anesthesia for Restorative Dentistry and Endodontics PresentationIraqi Dental Academy
This lecture discuss very important topic in dental practice and that is the science and art of dental anesthesia. This lecture discuss various techniques, precautions, and tips about dental anesthesia for restoration and endodontics.
Due to the complex morphology of the root canal system in primary teeth, the clinician must rely primarily on chemical cleansing and sterilization and secondarily on mechanical instrumentation during pulpectomy procedure.
And in order to increase the chance of success of the endodontic treatment, substances with antimicrobial properties are frequently used as root canal filling materials in deciduous teeth
In this presentation, we answer two questions about the mouth-body connection. Why can the health of your mouth affect your whole body. And why are simple habits like daily brushing and flossing more important than you might think.
gum recession is a common dental problem that can have serious consequences if left untreated. It is important to recognize the symptoms and causes of gum recession and seek prompt treatment to prevent further damage.
A dental abscess (also termed a dentoalveolar abscess, tooth abscess or root abscess), is a localized collection of pus associated with a tooth.
For more information, you can book an appointment at
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The longer plaque and tartar are on teeth, the more harmful they
become. The bacteria cause inflammation of the gums that is called
“gingivitis.” In gingivitis, the gums become red, swollen and can bleed
easily. Gingivitis is a mild form of gum disease that can usually be
reversed with daily brushing and flossing, and regular cleaning by a
dentist or dental hygienist. This form of gum disease does not include
any loss of bone and tissue that hold teeth in place.
In this talk we will discuss the most common findings associated with scleroderma. We will discuss some of the methods your dental team can utilize to help manage your condition, and also some ways that you can help yourself and your dental team manage your condition. We will discuss some unique methods for maintaining your oral health care and will conclude with an open Q&A session.
Dental disease burden and treatment needs among adolescentsChukwudi Ofurum
Adolescents are exposed to varied level of dental and oral health diseases.
This is commonly a factor linked with poor oral health and dental hygiene practices.
Presented herein is a review of dental disease burden and analysis of treatment options and preferences among adolescents.
postpartum period Is the period beginning immediately after the birth of a child and extending for about six weeks.
The World Health Organization (WHO) describes the postnatal period as the most critical and yet the most neglected phase in the lives of mothers and babies; most deaths occur during the postnatal period
It is the time after birth, a time in which the mother's body, including hormone levels and uterus size, returns to a non-pregnant state.
Postpartum Nursing Physical Assessment
Physical Assessment is necessary to identify individual needs or potential problems
Explain to pt purposes of the examination.
obtain her consent.
Record your findings and report results to the mother.
Avoid exposure to body fluids.
Teach pt as you assess – use every opportunity since there is limited time.
Domiciliary midwifery
This refers to care given to a mother and the baby at home rather than the hospital by a registered midwife during antenatal, intra-natal and postnatal periods
OR
It is defined as a home delivery service undertaken by a community midwife or the flying squad( made up of the doctor, experienced midwife, anesthetist and pediatrician) with a delivery kit thereby allowing patients to deliver in their homes
Natural disasters, as well as some human-caused disasters, lead to human suffering and create needs that the victims cannot alleviate without assistance.
When any disaster strikes, a variety of international organizations offer relief to the affected country.
Each organization has different objectives, expertise, and resources to offer, and several hundred may become involved in a single major disaster.
In the event of a disaster, the government of the affected country must conduct a needs assessment to determine what emergency supplies and personnel are required.
Disaster relief operations are complex and can benefit greatly from careful planning.
Improved disaster preparedness can help save lives, reduce the suffering of survivors, and enable communities to restart normal life more quickly. As the efficiency of disaster relief operations is very dependent on the quality of the preparation,
Disasters often pose significant health threats. One of the most serious concerns after a disaster, especially a natural disaster, is sanitation.
Disruptions in water supplies and sewage systems can pose serious health risks to victims because they decrease the amount and quality of available drinking water and create difficulties in waste disposal.
Drinking water can be contaminated by breaks in sewage lines or the presence of animal cadavers in water sources.
These factors can facilitate the spread of disease after a disaster.
Providing potable drinking water to victims and adopting alternative methods of sanitation must be a priority after a disaster.
Food shortages are often an immediate health consequence of disasters. Existing food stocks may be destroyed or disruptions to distribution systems may prevent the delivery of food.
This may lead to malnutrition or death of hunger especially in populations which are particularly susceptible to malnutrition, such as children under five years of age and pregnant women.
There are eight fundamental principles that should be followed by all who have a responsibility for helping the victims of a disaster. It is critical that rescue workers use these principles in proper sequence, or they will be ineffective and possibly detrimental a disaster victims.
The eight basic principles are as follows (Grab and Eng 1969):
1. Prevent the occurrence of the disaster whenever possible.
2. Minimize the number of casualties if the disaster cannot be prevented.
3. Prevent further casualties from occurring after the initial impact of the disaster.
4. Rescue the victims.
5. Provide first aid to the injured.
6. Evacuate the injured to medical facilities.
7. Provide definitive medical care.
8. Promote reconstruction of lives.
A disaster can be defined as any occurrence that cause damage, ecological disruption, loss of human life, deterioration of health and health services on a scale sufficient to call for extraordinary response from outside the affected community or area.(WHO, 1995)
An occurrence of a severity and magnitude that normally results in death, injuries and property damage that cannot be managed through the routine procedure and resources of government.- FEMA (Federal Emergency Management Agency)
A disaster can be defined as an occurrence either nature or man made that causes human suffering and creates human needs that victims cannot alleviate without assistance. American Red Cross (ARC)
Disaster Nursing can be defined as the adaptation Of professional nursing skills in recognizing and meeting the nursing physical and emotional needs resulting from a disaster.
The overall goal of disaster nursing is to achieve the best possible level of health for the people and the community involved in the disaster.“Disaster Nursing is nursing practiced in a situation where professional supplies, equipment, physical facilities and utilities are limited or not available”.
D - DestructionsI - IncidentsS - SufferingsA - Administrative, Financial Failures.S - SentimentsT - TragediesE - Eruption of Communicable diseases.R - Research programme and its implementation
Heterophyes heterophyes and Metagonimus yokogawai are presented together as so many similarities exist between the two parasites. The two parasites are easily confused but a distinguishing factor is that they are found in different geographic locations of the world.
H. heterophyes, an organism that causes a disease known as heterophyiasis, is found primarily in both the Near and Far East as well as parts of Africa.
M. yokogawai is found in Asia and Siberia and is known as the causative agent for the disease metagonimiasis.
The two organisms are predominantly found as cat and dog parasites, as well as other fish-eating mammals, so heterophyiasis and metagonimiasis are known as zoonoses (animal related) when they infect humans.
Minute teardrop-shaped flukes found in the small intestines of fish-eating birds and mammals.
The eggs of H. heterophyes and M. yokogawai are indistinguishable from each other. They are small flukes known jointly as heterophyids (from the genus comprising these two species) and are approximately 30 μm by 15 μm.
The eggshells of M. yokogawai appear to be thinner than those of H. heterophyes, although this can only be determined by close microscopic attention. The mature flukes of both species are approximately 1 to 2 mm in length.
The adult flukes live burrowed between the villi of the host's small intestine
It only takes around 4 to 6 hours for H. heterophyes to get to the small intestines in the definitive host and even faster in hosts that it does not prefer.
The eggs that are laid contain a miracidium but do not hatch until they are ingested by a snail (Cerithideopsilla conica in Egypt or Cerithidia cingula in Japan).
Inside the snails gut, the miracidium becomes a sporocyst which then begin to produce rediae.
The rediae produce cercariae which then exit the snail, swim toward the surface of the water, and slowly fall back down.
On their way down, they contact a fish and penetrate into the epithelium of the fish.
Here, the cercariae encyst in the muscle tissue.
The second intermediate host include freshwater fish: Mugil cephalus, Tilapia nilotica, Aphanius fasciatus, and Acanthogobius sp.
The definitive host, such as humans or birds, eats the undercooked or raw meat of a fish and ingest the parasite. Natural definitive hosts are cats, dogs, foxes, wolves, pelicans, and humans.Each worm causes a mild inflammatory reaction at its site of contact with the intestine.
Heavy infections which are common cause damage to the mucosa and produce intestinal pain and are associated with diarrhea, mucus-rich feces, pain, dyspepsia, anorexia, nausea and vomiting.
3. Did you know?
Gum disease is a common dental
problem that may result in tooth
loss. Gingivitis and Periodontitis
are the most common types of
adult gum disease.
dr shabeel pn 3
5. Healthy teeth and gums are
maintained by daily plaque
removal from all surfaces of
the tooth (through tooth
brushing and interdental
cleaning)
dr shabeel pn 5
6. Healthy gums are characterized
by the following features:
• pink or coral pink color,
(normal variations in
color depend on race
and complexion)
• firm, resilient tissues
• 'orange-peel' texture
(known as stippling)
• shape that follows the
contour of the teeth and
forms a scalloped edge
• no areas of redness,
swelling or
inflammation
• no bleeding during
daily plaque removal
• no discomfort
dr shabeel pn 6
9. WHAT IS GINGIVITIS ?
• Gingivitis is inflammation of the gum tissue.
• The gums are irritated and swollen due to a plaque
or calculus (tartar) buildup along the gum line.
• The gums may be sore, bleed easily and appear
puffy, soft and swollen.
dr shabeel pn 9
10. WHAT IS GINGIVITIS ?
• No bone structure is lost around the teeth at this
stage of gum disease.
• Blood on the toothbrush or dental floss is one of the
earliest and most common signs of gingivitis.
• Your gums should never bleed while brushing or
flossing.
• The good news about gingivitis is that it is
preventable and reversible through good brushing
and flossing techniques (or other interdental tooth
cleansing).
• On the other hand, if oral hygiene habits are poor,
gingivitis may progress to periodontitis.
dr shabeel pn 10
12. WHAT IS PERIODONTAL
DISEASE?
• Periodontal disease is destruction of
bone and the structures supporting the
teeth. Unfortunately periodontitis is
irreversible, but you can stop its
progression through good oral hygiene
and visiting your dental professional.
dr shabeel pn 12
13. Eight Warning Signs of
Periodontal Disease:
• gums that bleed when
you brush or floss your
teeth
• gums that are red,
swollen or tender
• gums that have pulled
away from teeth
• infection including
purulence (pus) between
the teeth and gums when
the gums are pressed
• permanent teeth that
are loose or separating
• any changes in the way
your teeth fit together
when you bite
• any changes in the fit of
your partial denture
• bad breath
• itchy sensation
dr shabeel pn 13
15. EARLY AND MODERATE
PERIODONTITIS:
• Periodontitis occurs when the
inflammation of the gums progresses
into the deeper underlying structures
and bone.
• In the most common form of
periodontitis, plaque (and sometimes
calculus) is found below the gum line.
• The gums may feel irritated, appear
bright red, and bleed easily.
dr shabeel pn 15
16. EARLY AND MODERATE
PERIODONTITIS:
• The ligaments holding the tooth in its
socket break down and the gums pull
away from the teeth, resulting in a
periodontal pocket or space between
the tooth and gum.
• The periodontal pocket deepens and
fills with more bacteria. Supportive
ligaments and bone start to show
damage.
dr shabeel pn 16
20. ADVANCED PERIODONTITIS:
• When periodontitis progresses to the
advanced stage, the gums severely
recede (pull away from the tooth );
pockets deepen and may be filled with
pus.
dr shabeel pn 20
21. Advanced Periodontitis
• There may be swelling around the root
and you may experience sensitivity to
hot or cold or feel pain when brushing
your teeth. This is due to the severely
receding gums exposing the root
surface.
dr shabeel pn 21
22. Advanced Periodontitis
• As bone loss increases, your teeth may
lose so much support that they need to
be removed to preserve the overall
health of your mouth.
dr shabeel pn 22
51. Pharmacological Intervention
• Periochip (cholorhexidine, and
bacteriocidal drug)
• Atridox (doxycycline antibiotic, a form of
tetracycline)
• Arestin (minocycline antibiotic, a form of
tetracycline)
dr shabeel pn 51