This document discusses the process and effects of intracoronal bleaching. It involves placing bleaching agents such as superoxol and sodium perborate into the tooth chamber. The bleaching solution is then heated using a bleaching stick or light curing unit and repeated until the desired color is achieved. Some potential side effects include tooth sensitivity, effects on enamel and the pulp, decreased bond strength of composites, and toxicity from ingesting high concentrations of hydrogen peroxide.
Introduction
History
Bleaching agent
Classification of Bleaching technique.
Vital bleaching technique
Effect of vital bleaching on tooth structure
Effect of vital bleaching on tetracycline stain
Effect of vital bleaching on Fluorosis stain
Effect of vital bleaching on restorative material
Conclusion
References
Presentation about Internal, or non-vital bleaching, will updated more in the future hopefully.
This presentation aims to introduce basic principles, agents, and other details of internal bleaching, as it is one of the ways to achieve the conservative approach in modern dental care.
Introduction
History
Bleaching agent
Classification of Bleaching technique.
Vital bleaching technique
Effect of vital bleaching on tooth structure
Effect of vital bleaching on tetracycline stain
Effect of vital bleaching on Fluorosis stain
Effect of vital bleaching on restorative material
Conclusion
References
Presentation about Internal, or non-vital bleaching, will updated more in the future hopefully.
This presentation aims to introduce basic principles, agents, and other details of internal bleaching, as it is one of the ways to achieve the conservative approach in modern dental care.
A presentation on the instructions to be given to complete denture patients at the insertion appointment. Dealing with patients can be hard at times but with a proper approach, a strong rapport can be formed with the patient.
An inlay may cap none, or may cap all but one cusp.
Sturdevant’s 4th ed. page579
Inlays may be used as single-tooth restorations for proximo-occlusal or gingival lesions with minimal to moderate extensions
Shillingburg page 1
An inlay may be defined as a restoration which has been constructed out of mouth from gold, porcelain, or other material & then cemented into the prepared cavity of a tooth.
William McGehee pg410
A concise and brief presentation on cleaning and shaping of root canals. Colorful and well pictured. Ideal for UG students and PG students to get a good understanding of BMP techniques.
In this lecture I explain the basic concept of root canal filling or what called obturation. The lectures discuss different techniques used in that matter in step-by-step fashion and explanatory pictures.
It is directed to the level of undergraduate mind.
This short presentation discuss very important subject in endodontic field, which is the complications that most commonly occur during root canal treatment, like sodium hypochlorite accident and air emphysema and others. management of these complications is also discussed.
A presentation on the instructions to be given to complete denture patients at the insertion appointment. Dealing with patients can be hard at times but with a proper approach, a strong rapport can be formed with the patient.
An inlay may cap none, or may cap all but one cusp.
Sturdevant’s 4th ed. page579
Inlays may be used as single-tooth restorations for proximo-occlusal or gingival lesions with minimal to moderate extensions
Shillingburg page 1
An inlay may be defined as a restoration which has been constructed out of mouth from gold, porcelain, or other material & then cemented into the prepared cavity of a tooth.
William McGehee pg410
A concise and brief presentation on cleaning and shaping of root canals. Colorful and well pictured. Ideal for UG students and PG students to get a good understanding of BMP techniques.
In this lecture I explain the basic concept of root canal filling or what called obturation. The lectures discuss different techniques used in that matter in step-by-step fashion and explanatory pictures.
It is directed to the level of undergraduate mind.
This short presentation discuss very important subject in endodontic field, which is the complications that most commonly occur during root canal treatment, like sodium hypochlorite accident and air emphysema and others. management of these complications is also discussed.
Tooth discolouration is defined as “any change in the hue, colour, or translucency of a tooth due to any cause; restorative filling materials, drugs (both topical and systemic), pulpal necrosis, or haemorrhage may be responsible.”
• Discoloration of the tooth is one of the most frequent reasons why a patient seeks dental care. Tooth discoloration is usually aesthetically displeasing and psychologically traumatizing.
• Dental aesthetics, especially tooth colour, is of great importance to majority of the people; and discolouration of even a single tooth can negatively influence the quality of life.
• An understanding of the etiology of tooth discoloration is important to a dentist in order to make the correct diagnosis. The knowledge of the cause of discoloration will also help the dental practitioner to explain the exact nature of the condition to the patient. Treatment options include vital and non-vital bleaching, microabrasion, composite and porcelain veneers, and porcelain crowns. Sometimes these treatments are combined for a more successful outcome.
DIRECT PARTIAL VENEERS: • Small localized intrinsic discolouration or defects that are surrounded by healthy enamel are ideally treated with direct partial veneers. • The outline form is dictated solely by the extent of the defect and should include all discoloured areas. • Clinician should use coarse, elliptical or round diamond instrument with air water coolant to prepare the tooth to a depth of about 0.5 to 0.75 mm. • After preparation, etching and restoration followed by finishing is performed. • Use of an opaquing agent for masking dark stains can be employed.
• DIRECT FULL VENEERS: • Cases where along with correction of discolouration, diastema closure or any other tooth form defect is also to be corrected, full veneer is an good option. • After teeth are cleaned and a shade is selected the area is isolated with cotton rolls and retraction cords. • The window preparation is made to a depth roughly equivalent to half the thickness of the facial enamel, ranging from approx 0.5-0.75 mm mid-facially and tapering down to a depth of about 0.2-0.5 mm along the gingival margins, depending on the thickness of enamel. • A heavy chamfer finish line at the level of the gingival margins, or crest provides a definite preparation margin for subsequent finishing procedures.
When appropriately utilised, vital bleaching can be a successful, predictable, minimally invasive and safe way to improve the overall aesthetics of an individual’s smile
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.
DENTIN HYPERSENSITIVITY - ETIOLOGY, DIAGNOSIS AND TREATMENTDr.Shraddha Kode
Dentinal Hypersensitivity is a common clinical condition which is sharp in character and of short duration in response to stimuli. It is associated with exposed dentin surfaces. This presentation provides a brief overview - its etiology, diagnosis and treatment.
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.
What are Vascular Anomalies?
Hemangioma
Rendu Osler Weber Disease
Sturge Weber syndrome
Lymphangioma
Cystic Hygroma
Hemangiomas: lesions demonstrating endothelial hyperplasia.
Vascular Malformations : lesions with normal endothelial turnover.
A hemangioma is a benign and usually self-involuting tumor of the endothelial cells that line blood vessels, and is characterised by increased number of normal or abnormal vessels filled with blood.
May be present at Birth or arise during early childhood.
At the End oF this Discussion we will be able to Describe
Which are the Diseases Of the Lips??
Swelling?
Generalized
Localized
Angular Cheilitis?
Lip Fissures?
Allergic Cheilitis?
Actinic cheilitis?
Exfoliative
Perioral Dermatitis?
Lick Eczema?
Cheilocandidiosis
Dr. ShahzaD Hussain
BDS, FCPS(r)
Oral & Maxillofacial Surgery
Nishtar Institute Of Dentistry, Multan
SNDENTALCARE.CO
DR. SHAHZAD HUSSAIN
BDS, FCPS(Resident)
Nishtar institute of Dentistry, Multan
SNDENTALCARE.CO
CASE PRESENTATION OF A 30 YEAR FEMALE PATIENT WITH av MALFORMATION. THE CASE INCLUDES ALL THE DATA OF THE PATIENT RELEVANT WITH AV MALFORMATION.
Zygoma: Strong buttress of lateral midface lying between zygomatic process of frontal bone and maxilla.
The high incidence of zygomatic complex fracture relates to its prominent position within the facial skeleton.
Orthodontic emergencies
food caught between teeth
loose wire or ligature
ligature come off
Discomfort
mouth sores
irritation in mouth
protruding wire
loose brackets
trauma to face
jaw fracture
loose ligature
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Hot Selling Organic intermediates
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)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
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.
Key Topics:
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:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. Isolate the tooth to be bleached using rubber dam
Place bleaching agent (superoxol )and sodium
perborate separately or in combination) in the tooth
chamber
Heat the bleaching solution using bleaching stick/light
curing unit
Repeat the procedure till the desired tooth color is
achieved
Wash the tooth with water and seal the chamber using
dry cotton and temporary restorations
Recall the patient after 1 to 3 weeks
Do the permanent restoration of tooth using suitable
composite resins afterwards
3. It involves use of chemical agents within
the coronal portion of an endodontically
treated tooth to remove tooth discoloration.
Indications of Intracoronal Bleaching
• Discolorations of pulp chamber origin
• Moderate to severe tetracycline staining
• Dentin discoloration
• Discolorations not agreeable to extracoronal
bleaching.
4. Contraindications:
• Superficial enamel discoloration
• Defective enamel formation
• Presence of caries
• Unpredictable prognosis of tooth.
5.
6.
7. Walking bleach, A, Internal staining of dentin caused by remnants
of obturating materials (OM) in the chamber as well as by
materials and tissue debris in pulp horns (PH). B, Coronal
restoration is removed completely. C, A protective cement base
(B) is placed over the gutta-pecha. A paste (P) of sodium
perborate and hydrogen peroxide is placed. D, A thick mix of
temporay cement (Z) seals access. E, At a subsequent
8.
9.
10.
11.
12.
13. External root resorption
• Chemical burns if using 30 to 35
percent H2 O2
Decrease bond strength of
composite.
14. This technique achieves power bleaching process with
the help of efficient energy source with minimum side
effects.
Laser whitening gel contains thermally absorbed
crystals, fumes silica and 35 percent hydrogen
peroxide.
In this, gel is applied and is activated by light source
which further activates the crystals present in gel,
allowing dissociation of oxygen and therefore better
penetration into enamel matrix.
Following laser have been approved by FDA for tooth
bleaching:
• Argon laser
• CO2 laser
16. common side effect of external tooth bleaching.
Higher incidences of tooth sensitivity (67% - 78%) are
seen after in office bleaching with hydrogen peroxide in
combination with heat.
The mechanism responsible for external tooth bleaching
though is not fully established,
• but it has been shown that peroxide penetrated enamel, dentin
and pulp.
• This penetration was more in restored teeth than that of intact
teeth.
17. Studies have shown that 10 percent
carbamide peroxide significantly
decreased enamel hardness. But
application of fluoride showed improved
remineralization after bleaching
18. Penetration of bleaching agent into pulp through
enamel and dentin occur resulting in tooth
sensitivity.
Studies have shown that 3 percent solution of
H2O2 can cause:
• Transient reduction in pulpal blood flow
• Occlusion of pulpal blood vessels.
19. Increased surface hardness
Surface roughening and etching
Decrease in tensile strength
Increased microleakage
No significant color change of composite
material itself other than the removal of
extrinsic stains around existing restoration.
20. The acute effects of hydrogen peroxide ingestion
are dependent on the amount and the
concentration of hydrogen peroxide solution
ingested.
The effects are more severe, when higher
concentrations are used.
Signs and symptoms usually seen are ulceration of
the buccal mucosa, esophagus and stomach,
nausea, vomiting, abdominal distention and sore
throat.
It is therefore important to keep syringes with
bleaching agents out of reach of children to
prevent any possible accident.