This document discusses xerostomia (dry mouth), including its definition, causes, diagnostic approach, and management considerations. Xerostomia can be caused by salivary gland disorders, medications, head/neck radiation, and various systemic conditions. The diagnostic approach involves assessing the patient's medical history and symptoms, performing oral examinations and tests of salivary flow rates, and determining whether further workup is needed. Proper diagnosis of xerostomia's underlying cause is important to institute effective management and prevent oral health complications.
Este documento presenta un anteproyecto sobre temporizadores ON delay y OFF delay. Explica que un temporizador proporciona un retardo en el encendido o apagado de un relé. Un temporizador ON delay retrasa la energización de la bobina del relé, mientras que un OFF delay retrasa el apagado de la bobina después de desenergizar el circuito. El tiempo de retardo se logra mediante un capacitor, y depende de sus microfaradios. El proyecto demostrará el funcionamiento de ambos temporizadores, que son usados com
This document provides a summary of Satheesh Kumar Manasani's professional experience and qualifications. He has over 7 years of experience in data migration, data quality, and data warehousing projects for energy and utilities companies. He has expertise in tools such as SAP BODS, SAP Data Insight, and Informatica PowerCenter. Some of his responsibilities have included developing ETL solutions, data analysis, and ensuring data quality and accuracy of migrations. He is proficient in technologies such as Oracle, SQL Server, and SAP applications.
-- Created using PowToon -- Free sign up at http://www.powtoon.com/ -- Create animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, product launch, video resume, or anything else you could use an animated explainer video. PowToon's animation templates help you create animated presentations and animated explainer videos from scratch. Anyone can produce awesome animations quickly with PowToon, without the cost or hassle other professional animation services require.
This certificate awards ROEOLF MIAS COETZER for completing a 2-hour Ethanol Emergency Response training course on July 20, 2016. The training was signed off by Mark Light, the Chief Executive Officer and Executive Director, who verified the completion of the required hours of instruction.
Liane Schalatek_Climate Financing in the MENA Region - How Gender-Responsive ...hbs_Palestine_Jordan
This document discusses climate financing and its gender responsiveness in the MENA region. It provides an overview of global climate financing sources and amounts pledged vs. deposited vs. approved vs. disbursed. It also summarizes dedicated adaptation finance instruments and how much funding has been approved and disbursed for adaptation projects in the MENA region from 2003-2012. Overall, it finds that climate financing has not systematically considered gender and women have generally not benefitted, though some funds now have some gender dimensions.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
Este documento presenta un anteproyecto sobre temporizadores ON delay y OFF delay. Explica que un temporizador proporciona un retardo en el encendido o apagado de un relé. Un temporizador ON delay retrasa la energización de la bobina del relé, mientras que un OFF delay retrasa el apagado de la bobina después de desenergizar el circuito. El tiempo de retardo se logra mediante un capacitor, y depende de sus microfaradios. El proyecto demostrará el funcionamiento de ambos temporizadores, que son usados com
This document provides a summary of Satheesh Kumar Manasani's professional experience and qualifications. He has over 7 years of experience in data migration, data quality, and data warehousing projects for energy and utilities companies. He has expertise in tools such as SAP BODS, SAP Data Insight, and Informatica PowerCenter. Some of his responsibilities have included developing ETL solutions, data analysis, and ensuring data quality and accuracy of migrations. He is proficient in technologies such as Oracle, SQL Server, and SAP applications.
-- Created using PowToon -- Free sign up at http://www.powtoon.com/ -- Create animated videos and animated presentations for free. PowToon is a free tool that allows you to develop cool animated clips and animated presentations for your website, office meeting, sales pitch, nonprofit fundraiser, product launch, video resume, or anything else you could use an animated explainer video. PowToon's animation templates help you create animated presentations and animated explainer videos from scratch. Anyone can produce awesome animations quickly with PowToon, without the cost or hassle other professional animation services require.
This certificate awards ROEOLF MIAS COETZER for completing a 2-hour Ethanol Emergency Response training course on July 20, 2016. The training was signed off by Mark Light, the Chief Executive Officer and Executive Director, who verified the completion of the required hours of instruction.
Liane Schalatek_Climate Financing in the MENA Region - How Gender-Responsive ...hbs_Palestine_Jordan
This document discusses climate financing and its gender responsiveness in the MENA region. It provides an overview of global climate financing sources and amounts pledged vs. deposited vs. approved vs. disbursed. It also summarizes dedicated adaptation finance instruments and how much funding has been approved and disbursed for adaptation projects in the MENA region from 2003-2012. Overall, it finds that climate financing has not systematically considered gender and women have generally not benefitted, though some funds now have some gender dimensions.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The Kemp's ridley sea turtle is the most critically endangered sea turtle species. Its population declined 99% over 40 years to just over 800 nests annually in the 1980s, but conservation efforts have helped the population start to recover, with over 5,000 nests reported in 2003. The turtles mainly nest at Rancho Nuevo, Mexico during April to July. Intensive monitoring and protection of nesting beaches and eggs was implemented in the late 1960s and continues today.
Fidaa Haddad_Gender-Responsiveness in Existing Adaptation Strategieshbs_Palestine_Jordan
This document outlines strategies for mainstreaming gender considerations into Jordan's climate change adaptation efforts. It recognizes that climate change impacts women and men differently due to existing social inequalities. The strategies aim to enhance women's capacity to adapt through training, technology transfer, and leveraging traditional knowledge. Specific objectives are outlined for the water sector, including expanding gender-sensitive training, providing management courses, and promoting efficient water technologies. Monitoring funding to ensure resources reach women is also discussed. The overall goal is for women and men to equally benefit from Jordan's climate change initiatives and policies.
This document provides an overview of franchising and licensing opportunities. It discusses what franchising is, common misconceptions, how franchising drives business growth. It identifies potential franchisees such as immigrants, youth, women, and those impacted by downsizing. The document outlines advantages of franchising like support from the franchisor. It compares franchising to licensing and provides examples of hot franchise trends like home-based businesses and food services. It describes services provided by M-FOUR International to help identify franchise opportunities and establish new franchises.
This document provides a guide for starting a water treatment and vending business in Kenya. It acknowledges that small-scale water treatment and vending has been a profitable business model in many countries. The guide is organized into four parts that cover keys to business success, planning the business, setting up the business, and running the business. It provides information on developing a business plan, choosing a location, purchasing equipment, marketing, and maintaining quality standards. Sample financial data from an existing Kenyan business shows estimated monthly revenues of 400,000 KSh and annual profits of over 1 million KSh after costs.
This document discusses dental implants, including their components and classifications. It defines implants and implantology, and lists the main components of implants as the implant body, healing screws/caps, abutments, and prosthetic attachments. Implants are classified based on their placement (endosteal, subperiosteal), attachment mechanism (osseointegration, fibrointegration), materials (metallic, nonmetallic), shape (cylindrical, threaded), and surface (smooth, rough). The document provides details on different types of implants within each classification.
Development of palate, tongue, maxilla and mandibleAldrin Jerry
The document discusses the development of various structures in the oral cavity, including the palate, tongue, mandible, and maxilla. It describes:
- The palate develops from the primary and secondary palate between 5-9 weeks as the palatine shelves fuse in the midline.
- The tongue develops from the mandibular arches, with the anterior 2/3 forming from swellings that merge together and the posterior 1/3 forming from the 2nd, 3rd, and 4th arches.
- The mandible forms from the first pharyngeal arch, while the maxilla develops from the first pharyngeal prominence.
Developmental defects that can occur in
PEDO CARE FOR: SEIZURES AND EPILEPSY, MR, CP AND ADHD. General care and clini...Hussein Abdeldayem
1. Dental care for people with disabilities requires special considerations including behavior management techniques, parental involvement, sedation if needed, and instructions for proper home dental hygiene.
2. Common dental problems in people with disabilities include tooth decay, gum disease, bruxism, drooling, injuries from seizures or self-injurious behavior, and issues caused by certain medications.
3. It is important for dentists to develop rapport, provide clear instructions one at a time, and be patient when treating patients with disabilities. Appointments should be scheduled early and parents involved to help the patient stay calm.
This document discusses drooling, its causes, assessment, treatment options, and management. Drooling is normal for babies but most children do not drool past age 4 unless they have neurological problems. Treatment options include speech therapy to improve swallowing skills, medications to reduce saliva production, and surgeries such as gland removal or rerouting of ducts. The preferred approach is to first try non-invasive options like speech therapy and consider medications or surgeries only for severe cases.
This document discusses the salivary glands and saliva. It begins with an introduction and overview of saliva, including its definition, composition, and functions. It then describes the major and minor salivary glands, how saliva is formed, and the factors that can affect saliva composition and secretion. Some key roles of saliva discussed include its role in oral health, acquired pellicle and calculus formation, and its correlation with dental caries. Methods of collecting saliva and some clinical considerations related to saliva are also summarized.
Xerostomia = Dry mouth
( xerostomia is a disorder in salivary secretion )
etiology
Sjögren's syndrome (SS)
clinical features
management
treatment
-- summarized
(For more information read my article): https://www.researchgate.net/publication/323199716_XEROSTOMIA
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses various oral habits that can negatively impact facial growth and development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip and nail biting. It describes the clinical features and skeletal effects of each habit, as well as potential causes and management through behavioral modification, appliances, and orthodontic treatment. Management often involves a multidisciplinary approach between orthodontists and ENT specialists to address both skeletal and respiratory issues.
This document discusses various oral habits that can negatively impact facial growth and development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip and nail biting. It describes the clinical features and complications associated with each habit, as well as treatment approaches like behavioral modification, appliances, and orthodontic management. Common issues outlined include malocclusions, dental misalignment, skeletal asymmetries, and soft tissue changes. A multifaceted approach is often required to successfully treat orofacial myofunctional disorders caused by improper oral behaviors.
This document discusses salivary gland disorders and diseases. It provides information on the anatomy and functions of the major and minor salivary glands. Common salivary gland conditions are categorized into developmental disturbances, saliva and flow alterations, inflammatory conditions, non-inflammatory conditions, and tumors. The document outlines the approach to examining the salivary glands and describes various diagnostic tests used to evaluate salivary gland disorders, including imaging techniques like sialography, scintigraphy and ultrasound, as well as biopsy.
An Autoimmune Disease : Sjogren's Syndrome, also known as Sicca Syndrome was described by Dr. Henrik Sjogren. It is a triad of Dry eyes, Dry mouth & Rheumatoid Arthritis. The presentation provides a guide to the students regarding the disease including Types, History, Epidemiology, Etiopathogenesis, Clinical features, Systemic & Oral manifestations, Diagostic criteria, Histopathological features, Serological findings, Radiography & Salivary gland imaging (involving sialography, scintigraphy, sonography & MRI), its Treatment along with the advancements in treatment, Complications & Prognosis.
Presentation by - Dr.Harsimran Singh Kapoor
1) Oral habits like thumb sucking, tongue thrusting and mouth breathing can cause malocclusion if performed repeatedly over long periods of time.
2) Habits exert pressure on developing teeth and jaws, potentially causing spacing, crowding, open bites or cross bites.
3) Treatment involves identifying the habit, counseling parents and patients, using reminders or appliances to encourage adoption of healthy oral behaviors, and correcting any resulting malocclusion. Managing habits at a young age can prevent long-term dental issues.
The Kemp's ridley sea turtle is the most critically endangered sea turtle species. Its population declined 99% over 40 years to just over 800 nests annually in the 1980s, but conservation efforts have helped the population start to recover, with over 5,000 nests reported in 2003. The turtles mainly nest at Rancho Nuevo, Mexico during April to July. Intensive monitoring and protection of nesting beaches and eggs was implemented in the late 1960s and continues today.
Fidaa Haddad_Gender-Responsiveness in Existing Adaptation Strategieshbs_Palestine_Jordan
This document outlines strategies for mainstreaming gender considerations into Jordan's climate change adaptation efforts. It recognizes that climate change impacts women and men differently due to existing social inequalities. The strategies aim to enhance women's capacity to adapt through training, technology transfer, and leveraging traditional knowledge. Specific objectives are outlined for the water sector, including expanding gender-sensitive training, providing management courses, and promoting efficient water technologies. Monitoring funding to ensure resources reach women is also discussed. The overall goal is for women and men to equally benefit from Jordan's climate change initiatives and policies.
This document provides an overview of franchising and licensing opportunities. It discusses what franchising is, common misconceptions, how franchising drives business growth. It identifies potential franchisees such as immigrants, youth, women, and those impacted by downsizing. The document outlines advantages of franchising like support from the franchisor. It compares franchising to licensing and provides examples of hot franchise trends like home-based businesses and food services. It describes services provided by M-FOUR International to help identify franchise opportunities and establish new franchises.
This document provides a guide for starting a water treatment and vending business in Kenya. It acknowledges that small-scale water treatment and vending has been a profitable business model in many countries. The guide is organized into four parts that cover keys to business success, planning the business, setting up the business, and running the business. It provides information on developing a business plan, choosing a location, purchasing equipment, marketing, and maintaining quality standards. Sample financial data from an existing Kenyan business shows estimated monthly revenues of 400,000 KSh and annual profits of over 1 million KSh after costs.
This document discusses dental implants, including their components and classifications. It defines implants and implantology, and lists the main components of implants as the implant body, healing screws/caps, abutments, and prosthetic attachments. Implants are classified based on their placement (endosteal, subperiosteal), attachment mechanism (osseointegration, fibrointegration), materials (metallic, nonmetallic), shape (cylindrical, threaded), and surface (smooth, rough). The document provides details on different types of implants within each classification.
Development of palate, tongue, maxilla and mandibleAldrin Jerry
The document discusses the development of various structures in the oral cavity, including the palate, tongue, mandible, and maxilla. It describes:
- The palate develops from the primary and secondary palate between 5-9 weeks as the palatine shelves fuse in the midline.
- The tongue develops from the mandibular arches, with the anterior 2/3 forming from swellings that merge together and the posterior 1/3 forming from the 2nd, 3rd, and 4th arches.
- The mandible forms from the first pharyngeal arch, while the maxilla develops from the first pharyngeal prominence.
Developmental defects that can occur in
PEDO CARE FOR: SEIZURES AND EPILEPSY, MR, CP AND ADHD. General care and clini...Hussein Abdeldayem
1. Dental care for people with disabilities requires special considerations including behavior management techniques, parental involvement, sedation if needed, and instructions for proper home dental hygiene.
2. Common dental problems in people with disabilities include tooth decay, gum disease, bruxism, drooling, injuries from seizures or self-injurious behavior, and issues caused by certain medications.
3. It is important for dentists to develop rapport, provide clear instructions one at a time, and be patient when treating patients with disabilities. Appointments should be scheduled early and parents involved to help the patient stay calm.
This document discusses drooling, its causes, assessment, treatment options, and management. Drooling is normal for babies but most children do not drool past age 4 unless they have neurological problems. Treatment options include speech therapy to improve swallowing skills, medications to reduce saliva production, and surgeries such as gland removal or rerouting of ducts. The preferred approach is to first try non-invasive options like speech therapy and consider medications or surgeries only for severe cases.
This document discusses the salivary glands and saliva. It begins with an introduction and overview of saliva, including its definition, composition, and functions. It then describes the major and minor salivary glands, how saliva is formed, and the factors that can affect saliva composition and secretion. Some key roles of saliva discussed include its role in oral health, acquired pellicle and calculus formation, and its correlation with dental caries. Methods of collecting saliva and some clinical considerations related to saliva are also summarized.
Xerostomia = Dry mouth
( xerostomia is a disorder in salivary secretion )
etiology
Sjögren's syndrome (SS)
clinical features
management
treatment
-- summarized
(For more information read my article): https://www.researchgate.net/publication/323199716_XEROSTOMIA
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses various oral habits that can negatively impact facial growth and development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip and nail biting. It describes the clinical features and skeletal effects of each habit, as well as potential causes and management through behavioral modification, appliances, and orthodontic treatment. Management often involves a multidisciplinary approach between orthodontists and ENT specialists to address both skeletal and respiratory issues.
This document discusses various oral habits that can negatively impact facial growth and development, including thumb sucking, tongue thrusting, mouth breathing, bruxism, and lip and nail biting. It describes the clinical features and complications associated with each habit, as well as treatment approaches like behavioral modification, appliances, and orthodontic management. Common issues outlined include malocclusions, dental misalignment, skeletal asymmetries, and soft tissue changes. A multifaceted approach is often required to successfully treat orofacial myofunctional disorders caused by improper oral behaviors.
This document discusses salivary gland disorders and diseases. It provides information on the anatomy and functions of the major and minor salivary glands. Common salivary gland conditions are categorized into developmental disturbances, saliva and flow alterations, inflammatory conditions, non-inflammatory conditions, and tumors. The document outlines the approach to examining the salivary glands and describes various diagnostic tests used to evaluate salivary gland disorders, including imaging techniques like sialography, scintigraphy and ultrasound, as well as biopsy.
An Autoimmune Disease : Sjogren's Syndrome, also known as Sicca Syndrome was described by Dr. Henrik Sjogren. It is a triad of Dry eyes, Dry mouth & Rheumatoid Arthritis. The presentation provides a guide to the students regarding the disease including Types, History, Epidemiology, Etiopathogenesis, Clinical features, Systemic & Oral manifestations, Diagostic criteria, Histopathological features, Serological findings, Radiography & Salivary gland imaging (involving sialography, scintigraphy, sonography & MRI), its Treatment along with the advancements in treatment, Complications & Prognosis.
Presentation by - Dr.Harsimran Singh Kapoor
1) Oral habits like thumb sucking, tongue thrusting and mouth breathing can cause malocclusion if performed repeatedly over long periods of time.
2) Habits exert pressure on developing teeth and jaws, potentially causing spacing, crowding, open bites or cross bites.
3) Treatment involves identifying the habit, counseling parents and patients, using reminders or appliances to encourage adoption of healthy oral behaviors, and correcting any resulting malocclusion. Managing habits at a young age can prevent long-term dental issues.
Xerostomia is the diesease in which their is absence of saliva in mouth. The slide inlcudes all the helpful subjects about the topic. graphical representation for ease of understanding
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.
Saliva is produced by salivary glands and contains enzymes and electrolytes that begin digestion of starches and fats in the mouth. Saliva circulating in the mouth at any given time is termed "whole saliva" and can reflect physiological states of the body. The major salivary glands are the parotid, submandibular, and sublingual glands. Salivary secretion is regulated by the autonomic nervous system. Changes in salivary flow can impact oral health, with dry mouth increasing risks of oral diseases and excess saliva potentially causing dental issues. Saliva also acts as a diagnostic fluid and can provide biomarkers for systemic conditions.
light blue creative modern medical clinic presentation.pdftnnny3090
This document provides an overview of salivary gland diseases. It discusses the classification of salivary gland diseases into neoplastic, non-neoplastic, developmental, infectious/inflammatory, obstructive/traumatic, functional disorders and others. Common salivary gland diseases include sialadenitis (inflammation of a salivary gland), sialolithiasis (salivary stones), xerostomia (dry mouth), sialadenosis and Sjögren's syndrome. The diagnosis of salivary gland diseases involves history and examination, saliva tests, imaging like ultrasound, sialography, CT and MRI, and biopsy when needed.
SALIVA AS A DIAGNOSTIC TOOL
- DEFINITION
- PROPERTIES OF SALIVA
- COMPOSITION
- FUNCTION OF SALIVA
- PRODUCTION OF SALIVA
- REGULATION OF SALIVARY SECRETION
- APPLIED PHYSIOLOGY
- COLLECTION METHOD AND DEVICE
- DIAGNOSTIC APPLICATION
- CONCLUSION
- REFERENCES
When one finds difficulty in swallowing, there is probably something wrong in the execution of one of these phases. This condition is called ‘Dysphagia’. This is a common problem in children.
Prosthetic management of mandibulectomy and glossectomy pati/ orthodontic pra...Indian 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.
Similar to Deserted mouth unveiled/ dental implant courses (20)
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian 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.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
This document discusses dental occlusion concepts and philosophies for complete dentures. It introduces key terms like physiologic occlusion and defines different occlusion schemes like balanced articulation and monoplane articulation. The document discusses advantages and disadvantages of using anatomic versus non-anatomic teeth for complete dentures. It also outlines requirements for maintaining denture stability, such as balanced occlusal contacts and control of horizontal forces. The goal of occlusion for complete dentures is to re-establish the homeostasis of the masticatory system disrupted by edentulism.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses dental casting investment materials. It describes the three main types of investments - gypsum bonded, phosphate bonded, and ethyl silicate bonded investments. For gypsum bonded investments specifically, it details their classification, composition including the roles of gypsum, silica, and modifiers, setting time, normal and hygroscopic setting expansion, and thermal expansion. It provides information on how the properties of gypsum bonded investments are affected by their composition. The document serves as a comprehensive overview of dental casting investment materials.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
MATATAG CURRICULUM: ASSESSING THE READINESS OF ELEM. PUBLIC SCHOOL TEACHERS I...NelTorrente
In this research, it concludes that while the readiness of teachers in Caloocan City to implement the MATATAG Curriculum is generally positive, targeted efforts in professional development, resource distribution, support networks, and comprehensive preparation can address the existing gaps and ensure successful curriculum implementation.
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
3. XEROSTOMIAXEROSTOMIA
Defined as a subjective complaint of oral dryness
that may result from a decrease in the production
of saliva; encompasses spectrum of oral complaints
Most common presentation of salivary gland disease;
but not always associated with salivary gland
hypofunction
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4. Indian Dental academyIndian Dental academy
www.indiandentalacademy.comwww.indiandentalacademy.com
Leader continuing dental educationLeader continuing dental education
Offer both online and offline dentalOffer both online and offline dental
coursescourses
www.dentalacademy.comwww.dentalacademy.com
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7. SYSTEMIC CONDITIONS THAT MAY HAVE
XEROSTOMIA AS A SYMPTOM
Endocrine
Diabetes
Hyper & hypothyroidism
Addison’s disease
Cushing’s syndrome
Malnutrition
Eating disorders
Anorexia nervosa
Anemia
Alcohol abuse
Atrophic gastritis
Autoimmune
Granulomatous diseases
GVHD/Bone marrow transplantation
HIV/AIDS
Others
Liver disease Renal dialysis
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8. CONSIDERATIONSCONSIDERATIONS
Some patients who complain of dry mouth do not
have evidence of reduced salivary flow
Patients with salivary dysfunction rarely complain
of oral dryness as a solitary symptom
Wide range of flow rates fall within the normal
physiological range - hence difficult to substantiate
salivary gland hypofunction in patients who complain
of xerostomia
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9. Chief Complaint (symptomatic / asymptomatic)
Dry mouth questionnaire
Medical history and review of systems
Yes No
Clinical evaluation
Yes
Further diagnostic work up
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10. Questions that help identify people with or at risk of
developing salivary gland hypofunction
1. Does the amount of saliva in your mouth seem to be too
little? Too much? Or you do not notice it?
An ‘yes’ response to this question is an indication of reduced
unstimulated saliva
2. Do you have any difficulties in swallowing?
3. Does your mouth feel dry when eating a meal?
4. Do you sip liquids to aid in swallowing dry food?
An ‘yes’ response to these indicates reduced stimulated saliva
[Source: JADA 1987;115;581-4] 1010www.dentalacademy.comwww.dentalacademy.com
11. SYMPTOMATIC PATIENTSSYMPTOMATIC PATIENTS
Onset
Frequency, duration
Severity
Dry mouth
Hoarse voice
Trouble while eating, speaking, swallowing & chewing
Frequent need to sip water while eating dry food
Awakening at night with oral dryness
Loss of taste acuity
Oral pain, Stomatodynia
Sensitivity to spicy or coarse food
Denture discomfort
Dry/irritated eyes
Dryness of the skin
& vagina
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12. CLINICAL EVALUATION
Tongue blade test:
To assess tissue dryness.
.
General
PhysicalPhysical
EmotionalEmotional
Soft tissue examination
Desiccated and friable
Erythematous
Cobblestoned / fissured tongue
Atrophy of filiform papillae
Candidiasis
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13. Salivary gland evaluation
Enlargement
Tenderness on palpation
Lack of saliva flow on palpation
Blood /pus in saliva on palpation
Atrophic salivary ducts
Hard tissue examination
Primary & secondary caries
Cervical / Root surface caries in elderly
New & recurrent carious lesions
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15. Sialometric Evaluation
Saliva collection
Stimulated saliva flow rates
of <0.7mL/min considered abnormally low.
Unstimulated saliva flow rate
of <0.1mL/min
FactorsFactors
Patient positionPatient position
HydrationHydration
Diurnal/ seasonal variationDiurnal/ seasonal variation
TimeTime
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16. ORAL SCHIRMER’S TEST
Based on measurement of
wetted length of filter
paper strip
WAFER TEST
Based on Time of
dissolution of wafer
measured from the
moment when the wafer is
put upto the time when the
wafer dissolves
SALIVARY FERNING TEST
Ferning phenomenon
based on uniformity,
branching , spreading &
integrity of arborization [ferns]
SAXON TEST
involves chewing on folded ,sterile
sponge for 2 minutes. Saliva
production is quantified by
weighing the sponge before and
after chewing
Type I Type II Type III Type IV
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18. PSYCOLOGICAL AND NEUROLOGICAL CONDITIONS
Xerostomia occurs during periods of acute anxiety, depression
and stress owing to predominant sympathetic stimulation
during such periods which causes sparser and more viscous
salivary flow
Assessment of depression
– Beck Depression Inventory Swedish version of revised 21
item focuses on affective, cognitive, somatic and
behavioral aspects of depression
Assessment of Anxiety
– State-Trait Anxiety Inventory
Assessment of stress
– General Perceived stress questionnaire- emphasizes
cognitive perceptions more than emotional states or
specific life events
[ Source :J of Psychosomatic Research 37: 19-32]
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20. XEROSTOMIA DUE TO NEUROLOGICAL
CONDITIONS
Major depressive disorder
• Chief complaint: chronic facial pain,Chief complaint: chronic facial pain,
burning sensation of the oralburning sensation of the oral
mucosa[often on the tongue] or TMJmucosa[often on the tongue] or TMJ
disorderdisorder
• Other oral signs of dry mouthOther oral signs of dry mouth
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21. MDD contd…MDD contd…
DDysphoriaysphoria
AnhedoniaAnhedonia
IInsomniansomnia
PPsychomotor retardationsychomotor retardation
SSomatic complaintsomatic complaints
SSocial withdrawalocial withdrawal
Substance abuseSubstance abuse
Weight loss/gainWeight loss/gain
Rise in circulatory cortisolRise in circulatory cortisol
levelslevels
Neuroimaging studiesNeuroimaging studies
a. Abnormalities in blood flowa. Abnormalities in blood flow
b. Abnormalities in glucoseb. Abnormalities in glucose
metabolism in limbic systemmetabolism in limbic system
and amygdalaand amygdala
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22. ALZHIEMER’S DISEASE
Characteristic features
– Reduced ability to perform activities of daily living
– Loss of memory
– Apraxia : inability to perform certain acts or
movements; can be tested by asking the patient to
use objects or to make or initiate certain movement
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23. Assessment of aphasia
Formal analysis
Speech defects can be analyzed
Assessment of spoken speech
Paraphasia, neologisms, articulatory disturbances, orofacial apraxia,
speech repetition
Assessment of written language
Reading test
Writing test
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24. INVESTIGATIONS [of dementia in general]
Imaging of head-
– CT/MRI: CT scan reveals diffuse atrophy of cerebral cortex,
wide sulci and dilated ventricles
Blood tests
– Full blood count, ESR
– Urea and electrolytes, glucose
– Calcium, LFTs
– Thyroid function tests
– Vitamin B 12 assay
– VDRL test
– ANA, anti-ds DNA
Chest radiograph
EEG 2424www.dentalacademy.comwww.dentalacademy.com
25. Xerostomia in patients with diabetes/suspected
diabetes
Medical & oral health history
Dental examination- caries, periodontal assessment
Assessment of salivary function
– Subjective assessment
– Objective assessment- salivary flow rates
Taste assessment
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26. Assessment of diabetes complications
– Glycemic control: Elevated glycosylated Hb
levels is associated with greater progression of
hyposalivation
– Nephropathy
Urinary albumin- 200gm/min in 2 of 3, timed
urine samples
Serum creatinine - >180 mol/L
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30. HIV ASSOCIATED XEROSTOMIA
Neoplastic & non-neoplastic lesions occur in salivary
glands
Benign [unilateral/bilateral] enlargement of salivary
glands
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31. –
Stimulated salivary flow rates
– Eye examination- for kerato-conjunctivitis
sicca
– Serology – for anti-nuclear antibodies,
rhematoid factor, SS-A &SS-B antibodies–
these are absent in HIV
– Sialochemistry :increased albumin &
borderline increase of IgA ,protein & lysozyme
– CT: multicentric cysts/larger cysts ranging
from0.5-4 cm in diameter
– MRI
– Ultrasound
– FNA/BIOPSY
Diagnostic procedures
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32. Diagnosis in Xerostomia in Chronic GVHD
Clinical features
Skin changes
Sialometric Analysis
Sialochemistry
– Higher salivary concentration of sodium,
epithelial growth factor, total protein, albumin
and IgG
– Decreased concentration of IgA
Biopsy :expression of adhesion molecules on
the salivary ductal epithelial cells[VCAM-1] is
more profound in GVHD
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33. Xerostomia in Granulomatous conditions
TUBERCULOSIS
Salivary gland swelling,
granuloma/cyst formation
within the salivary glands
PCR based salivary assays
to detect mycobacterium
tuberculosis
Salivary tests for diagnosis
of tuberculosis
Cultures
SARCOIDOSIS
Bilateral, painless, firm
salivary gland enlargement
Heerfordt’s syndrome-
Uveitis
Facial palsy
Parotid swelling
Histopathology– classic
non-caseating granulomas
Serum chemistry-calcium
level, autoimmune
serologies increased
angiotensin-1 converting
enzyme concentration
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34. Xerostomia in nutritional deficiencyXerostomia in nutritional deficiency
disordersdisorders
Anorexia Nervosa
HHistory
Salivary gland enlargement
Total and salivary specific amylase levels
Eating disorders
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35. Alcohol abuse
Acute alcohol consumption-
Diagnosis
- Enhanced output of total protein & amylase
- Decrease in the output of electrolytes
Chronic alcoholism
Diagnosis
– Fatty tissue changes
– Acinar hypertrophy, Accumulation
of secretory granules
– Enlargement of lumen within
the ductal system
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36. Clinical manifestations
– Sialadenitis
– Chronic major salivary gland enlargement
– Absence of symptoms of dry eyes
Histopathology
Salivary gland imaging – CT, MRI and ultra sound
scan
Detection of HCV DNA in the saliva
Serologic detection of anti- HCV antibodies and HCV
DNA
Xerostomia in HCV Infection
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37. Conclusion
It is important to recognize that, xerostomia is not a
diagnosis, but a symptom with various possible
causes. Diagnosis of the underlying systemic cause
is the need of the hour
The series of steps described in this paper enhance
dentist's ability for early detection of salivary gland
hypofunction in both with or without dry mouth.
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38. As Oral Physicians, in an attempt to lower the
incidence of devastating effects on oral health, and
institute appropriate management, we can diagnose
the possible cause of Xerostomia in a timely manner
and ultimately enhance the quality of life.
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