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
A number of theories have been put forward for impressions. each having its own advantage and disadvantage.
Different spacers guide and aid in in making the desired impression with adequate pressure in the desired region of the arch in maxilla and mandible. different materials are used for spacers depending on the need.
Border Moulding in Complete Denture Prosthesis ,This Seminar was presented By Dr. Alim Al Razi,DR. Halima Sadia, and Dr. Tahmina Akter at prosthodontics Department ,Dhaka Dental College and Hospital.We tried To cover Full theoretical and practical Information Regarding This Topic.
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
A number of theories have been put forward for impressions. each having its own advantage and disadvantage.
Different spacers guide and aid in in making the desired impression with adequate pressure in the desired region of the arch in maxilla and mandible. different materials are used for spacers depending on the need.
Border Moulding in Complete Denture Prosthesis ,This Seminar was presented By Dr. Alim Al Razi,DR. Halima Sadia, and Dr. Tahmina Akter at prosthodontics Department ,Dhaka Dental College and Hospital.We tried To cover Full theoretical and practical Information Regarding This Topic.
Articulators is a mechanical device which represents the temporo-mandibular joints and jaw members to which maxillary and mandibular casts may be attached.’’
Mean Value Articulator Classification
Classification According to Adjustability of Articulators:
Nonadjustable Articulators:
Semiadjustable Articulators:
Method for determining central occlusion and central jaw.pptxMustafa Al-Ali
Method for determining central occlusion and central jaw ratio. Fixation of dentition in central occlusion using occlusion registers. Devices that reproduce the movements of the lower jaw-occluders, articulators. The principle of working with them.
Mustafa al-ali, 48
Anatomical method
is based on determining the correct configuration of the lower third of the face. Giziand Keller point to the following anatomical features that must be followed:
1 -the lips should move and without tension touch each other all the way and should not be sunken, the circular muscle of the mouth should function normally;
2 -The corners of the mouth should be raised, nasolabialfolds should be clearly expressed. This method is very subjective.
Anatomical method
based on the study of the proportionality of parts of the human body. Harringeninvented a compass that solves the problem of the golden section, freeing the physician from algebraic calculations and geometric constructions. This method is not accurate enough.
State of relative physiological rest
Anatomical and physiological method-is based on the fact that the relative physiological (functional) rest of the mandible is 2-4 mm higher than the height of the central occlusion. First, determine the height of the relative physiological rest (determined by muscle tone, myotaticreflex and passive forces that hold the lower jaw in space, as well as the elasticity and elasticity of the epithelial tissues). This height is measured with a spatula or ruler. Then fit the record blocks, so that the height when closing the blocks was 2-4 mm lower.
–is one of the articulation positions of the lower jaw with minimal activity of the masticatory muscles and complete relaxation of the facial muscles. The tone of the muscles raising and lowering the lower jaw is equivalent
Classification of the ratio of dentition and jaws by professor A.I. Betelman
Group 4 Both jaws lack teeth
The stages of the central relation determining
Devices that reproduce the movements of the lower jaw-occluders
Dental articulators are mechanical instruments that allow you to recreate the relationship of the temporomandibular joint (TMJ) with the jaws, by mounting the upper and lower impression models on the instrument.
The articulator simulates the patient's mandibular movements; providing the static and dynamic relationships in order to observe malocclusions or dysfunctionalities extraorally. Thanks to this, the dentist can study way the treatment guidelines without causing fatigue or discomfort for the patient.
types of dental articulators exist?
Non-adjustable articulators (Class I)
Also known as hinged occluders or hinges, they cannot really be considered articulators, as they are simple support instruments. They only reproduce the static relationship with the mounted model, their advantage is that they are small instruments and allow an easy and quick organisation of the models.
An example of this type of articulator is the quick-fixing ar
Presentation is about dental articulator as design, records required, advantages, disadvantages and movements available for each type. Also some information about face-bow.
This lecture talk about dental articulators;types ;designs ;records ;movement ;advantages ;disadvantages ;face bow
Written by :
montaser adnan
Contacts
Telegram :
@montaseradnan
E-mail :
Montaseradnan1998@gmail.com
UNIVERSITY OF MOSUL/ COLLEGE of dentistry
Articulatorpowerpoint /certified fixed orthodontic courses by Indian dental a...Indian dental academy
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Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
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Articulators in complete dentures by dr. anil goud asiandentalacademyAnil Goud
this ppt give you clear idea of what are different types of articulators are available and they are used. asian dental academy is one of the finest advanced dental education center in india where on patient training will be provided
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
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.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Title: Sense of Taste
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)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
2. DEFINITION
Articulator
is defined as a “mechanical
device which represents the
temporomandibular joints and the jaw
members to which maxillary and
mandibular casts may be attached to
simulate jaw movements” GPT
3. PURPOSE OF AN
ARTICULATOR
To
hold the maxillary and
mandibular casts in a determined
fixed relationship.
To simulate the jaw movements like
opening and closing.
To produce border movements
(extreme lateral and protrusive
movements) and intraborder
movements (within the border
movement) of the teeth similar to
those in the mouth.
4. USES OF AN ARTICULATOR
To diagnose the state of occlusion in both the
natural and artificial dentition.
To plan dental procedures based on the
relationship between opposing natural and
artificial teeth eg; evaluation of the possibility
of balanced occlusion.
To aid in fabrication of restorations and
prosthodontic replacement.
To correct and modify completed restoration.
To arrange artificial teeth.
5. REQUIREMENTS OF AN
ARTICULATOR
Hold cast in correct horizontal relationship.
Hold cast in correct vertical relationship.
Should be easily removable and re-attachable.
Should provide positive anterior vertical stop (incisal
pin).
Should open and close in hinge movement.
Should be made of non corrosive and and rigid
material that resist wear and tear.
Should not be bulky.
Moving part should move without any kind of friction.
Should accept facebow transfer record.
Non-moving part should be of rigid construction.
6. ADVANTAGES
Properly-mounted casts allow the operator to
visualize the patient‟s occlusion, especially from
the lingual view.
Patient cooperation is not a factor when using an
articulator once the appropriate interocclusal
records are obtained from the patient.
Refinement of complete denture occlusion in
mouth is extremely difficult because of shifting
denture bases and resiliency of the supporting
tissue. This difficulty is eliminated when articulators
are used.
Reduce chair time, patient‟s appointment time.
7. LIMITATION
Articulator
may be made of metal or
plastic. Metal articulator show errors in
tooling or errors resulting from metal
fatigue.
The articulator may not exactly simulate
the intraborder and functional
movements of the mandible.
Errors in jaw relation procedures are
reproduced as errors in denture occlusion.
8. CLASSIFICATION
Based
on the theories of occlusion.
Based on the type of inter-occlusal
records used.
Based on the ability to simulate jaw
movement.
Based on the adjustability of the
articulator.
9. ARTICULATOR BASED ON
THEORY OF OCCLUSION:
BONWILL THEORY ARTICULATORS:
Designed by WGA Bonwill.
According to the teeth move in relation to each
other as guided by the condylar and the incisal
guidances.
Also known a the Theory of equilateral triangle
according to which, the distance between the
condyles is equal to the distance between the
condyles and the midpoint of the mandibular
incisors.
Equilateral triangle is formed between the two
condyles and the incisal point.
11. CONICAL THEORY
ARTICULATOR
Proposed by RHE HALL
It proposed that the lower teeth move
over the surfaces of the upper teeth as
over the surface of a cone, generating an
angle of 45degrees with the central axis
of the cone tipped 45 degree to the
occlusal plane.
12. SPHERICAL THEORY
ARTICULATOR
The articulator was devised by G.S Monson.
This theory proposed that lower teeth move
over the surface of the upper teeth as over a
surface of sphere with a diameter of 8 inches.
The center of sphere located in the region of
glabella. The surface of the sphere passed
through the glenoid fossa and along through
articulating eminences.
13. BASED ON TYPES OF RECORDS
USED FOR THEIR ADJUSTMENT
Inter-occlusal record adjustment: articulator
adjusted by some kind of inter-occlusal records.
These records are made of base plate wax,
plaster of Paris, zinc oxide eugenol or cold cure
acrylic.
Graphic record adjustment: graphic records
consist of records of the extreme borders
positions of mandibular movements.
These are capable of accurately reproducing
the
border movement of mandible.
Hinge axis location for adjusting articulators: a
transographic record can be used to record the
accurate location of hinge axis in an articulator.
14. Based on ability to simulate
jaw movement
Class I:
simple articulators capable of accepting
a single static registration.
Only vertical motion possible.
Used in cases of tenative jaw relation.
E.g. slab articulator, Barndoor articulator.
15. Class II
Articulator
which permit horizontal and
vertical motion but they do not orient the
movement to TMJ with a face bow.
Three types
Type a
Type b
Type c
:limited eccentric
motion. E.g. mean
value articulator
: limited eccentric
motion possible
based on theories of
arbitrary motion. E.g.
monsoon‟s and hall‟s
articulator
: limited eccentric
motion possible
based on engraving
records obtained
from the patient. E.g.
house‟s articulator
16. Class III
Permit
horizontal and vertical movements.
Two types:
Type a
Type b
they accept a static
protrusive registration
and they use equivalents
for other types of motion
eg. Hanau h, hanau II
bergstrom articulator.
they accept static lateral
protrusive registration
and they use equivalents
for other types of motion,
eg. Panadent, trubite,
teledyne hanau university
series.
17. Class IV
Articulator
accept three dimensional
dynamic registrations. The are capable of
accurately reproducing the condylar
pathway for each patient.
18. Based on adjustability of the
articulator
Non-adjustable
Semi-adjustable
Fully-adjustable
19. Non adjustable
They
can open and close in a fixed
horizontal axis.
Have a fixed condylar path along which
the condylar ball can be moved to
simulate lateral and protrusive jaw
movement.
20. Semi adjustable
They
have adjustable condylar path,
adjustable lateral condyalr paths,
adjustable insical guide tabls and
adjustable intercondylar distances.
Two types:
Arcon articulator-
Non arcon articulators-
•in this the condylar
element is attached to
the lower member of the
articulator and the
condylar guidance is
attached to the upper
member. This articulator
resembles tmj.
in these, the articulators
have the condylar
element attached to the
lower member. This
articulator is reverse of
the tmj.
21. FULLY ADJUSTABLE ARTICULATOR
Capable of being adjusted to
follow the mandible movement in
all direction.
These articulators have a number of
readings which can be customised
for each patient.
They do not have condylar
guidance.
Instead have receptacles in which
acrylic dough can be contoured to
form a customised condylar and
incisal guidance.
E.g. Stuart instrument
gnathoscope, simulator by E
Granger.
22. MEAN VALUE ARTICULATOR
It is non adjustable articulator.
Designed using fixed dimensions, which are
derived from average distance between the
incisal and condylar guidance of the
population.
Condylar guidance equivalent to glenoid
fossa is attached to the lower member and
condylar element equivalent ot mandibular
condyle is attached to the upper member,
hence it is a non acron articulator.
23. Components of articulator
Upper
Member
Lower Member
Incisal Guide Table
Condylar Guidance
Incisal Pin
24. • Upper member
It is a tringular frame with the base of the
trinagle placed posteriorly.
The apex of triangle contains a provision to
accommodate the incisal pin.
Two condylar elements are seen projecting
on either side of the base of the triangle.
They articulate with the condylar guidance of
the lower member.
The maxillary cast is attached to the upper
member during articulation.
25. • Lower member
L
shaped frame with horizontal and
vertical arm.
The horizontal arm is triangular in shape
and corresponds to the upper member.
The apex of the triangle of the horizontal
arm contains the incisal guide table.
The vertical arm is rectangular containing
the condylar guidance slot at the upper
position.
27. INCISAL GUIDE TABLE
It is defined as „that part of the articulator
which maintians the incisal guide angle‟ GPT.
The incisal guide tabke gives the incisal
guidance of the articulator.
It can be describes as a very short cylindrical
whose upper surface is concave.
The vertical rod should rest on the centre of
the incisal guide table during articulation.
The incisal guide angle is fixed and non
customizable.
28. INCISAL PIN
It helps to keep a fixed distance
between the upper and lower
members at the anterior end.
The vertical rod has a pointed tip,
which should rest on the centre of
the incisal guide table during
articulation.
The tip of the incisal guide pin is
the anterior reference point inthis
articulator.
The incisal egde of the maxiallry
incisors at the midpoint of the
occlusal rim should touch the tip
of the incisal pin during
articulation.