This document discusses the dental management of diabetic patients. It begins by defining diabetes and describing the two main types: type 1 resulting from a failure to produce insulin, and type 2 caused by insulin resistance. It then outlines the local and general complications of diabetes, including infections, periodontitis, and retinopathy. Regarding dental management, it stresses the importance of understanding a patient's diabetes status and treatment. For well-controlled diabetics, standard dental care is appropriate while poorly controlled or insulin-dependent patients require special precautions. It also provides guidance on preventing and treating hypoglycemic emergencies during dental visits.
Border Moulding in Complete Denture Prosthesis ,This Seminar was presented By Dr. Alim Al Razi,DR. Halima Sadia, and Dr. Tahmina Akter at prosthodontics Department ,Dhaka Dental College and Hospital.We tried To cover Full theoretical and practical Information Regarding This Topic.
Dental Management of Patient with Diabetes Mellitus PresentationIraqi Dental Academy
This lecture discuss the topic of dental management of medically compromised patient who suffers from diabetes mellitus. it's simple lecture that directed to the level of mind of undergraduate students. thanks for viewing and reading, and please share the knowledge!
Border Moulding in Complete Denture Prosthesis ,This Seminar was presented By Dr. Alim Al Razi,DR. Halima Sadia, and Dr. Tahmina Akter at prosthodontics Department ,Dhaka Dental College and Hospital.We tried To cover Full theoretical and practical Information Regarding This Topic.
Dental Management of Patient with Diabetes Mellitus PresentationIraqi Dental Academy
This lecture discuss the topic of dental management of medically compromised patient who suffers from diabetes mellitus. it's simple lecture that directed to the level of mind of undergraduate students. thanks for viewing and reading, and please share the knowledge!
this presentation has all the techniques in impression making in the fabrication of an RPD.
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Anatomy and clinical significance of denture bearing areasOgundiran Temidayo
A presentation on the anatomy and clinical significance of the denture bearing areas by Ogundiran Temidayo who is a dental student at OBAFEMI AWOLOWO UNIVERSITY ILE-IFE
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
Anatomy and clinical significance of denture bearing areasOgundiran Temidayo
A presentation on the anatomy and clinical significance of the denture bearing areas by Ogundiran Temidayo who is a dental student at OBAFEMI AWOLOWO UNIVERSITY ILE-IFE
This lecture discuss the topic of dental management of medically compromised patient who suffers from diabetes mellitus. it's simple lecture that directed to the level of mind of undergraduate students. thanks for viewing and reading, and please share the knowledge!
This is a brief discussion on diabetes mellitus as medical emergency that can be encountered in any dental office.
What to do in such conditions is what I've briefly tried to explain over here.
Regards,
Dr. Abhishek Sharma
(M.D.S - 2016 Batch ; Oral & Maxillofacial Surgery)
A complete knowledge about Diabetes Mellitus and its types including Type 1 Diabetes, Type 2 diabetes, gestational diabetes, pancreatic diabetes & monogenic diabetes along with clinical features, investigations and management
It also includes diabetic emergencies like Diabetic Ketoacidosis, Hyperglycaemic hyperosmolar state & hypoglycaemia.
It contains long term complications like neuropathy, nephropathy and retinopathy.
Lastly Diabetic Insipidus is also discussed here.
This presentation gives an insight to management of diabetic patient with regard to dental treatments or procedures.
It also highlight the major emergencies that arises in treatment of diabetic patient and how to manage such incidences.
A review of the investigation and management of diabetic ketoacidosis in newly diagnosed type I diabetes. Patient details have been changed and anonymised to protect the identity of the individual.
Loss of a permanent maxillary central incisor in a young patient is a therapeutic
challenge for dental professionals. Autotransplanted developing premolars
replacing missing maxillary incisors provide predictable long-term
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Comprehensive interdisciplinary treatment planning is necessary, combining
a thorough evaluation of the occlusion and the profile, existing indications
for premolar removal, space conditions, and the optimal match between the
donor tooth and the recipient site. Orthodontic space management before
and after surgery is often needed to create favorable conditions for donor
accommodation, and to establish both normal occlusion and a good esthetic
result. Monitoring of pulpal and periodontal healing and root development
after transplantation of developing premolars is mandatory during follow-up
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The treatment of maxillary transverse deficiency in post-pubertal patients has been an area of disagreement among orthodontists. Much of the controversy is over the timing of when it is appropriate for these patients to be referred to an oral and maxillofacial surgeon for an adjunctive surgical procedure or whether traditional orthodontic mechanics should be attempted. The decision, therefore, by an orthodontist of when to refer a patient for surgery
appears to be an individual one. The question then becomes which of the three basic surgical procedures would be most appropriate for the patient. Specifically, consideration must be given to surgically assisted rapid palatal expansion, segmental LeFort I osteotomy, or mandibular midline osteotomy with constriction.
Distraction osteogenesis, also called callus distraction, callotasis and osteodistraction, is a process used in orthopedic surgery, podiatric surgery, and oral and maxillofacial surgery to repair skeletal deformities and in reconstructive surgery
Distraction osteogenesis (DO) is a surgical technique that takes advantage of
natural wound healing mechanisms to augment bone and soft tissues. DO is
extremely versatile and can be applied to nearly any bone. In the craniofacial
skeleton, the cranial vault, midface, maxilla andmandible are themost common
sites for DO. This technique allows larger skeletal movements than could be
achieved with conventional techniques, decreases operative time and blood
loss, eliminates the need for bone grafts and associated donor site morbidity,
and may improve postoperative stability. DO can be used in preparation for, in
lieu of, or in combination with orthognathic surgery to correct dentofacial deformities.
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.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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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.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
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The four main behavioral effects of AUD are impaired control over
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effects (tolerance, withdrawal). This chapter presents an overview
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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.
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
1. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
DR: MAMOON MARWAT
SARDAR BEGUM DENTAL COLLEGE PESHAWAR
2. CONTENTS DIABETES
TYPES
Pathophysiology
LOCAL AND GENERAL COMPLICATIONS
Lab findings
DENTAL MANAGEMENT
3. Diabetes
Diabetes Mellitius is characterized by
hyperglycemia resulting from defects in
insulin secreation,insulin action or both
4. TYPES OF DIABETES MELITUS
TYPE 1(insulin secretion)
TYPE 2(insulin resistance)
5. TYPE 1(insulin secretion)
It results from the pancreas' failure to produce enough insulin.
This form was previously referred to as "insulin-dependent diabetes
mellitus" (IDDM) or "juvenile diabetes".
The cause is unknown
6. Type 2 DM
It begins with insulin resistance, a condition in which cells fail to respond
to insulin properly.
The primary cause is excessive body weight and not enough exercise
7. Pathophysiology
Insulin uptakes of glucose from the blood into the cell
Pancrease
(beta cells found in islets of in response to rising level of blood glucose
langherhans )
IF the amount of insulin available is insufficient or cells responds poorly to the effect of insulin
Net effect will be high level of blood glucose
8. PATIENT WITH CARDINAL SIGNS OF
DIABETES
Polydipsia
Polyurea
Polyphagia
Weightloss
Poor wound healing
Severe infections
Obesity
Weakness
9. General complications
Ketoacidosis
Hyperosmolar nonketotic coma (type 2 diabetes)
Diabetic retinopathy/blindness
Diabetic nephropathy/renal failure
Accelerated atherosclerosis (coronary heart disease )
Ulceration and gangrene of feet
Diabetic neuropathy
Infections
15. Criteria for the Diagnosis of Diabetes Mellitus
S y m pt o m s o f diabet es plu s cas u al plas m a glu co s e level
o f 200 m g/dL o r great er
F ast in g plasma glu cose of 126 mg/dL or greater
16. 2-hour plasma glucose level of 200 mg/dL or greater during
an oral glucose tolerance test
The test should be performed using a glucose load containing the
equivalent of 75 g of anhydrous glucose dissolved in water; this test is not
recommended for routine clinical use
17. Glycohemoglobin.
Measurement of HbA1c levels is of value in the detection and evaluation of
patients
HbA1c is an electrophoretically fast-moving hemoglobin component found in
normal persons; it increases in the presence of hyperglycemia and may reflect
glucose levels in the blood over the 6 to 12 weeks preceding administration
of the test.
Normally, patients should have 6% to 8% HbA1c.
18. treatment
TYPE 1 DIABETES
Diet and physical activity
Insulin
Pancreatic transplant
TYPE 2 DIABETES
Diet and physical activity
Insulin
Oral hypoglycemic agents
20. MEDICAL CONSIDERATIONS
Any dental patient whose condition remains undiagnosed but who has the
cardinal symptoms of diabetes Should be refered to physician
Patients with findings that may suggest diabetes should be referred to a
clinical laboratory or a physician for screening tests.
21. MEDICAL CONSIDERATIONS
Known diabetic patient
All patients with diagnosed diabetes must be identified by history, and the
type of medical treatment they are receiving must be established.
The type of diabetes (type 1, type 2, or other types of diabetes) should be
determined, and the presence of complications noted.
This provides the dentist with information regarding the severity of
diabetes and the level of control that has been attained
22. Medical considerations
Vital signs also serve as a guide to the control and management of disease
in the diabetic patient
Patients with complications or treated with insulin or who are not under
good medical management may need to be managed in a special way
23. Dental management of patient with diabetes
If diabetes is well-controlled, all dental procedures can performed without
special precautions before starting the procedure ,verify that the patient
have taken medication and diet as usual
24. Dental management of patient with
diabetes
IF Diabetes is poorly controlled I.e fasting blood glucose <70 mg/dL or
>200 mg/dL and ANY complications [post MI, renal disease, congestive
heart failure, symptomatic angina, old age, cardiac and blood pressure
≥180/110 mm Hg ,All elective dental procedures should be postponed.
Provide Only emergency care,
Consult patient physician
Critical setting: hospital
Patient preparation: ECG,PULSE,B,P,RESPIRATION MONITERING
25. Dental Management of the Patient With Diabetes and
Acute Oral Infection
Non–insulin-controlled patients may require insulin; consultation with
physician required
Insulin-controlled patients usually require increased dosage of insulin;
consultation with physician required
26. Patient with brittle diabetes or receiving high insulin dosage should have
culture(s) taken from the infected area for antibiotic sensitivity testing
a. Culture sent for testing
b. Antibiotic therapy initiated
27. Infection should be treated with the use of
standard methods
Warm intraoral rinses
Incision and drainage
Pulpotomy, pulpectomy,extractions
antibiotics
28. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
In well controlled diabetes patient:
PRE OPERATIVELY:
Use anxiety reduction protocol, but avoid deep sedation
Morning appointment should be given
Patient should come with normal breakfast taken and normal regular dose
of insulin taken
29. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
AT CLINIC
Immediate treatment should be provided
A source of glucose such as orange juice should be present in the dental
office to avoid hypoglycemic attack
Maintain verbal contact with the patient during surgery
Atraumatic extraction
Advise patient to inform dentist or staff if symptoms of insulin reaction
occur during dental visit.
30. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
A major goal in dental management of diabetes is to prevent insulin shock
MANAGEMENT OF INSLUN SHOCK WHEN OCCUR.
Most common diabetic emergency which dentist encounter is
hypoglycemia
Leads to life threatening consequences
It occurs when concentration of blood glucose drops below 60 mg/dl
31. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
Sign and symptoms
Confusion
Restlessness
Tremors
Sweating
tachycardia
32. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
As soon as such signs or symptoms are present the dentist should check
the glucose by the glucometer .
Establishing airway,breathing,and circulation
Turn on the fans, conditioner,
Place the patient in the supine position
33. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
If the patient is conscious and she is able to take her food by mouth so
give 15 g of the carbohydrate in the following form
orange juice
3-4tablespoon of sugar
A small amount of sweet/honey it can be placed in buccal fold
In unconscious patient take 50ml of the dextrose in 50% of the
concentration or 1mg of the glucagon I/V Or 1mg of the glucagon
intramuscularly.
34. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
The signs and symptoms of hypoglycemia should be resolved in 10 to 15
mins.
The patient should be observed for 30 to 60 min after the recovery. The
normal blood glucose level is confirmed by the glucometer before the
patient leaves.
35. DENTAL MANAGEMENT OF A
DIABETIC PATIENT
Post operative period
if the patient is not able to eat after the dental procedure so he is
recommended to eat the soft food and liquids
Consult the patients physician for the post operative diet plan.
It is necessary that the total content of the calorie
protein/carbohydrate/fats etc remains the same.
Antibiotics should be given after surgery.