This document provides design principles and guidelines for preparing a Class I dental amalgam cavity. It describes the ideal outline form, extension, occlusal depth, wall contours, and refinement of Class I amalgam preparations. The goals are to remove all infected tooth structure, incorporate contiguous areas at risk of decay, and maintain adequate bulk, retention form, and resistance form in the remaining tooth structure. Internal line angles should be well-defined but not sharp, and cavosurface margins regular, well-defined and supported to optimize the adaptation and integrity of the amalgam restoration.
Indications contraindications and classification of bridges/endodontic coursesIndian dental academy
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Indications contraindications and classification of bridges/endodontic coursesIndian dental academy
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
Indian Dental Academy: will be one of the most relevant and exciting
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implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
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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.
a detailed account of the principles of tooth preparation with main reference from Shillingburg
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The presentation depicts in a very simplified manner the steps of cavity preparation and restoration of class 3 and class 5 composite restoration. It is well supported with illustrations that further provide a better understanding of the topic.
a detailed account of the principles of tooth preparation with main reference from Shillingburg
The presentation is available on request. Mail me at apurvathampi@gmail.com
The presentation depicts in a very simplified manner the steps of cavity preparation and restoration of class 3 and class 5 composite restoration. It is well supported with illustrations that further provide a better understanding of the topic.
In this lecture I explain in step-by-step fashion the basics of amalgam class I restoration. a photo guide is attached to the guide to aid in better understanding of the topic
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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
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Bevels and flares are very important components of resin restoration procedure. This presentation focuses on bevels and flares in restorative procedure.
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Welcome to Indian Dental Academy
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Benign, locally aggressive tumor of odontogenic epithelium, Previously called adamantinoma, Second most common odontogenic tumor after odontoma, Mandible is most common site, Usually asymptomatic and can be found incidentally on routine dental examinations
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
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
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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.
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
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5th edition of the Diagnostic and Statistical Manual of Mental Disorders
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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.
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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
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11. OUTLINE FORM
FEATURE
• smooth flowing,
gentle curves
RATIONALE
• angular contours can chip
during condensation
• angular contours can
concentrate stresses &
lead to restoration fracture
• easier to find when
carving back fresh
amalgam
15. BUCCO-LINGUAL EXTENSION
PRINCIPLE
• extends far enough up B
& L grooves to
terminate on gentle
contours
RATIONALE
• margin in sharp
anatomy difficult to
finish & keep clean
MB
DB
L
16. BUCCO-LINGUAL EXTENSION
PRINCIPLE
• extend minimally in area
of triangular ridges
(optimally: isthmus
width is <1/3 intercuspal
distance)
RATIONALE
• provides convenience
form while preserving
cusp strength
19. OCCLUSAL DEPTH
PRINCIPLE
• 0.5mm into dentin
• about 2 mm measured at
triangular ridge
RATIONALE
• sufficient bulk of
amalgam to prevent
fracture
• maximum thickness of
dentin protecting pulp
20. PULPAL FLOOR
PRINCIPLE
• smooth & flat
• parallel to occlusal table
RATIONALE
• uniform bulk of
amalgam to prevent
fracture
• best resistance to
occlusal stresses &
forces of condensation
21. BUCCAL & LINGUAL WALLS
PRINCIPLE
• smooth
• curved mesio-distally
• straight pulpo-occlusally
RATIONALE
• optimize adaptation
of amalgam to walls
• elimination of weak
tooth structure
22. BUCCAL & LINGUAL WALLS
PRINCIPLE
• convergent 6° pulpo-
occlusally under
triangular ridges
• divergent 6° pulpo-
occlusally in groove
extensions
RATIONALE
• helps lock restoration in
tooth (retention)
• keep amalgam from being
too thin at margins
(resistance form)
• preserves strength of
cuspal ridge (resistance
form)
A
A’
A-A’ B-B’B
B’
23. MESIAL & DISTAL WALLS
PRINCIPLE
• smooth
• straight & divergent 6°
pulpo-occlusally
RATIONALE
• optimize adaptation
of amalgam to walls
• elimination of weak
tooth structure
• preserves strength of
marginal ridge
(resistance form)
C-C’
C
C’
24. CAVITY REFINEMENT
PRINCIPLE
• internal line angles well-
defined but not sharp
RATIONALE
• maximizes amalgam
resistance to
dislodgement
• reduces stress
concentration & risk
of subsequent tooth
fracture
25. CAVITY REFINEMENT
PRINCIPLE
• cavosurface margins
regular, well-defined,
well-supported
RATIONALE
• easier to visualize &
carve following
condensation
• optimize adaptation of
amalgam to margins
• eliminates weak tooth
structure
• maximizes marginal
integrity
29. CLEANLINESS
PRINCIPLE
• cavity is free of debris
& moisture
RATIONALE
• facilitates adaptation
of amalgam to the
cavity
• improves physical
properties of the
restoration by
elimination of voids
& foreign material
55. smooth pulpal floor with
primary cutting edge
smooth vertical walls and
sharpen cavosurface margin with
secondary cutting edge
large straight hatchet
56. self-evaluate in
pencil before
seeking instructor
evaluation
CLASS I AMALGAM PREPARATION EVALUATION
DEVIATION
STUDENTS: Please evaluate your work prior to asking faculty to do so. Mark your assessment in pencil.
This step is important in order for your instructor to help you develop appropriate self-assessment skills.
NONE
SLIGHT
SIGNIFICANT
SEVERE
PREPARATION FEATURES/PRINCI P L E S E R R O R S LOCATION 2 1 0 -1
I. OUTLINE FORM
A. smooth, regular, flowing curves rough irregular
II. EXTENSION
A. includes contiguous pits & fissures does not include
B. bucco-lingual extensions
1. extends into B & L grooves underextended overextended
2 . e x t e n ds minimally at triangular ridges overextended at triangular ridge
C . m e sio-distal extensi o n
1. short of marginal / oblique ridge overextended
2. minimal width of B and L grooves underextended overextended
III. OCCLUSAL DEPTH/PULPAL FLOOR
A. depth = 1.5 - 2.5mm at triangular ridges <1.5 but 1.0 <1.0
>2.5 but 3.0 >3.0 but 3.5 >3.5
B. smooth and flat rough or uneven
C. parallel to occlusal table slants
IV. OCCLUSAL WALLS
A. smooth rough
B. straight pulpo-occlusally not straight pulpo-occlusally
C. converge at triangular ridges over-convergent not convergent divergent
D. diverge at groove extensions over-divergent not divergent convergent
C diverge at mesial & distal walls over-divergent not divergent convergent
V. CAVITY REFINEMENT
A. line angles well-defined line angles indistinct
B. cavosurface smooth, crisp, supported rough nicked indistinct unsupported ename l
VI. TISSUE PRESERVATION, RUBBER DAM ISOLATION, CLEANLINESS
A. preparation is clean preparation is contaminated
B. rubber dam is intact rubber dam is torn
C. uninvolved tooth structure intact d a m a ge is: slight moderate severe
D. soft tissue is intact soft tissue dama g e
Name D a t e Tooth 30 Surfaces O
Practical ID# (for practical exam only) PLASTER TOOTH
INSTRUCTOR SIGNATURE
TOTAL (possible 1 2 )
61. #245 has 3.5mm head length
occlusal depth 2.0mm (±0.5) measured at base of triangular ridge
30-O
62. #245 has 3.5mm head length
extend into M & D fossae, stay shy of marginal ridges
extend into MB, DB & L grooves, stay shy of cusp ridges
63. #245 has 3.5mm head length
1. round irregularities in perimeter walls,
2. add slight divergence at marginal ridges
and ends of groove extensions,
3. add slight convergence at base of triangular ridges,
4. smooth pulpal floor & refine internal line angles
64. #245 has 3.5mm head length
self-evaluate before
seeking instructor evaluation