1. The document discusses various agents used to treat common oral diseases including astringents, keratolytics, anti-seborrheics, enzymes, obtundents, mummifying agents, and fluorides.
2. Astringents are locally applied to control bleeding, reduce inflammation, and promote healing. Common astringents include aluminum, zinc, and tannic acid compounds.
3. Keratolytics and anti-seborrheics are used to treat conditions involving overproduction of skin cells or sebum like hyperkeratosis, acne, dandruff, and eczema. Agents include salicylic acid, selenium sulfide, and retinoids.
Obtudent, mummifying agents and disclosing agentbibi umeza
overview of obtudent, mummifying agents and disclosing agent with detailed information on their pharmacological action, mechanism, uses and adverse effect for both medical and dental students.
Localised protective response elicited by injury or destruction of tissues which serves to destroy , dilute or wall off (sequester) both injurious agent and the injured tissues (Dorlands medical dictionary). Cardinal signs of inflammation
Celsus 1st century AD
Rubor – redness
Tumor -swelling
Calor -heat
Dolor -pain
Virchow
“function laesa”- loss of function
Chemical mediators of inflammation are endogenous compounds that are released from cells, plasma or damaged tissue and enhance vascular permeability. There are two main types of mediators - cell-derived and plasma-derived. Cell-derived mediators include vasoactive amines, arachidonic acid metabolites, lysosomal components, platelet activating factor, cytokines and free radicals. Plasma-derived mediators are products of the activated kinin, clotting, fibrinolytic and complement systems, such as bradykinin, fibrinopeptides and anaphylotoxins. These mediators cause effects like vasodilation, increased vascular permeability, smooth muscle contraction and chemotaxis.
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.
This document discusses various drugs and agents used in dentistry. It covers astringents like tannic acid and zinc chloride that are used as hemostatics. It also discusses bleaching agents that remove pigments, as well as mummifying agents like tannic acid and paraform that are used to harden tissues during root canals. Other topics covered include styptics that stop bleeding, mouthwashes and their components, fluorides and their role in preventing dental caries, and dental desensitizers like potassium nitrate that help reduce sensitivity.
The document summarizes non-steroidal anti-inflammatory drugs (NSAIDs). It discusses their mechanism of action by inhibiting cyclooxygenase enzymes and reducing prostaglandin formation, leading to analgesic, anti-inflammatory, and antipyretic effects. NSAIDs are classified based on selectivity for COX-1 and COX-2. Common NSAIDs and their uses for pain relief are described. Adverse effects include gastric irritation and bleeding. Dental considerations advise avoiding NSAIDs if allergic and not using aspirin before and after surgery due to bleeding risk.
1. The document discusses various agents used to treat common oral diseases including astringents, keratolytics, anti-seborrheics, enzymes, obtundents, mummifying agents, and fluorides.
2. Astringents are locally applied to control bleeding, reduce inflammation, and promote healing. Common astringents include aluminum, zinc, and tannic acid compounds.
3. Keratolytics and anti-seborrheics are used to treat conditions involving overproduction of skin cells or sebum like hyperkeratosis, acne, dandruff, and eczema. Agents include salicylic acid, selenium sulfide, and retinoids.
Obtudent, mummifying agents and disclosing agentbibi umeza
overview of obtudent, mummifying agents and disclosing agent with detailed information on their pharmacological action, mechanism, uses and adverse effect for both medical and dental students.
Localised protective response elicited by injury or destruction of tissues which serves to destroy , dilute or wall off (sequester) both injurious agent and the injured tissues (Dorlands medical dictionary). Cardinal signs of inflammation
Celsus 1st century AD
Rubor – redness
Tumor -swelling
Calor -heat
Dolor -pain
Virchow
“function laesa”- loss of function
Chemical mediators of inflammation are endogenous compounds that are released from cells, plasma or damaged tissue and enhance vascular permeability. There are two main types of mediators - cell-derived and plasma-derived. Cell-derived mediators include vasoactive amines, arachidonic acid metabolites, lysosomal components, platelet activating factor, cytokines and free radicals. Plasma-derived mediators are products of the activated kinin, clotting, fibrinolytic and complement systems, such as bradykinin, fibrinopeptides and anaphylotoxins. These mediators cause effects like vasodilation, increased vascular permeability, smooth muscle contraction and chemotaxis.
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.
This document discusses various drugs and agents used in dentistry. It covers astringents like tannic acid and zinc chloride that are used as hemostatics. It also discusses bleaching agents that remove pigments, as well as mummifying agents like tannic acid and paraform that are used to harden tissues during root canals. Other topics covered include styptics that stop bleeding, mouthwashes and their components, fluorides and their role in preventing dental caries, and dental desensitizers like potassium nitrate that help reduce sensitivity.
The document summarizes non-steroidal anti-inflammatory drugs (NSAIDs). It discusses their mechanism of action by inhibiting cyclooxygenase enzymes and reducing prostaglandin formation, leading to analgesic, anti-inflammatory, and antipyretic effects. NSAIDs are classified based on selectivity for COX-1 and COX-2. Common NSAIDs and their uses for pain relief are described. Adverse effects include gastric irritation and bleeding. Dental considerations advise avoiding NSAIDs if allergic and not using aspirin before and after surgery due to bleeding risk.
This document provides information on dental amalgam, including:
- A brief history noting amalgam has been used for over 150 years and was originally made by filing silver coins and mixing with mercury.
- The components and microstructure of amalgam, including how it is composed of a mixture of silver/tin/copper alloy and mercury that amalgamates during manipulation.
- The classification, properties, manipulation techniques, indications and contraindications for amalgam restorations.
- Potential failures of amalgam restorations and their causes, as well as precautions needed due to mercury toxicity.
1. inflammation with vascular events dr ashutosh kumarDrAshutosh Kumar
Inflammation is the body's response to injury and involves cardinal signs like redness, heat, swelling, and pain. Acute inflammation is rapid in onset and short in duration, involving increased blood flow, vascular permeability, and neutrophil infiltration. The vascular changes that occur during acute inflammation include vasodilation, increased permeability through mechanisms like endothelial cell contraction and injury, and transcytosis, which together allow fluid, proteins, and cells to exit into tissues as an exudate.
Patho and micro_important_topics For BDSRajan Kumar
The document outlines important topics in pathology and microbiology for dental students. In pathology, it lists various types of inflammation, necrosis, healing processes, shock, leukemia, tumors, diabetes, vitamin deficiencies, edema, cancer, tuberculosis, pre-cancerous lesions, cell injury, bone diseases, heart diseases, oral cavity diseases, cysts, and blood disorders. In microbiology, it discusses sterilization methods, culture media, bacterial cell structures, AIDS, immunity, viruses like hepatitis and herpes, syphilis, plasmodium, typhoid, bacterial spores and species, tuberculosis, Robert Koch, exotoxins and endotoxins, and fungal infections.
Dental cements are materials used to join teeth and prosthetics or restorations. This document discusses different types of dental cements including their compositions, properties, clinical uses, and manipulation techniques. Zinc phosphate cement is the first cement described and is commonly used for permanent luting. Zinc polycarboxylate cement exhibits chemical bonding and is also used for permanent luting. Glass ionomer cement is tooth-colored, anticariogenic, and bonds adhesively to tooth structure making it suitable for restorations.
A dentifrice is a substance used with a toothbrush to clean tooth surfaces. There are two main types: cosmetic dentifrices, which clean and polish teeth, and therapeutic dentifrices, which help reduce diseases like cavities and gingivitis. Dentifrices contain abrasives like silica to clean teeth, water, humectants like sorbitol for consistency, foaming agents for antibacterial properties, sweeteners, binders, flavors, and potentially therapeutic agents like fluoride. Ingredients like humectants maintain moisture, foaming agents facilitate cleaning and have antibacterial effects, flavors make it pleasant to use, and preservatives prevent bacterial growth in the product.
This document provides information on dentifrices (substances used with a toothbrush for cleaning teeth). It discusses the history of dentifrices, types (cosmetic and therapeutic), composition, recent developments, literature reviews, and advice for patients. Dentifrices contain abrasives, detergents, flavors, sweeteners, and compounds like fluoride, triclosan, and stannous fluoride that fight plaque, tartar, gingivitis, and sensitivity. Recent developments include children's toothpastes and whitening products. Literature reviews examine the effectiveness of ingredients like triclosan and chlorhexidine at controlling plaque and inflammation. Advice includes using small amounts of fluoride paste and less abrasive dent
Dental amalgam is an alloy used as a dental restorative material. It consists of mercury combined with other metals like silver, tin, and copper. Amalgam undergoes a setting reaction when mixed with liquid mercury to form a hard material. It is indicated for restoring cavities. While it has advantages like strength and cost-effectiveness, it lacks esthetics and can release low levels of mercury vapor. Modern amalgams have improved properties like reduced creep and shrinkage. Careful manipulation is required to achieve optimal physical properties and reduce risks.
The document discusses different types of investment materials used to create molds for dental restorations and appliances. It describes the requirements for investment materials including refractory and binding properties. Three common types are discussed - gypsum-bonded, phosphate-bonded, and silica-bonded - along with their compositions, setting reactions, properties and limitations. Gypsum is suitable for gold alloys but not high-temperature alloys. Phosphate-bonded materials withstand higher temperatures. Silica-bonded provides high thermal expansion to compensate for casting shrinkage. The proper selection of investment material depends on the alloy and desired mold properties.
This document discusses drugs that stimulate gastrointestinal motility. It describes the enteric nervous system and various drug classes that work as prokinetic agents, including cholinomimetics, dopamine antagonists like metoclopramide and domperidone, and macrolide antibiotics. These drugs increase motility in different regions of the GI tract and are used to treat conditions like GERD, gastroparesis, constipation, and postoperative ileus. The document also reviews the mechanisms of action and adverse effects of specific prokinetic medications.
One of the oldest filling material among all restorative materials available. Nobel metal filling, which do not undergo Tarnish & Corrosion & having good Biocompatibility.
Classification
foil, electrolytic precipitate & powder gold.
cohesive &non-cohesive form
manipulation
annealing / degassing
Compaction
indication
contraindicatioin
advantage
disadvantages.
This document discusses inflammatory mediators, which are messengers that contribute to the inflammatory response by acting on blood vessels, immune cells, or other cells. Inflammatory mediators can be classified as either cell-derived or plasma-derived. Cell-derived mediators include histamine, serotonin, lysosomal enzymes, eicosanoids such as prostaglandins and leukotrienes, platelet-activating factor, reactive oxygen species, nitric oxide, and cytokines. Plasma-derived mediators include components of the complement, coagulation, kinin, and fibrinolytic systems. Many of these mediators stimulate the release of other mediators and have effects like increasing vascular permeability and chemotaxis. Cytokines and
This document provides information about zinc oxide eugenol cement. It discusses the objectives, availability, types, composition, setting reaction, properties, and manipulation of zinc oxide eugenol cement. The key points are:
- Zinc oxide eugenol cement has been used since 1890 and is biocompatible but has low strength. It is available in bottles, tubes, and as paste/paste systems.
- It has various applications including temporary cementation, temporary fillings, cavity liners, and pulp capping. Types include those for temporary cementation, permanent cementation, temporary fillings, and cavity liners.
- Its composition involves a powder containing zinc oxide and a liquid containing e
11 cellular & vascular events in acute inflammationDr UAK
This document summarizes acute inflammation and the cellular and vascular events that occur during the inflammatory response. It discusses the vasodilation, vascular leakage, and leukocyte emigration that characterize acute inflammation. Specifically, it describes the mechanisms of vasodilation, vascular permeability, leukocyte rolling, adhesion, transmigration, chemotaxis, phagocytosis, degranulation, and the roles of various chemical mediators involved in the inflammatory response. It also briefly discusses potential outcomes of acute inflammation and patterns of chronic inflammation.
This document discusses dental amalgam, including definitions of relevant terminology, alloy compositions, and the setting reactions that occur when amalgam alloys are mixed with mercury. It describes the microstructural phases that form, including the γ1 and γ2 phases in low-copper amalgams. For high-copper amalgams, it discusses both admixed alloy powders containing lathe-cut and spherical silver-copper particles, and single composition alloy powders, noting the phases like ή that form during setting.
Mrs. Nina was recently diagnosed with hypertension and high cholesterol. She has been prescribed lisinopril/hydrochlorothiazide to treat her hypertension and atorvastatin to treat her cholesterol.
Lisinopril is an ACE inhibitor used to treat hypertension. It works by relaxing blood vessels to lower blood pressure. ACE inhibitors can cause dry mouth, a side effect that increases risk of cavities if not managed properly.
The patient should be counseled about maintaining good oral hygiene and drinking water to prevent dry mouth from antihypertensive medications from increasing risk of cavities and gum disease. Regular dental checkups are important for monitoring oral health during drug therapy.
Obtundents, Mummifying agents and Fluorides.pptxrupeshdalavi
This document discusses three types of dental agents: obtundents, mummifying agents, and fluorides. Obtundents are topical anesthetics like lidocaine that block nerve impulses and reduce pain during dental procedures. Mummifying agents like formalin are used to preserve extracted teeth and biopsy samples for examination. Fluorides help remineralize enamel and strengthen teeth against decay when applied topically or ingested systemically. Understanding these agents allows dentists to better manage pain, diagnose conditions, and prevent tooth decay.
Acute inflammation is an immediate response to injury that involves vasodilation, increased vascular permeability, and leukocyte migration. This leads to redness, swelling, heat, and pain at the site of injury. Chronic inflammation is a prolonged response that involves lymphocytes, macrophages and plasma cells. It can lead to tissue destruction and attempts at repair through fibrosis and new blood vessel formation. The response involves many chemical mediators like histamine, kinins, cytokines, and eicosanoids that regulate vascular permeability and leukocyte behavior. Defects in leukocyte function can impair inflammatory response. Acute inflammation may resolve with repair or progress to chronic inflammation and tissue damage.
Dental casting investment: A material consisting primarily of an allotrope of silica and a bonding agent. The bonding substance may be gypsum (for use in lower casting temperatures) or phosphates and silica (for use in higher casting temperatures). (GPT 8)
The document provides information on local anesthetics including their history, mechanism of action, properties of ideal anesthetics, constituents, and vasoconstrictors. It discusses how local anesthetics work by blocking sodium channels and preventing nerve impulse propagation. Ideal anesthetics should have rapid onset and sufficient duration while being non-toxic, stable, and sterile. Vasoconstrictors are added to local anesthetics to prolong their duration by decreasing absorption and increasing the amount that remains near the nerve.
Zinc oxide eugenol (ZOE) cements have been used extensively in dentistry since the 1890s. They are available in various types for different applications. Type I ZOE cements are for short-term use as they have low strength. Type II have reinforcements for long-term cementation of permanent restorations. Type III are for interim treatment and Type IV are low strength materials used as liners. Modified ZOE cements have been introduced to improve strength by adding reinforcing agents like EBA, alumina or polymers. ZOE cements have properties like bacteriostatic effect, obtundency and low irritation to pulp. They are still commonly used as endodontic sealers,
This document discusses various topics related to oral care, including causes and treatments for bleeding gums, sensitive teeth, plaque, and halitosis. It also describes the roles of antimicrobial agents, antioxidants, and astringents in oral care. Further, it provides details on the building blocks and formulations of anticavity, sensitivity relief, and whitening toothpastes. Finally, it analyzes the ingredients and claims of some marketed oral care products.
Astringents, Classification of Astringents, General uses of astringents, Zinc sulfate, Medicinal uses of Zinc Sulfate, Potash Alum, Medicinal uses of Potash Alum
This document provides information on dental amalgam, including:
- A brief history noting amalgam has been used for over 150 years and was originally made by filing silver coins and mixing with mercury.
- The components and microstructure of amalgam, including how it is composed of a mixture of silver/tin/copper alloy and mercury that amalgamates during manipulation.
- The classification, properties, manipulation techniques, indications and contraindications for amalgam restorations.
- Potential failures of amalgam restorations and their causes, as well as precautions needed due to mercury toxicity.
1. inflammation with vascular events dr ashutosh kumarDrAshutosh Kumar
Inflammation is the body's response to injury and involves cardinal signs like redness, heat, swelling, and pain. Acute inflammation is rapid in onset and short in duration, involving increased blood flow, vascular permeability, and neutrophil infiltration. The vascular changes that occur during acute inflammation include vasodilation, increased permeability through mechanisms like endothelial cell contraction and injury, and transcytosis, which together allow fluid, proteins, and cells to exit into tissues as an exudate.
Patho and micro_important_topics For BDSRajan Kumar
The document outlines important topics in pathology and microbiology for dental students. In pathology, it lists various types of inflammation, necrosis, healing processes, shock, leukemia, tumors, diabetes, vitamin deficiencies, edema, cancer, tuberculosis, pre-cancerous lesions, cell injury, bone diseases, heart diseases, oral cavity diseases, cysts, and blood disorders. In microbiology, it discusses sterilization methods, culture media, bacterial cell structures, AIDS, immunity, viruses like hepatitis and herpes, syphilis, plasmodium, typhoid, bacterial spores and species, tuberculosis, Robert Koch, exotoxins and endotoxins, and fungal infections.
Dental cements are materials used to join teeth and prosthetics or restorations. This document discusses different types of dental cements including their compositions, properties, clinical uses, and manipulation techniques. Zinc phosphate cement is the first cement described and is commonly used for permanent luting. Zinc polycarboxylate cement exhibits chemical bonding and is also used for permanent luting. Glass ionomer cement is tooth-colored, anticariogenic, and bonds adhesively to tooth structure making it suitable for restorations.
A dentifrice is a substance used with a toothbrush to clean tooth surfaces. There are two main types: cosmetic dentifrices, which clean and polish teeth, and therapeutic dentifrices, which help reduce diseases like cavities and gingivitis. Dentifrices contain abrasives like silica to clean teeth, water, humectants like sorbitol for consistency, foaming agents for antibacterial properties, sweeteners, binders, flavors, and potentially therapeutic agents like fluoride. Ingredients like humectants maintain moisture, foaming agents facilitate cleaning and have antibacterial effects, flavors make it pleasant to use, and preservatives prevent bacterial growth in the product.
This document provides information on dentifrices (substances used with a toothbrush for cleaning teeth). It discusses the history of dentifrices, types (cosmetic and therapeutic), composition, recent developments, literature reviews, and advice for patients. Dentifrices contain abrasives, detergents, flavors, sweeteners, and compounds like fluoride, triclosan, and stannous fluoride that fight plaque, tartar, gingivitis, and sensitivity. Recent developments include children's toothpastes and whitening products. Literature reviews examine the effectiveness of ingredients like triclosan and chlorhexidine at controlling plaque and inflammation. Advice includes using small amounts of fluoride paste and less abrasive dent
Dental amalgam is an alloy used as a dental restorative material. It consists of mercury combined with other metals like silver, tin, and copper. Amalgam undergoes a setting reaction when mixed with liquid mercury to form a hard material. It is indicated for restoring cavities. While it has advantages like strength and cost-effectiveness, it lacks esthetics and can release low levels of mercury vapor. Modern amalgams have improved properties like reduced creep and shrinkage. Careful manipulation is required to achieve optimal physical properties and reduce risks.
The document discusses different types of investment materials used to create molds for dental restorations and appliances. It describes the requirements for investment materials including refractory and binding properties. Three common types are discussed - gypsum-bonded, phosphate-bonded, and silica-bonded - along with their compositions, setting reactions, properties and limitations. Gypsum is suitable for gold alloys but not high-temperature alloys. Phosphate-bonded materials withstand higher temperatures. Silica-bonded provides high thermal expansion to compensate for casting shrinkage. The proper selection of investment material depends on the alloy and desired mold properties.
This document discusses drugs that stimulate gastrointestinal motility. It describes the enteric nervous system and various drug classes that work as prokinetic agents, including cholinomimetics, dopamine antagonists like metoclopramide and domperidone, and macrolide antibiotics. These drugs increase motility in different regions of the GI tract and are used to treat conditions like GERD, gastroparesis, constipation, and postoperative ileus. The document also reviews the mechanisms of action and adverse effects of specific prokinetic medications.
One of the oldest filling material among all restorative materials available. Nobel metal filling, which do not undergo Tarnish & Corrosion & having good Biocompatibility.
Classification
foil, electrolytic precipitate & powder gold.
cohesive &non-cohesive form
manipulation
annealing / degassing
Compaction
indication
contraindicatioin
advantage
disadvantages.
This document discusses inflammatory mediators, which are messengers that contribute to the inflammatory response by acting on blood vessels, immune cells, or other cells. Inflammatory mediators can be classified as either cell-derived or plasma-derived. Cell-derived mediators include histamine, serotonin, lysosomal enzymes, eicosanoids such as prostaglandins and leukotrienes, platelet-activating factor, reactive oxygen species, nitric oxide, and cytokines. Plasma-derived mediators include components of the complement, coagulation, kinin, and fibrinolytic systems. Many of these mediators stimulate the release of other mediators and have effects like increasing vascular permeability and chemotaxis. Cytokines and
This document provides information about zinc oxide eugenol cement. It discusses the objectives, availability, types, composition, setting reaction, properties, and manipulation of zinc oxide eugenol cement. The key points are:
- Zinc oxide eugenol cement has been used since 1890 and is biocompatible but has low strength. It is available in bottles, tubes, and as paste/paste systems.
- It has various applications including temporary cementation, temporary fillings, cavity liners, and pulp capping. Types include those for temporary cementation, permanent cementation, temporary fillings, and cavity liners.
- Its composition involves a powder containing zinc oxide and a liquid containing e
11 cellular & vascular events in acute inflammationDr UAK
This document summarizes acute inflammation and the cellular and vascular events that occur during the inflammatory response. It discusses the vasodilation, vascular leakage, and leukocyte emigration that characterize acute inflammation. Specifically, it describes the mechanisms of vasodilation, vascular permeability, leukocyte rolling, adhesion, transmigration, chemotaxis, phagocytosis, degranulation, and the roles of various chemical mediators involved in the inflammatory response. It also briefly discusses potential outcomes of acute inflammation and patterns of chronic inflammation.
This document discusses dental amalgam, including definitions of relevant terminology, alloy compositions, and the setting reactions that occur when amalgam alloys are mixed with mercury. It describes the microstructural phases that form, including the γ1 and γ2 phases in low-copper amalgams. For high-copper amalgams, it discusses both admixed alloy powders containing lathe-cut and spherical silver-copper particles, and single composition alloy powders, noting the phases like ή that form during setting.
Mrs. Nina was recently diagnosed with hypertension and high cholesterol. She has been prescribed lisinopril/hydrochlorothiazide to treat her hypertension and atorvastatin to treat her cholesterol.
Lisinopril is an ACE inhibitor used to treat hypertension. It works by relaxing blood vessels to lower blood pressure. ACE inhibitors can cause dry mouth, a side effect that increases risk of cavities if not managed properly.
The patient should be counseled about maintaining good oral hygiene and drinking water to prevent dry mouth from antihypertensive medications from increasing risk of cavities and gum disease. Regular dental checkups are important for monitoring oral health during drug therapy.
Obtundents, Mummifying agents and Fluorides.pptxrupeshdalavi
This document discusses three types of dental agents: obtundents, mummifying agents, and fluorides. Obtundents are topical anesthetics like lidocaine that block nerve impulses and reduce pain during dental procedures. Mummifying agents like formalin are used to preserve extracted teeth and biopsy samples for examination. Fluorides help remineralize enamel and strengthen teeth against decay when applied topically or ingested systemically. Understanding these agents allows dentists to better manage pain, diagnose conditions, and prevent tooth decay.
Acute inflammation is an immediate response to injury that involves vasodilation, increased vascular permeability, and leukocyte migration. This leads to redness, swelling, heat, and pain at the site of injury. Chronic inflammation is a prolonged response that involves lymphocytes, macrophages and plasma cells. It can lead to tissue destruction and attempts at repair through fibrosis and new blood vessel formation. The response involves many chemical mediators like histamine, kinins, cytokines, and eicosanoids that regulate vascular permeability and leukocyte behavior. Defects in leukocyte function can impair inflammatory response. Acute inflammation may resolve with repair or progress to chronic inflammation and tissue damage.
Dental casting investment: A material consisting primarily of an allotrope of silica and a bonding agent. The bonding substance may be gypsum (for use in lower casting temperatures) or phosphates and silica (for use in higher casting temperatures). (GPT 8)
The document provides information on local anesthetics including their history, mechanism of action, properties of ideal anesthetics, constituents, and vasoconstrictors. It discusses how local anesthetics work by blocking sodium channels and preventing nerve impulse propagation. Ideal anesthetics should have rapid onset and sufficient duration while being non-toxic, stable, and sterile. Vasoconstrictors are added to local anesthetics to prolong their duration by decreasing absorption and increasing the amount that remains near the nerve.
Zinc oxide eugenol (ZOE) cements have been used extensively in dentistry since the 1890s. They are available in various types for different applications. Type I ZOE cements are for short-term use as they have low strength. Type II have reinforcements for long-term cementation of permanent restorations. Type III are for interim treatment and Type IV are low strength materials used as liners. Modified ZOE cements have been introduced to improve strength by adding reinforcing agents like EBA, alumina or polymers. ZOE cements have properties like bacteriostatic effect, obtundency and low irritation to pulp. They are still commonly used as endodontic sealers,
This document discusses various topics related to oral care, including causes and treatments for bleeding gums, sensitive teeth, plaque, and halitosis. It also describes the roles of antimicrobial agents, antioxidants, and astringents in oral care. Further, it provides details on the building blocks and formulations of anticavity, sensitivity relief, and whitening toothpastes. Finally, it analyzes the ingredients and claims of some marketed oral care products.
Astringents, Classification of Astringents, General uses of astringents, Zinc sulfate, Medicinal uses of Zinc Sulfate, Potash Alum, Medicinal uses of Potash Alum
Arsenic poisoning can occur through ingestion, inhalation, or skin absorption of arsenic compounds. Acute arsenic poisoning causes gastrointestinal symptoms like vomiting and diarrhea, while chronic exposure can lead to skin lesions, peripheral vascular disease, and cancer. Diagnosis is made through laboratory tests of urine, blood, hair, nails, and tissue samples, which detect elevated arsenic levels. Treatment for acute poisoning involves gastric lavage, administration of chelating agents like BAL, and supportive care, while chronic cases require removing the source of exposure and long-term chelation therapy along with symptom management. Autopsy findings may show inflammation of the gastrointestinal tract and liver congestion in acute deaths.
This document summarizes various drugs used in endodontic and restorative dental treatments. It discusses drugs used for pulp capping, managing pulp necrosis, as haemostatic agents, antiseptics, and local anesthetics. Specific drugs and materials discussed include calcium hydroxide paste for pulp capping, chlorhexidine for disinfecting root canals, absorbable gelatin sponges for bleeding control, astringents containing zinc, iron or aluminum, and topical anesthetics containing benzocaine or lidocaine. Potential side effects of various drugs and rinses are also outlined.
Saliva is secreted by major and minor salivary glands and contains enzymes and proteins that serve several important functions. It lubricates and protects the oral cavity, maintains a non-acidic pH through buffering, and contains enzymes like amylase that begin starch digestion and antibacterial compounds. The main salivary glands are the parotid, submandibular, and sublingual glands, which secrete the majority of saliva. Saliva's roles include lubrication, protection, buffering acids and clearing food debris, maintaining tooth integrity, and providing antibacterial activity.
Antiseptics, astringents and sialogoguesbibi umeza
overview of antiseptics, antringents and sialogogues with detailed information on pharmacological action, mechanism, use and adverse effect for both dental and medical students
Dentrifices are agents used to clean teeth and come in various forms like paste, powder or gel. Toothpaste is the most common dentrifice used along with a toothbrush. Toothpaste aims to remove plaque and food debris from teeth. There are two main types - cosmetic dentrifices which clean teeth and therapeutic dentrifices which also treat oral diseases. Therapeutic toothpastes may contain fluoride to prevent cavities, triclosan or chlorhexidine to prevent gingivitis, or potassium salts to treat sensitive teeth. The typical composition of toothpaste includes humectants, abrasives, flavors, binders and surfactants, in addition to active ingredients.
xerostromia.ppt biochemistry of git tractAnnaKhurshid
Xerostomia, or dry mouth, results from reduced or absent saliva flow and can be caused by various medical conditions and medications. It is diagnosed based on patient history of dry mouth symptoms, examination of the oral cavity, and salivary flow measurement tests. Management involves identifying the underlying cause, increasing saliva flow, replacing lost secretions, controlling dental caries, and treating infections through lifestyle changes, saliva substitutes, and medical treatment.
This document discusses various soaks and baths used in dermatology. It describes Condy's soaks using potassium permanganate which acts as an astringent, oxidizing agent, and anti-inflammatory. Acetic acid soaks are also described, noting their mechanisms of action include enhancing lipid solubility and lowering pH. Other soaks mentioned include hydrogen peroxide, PUVA, saline, aluminum subacetate, and EUSOL. Bath types discussed are antibacterial, colloidal, emollient, and tar baths. Common conditions treated include infected wounds, eczema, ulcers, and scaly dermatoses. Precautions and side effects are also provided.
The document discusses the structure of teeth and common oral health problems. It describes the distinct parts of a tooth including the crown, root, and neck. Important structures within teeth like enamel, dentin, and pulp cavity are also outlined. Common oral issues explained include dental caries, periodontal diseases, dental staining, oral malodor, dentinal hypersensitivity, dry mouth, and dental calculus. Treatment options for these problems focus on reducing bacteria, remineralizing teeth, and removing plaque and calculus deposits.
This document provides information on various pharmaceutical compounds including expectorants, emetics, haematinics, astringents, and antidotes. It discusses expectorants that help remove sputum by increasing fluidity or volume of respiratory tract fluids. Emetics induce vomiting to expel toxic substances in poisoning cases. Haematinics like iron, B12 and folate increase blood hemoglobin. Astringents cause tissue contraction and dry secretions. Antidotes counteract poisons through opposite effects, preventing absorption, or chemical alteration. Examples and uses are given for each type of compound.
Gingivitis is the earliest stage of gum disease caused by a buildup of plaque and bacteria on the teeth. It causes red, swollen gums that bleed easily when brushing. Symptoms include bad breath and gum tenderness or pain when chewing. Gingivitis is usually diagnosed during a dental exam where the dentist evaluates the gums and checks for signs of infection and inflammation. Treatment involves improved oral hygiene through proper brushing and flossing to remove plaque and bacteria from the teeth and gums. Left untreated, gingivitis can advance to a more serious form of gum disease called periodontitis.
It is heavy metal and bright silvery in appearance.It is liquid and is non poisonous if swallowed. However, it volatilizes at room temp and inhalation of vapors is toxic. It gets widely distributed throughout the body and causes toxic damage to brain, kidney, peripheral nervous system, mucous membranes etc
The oral cavity consists of the lips, gums, tongue, salivary glands, and teeth. Stomatitis is an inflammation of the mucous membrane in the mouth that can affect the cheeks, gums, tongue, lips, and roof or floor of the mouth. Stomatitis can be caused by chemotherapy, radiotherapy, trauma, poor dental hygiene, smoking, dehydration, or burns. Symptoms include pain, sores or ulcers in the mouth, fever, irritability, blisters, swollen gums, drooling, difficulty swallowing, and foul breath. Treatment involves medical management with mouthwashes or analgesics, as well as maintaining good oral hygiene, a bland diet
This document discusses several oral disorders including oral hairy leukoplakia, hairy tongue, ankyloglossia, squamous cell carcinoma of the tongue, salivary gland diseases, diseases of the lips, periodontitis, dental caries, and periapical abscess. It covers the pathogenesis, clinical presentation, diagnosis and management of these conditions.
Saliva & Salivary glands A Prosthodontics Perspective Dr. Aayush Shah
The seminar aims to provide a comprehensive understanding of the significance of saliva and salivary glands in prosthodontics. Saliva plays a crucial role in maintaining oral health, aiding in mastication, digestion, lubrication, and antimicrobial defense. The functionality of salivary glands directly impacts the success and longevity of prosthodontic treatments, such as dentures, dental implants, and oral rehabilitation procedures. This seminar will explore the intricate relationship between saliva, salivary glands, and prosthodontics, highlighting their clinical implications and management strategies.
Non-neoplastic salivary gland disorders can be congenital, inflammatory, infectious, endocrine/metabolic, autoimmune/benign lymphoepithelial lesions, or drug induced. Dry mouth (xerostomia) is caused by decreased saliva production or composition changes and can be iatrogenic (from medications), physiological (dehydration), or due to diseases like Sjogren's syndrome. Sjogren's syndrome is an autoimmune disorder affecting the salivary and lacrimal glands, causing dry eyes and dry mouth. It is characterized by lymphocytic infiltration of the glands and is associated with connective tissue diseases. Diagnosis involves evaluating symptoms, signs, and
Fluorides are effective at preventing dental caries by making the enamel more acid resistant and inhibiting bacterial acid production. Fluoride is administered through fluoridated water, toothpaste, mouthwash, gel, foam, and supplements. It works by being incorporated into tooth structure during development and by strengthening enamel through the formation of fluorapatite. Astringents work by precipitating proteins on the tooth surface to form a protective barrier. Potassium nitrate and agents that occlude dentinal tubules are used to treat dentin hypersensitivity by blocking neural signals or sealing open tubules.
Cephalosporins are a class of beta-lactam antibiotics that are structurally similar to penicillins. They are divided into generations based on their antimicrobial spectrum and resistance to beta-lactamases. Earlier generations are effective against gram-positive bacteria while later generations have activity against more gram-negative bacteria including Pseudomonas. Common side effects include diarrhea, hypersensitivity reactions, and drug interactions with aminoglycosides which have synergistic activity against Klebsiella. Cephalosporins are used to treat a variety of bacterial infections depending on the generation, including pneumonia, meningitis, skin infections, and UTIs.
General Pharmacology Lecture Slides on Essential Drugs and Rational use of Medicines by Sanjaya Mani Dixit Assistant Professor of Pharmacology at Kathmandu Medical College
Dental Pharmacology Lecture Slides on Sialogogues and Antisialogogues by Sanjaya Mani Dixit Assistant Professor of Pharmacology at Kathmandu Medical College
Pharmacology Lecture Slides on Autonomic Nervous System Introduction by Sanjaya Mani Dixit Assistant Professor of Pharmacology at Kathmandu Medical College
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
2. Astringents
The word "astringent" derives from Latin adstringere,
meaning "to bind fast".
Definition: Astringent is a drug that reacts chemically with
cellular proteins producing limited coagulation which is
accompanied by shrinkage of body tissues.
Astringent protects from external irritation and reduces
cellular permeability
It also possesses local styptic and local antiseptic actions
Examples:
very cold water,
rubbing alcohol and zinc oxide, and
vegetable substances such as tannic acid
3. Astringents
Astringent medicines cause shrinkage of mucous membranes
or exposed tissues and are often used internally to check
discharge of blood serum or mucous secretions
sore throat,
hemorrhages,
diarrhoea, or
peptic ulcers.
Externally applied astringents, cause mild coagulation of
skin proteins, dry, harden, and protect the skin
Acne sufferers are often advised to use astringents if they
have oily skin
4. Uses of astringents
• Stop bleeding
• Clean the face and prevent Acne Breakouts
• Haemorrhoids
• Relieve the discomfort and itching caused by
• insect bites,
• minor abrasions and
• Athlete’s foot
5. Astringents
• Astringents are substances that precipitate proteins, but do
not penetrate cells and this affect the superficial layer of
mucosa only.
• Aluminum chloride and ferrous sulfate are preferred
astringents in dentistry since they cause minimum tissue
damage.
• Examples
– Alum
– Aluminium chloride
– Zinc chloride (8-20%)
– Tannic acid
6. Characteristics
Affect only the superficial layer.
Reduce cellular permeability.
Make the surface mechanically stronger, decrease exudation.
Protect from external irritation.
Possess local styptic and local antiseptic action.
May interfere with the function of pain receptors.
The pain relieving action is mild.
8. Classification based on MoA
1. Those that decrease the blood supply by narrowing
the small blood vessels, e.g. epinephrine, cocaine.
2. Those that abstract water from the tissue, e.g.
glycerol and alcohol.
3. Those that coagulate the superficial tissue layers into
a crust, e.g. metallic astringents such as calamine or
alum.
9. Action of Astringents
The general condensation of tissue.
Diminished caliber of the arteries, veins, capillaries, absorbents,
and ducts.
Diminished secretion, exhalation and absorption.
Constipation of the bowels; and increased firmness along with
contraction of the pulse.
Constrict blood vessels to stop bleeding.
Harden the epidermis creating a barrier against infection.
Increase in appetite and invigorate digestion.
Antioxidant.
Inhibit mutagenicity of carcinogens.
10. Indications
• To check morbid discharges – generally or locally
• To obviate morbid relaxation – generally or locally
• To check inflammation in its earliest stage – applied directly at
the site
• Swollen, inflamed and/or leaky tissues : -diarrhea, dysentery -
IBS, IBD -leukorrhea (thick whitish/yellowish vaginal
discharge)
• Catarrhal states -cough, bronchitis, sore throats -Canker sores
and other oral infections -Varicose veins
• Minor bleeding: -Menorrhagia (heavy flow) -Hemorrhoids -
Small wounds and burns
11. Clinical Uses
• Used internally to check discharge of blood,
serum or mucous secretions (in sore throat,
diarrhea, hemorrhage or peptic ulcers).
• Externally applied astringents, which cause
mild coagulation of skin proteins, dry, harden,
and protect the skin.
• Cleaning the face and preventing acne
breakouts.
• Stoppage of bleeding.
12. Astringents used in Dentistry
• Tannic acid and tannins
• Vegetable astringent.
• Source – nutgalls (tannic acid), tea, catechu,
betelnut (tannins).
• Actions : strengthen gums and check bleeding.
tannins bind salivary proteins, precipitate
them, causing dry sensation
13. Astringents used in Dentistry
• Their preparations are used as astringent mouth
wash, astringent dentrifices, local haemostatics,
mummifying agent and obtundant.
• Efficacy is dubious.
14. Zinc chloride - caustic astringent
• Actions : -Zinc reduces the permeability of cell
membrane, alters the capillary epithelium, inhibits
transcapillary movement of plasma proteins and
reduces local edema, inflammation, exudation and
mucus secretion.
• Ulcerative gingivitis, pyorrhoeal pockets and apthous
ulcers.
• Included in several mouthwashes and dental gels.
15. Zinc sulfate
topical astringent for mucous membranes.
indications :
mastoiditis,
stomatitis and
chronic alveolar abscess.
Included in mouthwashes and lotions.
16. Copper sulfate
Used as an astringent in indolent ulcer of gums.
Also used as a fungicide.
Disadvantage – stain the teeth. Alum
Has astringent, antiseptic and haemostatic
properties.
Indications : To harden the gums or for
inflamed/ulcerated gums.
Example- styptic pencils used to prevent bleeding
from shaving cuts.
17. Alum as Astringent
• Aluminium chloride, ferric chloride, strontium
chloride
• Included in many mouthwashes and gels.
• Provide symptomatic relief, heal lesions, reduce
dentinal sensitivity and bleeding of gums. Oak’s bark
• actions : tighten tissues and strengthen blood
vessels.
• indications : weak and bleeding gums, damaged
gums
18. Alum as Astringent
Hydrolysable tannins are not recommended for long-term
use.
Prolonged use can reduce absorption of nutrients, and cause
or worsen constipation.
Form complex with metal ions and reduce absorption.
Irritation of mucous membranes.
Carcinogenic when injected subcutaneously.