THE GIVEN PRESENTATION IS PREPARED FROM PHILIPS SCIENCE OF DENTAL MATERIALS- ANUSAVICE BY DR.SWARNEET KAKPURE [MDS-CONSERVATIVE DENTISTRY AND ENDODONTICS]
There have been several changes since inception in the field of dental ceramics. Need for newer materials with improved aesthetics, flexural strength and optical properties made it necessary for introduction of advanced technology in fabrication of dental ceramics.
PRESENTATION ON GOLD ALLOYS USED IN DENTISTRY. USEFUL FORALLBRANCHES OF DENTISTRY SPECIALLY PROSTHODONTICS AND CONSERVATIVE DENTISTRY. INCLUDES VARIOUS CATEGORIES OF ALLOYS AND THEIR ADVANTAGES, DISADVANTAGES, USES ETC.
There have been several changes since inception in the field of dental ceramics. Need for newer materials with improved aesthetics, flexural strength and optical properties made it necessary for introduction of advanced technology in fabrication of dental ceramics.
PRESENTATION ON GOLD ALLOYS USED IN DENTISTRY. USEFUL FORALLBRANCHES OF DENTISTRY SPECIALLY PROSTHODONTICS AND CONSERVATIVE DENTISTRY. INCLUDES VARIOUS CATEGORIES OF ALLOYS AND THEIR ADVANTAGES, DISADVANTAGES, USES ETC.
Materials used in restorations/ orthodontic course by indian dental academyIndian 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.
Soldering and welding are the integral part of dentistry specially in prosthodontics and crown and bridge procedure. it is also used in implant supported prosthetic.
Base-Metal-Alloys used in dentistry..pptxKalpanaNunia1
Dentists should be aware of the corrosion properties and biocompatibility of any alloy they use.
In the absence of detailed data on corrosion for an alloy, use of high-noble and noble alloys of single-phase microstructure will minimize biologic risk.
Patients with Ni allergy may have sensitivity for cobalt. Such patients should be tested to rule out allergy before giving Co-Cr restoration.
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.
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.
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
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.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- 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
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
2. • Historical Perspective on Dental Casting Alloys
• Classification of Dental Casting Alloys
• Desirable Properties of Dental Casting Alloys
• Functional Mechanical Properties of Casting Alloys
• Alloys for All-Metal Prostheses
• Alloys for Metal-Ceramic Prostheses
• Alloys for Removable Partial Dentures
• Alternative Technologies for Fabricating Prostheses
• Biological Hazards of Base Metal Alloys
6. •
FIXED EXCHANGE RATES BETWEEN GOLD AND CURRENCY.
PRICE OF GOLD ROSE STEADILY
REPLACED GOLD PARTIALLY OR ENTIRELY WITH A LESS EXPENSIVE
NOBLE METAL
14.
0.2% OFFSET YIELD STRENGTH
CAPACITY OF A CAST PROSTHESIS
TO WITHSTAND MECHANICAL STRESSES
High yield strength Higher capacity to deal with
stress
tensile yield strengths above 300 Mpa function satisfactorily in
the mouth.
15. THE AMOUNT OF PLASTIC
DEFORMATION
ADJUSTING A PROSTHESIS BURNISHING
A CAST METAL MARGIN .
16. RESISTANCE OF THE SURFACE TO
INDENTATION
HIGH TO RESIST
SCRATCHING
REPEATED LOADING AND UNLOADING
LOAD IS ABOVE A CERTAIN THRESHOLD, IT INITIATES CRACKS
FRACTURES OF PROSTHESES AND RESTORATIONS
18. Element uses
Platinum increases the hardness and
elasticity of gold and raises the
melting temperature of the alloy.
Silver Effective in neutralizing the
reddish color of copper in Au/Cu
alloys
In palladium based alloys, silver is
needed to develop the white color
of the alloys.
Palladium tarnish/ corrosion resistance
Zinc as an oxygen scavenger
Indium promote a gold-like color in pd-Ag-
based alloys
Iridium or ruthenium as a grain refiner
19. • SOME NOBLE METALS NO GOLD
Au-based
alloys
Ag-Pd alloys
20. •
Type of gold alloys Uses & properties
Type 1 Inlays supported by teeth and not
subjected to significant mastication forces
Type 2 Widely used for inlays, but they have less
ductility than type 1 alloys.
Type 3 Crowns and onlays for high-stress areas.
Type 4 High-stress areas such as bridges and
partial denture frameworks.
21.
22. •
RIGID TO RESIST FLEXURE
HIGH YIELD STRENGTH
DUCTILE ADJUSTMENT IN THE CLASP
Changes of alloy color
caused by the reduction in
gold
compensated for by an
increase in copper, silver,
and palladium
Higher silver and copper
content
reduces the corrosion
resistance
23. To harden the alloy, the temperature of the furnace is set
between 200 °C and 450 °C and the casting is heated for
15 to 30 minutes before it is quenched in water.
The tensile strength, proportional limit, and hardness are
reduced by such a treatment, and the ductility is increased
To soften the alloy, the casting is placed in a furnace for
10 minutes at 700 °C and then quenched in water.
24. These alloys are white and
predominantly silver in composition, but
they contain at least 25% of palladium to
provide nobility and increase the tarnish
resistance of the alloy.
The copper-free Ag-pd alloys may
have physical properties similar to
those of a type 3 gold alloy.
Despite reports of poor castability,
Ag-pd alloys can produce acceptable
castings.
The major limitation of ag-pd alloys is
their greater potential for tarnish and
corrosion.
Silver-Palladium
Alloys
25. The amount of corrosion expected
during service is negligible if the
palladium content is greater than
25%.
By melting palladium and indium at
the composition of 50% in and 50%
pd the alloy is copper colored but
increasing the palladium content
causes the alloy to lose its reddish
color and acquire a gold color.
A minimum of 15% by weight of
pd-in intermetallic compound is
needed to maintain the yellowish
color.
Silver, copper, and/or gold can be
added to increase the ductility and
improve the castability of the alloy
for dental applications.
Silver-Palladium
Alloys
26. Chromium
rapidly oxidizes
to form a thin
layer of
chromium oxide
Which prevents
the diffusion of
oxygen into the
underlying metals
and improves its
corrosion
resistance.
Rely on
chromium for
corrosion
resistance.
27. • NI-CR SMALL CASTINGS
CROWNS FDPS
• CO-CR ALLOYS REMOVABLE PARTIAL
DENTURES
base metal
dental alloys
nickel-
chromium
(Ni-Cr)
without
beryllium
With
beryllium
cobalt-
chromium
(Co-Cr)
28. • MOST BIOCOMPATIBLE METAL
• THIN
PASSIVATING OXIDE FILM (APPROXIMATELY 10 NM THICK),
•
All-metal
prosthesis
Metal-ceramic Implants
Removable
partial denture
frameworks.
29. HIGH MELTING POINT (1668 °C)
OXIDATION ABOVE 900 °C
HIGH MELTING TEMPERATURE
HIGHLY RESISTANT TO SAG DEFORMATION
30. • COMPARABLE TO THAT OF
TOOTH ENAMEL AND NOBLE ALLOYS LOWER THAN THAT
OF OTHER BASE METALS.
• EXCELLENT CORROSION
RESISTANCE.
32. An argon/arc with a non-consumable tungsten electrode
or high-frequency induction is used for melting titanium
alloys in an argon or helium atmosphere.
Crucibles are made of copper, magnesia, or carbon
Centrifugal force, casting pressure difference, and gas
pressure have been used to force the molten-metal flow
into the mold.
To eliminate the effect of oxygen during fabrication of
titanium prostheses, computer-aided design/computer-
aided manufacturing (CAD/CAM) has been used to
produce fixed prosthesis frameworks.
33. • CHIEF OBJECTIONS
LOW TENSILE STRENGTH AND
RELATIVELY LOW SHEAR STRENGTH
• SUPPORT THE
PORCELAIN WITH A CAST ALLOY SUBSTRUCTURE
STRONG BOND IS ATTAINED
BETWEEN THE PORCELAIN VENEER AND THE METAL.
34. •
• They should have the potential to bond to
dental porcelain,1.
• they should exhibit coefficients of thermal
contraction compatible with those of dental
porcelain
2.
• their solidus temperature is sufficiently high
to resist softening during the sintering of
porcelain.
3.
35. • ADDITION OF A SMALL QUANTITY OF BASE METAL TO NOBLE AND
HIGH NOBLE PROMOTES OXIDE FORMATION ON THE SURFACE
• POORLY ADHERENT
OXIDE
PORCELAIN DELAMINATING FROM THE METAL SUBSTRATE
• LOWER-PURITY ALUMINUM OXIDE
ABRASIVES
37. When a metal-ceramic prosthesis is cooled from the
sintering temperature, the metal and its veneering
ceramic contract at different rates because of
differences in their thermal contraction coefficients.
Meanwhile, the chemical bond between the metal
and the porcelain prevents the two components from
separating; this condition forces the two components
to adjust their respective dimensions in response to
stresses that develop during the cooling cycle.
Thus, the component that contracts more will be
stretched by the adjacent component, which
contracts less; at the same time, the material that
contracts less will be compressed by the other.
38. Such changes in dimension are
controlled by certain stresses that act on
each of the two components
If the transient tensile stresses that
develop during cooling are
insufficient to cause immediate
cracking of the porcelain or delayed
cracking after cooling to room
temperature, the combination of a
metal-porcelain system is
considered thermally compatible.
41. BOTH COMPRESSIVE
A THERMAL CONTRACTION MISMATCH
HIGHER COEFFICIENT OF CONTRACTION OF PORCELAIN
ADDITIVE EFFECT OF TANGENTIAL TENSILE STRESS
CRACK PROPAGATION
LOWER THAN THAT OF THE METAL (ΑP MUCH LOWER THAN ΑM),
PORCELAIN CRACKING
43. ACUTE EXTERNAL ANGLES ON THE
INCISAL EDGES
SANDBLASTING
LIMIT THE TIME OF SANDBLASTING
44. This adverse effect has been
overcome recently by the
compositional modification of
some veneering porcelains.
Discoloration of the porcelain
near the cervical region of the
metal-ceramic prosthesis has
been reported to occur when a
silver-containing alloy is used
as the substrate.
Color changes included green,
yellow-green, yellow-orange,
orange, and brown hues.
This discoloration
phenomenon has generally
been called “greening.”
The extent of porcelain
discoloration was most severe
for higher-silver-content
alloys, lighter shades, lower
opacifier and higher sodium
contents.
50. The brand name of the alloy, the alloy type, and the porcelain. The
response allows you to determine if the alloy has been tested and
accepted according to the standards of national or international
standards organizations (ADA, ISO, British Standards Institute [BSI]
etc.).
The number of years of experience with the material systems and
main problems encountered. If the system has been used for less
than 3 years, limited information will be available on its clinical
performance. If porcelain debonding or crack formation is the major
problem, find another laboratory or a more reliable product.
If there is difficulty in soldering the alloy or bonding porcelain to it,
the laboratory should provide evidence of at least 3 years of proven
success of the system used in all aspects of use for the indicated
purposes.
57. The computer controlled milling machine can then perform the milling or grinding for fabrication
of a ceramic prosthesis within a few minutes.
Within minutes, the prosthesis can be fabricated and placed on prepared teeth and bonded or
cemented in the mouth of the patient in a time ranging from 10 minutes to 1 hour
The image data can be retrieved immediately to mill or grind a metal, ceramic, or composite
prosthesis by computer control from a solid block of the chosen material.
Stores these data in the memory of a computer.
The optical scanning procedure eliminates the need for an impression
A CAD-CAM system electronically or digitally records surface coordinates of the prepared teeth
58. • OF TRACING THE SURFACE
OF A RESIN PROSTHESIS PATTERN, WH REPLICATED ON A
BLANK OF CERAMIC, COMPOSITE, OR METAL
ROTATING WHEEL
•
59. • MASTER CAST OF THE PREPARED TOOTH
• A CONDUCTIVE SILVER LAYER IS APPLIED
• THICK LAYER OF GOLD OR OTHER METAL IS
DEPOSITED
• COATED WITH A BONDING AGENT
SUBSEQUENT CERAMIC LAYERS ARE CONDENSED
60. •
• TO GENERATE WAX PATTERNS
FOR CASTING AND PROVISIONAL PROSTHESES
•
61. The metal powder is first spread across the
working platform
A laser traces the outline of each part being
printed, and metal powder is fused to the layer
below it.
As the platform is lowered, a new layer of
material is spread across the platform and the
process is repeated until the printing process is
completed. This process is called direct laser
metal sintering (DLMS).
For dental applications, the metal powder can be
titanium, Co-Cr, or a noble metal.
67. STUDIES
AGES OF 24 AND 44
4.5% FOR FEMALES AND 1.5% FOR MALES.
PIERCED EARS 90%
68. 1. A HIGH-SPEED EVACUATION
SYSTEM
2. INFORMED OF THE POTENTIAL ALLERGIC EFFECTS OF
NICKEL EXPOSURE A THOROUGH MEDICAL HISTORY SHOULD BE
TAKEN
3.
PREVIOUS ALLERGIC RESPONSE
REJECT THE USE OF NICKEL-BASED ALLOYS.
69. 4. IDENTIFY THE ALLOYS
AVOID INHALATION OF DUSTS AND VAPORS
PRACTITIONERS
RECORDS
SPECIFIC BRAND NAME OF ALLOYS USED
DOCUMENTATION
8. PATCH TESTING
BY PROFESSIONALS