This document discusses various methods of mechanical plaque control, including toothbrushing, interdental cleaning aids, and oral irrigation. It provides details on the history and types of toothbrushes, proper brushing techniques, and the benefits of powered toothbrushes. Flossing and interdental brushes are described as important tools for cleaning between teeth. Gingival massage and oral irrigation are highlighted as adjuncts for removing plaque and bacteria. The conclusion emphasizes that daily mechanical plaque removal is key to disrupting plaque growth and maintaining oral health.
The concept of a dental home, however, is too new to have been studied as a predictor of oral health.In 1999,Nowak described the term in relation to the desired recurrence of preventive oral health supervisory services as propagated by the American Academy of Pediatric Dentistry.
Success of any dental procedure is determined by a good isolation. Here is a seminar on how to isolate the oral cavity from fluids and maintain a good dry field while working on a patient
The concept of a dental home, however, is too new to have been studied as a predictor of oral health.In 1999,Nowak described the term in relation to the desired recurrence of preventive oral health supervisory services as propagated by the American Academy of Pediatric Dentistry.
Success of any dental procedure is determined by a good isolation. Here is a seminar on how to isolate the oral cavity from fluids and maintain a good dry field while working on a patient
Plaque Control is the most essential step towards maintaining a proper and a healthy Oral Environment.
Also it is the removal of microbial plaque and the prevention of its accumulation on the teeth and adjacent gingival tissues.
It is a detailed description of the various brushing techniques practiced. It is a presentable seminar which is easy to understand. It helped me a lot to learn the technique in detail.
I would like to thank everyone associated with me and this presentation.
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
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
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.
Follow us on: Pinterest
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
2. SYNOPSIS
• THE TOOTH BRUSH
• INTERDENTAL CLEANING AIDS
Dental floss
Wooden or Rubber tips
Interdental brushes
• GINGIVAL MASSAGE
• ORAL IRRIGATION
3. PLAQUE
• Structured , resilient , yellow-
grayish substance that
adheres tenaciously to
intraoral surfaces including
removable and fixed
restorations.
• Mechanical plaque control
is the removal of microbial
plaque and prevention of
accumulation on teeth and
gingival surface by the use
of toothbrush and other
interdental aids.
• Toothbrushes and dental
floss are classified as
medical devices by US FDA
4. MERITS OF MECHANICAL
PLAQUE REMOVAL
• Effective way of treating
and preventing
gingivitisand periodontitis.
• Decreased rate of
formation of calculus.
• Basics procedure of good
oral hygiene maintenance.
• Simplest method ,
performed by any
individual.
• Less time consuming .
6. HISTORY
• In 300-500 B.C - China and India First attempt of
cleaning teeth using abrasives like crushed egg ,
crushed bone and oyesters.
• In 1600 B.C - Chinese used twigs and aromatic species
• In 3500 B.C - Babylonians used chewing sticks known as
"Miswask" or "Siwak"
• In 1600 A.D - Chinese -first tuted bristle brush
• In 1857 - Patent of toothbrush first credited to
H.N.Wardsworth, United States -HOG BRISTLE - high price
8. TYPES OF TOOTH BRUSH
ACCORDING TO
USE :
• Manual
• Electical
• Interdental
TYPE OF HANDLE :
• Non slip grip - straight
• Flexible neck
SHAPE OF HEAD
• Tapered
• Rectangular
STYLE OF BRISTLE
• Rippled
• Flat
• Dome shaped
BRISTLES
• Soft
• Medium
• Hard
9. TOOTHBRUSH
SPECIFICATION - ADA
• Brush length : 1-1.25 inches
• Brush width : 5/16 -3/8 inches
• 2-4 rows
• 5-12 tufts per row
• Surface area : 25.4 - 31.6mm long
10. BRISTLES
• Natural or artificial
• Unitufted or multitufted
• The cleaning perfomance of a toothbrush is influenced
by its degree of hardness.Use of hard bristles is
associated with more gingival recession.
• Bristle hardness is proportional to square of diameter
Soft brush - 0.2mm
Medium brush - 0.3mm
Hard brush -0.4mm
Ultra soft - 0.075mm
11. BRISTLE PATTERNS
BLOCK PATTERN
V -SHAPED PATTERN-gives
better contact to adjacent
teeth
MULTI LEVEL TRIM PATTERN-
Reaches difficult ares
CRISS-CROSS PATTERN - lifts
up plaque easily
POLISHING CUP BRISTLES-
removes stains easily
13. BRUSHING TECHNIQUE
The Bass or Sulcus cleaning method
Modified Bass technique
Modified stillmans technique
Fones or scrub method
Vertical or LEONARDS method
Charter's method
The roll technique
Physiologic or Smith method
14. The BASS Method
Position the filaments up towards the root
at 45* angle to the teeth.
Place the brush with the filament tips
directed into the gingival sulcus.
Use a vibratory stroke , brush back
and forth - short strokes for count of
ten
Reposition to next group of teeth.
INDICATION :
For open proximal areas
Cleaning of cervical ares beneath the
height of contour of enamel
15. STILLMANS METHOD
Same stroke as bass .
Same angle 45*
Filaments are placed half in
sulcus and half on gingiva.
INDICATIONS :
Gingival recession
to clean large embrasures
remove plaque from
cervical regions
16. The CHARTER'S Method
Position the filaments towards
the chewing surface of the
tooth.
Place the sides of the filaments
against the enamel and angle
them at 45* to the tooth.
Vibrate the filaments gently but
firmly,keeping the filaments
against the tooth
Reposition to next teeth.
INDICATIONS :
Effective cleaning of
interproximal areas in fixed
prosthodontic appliance and
orthodontic appliance
17. The ROLL Method
Direct the filaments towards the root of the
tooth
Place side of the brush on the gingiva and
plastic part with the tooth
When plastic portion is with tooth , press the
filaments against the gingiva and roll the
brush over the teeth.
The wrist is turned slightly and the filaments
follow the contour of the teeth.
INDICATIONS :
Used mostly in addition to other technique
18. TOOTH BRUSHING
OUTCOME DEPENDS ON
• The design of the
toothbrush
• The frequency of brushing
• Duration of brushing
• The skill of the individual.
19. TOOTH BRUSH
REPLACEMENT
• Tooth brush should be
replaced when first sign of
filament is worn.
• Average life 2-3 months
• Newer brush are more
effective in removing
plaque
20. POWERED TOOTHBRUSH
• Mimics back and forth
tooth brushing technique
• Invented in 1939
• Removes plaque in shorter
duration.
• Has better plaque removal
efficiency.
USES :
Can be used in children ,
handicapped patints ,
hospitalized patients.
Patients with orthodontic
appliances
Personal preference
Patient lacking motor skills
21. SONIC POWERED TOOTH
BRUSH
• PRODUCES HIGH
FREQUENCY VIBRATIONS
• Follows phenomenon of
cavitation and acoustic
microstreamung
• Aids in stain removal and
distruption of bacterial cell
wall
23. TOOTH BRUSHING
MISTAKES
• Pick the right tool
• Give it time
• Try not to over do it
• Make your technique
flawless
• Pick products wisely
• Change the tool frequently
24. SITUATION INTERDENTAL CLEANING METHOD
Intact interdental papilla Dental floss or woodstick
Moderate papillary recession , slight open
interdental space
Dental floss, woodstick or interdental
brush
Complete loss of papilla , wide open
interdental space
Complete loss of papilla , wide open
interdental space
Wide embrasure space , Diastema ,
furcation or posterior surface of the most
distal molar
Single tufted or end tufted brush
25. DENTAL FLOSS
• FREQUENTLY RECOMMENDED
TECHNIQUE
• LEVI SPEAR PARMLY from New
Orleans , dentist inventor of
modern dental floss.
• Unwaxed dental floss
recommended for patients with
normal tooth contacts
• Waxed dental floss - tight tooth
contact
• Powered floss - with special
handle - No significant
difference in plauqe removal
but preferred by patients due to
ease of use.
26. Take a 20-25cm long floss
Hold the ends of the floss together
27. Make a small loop around the tip of
the forefinger
Pass the ends of the floss thrugh
the loop
Make a knot
28. Use thumb and forefinger of both hands
to hold the floss.
use sawing motion to slide into the
interdental space.
Wrap around one tooth , make C
shape , gently pull down to the
deepest part of the gingival sulcus
Slide it up and down
29. Wrap around the adjacent tooth and repeat up and
down motion
Clean adjacent tiith surfaces in similar way
30. PURPOSE
• To remove plaque and
food lodged between
teeth.
• For ideal plaque control ,
brushing should be
supplemented with aids
that assist in cleaning
interproximal surfaces
31. WOOD STICKS
• Earliest habit - toothpicks
• Triangular wedge sticks are
more superior inplaque
removal
• Unlike floss , they can be
used on concave surface of
tooth root
32. INTERDENTAL TIP
• Conical or pyramidal
flexible rubber tip attached
to handle.
• Trace along the gingival
margin (1-2mm) below
• Indicated for biofilm
removal at or just below
gingival margin
• For clearing debris from
interdental areas.
33. INTERDENTAL BRUSHES
• Introduced in 1960s ,
alternative to woodsticks
• effective in plaque removal
from proximal tooth
surfaces.
• Recommended ideally for
periodontitis patients.
• Uncomfort for sensitive root
surfaces
• INDICATIONS
proximal tooth surfaces ,
orthodontic appliances
fixed prosthesis ,
periodontal splints
Exposed class IV
34. SINGLE TUFTED BRUSH
• Designed with smaller brush
heads
• Tuft is 3-6mm diameter
• Handle is straight or contra
angled.
• Angulated handles are more
easier to access palatal and
lingual surfaces.
• Filaments are directed into the
required area and activated
with rotation motion.
• Their design permits access to
eventipped , rotated or
displaced tooth. Also
effectively cleans Fixed
dentures ,
orthodonticappliances.
35. GINGIVAL MASSAGE
• Massaging with toothbrush or interdental aids produces
• Epithelial thickening
• Increased keratinization
• Increased mitotic activity
36. ADJUNCTIVE AID -ORAL
IRRIGATION
• Primary purpose of irrigation-nonspecifically
reduce the bacteria & their byproducts that lead
to initiation or progression of the periodontal
disease
• SUPRAGINGIVAL IRRIGATION-disruption & dilution
of bacteria and byproducts-treats gingivitis.
• SUBGINGIVAL IRRIGATION-interferes with complex
ecosystem and prevents initiation or further
destruction of periodontium.
37.
38. PROCEDURE OF
IRRIGATION
• HYDROKINETICS AND IRRIGATION FORCES
• Compression and pulsated decompression
phase(displacement of debris)
• Force – 80-90psi
• TIPS CLASSIFICATION –
Composition - Metal & rubber
Angulation - straight & angulated
Uses - Standardised & specialized
39. RAM AND SLOTS
CLASSIFICATION
PERSONALLY APPLIED(in patient home selfcare)
A . Non-sustained subgingival drug delivery(home
oral irrigation)
B. Sustained subgingival drug delivery(not
developed)
2.PROFESSIONALLY APPLIED(in dental office)
A. Non-sustained subgingival drug
delivery(professional pocket irrigation)
B. Sustained subgingival drug delivery
40. PERSONALLY APPLIED
• Employed in supragingival
irrigation
• Can be power or non
power driven
• Available with
interchangeble tips
• Easy to use
• Performed by any individual
. No clinical setup required
42. MERITS
• Permits patient to participate in maintaining their oral
health
• Importent role in treatment of ginigivits
• Adjunct to conventional therapy
• Study by STABHOLTZ ET AL has shown 5 % root
substantivity with tetracycline hcl , compared to 0.12 %
chlorhexidine for 12 days
43. CONCLUSION
• A cleaning device must be
used effectively on a daily
basis to distrupt regular
plaque growth
• Effective plaque control
can be achieved by right
choice of correct
armanterium for a specific
individual
• It is the dental professions
responsibility to educate
home regimen to improve
compliance and meet the
needs of even special
patient .