Minimal intervention dentistry vs g.v blackEdward Kaliisa
Minimal Intervention Dentistry (MID) is a response to the traditional, surgical manner of managing dental caries, that is based on the operative concepts of G.V. Black of more than a century ago. MID is a philosophy that attempts to ensure that teeth are kept functional for life
Minimal intervention dentistry vs g.v blackEdward Kaliisa
Minimal Intervention Dentistry (MID) is a response to the traditional, surgical manner of managing dental caries, that is based on the operative concepts of G.V. Black of more than a century ago. MID is a philosophy that attempts to ensure that teeth are kept functional for life
This lecture, which oriented to the level of mind of undergraduate students, discuss the topic of pulpectomy, its indications, contraindications, and procedural steps.
Visit us on Facebook:
https://www.facebook.com/iraqi.Dental.Academy
Post endodontic restoration /certified fixed orthodontic courses by Indian de...Indian dental academy
Welcome to Indian 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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
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
Endodontic emergencies include Pre-treatment emergency of which hot tooth is a commonly encountered situation.
This ppt is contains concise pickup notes on Hot tooth.
A absolutely minimalist way to describe each and every diagnostic aid in the beautiful stream of endodontics.
one has to understand the topic by going through the bible, "Grossman 13th Edition" along with the slides I've created.
Hope this helps.
by Dr. Ishaan Adhaulia
Atraumatic restorative treatment (art) for tooth
Atraumatic Restorative Treatment (ART), is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material.
A minimally invasive approach to both prevent dental carious lesions and stop its further progression
Hi, I am Dr Komal Ghiya, pediatric dentist, I am here to upload my own presentations for educational purposes. I hope this presentation will help you in knowing more about pulpectomy in primary teeth
Minimum intervention dentistry is a concept based on a better understanding of the caries process and development of the carious process and the development of new diagnostic technologies and adhesives, bioactive restorative materials.
This lecture, which oriented to the level of mind of undergraduate students, discuss the topic of pulpectomy, its indications, contraindications, and procedural steps.
Visit us on Facebook:
https://www.facebook.com/iraqi.Dental.Academy
Post endodontic restoration /certified fixed orthodontic courses by Indian de...Indian dental academy
Welcome to Indian 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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
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
Endodontic emergencies include Pre-treatment emergency of which hot tooth is a commonly encountered situation.
This ppt is contains concise pickup notes on Hot tooth.
A absolutely minimalist way to describe each and every diagnostic aid in the beautiful stream of endodontics.
one has to understand the topic by going through the bible, "Grossman 13th Edition" along with the slides I've created.
Hope this helps.
by Dr. Ishaan Adhaulia
Atraumatic restorative treatment (art) for tooth
Atraumatic Restorative Treatment (ART), is based on removing decalcified tooth tissue using only hand instruments and restoring the cavity with an adhesive filling material.
A minimally invasive approach to both prevent dental carious lesions and stop its further progression
Hi, I am Dr Komal Ghiya, pediatric dentist, I am here to upload my own presentations for educational purposes. I hope this presentation will help you in knowing more about pulpectomy in primary teeth
Minimum intervention dentistry is a concept based on a better understanding of the caries process and development of the carious process and the development of new diagnostic technologies and adhesives, bioactive restorative materials.
Diagnosis and treatment planning in conservative dentistry and endodonticsIndian dental academy
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.
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.
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.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
3. Surgical Approach
1)
2)
Lack of understanding of the
caries process in particular the
potential for re-mineralization.
The poor physical properties of
available restorative materials.
4. Black’s principles of extension
for prevention
Sacrifice sound enamel
and dentin to place cavity
margins into self
cleansing areas or caries
immune sites.
Dictate the extension of
preparation through
fissures to allow cavosurface margins to
terminate on non-fissured
enamel.
The resistance and
retention form required to
prevent amalgam failures.
Implementing through :
Caries risk assessment
Prevention and remineralization of non
cavitated lesion.
5. Consequences of Black’s
principle of extension for
prevention
I.
II.
III.
Gross weakening of the
remaining tooth
structure.
Structural and marginal
failure of the restoration.
Increased potential to
pulpal irritation.(overextension
will maximize the chemical , electrical,
thermal, bacterial, osmotic and
evaporative stimuli)
IV.
Increased gingival and
periodontal
irritation.(subgingival margins,
roughness and plaque accumulation)
V.
VI.
VII.
Increased restorative
display.
More time money and
effort consumption.
Difficult maintenance of
the restorative system.
6.
In the past decades , conservatism
was just targeting the minimization
of tooth structure cutting whereas
in the modern conservative theory
there’s an intention to use a
medical model and avoid cutting if
possible. this would require the
detection and discovery of the
lesion in its subclinical stage
before it initiates any defect that
would need repair.
7. Adoption of medical
model would save
money , effort and time
by :
1.
2.
3.
4.
Preventing the development of
defects or new cavities.
Preventing periodontal problems.
Stopping the progress of existing
lesions and decay spots.
Maintaining existing old
restorations.
8.
It focuses on a minimal invasive
dentistry or preservative dentistry,
which allows a shift from the
traditional surgical approach to a
control of defects without cutting or
if cutting is to be done it has to be
restricted as much as possible.
9. Conservative approach
encompasses the
following principles
Control of causative factor or
cariogenicity to eliminate further
demineralization.
Remineralization of early lesions.
Minimal surgical intervention for
cavitated lesions.
Repair rather than replace for
defective restorations.
10. Essentials to allow
conservation
The operator.
The tools used.
The restorative materials.
The oral environment conditions.
The socioeconomic conditions of
the patient.
11. The operator
Major role is played by the clinician
performing the job.
Knowledge and understanding of
the defect ,demineralization / remineralization cycle.
Treating the disease by allowing
re-mineralization to occur more
than demineralization. (saturation of
saliva with fluoride, calcium and phosphates to
drive them inside the tooth thus enhancing remineralization)
19.
Adhesion is thus different from
micromechanical bonding which
relies for retention and sealing on
an intermediary joint consisting of
a system of numerous resin
microtags and resin tooth hybrid
created in the top 2-5 лm layer of
tooth
20. So …..
It seems essential to substitute the term
adhesion by Bododontics to be more
precise in description of this science.
Thus ….
Bonding allow maximum preservation of
tooth structure and hence maximum
conservation.
21.
The cavities to be cut should be
complying with the properties of
the different restorative materials.
These properties thus impose
certain depth , width , wall’s
inclination and finishing of
enamels.
Selection of materials that would
achieve conservatism becomes
imperative and therefore there’s a
marked trend to shift to direct tooth
colored restoratives rather than
metallic and indirect restoratives.
22. The oral environment
conditions
Salivary flow and pH. Resting flow
rate range between 0.3-0.4ml/min
while stimulated flow rate has an
average rate between 1-2ml/min.
Buffering effect of saliva
Oral microbes , chemical
degradation potentials ,
masticatory forces and chewing
habits.
23. The socioeconomic
conditions of the patient
Privileged , educated , employed
patients
regular dental check
ups attendee
low caries risk
individuals
suitable candidate
for conservative approach.
The opposite individuals would
require much more radical
approach.
24. Certain data have
to be collected
prior to decision
making about the
necessity of
operative
procedure.
Diet assessment
To Drill or not to Drill ?
Or when to Prepare a
Cavity ?
Caries risk evaluation
Clinical examination
Radiographic examination
25. Diet assessment
Estimation of food cariogenicity.
Frequency of intake of meals and
snacks.
Patient motivation for adopting
healthy habits.
Failures are faced due to the
difficulty of convincing the patient
to change their dietary habits.
Diet counselor.
26. Caries risk assessment
It is based on the fact that for
caries to develop , there are
several factors that should be
present to contribute to its
occurance. By modifying the factor
that play the major , this could
successfully prevent the
development of the disease.
27. Caries risk assessment
This done to
predict
If an individual
would
Develop caries
at
A certain time
in
A specified
period
Of time
Amount of plaque.
Type of bacteria.
Type of diet.
Salivary secretion.
Salivary buffering capacity.
Amounts of fluoride ingested.
Socioeconomic conditions.
Patient’s general health.
28.
No Care
Advised
According to this caries risk
assessment the patient could be
either :
Preventive
Care Advised
Operative
Care Advised
29. Clinical assessment
Allow identification of the defect
and correlation of previously gather
data with the clinical picture. Upon
diagnosis , the defect should be
classified as carious or non-carious
and dealt with accordingly.
30. Biological or medical
model of treatment
This model deals with caries as a
disease that should be treated
prior to any restorative procedures
Diet and habits modification.
Salivary flow and buffering capacity adjustment.
Mechanical preventive measures ( calculus and Biofilm control)
to fit into a dental office preventive Program.
Use of antimicrobials to fit into a home care preventive
Program.
Remineralization of initial lesions.
Fissure sealing for susceptible sites.
Close follow up to monitor the healing procedure.
Perform minimal intervention and prevention for diseased tissues
that can’t be remineralized and restore them conservatively.
31. Surgical Model of
Treatment
The diseased tissues are beyond
healing and couldn’t be
remineralized.
Drilling and cutting away the
diseased tissue without giving
attention to the MO as a causative
factors.
Cavity is prepared minimally with
maximum preservation of tooth
strength and anatomy followed by
its restoration for maximum
longevity.
32. Features of a
conservative cavity
Include all defective enamel and
dentin.
No extension beyond defective
areas.
Convenient instrumentation and
material placement.
Freeing of all margins with
adjacent surfaces.
Necessary resistance and
retention forms.
33. Black’s versus Mount
and Hume’s
Black’s classification doesn’t
specify the size of the lesion.
Mount and Hume classified the
lesion based on site and size
(Si/Sta)
Site/Stage
0
1
2
3
4
1
1.0
1.1
1.2
1.3
1.4
2
2.0
2.1
2.2
2.3
2.4
3
3.0
3.1
3.2
3.3
3.4
34. Extension for prevention concept
Obtaining the resistance form
Removal of remaining carious dentin
Conservative cavity design
35. According to Black
Occlusal:
According to conservatism
Caries and convenience dictate the
outline.
Removal of all pits and fissures.
Only carious fissures.
Mesially and distally extended midway
between the marginal ridge and depth of
the triangular fossa.
Shallow fissures can be treated by
enameloplasty or slanting bur technique.
Proximal :
Extended midway between axial line
angle and facial or lingual margin of
contact area.
The gingival margin extends below the
crest of the healthy gum margin.
Pit and fissure sealant when there is a
catch.
Proximal
Facial and lingual margins extend just
beyond the contact area to free it. With a
clearance of 0.5mm.
The gingival margin extends just to
include defects.
Facial and lingual surfaces all margins
are dictated by the outline of the defect.
36. Obtaining the resistance and
retention form
Black’s
Cavity width is governed
by margin placement
midway between the cusp
tip and depth of the
fissure
Depth almost 0.5mm
pulpual to DEJ.
Retention mainly through
macromechanical
Conservatism
Cavity width to be
extended to provide
convenience
Cavity could be in dentin
or in enamel.
Retention through
micromechanical
bonding.
37. Removal of Remaining Carious
Dentin
Black’s
All caries must be
removed , if pulp exposed
then do Endo.
There could be
irreparable damage by
bacterial invasion so
every trace of carious
dentin should be
removed.
Conservatism
Differentiation between
affected and infected
dentin (Caries detector
dye)
Chemo-mechanical
caries removal (Carisolv)
Smartprep burs , Polymer
burs.
38. Conservative Cavity
Design
Irritaion initiates
Based on the shape and extent of
An acidic-medium
No
Self
Cleansable
Areas
the lesion. No flat floors nor
squaring of the cavity. But with
refinements to satisfy certain
requirements.
Ginival crevice are not immune
from caries.(Subgingival Margins)