The document provides information about the ACMAuto Chip Maker instrument, which is used to collect autograft bone from mandibular molars or incisors for guided bone regeneration in defective areas. The instrument comes in various diameters and lengths. It must be cleaned, sterilized and stored properly after use. A clinical case and movie demonstrate how to use the instrument to drill and collect autograft bone chips within seconds for GBR procedures.
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Indian Dental Academy: will be one of the most relevant and exciting
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implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
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FACULTY OF DENTISTRY MANSOURA UNIVERSITY
ORTHODONTIC DEPARTMENT
Under Supervision of Proff.Dr. Maher FOUDA
SOURCE: ORTHODONTIC BRACKET SELECTION, PLACEMENT AND DEBONDING. DR HARIS KHAN
NeoBiotech Orders & Support - 415.496.9636 (415.49MyNeo)
Earn AID VIP Credits by submitting orders or inquires via
'1st Choice Advanced & Innovative Dentistry'
www.1stChoiceAID.com
10% Discount Code for item orders from Neo Website
www.neobiotechus.com
'1stChoiceNeo'
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Description :
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.for more details please visit
www.indiandentalacademy.com
Gingival retraction techniques for implants versus teeth/ cosmetic dentistry ...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
FACULTY OF DENTISTRY MANSOURA UNIVERSITY
ORTHODONTIC DEPARTMENT
Under Supervision of Proff.Dr. Maher FOUDA
SOURCE: ORTHODONTIC BRACKET SELECTION, PLACEMENT AND DEBONDING. DR HARIS KHAN
Prosthetic guide
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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Introduction
Sterilization method
Equipment's involved in large scale sterilization
Sterilization indicators
Evaluation of efficiency of sterilization /Sterility testing
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
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Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
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Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
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Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
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Primitive, less old, and new olfactory systems with different path
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2. Contents
• Indication
• Specification and Type
• Precautions
• Caution
• Cleaning
• Sterilization
• Storage and Management
• Clinical case
• Clinical Movie
3. Indication
ACM(Autochip Maker) is an instrument to collect autograft bone from mandibular molars or incisor for GBR in
defected area
Precautions
1. Instrument is susceptible to damage and wear and should be inspected before use.
2. Check the latch lock shank for wear to ensure that the connection is not damaged by reused instrument.
3. Instrument must be cleaned and sterilized prior to use
4. Stopper is ready to use. Do not sterilize plastic stopper in autoclave prior to use.
Specification and Type
Diameter Length(mm) Code
4.0
10mm ACM40ISETES
14mm ACM40ISETS
4.5
10mm ACM45ISETES
14mm ACM45ISETS
5.0
10mm ACM50ISETES
14mm ACM50ISETS
6.0
10mm ACM60ISETES
14mm ACM60ISETS
1 box : 1drill and 7 stoppers
4. 1. Mount stopper to ACM and connect dental implant motor.
2. Locate the drill on the surface of operation area by pressing it slightly with saline irrigation.
✓ Recommended drilling speed is 50~300rpm and maximum torque over 50Ncm.
(50rpm without irrigation, Over 100rpm with irrigation)
✓ The stopper does not go deeper than 4mm.
✓ Maximum 4mm depth autograft bone, drill until 3~4mm depth and move to different area to collect the
same quality bone chip.
✓ Drill with shaking to left and right for effective cutting and cooling.
3. When autograft bone is fully filled in the space, take out the bone chips from ACM to the medical bowl after
removing the stopper.
4. Repeat procedure 1,2,3 until taking the enough autograft bone.
5. GBR with the collected autograft bone in the defected area.
If the thickness of cortical bone is below 4mm, drill can be stopped by over torque due to touching
the cancellous bone.
To prevent drill stop, drill below 4mm to collect cortical bone only.
Otherwise shake toward left and right with maximum torque.
!
Procedure
5. 1. Must irrigate with saline while drilling to prevent bone heating.
2. Recommendation speed is 50~300rpm and maximum torque over 50Ncm.
3. Recommended using times are below 7 to prevent bone necrosis caused by drill abrasion.
4. Clean the instrument immediately as the blood, tissue remains, bone debris or secretion could be dried on it.
!
1. Disassemble multi-piece components. Rinse with cool to lukewarm water for two and one half minutes.
2. Place all parts in an ultrasonic cleaner with an enzymatic detergent diluted with tap water per the manufacture’s
guidelines. Sonicate for ten minutes. Rinse with tap water for three minutes.
Cleaning
Caution
6. Stopper is disposable. When sterilizing plastic stopper in autoclave, it will melt down.
Remove all protective packaging and separate stopper from ACM before sterilization to ensure maximum efficacy.
!
* Note : To ensure autoclave is performing effectively, periodic use of biologic indicators should be considered. Dry
heat and Chemclave sterilization are NOT recommended.
1 Minimum validated steam sterilization time and temperature required to achieve a 10-6 sterility assurance level(SAL)
2 Local or national specifications should be followed where steam sterilization requirements are stricter or more conservative
than those listed in this table.
3 Sea level
Sterilization
Cycle Type Temperature Pressure 3 Exposure Time Dry Time
Instrument,
Wrapped
Pre-Vacuum 1,2 132℃
270℉
2 bars
28.5 psi
3 minutes 30 minutes
Instrument,
Wrapped
Gravity 1 121℃
250℉
1 bars
14.5 psi
40 minutes 30 minutes
Recommended Steam Sterilization Parameters
7. 1. Store in a dry area at room temperature.
2. Used product must be cleaned, sterilized and dried befor storage.
3. Discard the instrument which used 7 times.
4. Reuse instrument may affect cutting efficiency and damage of latch lock shank. If inspection reveals signs of
wear or damage, replace the instruments.
Storage and Management