This article discusses the importance of periodontal health during orthodontic treatment. It notes that poor oral hygiene can lead to decalcification, decay, and gingival infections. The orthodontist should assess the patient's periodontal health and oral hygiene pretreatment. If bleeding or plaque is present, treatment should be delayed until oral hygiene improves. The orthodontist is responsible for ensuring the patient can maintain hygiene during treatment and may need to terminate treatment if hygiene does not improve. Maintaining strong periodontal health leads to on-time case finishes and improved esthetic outcomes and patient satisfaction.
The document discusses the dental home concept and minimally invasive dental techniques. It defines the dental home as an ongoing relationship between dentist and patient to provide comprehensive and family-centered oral healthcare from age 1. This includes preventive services, risk assessments, anticipatory guidance, and treatment. Minimally invasive techniques aim to preserve tooth structure by reducing bacteria, using preventive measures, and remineralizing early lesions. They involve minimal cavity preparation and surgery using adhesive materials, as well as repairing restorations to prevent further decay.
The document discusses interim therapeutic restorations (ITRs) and minimal intervention dentistry. ITRs are used to stabilize dental caries in young, uncooperative patients and involve sealing lesions with materials like resin or glass ionomer without extensive drilling. Factors for the success of ITRs include proper diagnosis, adequate restoration, and appropriate excavation. The document also discusses techniques like air abrasion, polymer burs, and glass ionomer sealants that are minimally invasive and important aspects of modern caries management.
This document discusses the philosophies and protocols of a dental practice. It emphasizes the importance of customizing each patient's care plan and ensuring smooth workflow between hygienists and doctors. Key aspects of treatment discussed include comprehensive prevention, non-surgical periodontal therapy using lasers over multiple visits, restorative concepts, and emphasis on oral hygiene. Clinical products highlighted include the Oral-B electric toothbrush, Crest Pro-Health toothpaste and rinse containing stannous fluoride and cetylpyridinium chloride, and a stannous fluoride gel for sensitivity treatment.
The document summarizes a journal club presentation on the efficacy of hydroxyapatite and silica nanoparticles for remineralizing erosive lesions. It provides definitions and classifications of dental erosion, as well as risk factors, clinical appearance, evaluation methods, and current management strategies. The study aimed to compare the mineral gain and penetration of hydroxyapatite and silica nanoparticle infiltrates into artificially-created erosive enamel and dentin lesions. Results showed hydroxyapatite infiltrate resulted in greater remineralization of enamel and similar remineralization of dentin compared to silica nanoparticles.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
Oral hygiene involves keeping the mouth clean to prevent disease and increase comfort. Proper oral hygiene includes brushing teeth twice daily, flossing daily, eating a balanced diet, and using fluoride products. Brushing should use a gentle back-and-forth motion at a 45 degree angle, while flossing removes food from between teeth. Plaque and bacteria in the mouth can cause cavities if not removed regularly. Maintaining good oral hygiene is important for overall health and was emphasized by the Prophet Muhammad.
This document discusses oral habits including digit sucking, bruxism, mouth breathing, lip biting, and tongue thrusting. It provides definitions, etiologies, effects, and treatment approaches for each habit. It also discusses prevention of traumatic dental injuries through early orthodontic treatment and use of mouth guards. Finally, it outlines the role of dental professionals in detecting and preventing oral cancer through recognition of risk factors, examination of lesions, and simple diagnostic tests like oral cytology and Toluidine blue staining.
Decay risk exists for all patients to varying degrees in occlusal pits and fissures, interproximal surfaces and facial surfaces. Orthodontic treatment increases the risk of decay for a variety of reasons. Oral hygiene is more difficult; wires are in place for two to three years or longer with little opportunity to obtain bitewing radiographs; excess resin around brackets acts as a plaque trap; patients sometimes believe that because they are being seen regularly at the orthodontic office, they don’t need to visit their regular dentist until treatment is completed.
Reprinted with permission of the Ontario Dental Association and Ontario Dentist, 2012.
The document discusses the dental home concept and minimally invasive dental techniques. It defines the dental home as an ongoing relationship between dentist and patient to provide comprehensive and family-centered oral healthcare from age 1. This includes preventive services, risk assessments, anticipatory guidance, and treatment. Minimally invasive techniques aim to preserve tooth structure by reducing bacteria, using preventive measures, and remineralizing early lesions. They involve minimal cavity preparation and surgery using adhesive materials, as well as repairing restorations to prevent further decay.
The document discusses interim therapeutic restorations (ITRs) and minimal intervention dentistry. ITRs are used to stabilize dental caries in young, uncooperative patients and involve sealing lesions with materials like resin or glass ionomer without extensive drilling. Factors for the success of ITRs include proper diagnosis, adequate restoration, and appropriate excavation. The document also discusses techniques like air abrasion, polymer burs, and glass ionomer sealants that are minimally invasive and important aspects of modern caries management.
This document discusses the philosophies and protocols of a dental practice. It emphasizes the importance of customizing each patient's care plan and ensuring smooth workflow between hygienists and doctors. Key aspects of treatment discussed include comprehensive prevention, non-surgical periodontal therapy using lasers over multiple visits, restorative concepts, and emphasis on oral hygiene. Clinical products highlighted include the Oral-B electric toothbrush, Crest Pro-Health toothpaste and rinse containing stannous fluoride and cetylpyridinium chloride, and a stannous fluoride gel for sensitivity treatment.
The document summarizes a journal club presentation on the efficacy of hydroxyapatite and silica nanoparticles for remineralizing erosive lesions. It provides definitions and classifications of dental erosion, as well as risk factors, clinical appearance, evaluation methods, and current management strategies. The study aimed to compare the mineral gain and penetration of hydroxyapatite and silica nanoparticle infiltrates into artificially-created erosive enamel and dentin lesions. Results showed hydroxyapatite infiltrate resulted in greater remineralization of enamel and similar remineralization of dentin compared to silica nanoparticles.
The document discusses guidelines and best practices for treating children with dental procedures under general anesthesia, including indications such as extreme uncooperativeness, requirements for hospitalization versus outpatient settings, pre-operative assessments, operating room protocols, recommended dental treatments, post-operative care, and the importance of preventative therapies and behavior management for successful outcomes. Proper patient selection, qualified dental staff, and outpatient surgery centers can help achieve the best results when using general anesthesia to deliver necessary dental care to children.
Oral hygiene involves keeping the mouth clean to prevent disease and increase comfort. Proper oral hygiene includes brushing teeth twice daily, flossing daily, eating a balanced diet, and using fluoride products. Brushing should use a gentle back-and-forth motion at a 45 degree angle, while flossing removes food from between teeth. Plaque and bacteria in the mouth can cause cavities if not removed regularly. Maintaining good oral hygiene is important for overall health and was emphasized by the Prophet Muhammad.
This document discusses oral habits including digit sucking, bruxism, mouth breathing, lip biting, and tongue thrusting. It provides definitions, etiologies, effects, and treatment approaches for each habit. It also discusses prevention of traumatic dental injuries through early orthodontic treatment and use of mouth guards. Finally, it outlines the role of dental professionals in detecting and preventing oral cancer through recognition of risk factors, examination of lesions, and simple diagnostic tests like oral cytology and Toluidine blue staining.
Decay risk exists for all patients to varying degrees in occlusal pits and fissures, interproximal surfaces and facial surfaces. Orthodontic treatment increases the risk of decay for a variety of reasons. Oral hygiene is more difficult; wires are in place for two to three years or longer with little opportunity to obtain bitewing radiographs; excess resin around brackets acts as a plaque trap; patients sometimes believe that because they are being seen regularly at the orthodontic office, they don’t need to visit their regular dentist until treatment is completed.
Reprinted with permission of the Ontario Dental Association and Ontario Dentist, 2012.
This document discusses various methods for testing pulp vitality, including traditional methods like thermal and electric pulp testing as well as newer methods like laser doppler flowmetry and pulse oximetry. It provides detailed descriptions of techniques for thermal testing using heat or cold, electric pulp testing, and other specialized tests like selective anesthesia and test cavities. The document also reviews diseases of the pulp and limitations of current testing methods, noting that methods assessing blood flow may eventually replace thermal and electric tests for more accurate evaluation of pulp vitality.
This document discusses factors to consider for case selection in endodontic treatment. Proper case selection is important to ensure successful treatment outcomes and avoid pitfalls. Key factors include those related to the tooth itself like root canal anatomy, restorability, and periodontal support. Patient health factors like medical history and physical status must also be evaluated. The clinician's skill and ability to handle different cases is another important consideration. Careful evaluation of all relevant factors helps determine if endodontic therapy is appropriate and predicts the difficulty level of the case.
This document discusses different approaches to managing dental caries in deciduous (baby) teeth. It presents the arguments for and against restoring decayed deciduous teeth versus using non-operative treatments like improved plaque control and fluoride. The document considers techniques like opening cavities for cleaning, sealing with crowns or restorations, partial or complete caries removal, and not restoring at all. It discusses factors like the temporary nature of deciduous teeth, risk of pain, and impact on the developing permanent teeth. The goal is to control caries in a way that is least invasive and allows teeth to exfoliate without symptoms, while preventing further decay.
Preventive dentistry aims to prevent oral diseases through various levels of prevention. Primary prevention occurs before disease onset and includes health promotion like education and fluoride use to reduce risk. Secondary prevention detects and treats diseases early through exams, cleanings, and restorations. Tertiary prevention focuses on rehabilitation after treatment through procedures like extractions, prosthetics, and orthodontics. Preventive services can be provided individually through self-care, in communities through programs, or professionally during dental visits and include education, fluoride, sealants, cleanings, and restorative and orthodontic treatments.
Group dental practices allow multiple dentists and specialists to work together in one office, sharing equipment, staff, and other resources. This arrangement provides several advantages for both patients and dentists. Patients benefit from access to a variety of dental services and expertise in one location. Dentists also gain experience from collaborating with colleagues and can share costs of common facilities. Effective teamwork is important for the success of group practices and dental health programs that bring different professionals together to provide comprehensive oral healthcare.
Management of medically handicapped childrenDrSusmita Shah
Management of medically handicapped children such cardiovascular disease, pulmonary disease, hematological disorders, endocrine disorders, neurological disorders, Immunological disorders has been discussed in detail with all the possible evidences.
The document provides guidelines for the management of avulsed permanent teeth, dividing it into two main stages: emergency treatment and definitive treatment. For emergency treatment, it outlines steps like keeping the patient calm, finding and cleaning the tooth if dirty, and seeking immediate dental treatment. Definitive treatment involves clinical and radiographic examination, sensibility testing, and treatment based on the apex status and extraoral dry time of the tooth. It details protocols for teeth with open or closed apices that were replanted immediately, stored in media, or dry for over 60 minutes. The guidelines emphasize the importance of this area in pediatric dentistry.
This document discusses dental auxiliaries and their roles in assisting dentists. It defines auxiliaries as persons who assist dentists in treating patients but have less than full professional training. Auxiliaries are classified as either non-operating or operating, and their duties range from simple tasks to complex procedures performed under dentist supervision. Examples of non-operating auxiliaries discussed are dental assistants, receptionists, laboratory technicians, and health educators. The document outlines the history and training of dental assistants specifically.
This document provides an introduction to a book on prosthodontic treatment of patients presented by the Graduate Program in Oral Rehabilitation at the Hebrew University-Hadassah School of Dental Medicine in Jerusalem, Israel. The book is divided into four parts based on the primary problem of each patient: periodontal breakdown, dysfunctional habits, extensive tooth loss, and congenital disorders. The basis for all prosthodontic treatment is a healthy periodontium. The goal is to identify the etiology of each patient's condition and develop a comprehensive treatment plan tailored to the individual patient.
This document summarizes a case study of neonatal osteomyelitis that developed as an unusual complication following extraction of a natal tooth. A 52-day old infant presented with a painful swelling and abscess in the lower jaw that had been present for a month. The infant had a natal tooth extracted at 11 days of age. CT scan and bloodwork confirmed osteomyelitis caused by Staphylococcus aureus. The infant was treated with intravenous vancomycin for 3 weeks followed by 1 week of oral vancomycin, resulting in healing of the extraoral and intraoral sites. This case highlights the rare but important potential for osteomyelitis to develop after natal tooth extraction.
This document discusses various topics related to managing child dental patients including:
1. Indications for general anesthesia such as severe dental disease or documented allergy to local anesthesia. General anesthesia carries risks so should only be used when necessary.
2. Guidelines for taking radiographs in pediatric dentistry including indications based on history and clinical findings. Radiographs help diagnose oral diseases but timing should consider each child's circumstances.
3. Techniques for administering local anesthesia to child patients including using topical anesthetics, infiltration, and nerve block injections while preparing the child to minimize fear and discomfort. Proper administration is important for painless dental procedures.
This document provides an overview of oral hygiene and preventive care. It discusses establishing a preventive program through assessing patients, developing intervention plans, implementing clinical services, and evaluating progress. Key aspects include patient counseling, compliance, and motivational interviewing. It also outlines the learning process, individual patient planning, and basic steps for oral hygiene like tooth brushing, flossing, and regular dental checkups.
Dr. Hazem El Ajrami discusses the prevention of periodontal disease. He outlines several key points:
- Periodontal disease is caused by bacterial plaque accumulation along the gums and teeth. Regular removal of plaque through brushing and other methods can prevent periodontal disease.
- Both local factors like untreated cavities, occlusal abnormalities, and systemic factors like diabetes or medications can increase risk of periodontal disease by affecting the body's response to plaque.
- Preventive measures include regular dental cleanings to remove built-up calculus, maintaining good oral hygiene through proper brushing techniques, and eating a balanced diet to stimulate gum health. Periodic checkups are important to monitor for bone
Cutaneous sinus-tract-of-dental-origin-in-an-8yearold-child-a-case-reportCecilia Young 楊幽幽
Cutaneous Sinus Tract of Dental Origin in an 8-Year-Old Child: A Case Report
Cecilia Young*, TH Tai
General Dental Practitioner, Dental Consultant and Columnist, Physician Pharmacist People Health Magazine, Hong Kong
Routine Office Care, Concepts of Dental AssistingHeatherSeghi
1. The document discusses the daily routines for opening and closing a dental office, including turning on equipment, preparing treatment rooms, and completing administrative tasks.
2. It also covers concepts important for dental assisting such as four-handed dentistry, activity zones when assisting the dentist, and different classifications of motions.
3. Proper ergonomics for the dentist and assistant are emphasized to reduce stress and strain including positioning, stool heights, and limiting more strenuous motions.
The document outlines the key components and goals of a treatment plan, including:
1. A treatment plan is created after diagnosis and prognosis to establish a blueprint for case management including all procedures needed for oral health.
2. The goals are to reconstruct a healthy dentition that meets functional and aesthetic needs, considering long term needs like prosthetics and implants.
3. The master plan coordinates all short and long term goals to create a well-functioning dentition in a healthy environment.
This document discusses dental caries and the management of patients at high risk for caries. It describes the restorative cycle where patients receive repeated restorations due to new caries forming next to existing restorations. Early detection of caries lesions and ongoing risk assessment of patients is important to help prevent disease progression and need for advanced treatment. Factors like diet, oral hygiene, fluoride exposure, and saliva influence caries risk. For high risk patients, treatment planning aims to continually reduce risk and monitor lesions.
This document discusses various methods for testing pulp vitality, including traditional methods like thermal and electric pulp testing as well as newer methods like laser doppler flowmetry and pulse oximetry. It provides detailed descriptions of techniques for thermal testing using heat or cold, electric pulp testing, and other specialized tests like selective anesthesia and test cavities. The document also reviews diseases of the pulp and limitations of current testing methods, noting that methods assessing blood flow may eventually replace thermal and electric tests for more accurate evaluation of pulp vitality.
This document discusses factors to consider for case selection in endodontic treatment. Proper case selection is important to ensure successful treatment outcomes and avoid pitfalls. Key factors include those related to the tooth itself like root canal anatomy, restorability, and periodontal support. Patient health factors like medical history and physical status must also be evaluated. The clinician's skill and ability to handle different cases is another important consideration. Careful evaluation of all relevant factors helps determine if endodontic therapy is appropriate and predicts the difficulty level of the case.
This document discusses different approaches to managing dental caries in deciduous (baby) teeth. It presents the arguments for and against restoring decayed deciduous teeth versus using non-operative treatments like improved plaque control and fluoride. The document considers techniques like opening cavities for cleaning, sealing with crowns or restorations, partial or complete caries removal, and not restoring at all. It discusses factors like the temporary nature of deciduous teeth, risk of pain, and impact on the developing permanent teeth. The goal is to control caries in a way that is least invasive and allows teeth to exfoliate without symptoms, while preventing further decay.
Preventive dentistry aims to prevent oral diseases through various levels of prevention. Primary prevention occurs before disease onset and includes health promotion like education and fluoride use to reduce risk. Secondary prevention detects and treats diseases early through exams, cleanings, and restorations. Tertiary prevention focuses on rehabilitation after treatment through procedures like extractions, prosthetics, and orthodontics. Preventive services can be provided individually through self-care, in communities through programs, or professionally during dental visits and include education, fluoride, sealants, cleanings, and restorative and orthodontic treatments.
Group dental practices allow multiple dentists and specialists to work together in one office, sharing equipment, staff, and other resources. This arrangement provides several advantages for both patients and dentists. Patients benefit from access to a variety of dental services and expertise in one location. Dentists also gain experience from collaborating with colleagues and can share costs of common facilities. Effective teamwork is important for the success of group practices and dental health programs that bring different professionals together to provide comprehensive oral healthcare.
Management of medically handicapped childrenDrSusmita Shah
Management of medically handicapped children such cardiovascular disease, pulmonary disease, hematological disorders, endocrine disorders, neurological disorders, Immunological disorders has been discussed in detail with all the possible evidences.
The document provides guidelines for the management of avulsed permanent teeth, dividing it into two main stages: emergency treatment and definitive treatment. For emergency treatment, it outlines steps like keeping the patient calm, finding and cleaning the tooth if dirty, and seeking immediate dental treatment. Definitive treatment involves clinical and radiographic examination, sensibility testing, and treatment based on the apex status and extraoral dry time of the tooth. It details protocols for teeth with open or closed apices that were replanted immediately, stored in media, or dry for over 60 minutes. The guidelines emphasize the importance of this area in pediatric dentistry.
This document discusses dental auxiliaries and their roles in assisting dentists. It defines auxiliaries as persons who assist dentists in treating patients but have less than full professional training. Auxiliaries are classified as either non-operating or operating, and their duties range from simple tasks to complex procedures performed under dentist supervision. Examples of non-operating auxiliaries discussed are dental assistants, receptionists, laboratory technicians, and health educators. The document outlines the history and training of dental assistants specifically.
This document provides an introduction to a book on prosthodontic treatment of patients presented by the Graduate Program in Oral Rehabilitation at the Hebrew University-Hadassah School of Dental Medicine in Jerusalem, Israel. The book is divided into four parts based on the primary problem of each patient: periodontal breakdown, dysfunctional habits, extensive tooth loss, and congenital disorders. The basis for all prosthodontic treatment is a healthy periodontium. The goal is to identify the etiology of each patient's condition and develop a comprehensive treatment plan tailored to the individual patient.
This document summarizes a case study of neonatal osteomyelitis that developed as an unusual complication following extraction of a natal tooth. A 52-day old infant presented with a painful swelling and abscess in the lower jaw that had been present for a month. The infant had a natal tooth extracted at 11 days of age. CT scan and bloodwork confirmed osteomyelitis caused by Staphylococcus aureus. The infant was treated with intravenous vancomycin for 3 weeks followed by 1 week of oral vancomycin, resulting in healing of the extraoral and intraoral sites. This case highlights the rare but important potential for osteomyelitis to develop after natal tooth extraction.
This document discusses various topics related to managing child dental patients including:
1. Indications for general anesthesia such as severe dental disease or documented allergy to local anesthesia. General anesthesia carries risks so should only be used when necessary.
2. Guidelines for taking radiographs in pediatric dentistry including indications based on history and clinical findings. Radiographs help diagnose oral diseases but timing should consider each child's circumstances.
3. Techniques for administering local anesthesia to child patients including using topical anesthetics, infiltration, and nerve block injections while preparing the child to minimize fear and discomfort. Proper administration is important for painless dental procedures.
This document provides an overview of oral hygiene and preventive care. It discusses establishing a preventive program through assessing patients, developing intervention plans, implementing clinical services, and evaluating progress. Key aspects include patient counseling, compliance, and motivational interviewing. It also outlines the learning process, individual patient planning, and basic steps for oral hygiene like tooth brushing, flossing, and regular dental checkups.
Dr. Hazem El Ajrami discusses the prevention of periodontal disease. He outlines several key points:
- Periodontal disease is caused by bacterial plaque accumulation along the gums and teeth. Regular removal of plaque through brushing and other methods can prevent periodontal disease.
- Both local factors like untreated cavities, occlusal abnormalities, and systemic factors like diabetes or medications can increase risk of periodontal disease by affecting the body's response to plaque.
- Preventive measures include regular dental cleanings to remove built-up calculus, maintaining good oral hygiene through proper brushing techniques, and eating a balanced diet to stimulate gum health. Periodic checkups are important to monitor for bone
Cutaneous sinus-tract-of-dental-origin-in-an-8yearold-child-a-case-reportCecilia Young 楊幽幽
Cutaneous Sinus Tract of Dental Origin in an 8-Year-Old Child: A Case Report
Cecilia Young*, TH Tai
General Dental Practitioner, Dental Consultant and Columnist, Physician Pharmacist People Health Magazine, Hong Kong
Routine Office Care, Concepts of Dental AssistingHeatherSeghi
1. The document discusses the daily routines for opening and closing a dental office, including turning on equipment, preparing treatment rooms, and completing administrative tasks.
2. It also covers concepts important for dental assisting such as four-handed dentistry, activity zones when assisting the dentist, and different classifications of motions.
3. Proper ergonomics for the dentist and assistant are emphasized to reduce stress and strain including positioning, stool heights, and limiting more strenuous motions.
The document outlines the key components and goals of a treatment plan, including:
1. A treatment plan is created after diagnosis and prognosis to establish a blueprint for case management including all procedures needed for oral health.
2. The goals are to reconstruct a healthy dentition that meets functional and aesthetic needs, considering long term needs like prosthetics and implants.
3. The master plan coordinates all short and long term goals to create a well-functioning dentition in a healthy environment.
This document discusses dental caries and the management of patients at high risk for caries. It describes the restorative cycle where patients receive repeated restorations due to new caries forming next to existing restorations. Early detection of caries lesions and ongoing risk assessment of patients is important to help prevent disease progression and need for advanced treatment. Factors like diet, oral hygiene, fluoride exposure, and saliva influence caries risk. For high risk patients, treatment planning aims to continually reduce risk and monitor lesions.
The long-term preservation of the dentition is closely associated with the frequency and quality of recall maintenance. The therapist should use risk assessment and educate the patient on the need for periodontal maintenance. Supportive periodontal therapy is a lifetime effort to prevent the disease from recurring. Patients who do not return for supportive periodontal therapy lose more teeth than compliant patients.
The document discusses using a colored treatment plan wax-up to facilitate communication between the dental team and patient. It describes a case where a patient presented with fractured porcelain units and a malocclusion. A treatment plan was developed using orthodontics, provisional restorations, and a full-color wax-up of the proposed definitive restorations. The wax-up allowed the patient to visualize the anticipated results and gave the dental team a template to develop the provisionals and communicate adjustments to the technician. The wax-up enhanced patient understanding and confidence in the treatment plan.
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.
Clinical strategies for complete denture rehabilitation in a patient with par...Iulian Ursu
This document summarizes a case report about the complete denture rehabilitation of a 65-year-old patient with Parkinson's disease. The patient presented with symptoms of Parkinson's like a mask-like face, tremors, and reduced motor control. Special techniques were used during the impression, jaw relation, and denture fabrication processes to account for the patient's physical challenges. These included using quick-setting materials, positioning the patient at 45 degrees, and employing lingualized teeth. Follow-ups were conducted to monitor the denture fit and make corrections. The successful rehabilitation helped improve the patient's nutrition, speech, and psychological well-being.
This document discusses the examination and diagnosis of complete denture patients. It emphasizes the importance of a thorough case history and physical examination. The case history should explore the patient's dental history, medical history, habits, expectations and mental attitude. The physical examination involves both extraoral and intraoral assessment including facial form, profile, symmetry, complexion and lip support. A systematic examination allows for an accurate diagnosis, prognosis, and treatment plan.
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.
Review on Denture Stomatitis : Classification, clinical features and treatment.iosrjce
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.
Introduction to pediatric dentistry 2009(new)drferas2
1. Pediatric dentistry is concerned with dental care and treatment of children, with objectives including relieving pain, restoring function, preventing disease, and modifying child behavior.
2. Common dental diseases in children include baby bottle caries, thumb sucking, trauma, and malocclusion. Treatment involves restorative procedures like fillings, stainless steel crowns, pulpotomy, and extractions when teeth are non-restorable.
3. Elements of comprehensive pediatric dental care include patient records, behavior management, guidance of developing occlusion, and preventive methods like fluoride, sealants, and dietary counseling.
This document describes a case of a patient with microstomia (reduced oral aperture) due to extensive post-surgical facial scarring. Standard impression techniques could not be used due to the small mouth opening. The dentists innovatively used impression compound on an articulator bite fork to create a preliminary impression, allowing for complete denture construction. The patient was ultimately satisfied with the functional and aesthetic outcome, though she continues to experience recurring skin cancers. The technique of using a bite fork with compound is recommended for similar microstomia cases where small stock trays do not fit.
The document provides information on orthodontic diagnosis and clinical examination. It discusses examining the patient's age, medical history, dental history, chief complaint, and habits which help in diagnosis and treatment planning. The clinical examination evaluates the skeletal, facial, and occlusal characteristics to determine the cause of malocclusion which can be skeletal, dental, soft tissue, or a combination. This includes assessing the anteroposterior, vertical, and transverse jaw relationships to classify the skeletal pattern and guide orthodontic treatment.
Diagnosis and treatment planning of Removable Partial Denture dwijk
This document discusses the process of examining a patient and developing a treatment plan for a removable partial denture. It covers organizing the initial examination, evaluating medical and dental history, performing diagnostic tests and impressions, and analyzing the data to formulate a treatment plan. The goal is to thoroughly understand the patient's condition and needs to develop a successful treatment.
Estimation of dental treatment need in special care . Mohamed Alkeshan
This document discusses dental treatment considerations for patients with special needs. It notes barriers to care for these patients and ways to improve access, including through hospital outpatient programs, university training programs, and mobile dental units. For treatment, protective stabilization, nitrous oxide, or general anesthesia may be used. Home dental care requires parental assistance. Preventive care like fluoride, sealants, and diet management is important. The document reviews managing specific conditions like intellectual disabilities, Down syndrome, and autism. Overall, it stresses the importance of preventive care and treating special needs patients in general practice when possible.
This document discusses the organization of dental care through division of labor and use of dental auxiliaries. It outlines different roles for non-operating assistants like dental assistants who aid the dentist during procedures, and dental laboratory technicians who perform specialized technical work. Operating roles include dental auxiliaries trained to perform limited procedures under the dentist. Dental hygienists focus on cleaning and prevention work, either publicly or clinically. For underdeveloped areas, it proposes "dental licentiates" with two years training to perform basic procedures, and shorter trained "dental aides" to provide pain relief and refer patients.
The document summarizes dental health programs and the role of school dental health programs. It discusses designing dental health programs for different groups like school children, industrial workers, and the handicapped. School dental health programs aim to provide optimal oral health to students through prevention, screening, treatment, and health education. The duties of school dental health dentists include case finding through various examination and screening methods, referral for treatment, dental health education, follow up, and excusing students for dental treatment. Programs also provide dental care for disadvantaged children who cannot otherwise afford it.
The document describes a case of a 34-year-old woman presenting with symptoms of periodontitis including swollen gums, bleeding gums when brushing, and loss of a tooth. An examination showed poor oral hygiene, plaque, calculus, gingival recession, attachment loss, pus discharge, and bone loss seen on radiographs. [END SUMMARY]
This document discusses diagnosis and treatment planning for removable partial dentures. It begins by defining key terms like diagnosis, treatment planning, and removable partial denture. It emphasizes the importance of a thorough patient interview and medical/dental history to accurately diagnose issues and develop a treatment plan. The document outlines factors to consider in the patient interview and examining the patient's mouth, teeth and bone. It discusses how various medical conditions and medications can impact treatment and the need to consult physicians in some cases.
Motivation and oral hygiene instructionsNuhafadhil
Motivation and oral hygiene instructions are important for preventing dental diseases. Bacterial plaque contributes to dental caries and periodontal diseases, so mechanical removal of plaque through brushing and flossing is necessary. Motivating patients involves educating them about plaque, diseases, and the importance of oral hygiene through demonstrations and ensuring their understanding. Proper oral hygiene includes brushing twice daily, flossing, a healthy diet, using mouthwashes, and regular dental checkups to remove plaque and prevent common dental problems.
This document outlines a continuing education course on dental restorations. The course aims to help dentists gain greater efficiency and success with restorations through the use of new bioactive and regenerative materials. Specific materials and techniques discussed include TheraCal LC liner, Biodentine base, Giomer restorative materials, universal bonding agents, bulk fill composites, and bioactive cements like Ceramir. Indirect restorations using lithium disilicate and zirconia are also covered.
General dentistry an evaluation and adjustment method articleCentric Learning
This document describes a method for using diamond dental strips to standardize the adjustment of proximal contacts of crowns. The method involves abrading the proximal surfaces of adjacent teeth on working models with diamond strips to create space for crowns. Crowns are fabricated to fit this space and their proximal contacts are further adjusted with diamond strips. When cementing the crown, a diamond strip is used to evaluate and adjust any tight proximal contacts to achieve equal resistance, replicating natural dentition. This provides consistent, accurate adjustments and ensures patient comfort upon crown seating.
This document discusses preventing anterior open bites. It focuses on maintaining proper tongue posture and swallowing habits to prevent the teeth from shifting forward over time. Early intervention and orthodontic treatment can help correct developing malocclusions and misalignments to avoid future dental issues.
This document provides instructions for dentists on taking impressions and ordering a digital denture through the Pala Digital process. It involves taking an impression of the patient's mouth, recording bite information, and sending the impression to a partner lab. The lab will use 3D modeling software to analyze anatomical landmarks in the impression and automatically generate a 3D model. This model is used to 3D print a prototype try-in denture for the dentist to check fit and function before the final 3D-designed and printed denture is produced.
The document describes Pala Digital Dentures, a new digital denture solution that uses 3D modeling to increase precision and efficiency. It outlines the doctor and lab processes, including taking an impression, selecting teeth and occlusion, and using 3D software and printing to model and create a try-in denture. The goal is to test the quality, fit, and processing through a lab partner before full release to provide a cost-effective digital solution for practices and labs.
This document provides instructions for making impressions and records for complete and single arch dentures using the Paladigital denture system. It describes the process of making maxillary and mandibular impressions, recording the vertical dimension and centric relation, and capturing the bite registration. The document emphasizes proper border molding during impressions and firmly holding the lower tray during bite registration to ensure accurate records.
Dr. Antonino Secchi will be giving a lecture on the Complete Clinical Orthodontics (CCO) system on October 17, 2014 at the Doubletree by Hilton Denver Tech hotel. The CCO is a comprehensive orthodontic system that integrates diagnosis, treatment planning, and treatment delivery. It draws from many orthodontic principles and techniques and creates a unified approach. The lecture will explore the CCO treatment mechanics, rationale, bracket placement, treatment stages, anchorage solutions, and optimal finishing. Registration information is provided.
This document provides information about an upcoming orthodontics lecture by Dr. Ben Burris at the Gold Strike Casino Resort on November 14, 2014. Dr. Burris is an expert in orthodontics and practice management who will teach attendees how to differentiate their practice from competitors and engage with their community to grow their business. The lecture will run from 9:00 am to 5:00 pm and provide 6.5 continuing education credits for doctors. Attendees can register online or by phone.
The document is the December 2012/January 2013 issue of the Journal of the Irish Dental Association. It includes the following high-level information:
1) Two surveys conducted for the IDA found that since 2010, there has been an increase in the number of patients presenting in pain (77%), dental emergencies (88%), and extractions (93%) due to cuts to state dental schemes.
2) The newly elected President of the IDA's HSE Dental Surgeons Group, Dr. Padraig Halvey, notes that young teenagers have high rates of dental disease but are not receiving adequate treatment from the Public Dental Service due to lack of resources.
3) Professor John Clarkson of
The document discusses a risk-based approach to periodontal treatment planning and management. It advocates assessing patient, tooth, and site-specific risk factors to determine the appropriate level of treatment. These include factors like smoking, diabetes, probing depths, bleeding, inflammation, root anatomy, tooth function and importance. The approach aims to more aggressively treat high risk patients and sites in order to better resolve inflammation and prevent further tissue destruction and systemic impacts. Multiple debridement methods and more frequent maintenance are suggested for higher risk cases to maximize the chances of controlling inflammation.
This document outlines the rules for a marketing research sweepstakes conducted by Catapult Group, LLC. Entrants must complete a survey by August 31, 2014 for a chance to win a $50 Amazon gift card. One winner will be randomly selected and notified between August 1-31. The sweepstakes is only open to legal US residents over 18. Employees of Catapult Group and their families are not eligible.
This document summarizes a study that tested and compared the beam divergence, depth of cure, tip temperature, and human physiological response to heat from several LED curing lights. Key findings include:
1) The Demi Ultra had one of the most collimated beams and provided depth of cure comparable to other lights.
2) The Demi Ultra and Bluephase Style had among the lowest maximum tip temperatures, especially for exposures of 5-10 seconds.
3) The Demi Ultra and Valo Cordless did not cause pain at their standard settings of 5-10 seconds, while other lights did cause pain at higher intensity settings or longer exposures.
4) While thermocouples provide relative
Demi ultra rt deck may 2014 under curing and cure technologyCentric Learning
This document discusses dental curing and C.U.R.E. technology. It addresses common problems with undercuring restorations and the consequences. C.U.R.E. technology aims to provide uniform curing and reduce energy use to fully cure restorations without excess heat. Key benefits discussed include improved collimation, more uniform light distribution, less heat at the curing tip and pulp, and increased depth of cure. The document argues that a focused blue light spectrum is most efficient for curing the vast majority of composite materials that use camphorquinone as the primary photoinitiator.
This document provides information about an upcoming orthodontic mechanics course. The objective of the course is to teach practitioners a mechanic system that will improve clinical success and reduce stress. The course schedule is then outlined, providing times for registration, lectures, techniques application, lunch, and conclusion. Biographical information is included about the course instructor, Dr. Theodore D. Freeland, including his education, teaching experience, certifications, publications, and international lecturing. Registration fees and CE credit information are also listed.
This course aims to teach dentists about using lingual orthodontics to treat minor anterior misalignments and grow their practice. Attendees will learn case selection criteria and techniques for placing self-ligating lingual appliances. The course consists of lectures on topics like lingual orthodontics versus clear aligners and economic advantages, as well as hands-on demonstrations and a practical session. It provides 6.5 hours of CE credits and will take place in September in San Francisco and October in Birmingham.
The South Carolina Academy of General Dentistry invites attendees to their 2014 Annual Meeting. The Friday featured program will focus on creating a busier, better, and blissful dental practice with speakers Dr. Lou Graham, Dr. Jack Griffin, and Dr. Ron Kaminer. Additional programs on Thursday and Saturday will cover simplifying restoration choices, bonding, and cementation with Drs. Griffin and Graham. Dr. Kaminer and Dr. Jeffrey Horowitz will also present on developing skills for dental teams and using technology to treat sleep apnea.
Article shipley increasing rate of aligner progressionCentric Learning
The document discusses using Propel to increase the rate of clear aligner progression by stimulating bone remodeling. Propel involves creating micro-osteoperforations (MOPs) using a FDA-registered device. This was used on a patient with mild malocclusion requiring 43 aligners over 2 weeks each. After 6 weeks, Propel was used and aligner progression increased to 3 days each. Aligners continued to track well and treatment was reduced to 23 weeks, avoiding refinement aligners. Propel successfully increased bone remodeling and reduced overall treatment time by over 70% compared to standard aligner progression.
Article teixeira effects of micro-osteoperforationCentric Learning
1. The study examined the effect of micro-osteoperforations (MOPs) on the rate of tooth movement in 20 patients undergoing orthodontic treatment.
2. The experimental group received MOPs on one side of the maxilla prior to canine retraction, while the control group did not receive MOPs.
3. MOPs significantly increased the rate of tooth movement by 2.3-fold and increased inflammatory marker levels. Patients did not report significant pain from the procedure.
Given the criteria Lou uses to evaluate new dental products, Ceramir cement by Doxa is a "game changer" that outperforms other cements. It provides a long-lasting, permanent seal that inhibits caries and plaque, has no microleakage or shrinkage, and is biocompatible and easy to use. Lou has cemented over 2000 crowns with Ceramir and found it superior to other cements due to its ability to create hydroxyapatite crystals, thin film thickness, and simple 4-step application process. Ceramir also allows for easier removal of cemented crowns if needed in the future compared to resin cements.
1. Article! Dipak, Freeland1
Periodontics in Orthodontics
January 26, 2013
Introduction:
The field of dentistry has seen significant advances in recent years and
orthodontics is no exception. But the issue of oral hygiene in orthodontics
has remained a perplexing problem.
Patients seek orthodontic treatment mostly for esthetics issue even if
they have functional occlusal problems. The orthodontist and parent or pa-
tient invests time, material, expense and expertise to achieve beautiful
smiles. When the day for appliance removal is finally reached, everyone
from patients, families, and the treating orthodontist and staff are excited.
However, this euphoria is short lived when noticeable decalcification, in the
form of white/brown spots, resulting from poor oral hygiene during treat-
ment ruin the esthetic value of the case. (Figure 1)
Figure 1 Decalcification and
gingival infection post
treatment
2. Article! Dipak, Freeland2
Patients find it difficult to brush and floss around orthodontic appliances.
This leads to a reduction in oral hygiene that results in an increased risk for
developing decalcification, decay and gingival infections. The severity of
the resultant dental caries can range from development of opaque white-
spot lesions (WSL) to the lose of surface integrity of enamel, cavitation and
oral caries and periodontal bone loss. As a profession, we need to focus on
preventive measures and practices to improve oral hygiene and minimize
adverse sequel to the teeth and periodontium.
Orthodontists should be aware of the high risk of WSL and decide at the
patient level whether it is appropriate to start or continue treatment in pa-
tients who are already experiencing enamel demineralization and con-
tinueal gingival inflammation. The risk of developing incipient caries and
gingival lesions during orthodontic treatment should not be underestimated
by orthodontists.
Research indicates that 49.6% of orthodontic patients exhibit enamel
opacities on at least one tooth after orthodontic treatment. There is a sig-
nificant risk that 1 in every 10 bonded teeth is likely to have post-treatment
white spots with the incidence in banded teeth being slightly more at 1 in 9
3. Article! Dipak, Freeland3
teeth. A significant increase in incidence, prevalence and severity of
enamel opacities following orthodontic treatment has also been reported in
the same study. 1
A number of factors are responsible and the authors have attempted to
highlight a few and discuss them.
Factor One: Pretreatment patient assessment
At the initial exam the doctor should perform a complete periodontal
exam that assess the health of the periodontium and the patients oral hy-
giene. If the oral exam shows plaque accumulation and gingival bleeding
then this patient should not be considered for orthodontic treatment until
the gingival tissues are completely healthy. Figure 2
Figure 2: An example of poor
oral hygiene pretreatment.
This type of patient should
not be treated until the gingi-
val problems are rectified.
4. Article! Dipak, Freeland4
Factor Two: How to identify oral hygiene problem patients
With the tooth brush the doctor places the bristles into the sulcus area in
the anterior and posterior areas. If bleeding occurs then there is a hygiene
problem. (Figure 3)
Figure 3: A toothbrush is used in
place of a periodontal probe. This
way the parent/patient can not ac-
cuse the practitioner of cutting the
gums.
Factor Three: How to improve patients oral hygiene.
At this time a preventive dental program should be introduced. If the pa-
tient still shows gingival bleeding after the program then he/she should not
be placed in orthodontic treatment. This program should be designed to
5. Article! Dipak, Freeland5
enhance the diagnosis so the Doctor and patient can discover the oral hy-
giene problems together.
The preventive program has five parts. The first two appointments are 1
week apart and the proper techniques for oral hygiene are taught and re-
viewed. The next three appointments should show complete gingival health
over a 3 months period. If this is not the case then orthodontic treatment
should be withheld from this individual. It is the responsibility of the ortho-
dontist to withhold treatment because if the patient will not take of the teeth
and gums before treatment there oral hygiene will not improve during
treatment. 2
A close relationship with the referring dentist and his hygiene staff will
facilitate the efforts of the orthodontist. Making sure the patient sees the
dentist/hygienist more often may help reinforce the orthodontist efforts to
obtain a disease free mouth.
6. Article! Dipak, Freeland6
Factor four: Oral hygiene problems during appliance therapy (Fig 5)
Figure 5: The appliance system
does increase the oral hygiene
problems.
Once treatment begins the orthodontist is responsible for proper instruc-
tion on how to managed the hygiene issues created by the appliances.
The proper use of the brush and floss should be demonstrated by the doc-
tor. If the doctor spends the time it will impresses on the parent/patient the
importance of oral hygiene. 3
(Figure 6,7)
Figure 6: Flossing should
be demonstrated. Espe-
cially how the patient
gets the floss into the
sulcus.
7. Article! Dipak, Freeland7
Figure 7: Brushing
needs to be taught.
The demonstration
should include how
to get the bristles
into the sulcus.
The doctor should create an appliance environment that enhances the
patients ability to care for the gingiva and enamel. All flash from bonding
and banding should be removed. The use of sealants, such as Proseal, as
part of the bonding procedure should be instituted. The bonding system
should contain fluoride. The use of mechanics systems and retention sys-
tems that make it difficult to clean should be avoided. In the light of the pa-
tients past oral hygiene issues during appliance therapy, bonded retainers,
should be avoided. As bonded retainers are placed “invisibly on the lingual
tooth surfaces, patients’ acceptance is evident. This practice may lead to
the development of carious lesions, favor the formation of plaque and cal-
culus around the mandibular retainers, compared to the maxilla.7
8. Article! Dipak, Freeland8
Zacchrisson, 4 one of the pioneers in the field of bonded lingual retain-
ers, stressed the importance of daily interproximal cleaning with dental
floss. Despite optimal oral hygiene instructions, calculus formed to a
greater extent on the lingual surfaces of the incisors with bonded retainers,
compared with incisors without bonded retainers. 7
The patient is responsible for the care of the teeth and gingival tissues.
if all efforts have failed and the oral hygiene does not improve then the or-
thodontist should consider terminating treatment. Even if it is unilateral de-
cision on the orthodontist part:
Jerrold 6 explains that the doctor-patient relationship is bilateral and
consensually based. He further elaborates that once in existence, this rela-
tionship can be dissolved in 5 ways: (1) both parties agree to end it (a
common example is when the patient is relocating: (2) The patient’s condi-
tion is cured, and no further treatment is required: (3) the doctor or patient
dies: (4) the patient decides to unilaterally terminate the relationship; or (5),
the doctor decides to unilaterally terminate the relationship.
Jerrold further elaborates by suggesting that the doctor can unilaterally
terminate the relationship if the patient breaches at least 1 of the 5 duties
owed to the practitioner under the contract that comprises the doctor-
9. Article! Dipak, Freeland9
patient relationship: (1) the patient is not following the doctor’s instructions
regarding treatment and thus is jeopardizing his own treatment; (2) the pa-
tient is not keeping appointments, thus causing interruptions in the continu-
ity of care, not to mention the interference with the business aspect of the
doctor’s practice: (3) the patient is not being truthful or forthcoming regard-
ing necessary administrative inquires(e.g. his medical history, information
about those financially responsible for his care, his degree of cooperation,
signs and symptoms of problems, and so on); (4) the patient is not con-
forming to accepted modes of behavior (he is belligerent or abusive to the
doctor or his staff,m or is crating a hostile or unhealthy environment in the
office; and (5) the patient is not paying for services rendered. 6 (Figure 8)
Figure 8: A case
where the patient
would not follow oral
hygiene program so
treatment was dis-
continued.
In all fairness to the patient, some patients will exhibit gingival swelling in
response to the appliances during treatment. It begins within a couple of
10. Article! Dipak, Freeland10
months after placement of the appliances. Fixed appliances predispose
plaque accumulation and colonization of bacteria. When gingival tissues
are enlarged, the tooth surfaces/bracket tooth interface become difficult to
access, inhibiting good oral hygiene and resulting in an increase in inflam-
mation and bleeding. The interruption of orthodontic treatment is often ad-
vised when gingival enlargement is diagnosed. The temporary removal of
the irritating factors such as attachments and appliances, debridement,
chlorhexidine prophylaxis, and in some patients, surgical intervention as as
flap/laser surgery, to restore the contour of the enlarged gingival tissues,
can facilitate adequate oral hygiene during subsequent orthodontic treat-
ment. 4
Conclusion:
The benefits to the practice are enhanced in many ways by having all
patients gingiva disease free while under the orthodontic care. Increased
patient referrals will occur because their cases are finished on time with a
beautiful smile that is enhanced by healthy gingival tissues and teeth free
of decalcification. 5 Increased referrals from the dental profession will occur
when their patients are being well taken care of while in the orthodontist
11. Article! Dipak, Freeland11
practice. A study on marketing forces failed to discern or ascertain the
degree/depth of the emotional connection created between the orthodontist
and patient. 5 This doctor patient relationship is the most important aspect
in finishing cases with healthy gingival tissues and free of decalcification.
The patient/parent will differentiate services offered by different prac-
tices. They will choose the practice that develops the bonds necessary to
create the healthy oral environment. This will enhance the patient satisfac-
tion at the end of treatment. Even if the cases are walk-in/google/patients
referral cases, because we will be judged by the general dentists at the oral
hygiene appointments.
Other benefits to the practice are on time finishes. A healthy oral envi-
ronment always finish on time. The esthetic value is always present so at
post treatment consultations the parents/patients are most willing to refer
their friends to your practice. The time spent trying to improve oral health is
one of the best practice building technique. Better then all the marketing
techniques combined. (Figure 9)
12. Article! Dipak, Freeland12
Figure 9: Completed case where the
patient followed the oral hygiene pro-
tocol. Not only did she finish ahead of
time she finished with a great smile.
References:
1. Gorelick
2. Barkley RF. Successful Preventive Dental Practice Amazon
3. Yeung
4. Zachrison
5. Beckwith
6. Jerrold
7. Orsborn
Authors:
Dr Dipak
Dr Ted Freeland DDS, MS Past adjunct professor University of De-
troit orthodontic department. Twice Board certified, Director
Advanced Education in Orthodontics. Private Practice.