This document reviews the role of speech in orthognathic surgery. It discusses how malocclusions like Class II and III can cause errors in sounds requiring specific lip and tongue positioning. Orthognathic surgery aims to correct the underlying skeletal deformities and restore normal occlusion, which has the potential to improve speech errors by realigning the lips and teeth. The document summarizes several studies that found speech generally improved or did not change after orthognathic surgery, though a small number of patients saw deterioration. The type and timing of post-surgical speech changes differed depending on the specific jaw surgery and pre-existing malocclusion. Overall, orthognathic surgery can help speech by creating a better oral environment
The Rule Of “10’s” in the Management of Unilateral Cleft Lip Children: The Ko...asclepiuspdfs
Background: Despite significant advances in cleft lip and palate (CLP) care, the often quoted “rule of 10 s” has not been objectively investigated concerning its practicality since its inception, especially, in low-resourced country like Ghana. Aim of the Study: This was to evaluate the unilateral cleft lip weight, haemoglobin and surgical repair outcome by considering the “Rule of 10’s”. Materials and Methods: A retrospective study of all consecutive patients who presented with unilateral cleft lip and were operated on during the period 2011 to 2015. The information retrieved from the patient’s records included the following at the time of surgery: Age (weeks), weight (pounds), hemoglobin level (g/dl), type of cleft and surgical outcome. Results: A total of 120 patients were seen during the study period (2011 to 2015) that had unilateral cleft lip. Female to male ratio was 3:2. (74) 62% had in addition, cleft palate (UCLp) and (46) 38% were only unilateral cleft lip without a palate (UCLo). Unilateral cleft lip was also divided into complete(UCLc) and incomplete unilateral cleft lip(UCLi). Out of the total number 120 patients seen during the study period, (80) 67% had complete unilateral cleft lip while (40) 33% had incomplete unilateral cleft lip. At week 10, the average weight were 11.2, 8.5, 8.2, 11.8 pounds for the various types of cleft at the time of surgery of the lip (UCLo, UCLp, UCLc and UCLi respectively). ≥10 weeks, the level of Haemoglobin at the time of surgery were 10.5, 8.6, 8.6 and 10.8 gm/dl (UCLo, UCLp, UCLc and UCLi respectively. Most of the patients, 28.4% with an associated cleft palate had their unilateral cleft repairs done by week 15. Conclusion: Children with unilateral cleft lip with an associated palate and unilateral complete cleft lip turned to have lower haemoglobin and weight at week ten after birth compared to unilateral incomplete cleft lip without cleft palate patients. This means that, the rule of 10s is still applicable in our centre especially for those with incomplete unilateral cleft lip without an associated cleft palate. There were more post-operative wound infections in children who had unilateral cleft lip with an associated cleft palate.
Salvation of severely fractured anterior tooth: An orthodontic approachAshok Ayer
Restoration of severely fractured teeth presents a challenge to the endodontist and may require an interdisciplinary approach for proper management. When the available crown structure is less, orthodontic forced extrusion is the option where the coronal root structure is exposed for proper restoration. This report describes the management of severely fractured maxillary right lateral incisor with extensive loss of coronal structure and fracture line extending below gingival margin. Endodontic treatment of the fractured tooth was followed by controlled orthodontic extrusion to expose fracture margin and providing sufficient coronal tooth structure to support the prosthesis. Orthodontic extrusion may be considered as a viable option for the salvation of fractured anterior teeth.
The Rule Of “10’s” in the Management of Unilateral Cleft Lip Children: The Ko...asclepiuspdfs
Background: Despite significant advances in cleft lip and palate (CLP) care, the often quoted “rule of 10 s” has not been objectively investigated concerning its practicality since its inception, especially, in low-resourced country like Ghana. Aim of the Study: This was to evaluate the unilateral cleft lip weight, haemoglobin and surgical repair outcome by considering the “Rule of 10’s”. Materials and Methods: A retrospective study of all consecutive patients who presented with unilateral cleft lip and were operated on during the period 2011 to 2015. The information retrieved from the patient’s records included the following at the time of surgery: Age (weeks), weight (pounds), hemoglobin level (g/dl), type of cleft and surgical outcome. Results: A total of 120 patients were seen during the study period (2011 to 2015) that had unilateral cleft lip. Female to male ratio was 3:2. (74) 62% had in addition, cleft palate (UCLp) and (46) 38% were only unilateral cleft lip without a palate (UCLo). Unilateral cleft lip was also divided into complete(UCLc) and incomplete unilateral cleft lip(UCLi). Out of the total number 120 patients seen during the study period, (80) 67% had complete unilateral cleft lip while (40) 33% had incomplete unilateral cleft lip. At week 10, the average weight were 11.2, 8.5, 8.2, 11.8 pounds for the various types of cleft at the time of surgery of the lip (UCLo, UCLp, UCLc and UCLi respectively). ≥10 weeks, the level of Haemoglobin at the time of surgery were 10.5, 8.6, 8.6 and 10.8 gm/dl (UCLo, UCLp, UCLc and UCLi respectively. Most of the patients, 28.4% with an associated cleft palate had their unilateral cleft repairs done by week 15. Conclusion: Children with unilateral cleft lip with an associated palate and unilateral complete cleft lip turned to have lower haemoglobin and weight at week ten after birth compared to unilateral incomplete cleft lip without cleft palate patients. This means that, the rule of 10s is still applicable in our centre especially for those with incomplete unilateral cleft lip without an associated cleft palate. There were more post-operative wound infections in children who had unilateral cleft lip with an associated cleft palate.
Salvation of severely fractured anterior tooth: An orthodontic approachAshok Ayer
Restoration of severely fractured teeth presents a challenge to the endodontist and may require an interdisciplinary approach for proper management. When the available crown structure is less, orthodontic forced extrusion is the option where the coronal root structure is exposed for proper restoration. This report describes the management of severely fractured maxillary right lateral incisor with extensive loss of coronal structure and fracture line extending below gingival margin. Endodontic treatment of the fractured tooth was followed by controlled orthodontic extrusion to expose fracture margin and providing sufficient coronal tooth structure to support the prosthesis. Orthodontic extrusion may be considered as a viable option for the salvation of fractured anterior teeth.
Titanium Button With Chain by Watted For Orthodontic Traction of Impacted Ma...Abu-Hussein Muhamad
Abstract: Advances in bonding techniques and materials allow for reliable bracket placement on ectopically positioned teeth. This prospective study evaluates the outcome of forced orthodontic eruption of impacted canine teeth in both palatal and labial positions. Eighty-two impacted maxillary canines in 2200patients were included in the study and were observed for 2006 to 2013 ,in Center for Dentistry research and Aesthetics, Jatt/Israel after exposure. Following exposure by means of a palatal flap or an apically repositioned buccal flap, an orthodontic traction hook, with a Titanium Button with chain by Watted (Dentaurum) attached, was bonded to each impacted tooth using a light cured orthodontic resin cement. A periodontal dressing was placed over the surgical site for a period of time. All teeth were successfully erupted. Complications consisted of: failure of initial bond, at the time of surgery, which required rebonding; premature debonding at the time of pack removal and; debonding of brackets during orthodontic eruption. There was no infection, eruption failure, ankylosis, resorption or periodontal defect (pocket greater than 3 mm) associated with any of the exposed teeth. Forced orthodontic eruption of impacted maxillary canines with a well bonded orthodontic traction hook and ligation chain, used in conjunction with a palatal flap or an apically repositioned labial flap, results in predictable orthodontic eruption with few complications. Key Words: cuspid/surgery; orthodontics, corrective; tooth, impacted/therapy
Titanium Button With Chain by Watted For Orthodontic Traction of Impacted Ma...Abu-Hussein Muhamad
Abstract: Advances in bonding techniques and materials allow for reliable bracket placement on ectopically positioned teeth. This prospective study evaluates the outcome of forced orthodontic eruption of impacted canine teeth in both palatal and labial positions. Eighty-two impacted maxillary canines in 2200patients were included in the study and were observed for 2006 to 2013 ,in Center for Dentistry research and Aesthetics, Jatt/Israel after exposure. Following exposure by means of a palatal flap or an apically repositioned buccal flap, an orthodontic traction hook, with a Titanium Button with chain by Watted (Dentaurum) attached, was bonded to each impacted tooth using a light cured orthodontic resin cement. A periodontal dressing was placed over the surgical site for a period of time. All teeth were successfully erupted. Complications consisted of: failure of initial bond, at the time of surgery, which required rebonding; premature debonding at the time of pack removal and; debonding of brackets during orthodontic eruption. There was no infection, eruption failure, ankylosis, resorption or periodontal defect (pocket greater than 3 mm) associated with any of the exposed teeth. Forced orthodontic eruption of impacted maxillary canines with a well bonded orthodontic traction hook and ligation chain, used in conjunction with a palatal flap or an apically repositioned labial flap, results in predictable orthodontic eruption with few complications. Key Words: cuspid/surgery; orthodontics, corrective; tooth, impacted/therapy
In 1989, Shetty and Freymiller [7] reviewed indications for removal of teeth in the line of fracture. They recommended the following indications:
1. Significant periodontal disease with gross mobility and periapical pathology
2. Partially erupted third molars with pericoronitis or cystic areas
3. Teeth preventing the reduction of fractures
4. Teeth with fractured roots
5. Teeth with exposed root apices or teeth in which the entire root surface from the apex to the gingival margin is exposed
6. Excessive delay from the time of fracture to the time of definitive treatment
In addition to these indications, another indication that requires extraction of teeth in the line of fracture is an acute, recurring abscess at the site of the fracture despite antibiotic therapy(8)
18.Rahul VC Tiwari et al. Single layer anteriorly based tongue flap for extensive palatal cleft- a case report. - Innovative Publications - Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology. April-June 2018;4(2):118-120
Role of pediatric dentist orthodontic in cleft lip and cleft palate patients Abu-Hussein Muhamad
Cleft Lip and Palate is severe birth defect occurring one in 700-1000 newborn infants. Cleft lip and palate together account for 50% of all cases whereas isolated cleft lip and palate occur in about 25% of cases. Management of Cleft Lip and Palate is carried out by multi disciplinary team approach. When ever a child is born with cleft lip and palate or one of them, it interferes with feeding and speech and hampers esthetic severely. Consequently it is psychologically traumatic to both patients as well as for their family members. Patients with cleft lip and palate are also are at high risk for dental diseases. So in such situation proper education, guidance, motivation and encouragement are required. Pre and post surgically pediatric dentist and orthodontics helps the patient by providing functionally and esthetically acceptable occlusion, good oral hygiene and preventive dental care. This paper describes the treatment protocol of pediatric dentistry and orthodontic with cleft lip and palate.
Role of Pediatric Dentist - Orthodontic In Cleft Lip and Cleft Palate Patientsiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Multidisciplinary approach in the rehabilitation of congenitally missing late...Abu-Hussein Muhamad
Agenesis, the absence of permanent teeth, is a common occurrence among dental patients. The total incidence of tooth agenesis is about 4.2% among patients that are seeking orthodontic treatment and with the exception of third molars, the maxillary lateral incisors are the most common congenitally missing teeth with about a 2% incidence. The maxillary lateral incisor is the second most common congenitally absent tooth. There are several treatment options for replacing the missing maxillary lateral incisor, including canine substitution, tooth-supported restoration, or single-tooth implant. Dental implants are an appropriate treatment option for replacing missing maxillary lateral incisor teeth in adolescents when their dental and skeletal development is complete. This case report presents the treatment of a patient with congenitally missing maxillary lateral incisor using dental implants. The paper discusses the aspects of pre-prosthetic orthodontic diagnosis and the treatment that needs to be considered with conservative and fixed prosthetic replacement.
Treatment of Patients With Congenitally Missing Lateral Incisors: Is an Inter...Abu-Hussein Muhamad
Congenitally missing teeth are frequently presented to the dentist. Interdisciplinary approach may be needed for the proper treatment plan. The available treatment modalities to replace congenitally missing teeth include prosthodontic fixed and removable prostheses, resin bonded retainers, orthodontic movement of maxillary canine to the lateral incisor site and single tooth implants. Dental implants offer a promising treatment option for placement of congenitally missing teeth. Interdisciplinary approach may be needed in these cases. This article aims to present a case report of replacement of bilaterally congenitally missing maxillary lateral incisors with dental implants.
My soft palate / dental implant courses by Indian dental academy Indian dental academy
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offering a wide range of dental certified courses in different formats.for more details please visit
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William R Proffit was respected in orthodontics. His life journey started in 1936 and ended in 2018. In between, he did lots of research work in orthodontics. He publishes around 170 research articles most of the articles are very helpful for postgraduate students. His nickname was Bill. He joined the faculty at the University of Kentucky in 1965 and served as the first chairman of the orthodontics department, and then taught at the University of Florida for 2 years.
In 1975, he returned to UNC and joined the orthodontics faculty. He served as a professor and later became chair of the department of orthodontics, a post he held for 26 years. Dr Proffit's textbook, Contemporary Orthodontics, the standard used in dental schools throughout the world, is the world's most influential orthodontic resource.
He contributed to and guided every chapter in every edition, and that is its strength and reason for its endurance.
He coauthored Contemporary Treatment of Dentofacial Deformity and 2 other books on surgical-orthodontic treatment.
Partial or complete edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism in the maxillary arch and total edentulism in the mandibular arch. The main clinical findings were unopposed remaining teeth, over eruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with intentional root canal therapy of the remaining natural teeth. Series of provisional prostheses were applied to facilitate the transition to the final treatment.
Key-words: Edentulism, Vertical dimension, Provisional Restoration, Fixed and Removable prosthesis
Interdisciplinary Management of Congenitally Agenesis Maxillary Lateral Incis...Abu-Hussein Muhamad
Abstract: The present paper reports the treatment of a young adult woman with congenitally missing maxillary lateral incisors who underwent orthodontic treatment for improvement of teeth alignment and occlusal balance previous to dental implant surgery. This treatment also allowed appropriate space for the future lateral incisors crowns. Then, Implants were positioned and prosthetic abutments installed. Ceramic laminates were planned on central incisors in order to improve anterior aesthetics. All-ceramic crowns and laminates were made using lithium dissilicate-based ceramic The multidisciplinary association of orthodontic, implant and prosthetic techniques resulted in successful functional and aesthetic rehabilitation of the case, which was maintained after 1 year follow up. Keywords: Dental agenesis. Dental implants. Ceramic laminates. Esthetic.
60.Srinivasan S, Velusamy G, Munshi MAI, Radhakrishnan K, Tiwari RVC. Comparative Study of Antifungal Efficacy of Various Endodontic Irrigants with and without Clotrimazole in Extracted Teeth Inoculated with Candida albicans. J Contemp Dent Pract. 2020 Dec 1;21(12):1325-1330. PubMed PMID: 33893253.
Mathew P, Kattimani VS, Tiwari RV, Iqbal MS, Tabassum A, Syed KG. New Classification System for Cleft Alveolus: A Computed Tomography-based Appraisal. J Contemp Dent Pract. 2020 Aug 1;21(8):942-948. PubMed PMID: 33568619
Sahu S, Patley A, Kharsan V, Madan RS, Manjula V, Tiwari RVC. Comparative evaluation of efficacy and latency of twin mix vs 2% lignocaine HCL with 1:80000 epinephrine in surgical removal of impacted mandibular third molar. J Family Med Prim Care. 2020 Feb;9(2):904-908. doi: 10.4103/jfmpc.jfmpc_998_19. eCollection 2020 Feb. PubMed PMID: 32318443; PubMed Central PMCID: PMC7113948.
65.Izna, Sasank Kuntamukkula VK, Khanna SS, Salokhe O, Chandra Tiwari RV, Tiwari H. Knowledge and Apprehension of Dental Health Professionals Pertaining to COVID in Southern India: A Questionnaire Study. J Pharm Bioallied Sci. 2021 Jun;13(Suppl 1):S448-S451. doi: 10.4103/jpbs.JPBS_551_20. Epub 2021 Jun 5. PubMed PMID: 34447131; PubMed Central PMCID: PMC8375944.
Vohra P, Belkhode V, Nimonkar S, Potdar S, Bhanot R, Izna, Tiwari RVC. Evaluation and diagnostic usefulness of saliva for detection of HIV antibodies: A cross-sectional study. J Family Med Prim Care. 2020 May;9(5):2437-2441. doi: 10.4103/jfmpc.jfmpc_138_20. eCollection 2020 May. PubMed PMID: 32754516; PubMed Central PMCID: PMC7380795
Mittal S, Hussain SA, Tiwari RVC, Poovathingal AB, Priya BP, Bhanot R, Tiwari H. Extensive pelvic and abdominal lymphadenopathy with hepatosplenomegaly treated with radiotherapy-A case report. J Family Med Prim Care. 2020 Feb;9(2):1215-1218. doi: 10.4103/jfmpc.jfmpc_1125_19. eCollection 2020 Feb. PubMed PMID: 32318498; PubMed Central PMCID: PMC7113973.
36.Kesharwani P, Hussain SA, Sharma N, Karpathak S, Bhanot R, Kothari S, Tiwari RVC. Massive radicular cyst involving multiple teeth in pediatric mandible- A case report. J Family Med Prim Care. 2020 Feb;9(2):1253-1256. doi: 10.4103/jfmpc.jfmpc_1059_19. eCollection 2020 Feb. PubMed PMID: 32318508; PubMed Central PMCID: PMC7113959.
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
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O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
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www.agostodourado.com
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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