This document provides an overview of topics covered in seminars on case history examination in pediatric dentistry. It discusses various classifications of malocclusion, relationships between teeth, indices for dental caries and plaque, oral habits, and tests used for diagnosis. Malocclusion is classified based on Angle's classification which considers the molar relationship. Other relationships examined include terminal planes, canine relationship, incisal relationship, and midline shift. Indices discussed include plaque index, gingival index, and deft index. Common oral habits like thumb sucking, tongue thrusting, and mouth breathing are explained. Various diagnostic tests and points are provided.
In this lecture I explain in step-by-step fashion the basics of Endodontic Diagnosis: Pulp Vitality Tests. a photo guide is attached to the guide to aid in better understanding of the topic
Gingival Index comes under the chapter of Dental Indices. Gingival Index is used to determine the severity of Gingivits/Gingival Inflammation in a patient.
In this lecture I explain in step-by-step fashion the basics of Endodontic Diagnosis: Pulp Vitality Tests. a photo guide is attached to the guide to aid in better understanding of the topic
Gingival Index comes under the chapter of Dental Indices. Gingival Index is used to determine the severity of Gingivits/Gingival Inflammation in a patient.
Endodontic diagnosis could be a difficult task in most occasions, but with clinical assessment and careful history taking this task would be easier and clearer.
This lecture assembled by Osama Asadi, B.D.S, concentrating at the basic science of diagnosing pulpal and periapical diseases and their differential diagnosis and treatment plan. also endodontic case sheet and review-cases attached to the lecture at the end to help proper understanding of the subject.
In this lecture I explain in step-by-step fashion the basics of Indirect Pulp Capping Procedure. a photo guide is attached to the guide to aid in better understanding of the topic
Endodontic diagnosis could be a difficult task in most occasions, but with clinical assessment and careful history taking this task would be easier and clearer.
This lecture assembled by Osama Asadi, B.D.S, concentrating at the basic science of diagnosing pulpal and periapical diseases and their differential diagnosis and treatment plan. also endodontic case sheet and review-cases attached to the lecture at the end to help proper understanding of the subject.
In this lecture I explain in step-by-step fashion the basics of Indirect Pulp Capping Procedure. a photo guide is attached to the guide to aid in better understanding of the topic
The active supervision of the developing dentition is a responsibility of the pedodontist. Seeing things from the beginning is most advantageous. By making a detailed study of dentition from initiation through eruption till functional occlusion, we may be able to obtain a clear concept of how occlusion develops and how its development can be guided. Knowledge of the normal development of the dentition and an ability to detect deviation from the normal are essential pre-requisites for pedodontic diagnosis and a treatment plan.
Cleft lip
Physical split or separation of two sides of upper lip and appears as narrow opening or gap in skin of upper lip
This separation often extends beyond base of nose and includes bones of upper jaw and/or upper gum
Cleft Palate
congenital fissure or elongated opening in soft and/or hard palate
opening in hard and/or soft palate due to improper union of maxillary process and median nasal process during second month of intrauterine development( GPT-8)
Cleft lip and palate are most common congenital craniofacial anomalies treated by plastic surgeons.
Cleft care - collaborative multidisciplinary team approch
Successful treatment of these children requires technical skill, in-depth knowledge of abnormal anatomy, and appreciation of three-dimensional facial aesthetics
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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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
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.
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
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.
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.
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
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.
2. TOPICS
COVERED IN
THE PREVIOUS
SEMINARS
• Vital Statistics
• Parental history
• Natal and post-natal history
• Past medical history
• Past dental history
• Methods of oral hygiene maintenance
• Diet and Nutrition
• Behaviour examination
• Clinical examination (Local and General)
3. TABLE OF CONTENTS
• Malocclusion
• Terminal planes
• Canine relationship
• Incisal relationship
• Midline shift
• TMJ evaluation
• Arch length
• Eruption sequence
• Tooth numbering systems
• Cross bite
• Indices
• Plaque index
• Gingival index
• deft index
• Oral habits
• Thumb sucking
• Tongue thrusting
• Mouth breathing
4. MALOCCLUSION
• Classification of malocclusion was first given by Edward.H.Angle in 1899.
• The classification was given based on the relationship of the maxillary 1st molar and the buccal groove of the
mandibular first molar.
6. MOLAR RELATIONSHIP
• It is the mesiodistal relationship between the distal surfaces of maxillary and mandibular 2nd deciduous molars.
TERMINAL PLANES
FLUSH
TERMINAL
MESIAL STEP DISTAL STEP
7. • Most favourable relationship to
guide the permanent molars into
class I
• Seen in 74% cases
• This guides the permanent
molars into a class I
relationship(few can move into
half cusp class III and further full
class III as the mandible grows)
• Seen in 14% cases
• Unfavourable relationship as it
guides the permanent molars
into distal occlusion.
• Seen in 10% cases
8. CANINE RELATIONSHIP
CANINE
RELATIONSHIP
CLASS I
RELATION
Mandibular canine
interdigitates in the
embrasures between the
maxillary lateral incisor and
canine
CLASS II
RELATION
Mandibular canine
interdigitates distal to the
embrasure between the
maxillary lateral incisor and
canine
CLASS III
RELATION
Mandibular canine
interdigitates in any other
relation
9. INCISAL RELATIONSHIP
1. OVERJET: Horizontal distance between the lingual aspect of the maxillary incisors and labial aspect
of the mandibular incisors when the teeth are in centric occlusion. Ideally should be 1-2mm.
2. OVERBITE: Distance which the incisal edge of the maxillary incisors overlaps vertically past the
incisal edge of the mandibular incisors. In primary dentition this is measured as 2mm
3. OPEN BITE: Condition where a space exists between the occlusal or incisal surfaces of the maxillary and
mandibular teeth when the mandible is brought into a habitual or centric location.
11. TMJ EVALUATION
• Clinical examination of the temporomandibular joint should include
• History of present illness- onset, course of signs and symptoms
• Past illness history-arthritis, parotitis, ear disorders, muscular disorders, past dental
treatment, trauma, oral habits like bruxism etc. which can be predisposing factors for
his/her condition.
• The examinations carried out are:
1.Inspection
2.Palpation
3.Auscultation
13. Arch length
ARCH LENGTH: Measured from the most labial surface of the primary central incisor to canine and to
primary 2nd molars
Arch length is more than the combined mesio distal width of the teeth present SPACING
Arch length is less than the combined mesio distal width of the teeth present CROWDING
15. CROSS BITE
ANTERIOR CROSSBITE POSTERIOR CROSSBITE
SCISSOR BITE/ BRODIE BITE
Crossbite according to Graber was defined as when 1or more teeth are abnormally malposed bucally
or labially with a reference to the opposing teeth.
SCISSOR BITE: Maxillary posterior teeth
occlude entirely on the buccal aspect of the
mandibular posterior teeth
-Occurs when there is excessive Maxillary width
and narrow mandible.
16. PLAQUE INDEX
• Described by Silness P. and Loe H. in 1964
• This index is unique because it ignores the coronal extent of plaque on the tooth surface area and assesses
only the thickness of the plaque at the gingival area of the tooth.
• Surfaces examined are Distofacial, Facial, Mesiofacial and Lingual surfaces.
• Drawback: Subjectivity in estimating the plaque, therefore only 1 examiner is assigned
INSTRUMENTS
USED
• Mouth mirror
• Dental explorer
17. GINGIVAL INDEX
• Described by Silness P. and Loe H. in 1963
• This index was developed solely or the purpose of assessing the severity of gingivitis and its location in 4
possible areas.
• These are- Disto facial papilla, facial margin, mesio facial papilla and entire lingual gingival margin
INSTRUMENTS
USED
• Mouth mirror
• Dental explorer
• Air drying of
the teeth and
gingiva
18. DEFT INDEX
• The caries index used for primary teeth is same as that used in permanent teeth, except that M
factor is replaced with an E.
• The factors seen in this index are:
• d= Decayed primary teeth
• e= Primary teeth indicated for extraction / extracted due to caries only
• f= Primary teeth with permanent restoration due to caries
INSTRUMENTS
USED
• Mouth mirror
• Shepherd’s
hook explorer
• The index can be measured on the basis of two criteria:
• According to the tooth (deft)
• According to the surface of each tooth (defs)
Maximum score:
deft= 20( max score)
d+e+f for 10 teeth in each
arch
defs=88( max score)
ds+es+fs for 10 teeth in each arch
19. ORAL HABITS
1. THUMB SUCKING:
• Callus formation on the thumb
• Proclination of the maxillary incisors
• Retroclination of the mandibular incisors
• Open bite
• Deep palate
• Increased clinical crown length of maxillary incisors
• Increased lip incompetence
Callus on the thumb Deep palate
Diagnostic points
ETIOLOGY
1. Socio-economic status
2. Working mother
3. Number of siblings
20. TONGUE THRUSTING
• Anterior open bite
• Incompetent lips
• Hyperactive mentalis activity with puckering of chin
• Proclination of anterior teeth
• Constricted arch
• Increased overjet
• Midline diastema
• Posterior cross bite
ETIOLOGY
2. TONGUE THRUSTING DIAGNOSTIC POINTS
• Retained Infantile swallow
• Disruption of sensory control and coordination of
swallowing
• Tongue size (Macroglossia)
21. MOUTH BREATHING
• Adenoid facies
• Lips held wide apart
• Upper lip short
• Chin is receded
• Narrow maxillary area
• Anterior Open bite
ETIOLOGYDIAGNOSTIC POINTS
• Abnormal development of nasal cavities
• Deviated nasal septum
• Localized benign tumour
• Infection/Inflammation of nasal mucosa
(Rhinits/enlarged tonsils)
• Traumatic injuries of the nasal cavity
23. NAIL AND LIP BITING
DIAGNOSTIC POINTS
1. Protrusion of the upper incisors and
retrusion of the lower incisors
2. Muscular imbalance
3. Lingual crowding
DIAGNOSTIC POINTS
1. Crowding
2. Rotation
3. Alteration of the Incisal edges
4. Inflammation of nail bed
24. BIBLIOGRAPHY
Textbook of Pediatric dentistry-3rd Edition –Nikhil Marwah
Orthodontics: Principles and practice- Basavaraj Phulari
Textbook of Paedodontics – Shobha Tondan
Essentials of Preventive and Community Dentistry- Soben Peter
S Narmada, KP Senthil Kumar, S Raja ,Management of mid-line discrepencies: A review Journal of Indian
Academy of Dental Specialist Researchers | Vol. 2 | Issue 2 | Jul-Dec 2015
Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Chapter 163The
Temporomandibular Joint Examination- Roger A. Meyer.