Periodontitis is a complex infection initiated by bacteria –tissue destruction.
Host: the organism from which a parasite obtains its nourishment/ an individual who receives a graft
Modulation: the alteration of function or status of something in response to a stimulus or an altered physical or chemical environment
Periodontitis is a complex infection initiated by bacteria –tissue destruction.
Host: the organism from which a parasite obtains its nourishment/ an individual who receives a graft
Modulation: the alteration of function or status of something in response to a stimulus or an altered physical or chemical environment
ROS is a substractive method of having positive bone architecture. it includes osteotomy and ostectomy procedures. osteotomy is to remove non supporting bone and ostectomy is to remove supporting bone for having positive bony architecture. there is definitive osseous surgery and compromise osseous surgery. transgingival probing is a method of determining osseous topography. various hand and rotary instruments are use for this procedure.
One of the most painful but easy-to-treat dental emergencies is a dry socket.
• Dry socket symptoms are experienced after a tooth extraction.
• This condition requires follow-up care by the doctor who performed the surgery, an oral surgeon or a dentist who is familiar with how to treat it.
For more information, contact :-
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
#drysocket #management #thirdmolarextraction #extractioncomplications
In this presentation, it describes about the periapical diseases, for dental students.
very useful for endodontic purpose.
remember it does not include the pulpal diseases.
Periodontal abscess is a localised purulent infection in the tissues adjacent to the periodontal pocket that may lead to the destruction of the periodontal ligament and alveolar bone. Periodontal abscess is the third most prevalent emergency infection after acute alveolar abscess and pericoronitis. It could lead to complications due to bacteremia that may cause infection at distant locations. Proper management of the abscess is crucial to alleviate pain, establish drainage and control the spread of infection.
A brief description of all topics to recent advances,SDD, host modulation and diabetes, host modulation in smokers, chemically modified tetracyclines, bisphosphonates
Certains medications have been associated with gingival enlargement.
the seminar gives a complete analysis of etilogy and pathogenesis involved in digo as well as sequlae of it
ROS is a substractive method of having positive bone architecture. it includes osteotomy and ostectomy procedures. osteotomy is to remove non supporting bone and ostectomy is to remove supporting bone for having positive bony architecture. there is definitive osseous surgery and compromise osseous surgery. transgingival probing is a method of determining osseous topography. various hand and rotary instruments are use for this procedure.
One of the most painful but easy-to-treat dental emergencies is a dry socket.
• Dry socket symptoms are experienced after a tooth extraction.
• This condition requires follow-up care by the doctor who performed the surgery, an oral surgeon or a dentist who is familiar with how to treat it.
For more information, contact :-
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
#drysocket #management #thirdmolarextraction #extractioncomplications
In this presentation, it describes about the periapical diseases, for dental students.
very useful for endodontic purpose.
remember it does not include the pulpal diseases.
Periodontal abscess is a localised purulent infection in the tissues adjacent to the periodontal pocket that may lead to the destruction of the periodontal ligament and alveolar bone. Periodontal abscess is the third most prevalent emergency infection after acute alveolar abscess and pericoronitis. It could lead to complications due to bacteremia that may cause infection at distant locations. Proper management of the abscess is crucial to alleviate pain, establish drainage and control the spread of infection.
A brief description of all topics to recent advances,SDD, host modulation and diabetes, host modulation in smokers, chemically modified tetracyclines, bisphosphonates
Certains medications have been associated with gingival enlargement.
the seminar gives a complete analysis of etilogy and pathogenesis involved in digo as well as sequlae of it
explaining about Periodontal disease
The term periodontal disease is used in a general sense to encompass all diseases of the periodontium.
The most common disease is initiated by plaque accumulation in the gingivodental area and is basically inflammatory in character, termed marginal periodontitis or more accurately chronic destructive periodontitis.
The periodontal tissues can also be involved by other nosologic entities and many of these fall into degenerative or neoplastic categories. They are considered as periodontal manifestations of systemic diseases
CHRONIC DESTRUCTIVE PERIODONTITIS
Periodontitis
Marginal periodontitis
Slowly progressing
Rapidly progressing
Refractory
Juvenile form of periodontitis
Generalized form
Localized form
Necrotizing Ulcerative Periodontitis
Trauma from occlusion*
Periodontal atrophy*
Presenile atrophy
Disuse atrophy
MARGINAL PERIODONTITIS
Clinical features: chronic inflammation of the gingiva, pocket formation, and bone loss. Tooth mobility and pathologic migration appear in advanced cases.
Etiology: dental plaque
Types: slowly progressing periodontitis, rapidly progressing periodontitis, refractory periodontitis
Presenile atrophy
reduction in the height of periodontium that is uniform throughout the mouth and without apparent cause
Disuse atrophy
Results when the functional stimulation for the maintenance of the periodontal tissues is markedly diminished or absent.
characterized by thinning of periodontal ligament, thinning and reduction in the number of periodontal fibers and disruption of fiber bundle arrangement, thickened cementum, reduction in height of alveolar bone, and osteoporosis
A periodontal pocket is a pathologically deepened sulcus: it is one of the important clinical features of periodontal disease.
SYMPTOMS:
Localized pain or a sensation of pressure after eating, which gradually diminishes
A foul taste in localized areas.
A tendency to suck material from the interproximal spaces.
Radiating pain “deep in the bone”
A “gnawing” feeling or feeling of itchiness in the gums.
Case history is one of the most important step before planning and starting patient's treatment. It gives an overall picture of the patient's current and past dental status and his attitude towards treatment outcomes. It also gives the clinician the idea about the affordibility of the patient for the treatment so that alternate treatment options can be provided. It creates a initial good rapport between the clinician and the patient.
Outline
- Anterior & Posterior triangle of the neck, and sub-divided triangles of them.
- Origin, Insertion, Innervation and Function of all muscle of Anterior & Posterior triangle of the neck.
Seminar about diagnostic methods that used in endodontic which include:
i. Case History.
ii. Clinical Examination.
iii. Radiographs.
iv. Pulp Vitality Tests.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
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The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
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2. General Introduction
essential to intelligent treatment
first determine
determined after careful analysis of the
case history and evaluation the clinical signs and symptoms, as
well as the result of various tests
6. Medical History
The importance of the medical history should be explained to the patients
special precautions modifications in
treatment procedure
play in the cause of
periodontal disease.
The possibility that oral infections
7. patient under the care of a physician is the problem? Its duration and
nature.
hospitalization and operation , kind of operation, and
complications
hematologic, endocrine, infectious, cardiovascular
medications
The Medical history should include
reference to the following:
8. History of allergy
Family medical history
Abnormal bleeding tendencies
The Medical history should include
reference to the following:
9. Dental History
bleeding gum loose of teeth of the teeth with the appearance of spaces
foul test
• Sensitivity when chewing sensitivity to cold & hot sensitivity to inhaled air
10. visit to the dentist treatment and
cleaning by a dentist
patient’s oral hygiene regimen
orthodontic treatment
Pain in the teeth or in the gingiva
Do the teeth feel “loose” or insecure? difficulty in chewing mobility
The Dental History should include
reference to the following:
11. dental habits
habits
History of previous periodontal problems
removable prosthesis
implants
The Dental History should include
reference to the following:
12. Intraoral Radiographic Survey
minimum of 14 intraoral films four posterior
bite-wing films Panoramic radiographs
of
developmental anomalies, pathologic lesions fractures
dental screening examinations of large groups
and severity of bone destruction
13. Casts
position of the gingival margins (recession)
position and inclination of the teeth
Proximal contact relationships food impaction areas
lingual-cuspal relationships
visual aids in discussions with the patient
pretreatment and posttreatment comparisons reference at recall visits
of implant placement
18. Examination of Lymph Nodes
periodontal, periapical, and other oral diseases
examine and evaluate head and neck lymph nodes.
enlarged, palpable, tender, and fairly immobil
skin may be red and warm
herpetic
gingivostomatitis, necrotizing ulcerative gingivitis (NUG), and acute periodontal abscesses
19. Examination of the Teeth and Implants
caries poor restorations developmental defects anomalies of
tooth form wasting hypersensitivity proximal contact relationships
stability, position, and number of implants and their relationship to the adjacent
natural dentition
21. Dental Plaque & Calculus
Supragingival directly observed
subgingival checked to the level of gingival
attachment
Warm water deflect the gingiva
22. Wasting Disease of the Teeth
gradual loss of tooth substance formation of
smooth, polished surfaces
1. Erosion
2. Abrasion
3. Attrition
4. Abfraction.
23. Erosion
corrosion wedge-shaped depression in the cervical area of the facial
tooth surface.
surfaces are smooth, hard, and polished group of teeth
Decalcification by acidic beverages, or citrus fruits, combined
with the effect of acid salivary secretion
24. Abrasion
mechanical wear other than that of mastication
saucer-shaped or wedge shaped smooth, shiny surface
starts on exposed cementum surfaces
abrasive dentifrice Aggressive tooth brushing hard tooth brush
Horizontal brushing at right angles
25. Attrition
occlusal wear functional contacts
, occlusal, and approximal tooth surfaces
physiologic
Occlusal or incisal surfaces worn by attrition are called facets
31. Changes in the size of the
gingiva
In disease, the size is increased enlargement
32. Changes in the consistency of
the gingiva
(edematous) and reparative (fibrotic) changes coexist
33. Gingival Index (GI) (Loe, 1967)
measures the degree of gingival iflammation
distal facial papilla,
facial margin, mesial facial papilla, lingual gingival margin
34. Score of gingival index
Score 0
Score 1 No bleeding on probing
Score 2 Bleeding on probing
Score 3 Ulceration spontaneous
bleeding
35. Gingival bleeding
varies in severity, duration and the ease with which it is provoked
Bleeding on probing early diagnosis
and prevention of more advanced gingival inflammation one of the
earliest visual signs of inflammation
whether
the lesions are in an active or inactive state
36. Bleeding on probing (BOP)
periodontal probe inserted to the ―bottom of the gingival/periodontal pocket
moved gently along the tooth (root) surface
positive
inflamed
37. Plaque Index
Silness and Loe in 1964
all teeth selected teeth
No substitution for any missing tooth
all surfaces
measures the thickness of plaque on the gingival one third of the teeth
38. Plaque Index
0
1
can not be seen with the naked eye disclosing solution using
probe
2
seen with the naked eye
3 soft matter within the gingival pocket on the tooth and gingival
margin
39. Calculus Index (CI)
CI 0 No
CI 1 Supragingival calculus not more than 1/3
CI 2 Supragingival calculus covering more than 1/3 not more than 2/3
flecks of subgingival calculus
CI 3 Supragingival calculus covering more than two-thirds
continuous heavy band of subgingival calculus
41. Pockets
generally painless localized
or sometimes radiating pain or sensation of pressure after eating
foul taste sensitivity to hot and cold
toothache
bleeding
suppuration loose, extruded teeth
42. Pockets
Gingival pocket: pseudopocket or false pocket
gingivitis gingival enlargement
Periodontal pocket: periodontitis apical
migration of junctional epithelium destruction to the supporting
periodontal tissues
Suprabony pocket:
Infrabony pocket:
45. Assessment of probing pocket depth (PPD)
examine all sites of all teeth for the presence or
absence of periodontal lesions be should be inserted parallel to the
vertical axis of the tooth and “walked” circumferentially around each surface
of each tooth to detect the areas of deepest penetration
single-rooted teeth examinated at four sites
multirooted teeth at six sites
distance from the gingival margin to the
bottom of the gingival sulcus/pocket
46. Clinical Attachment Level (CAL)
more accurate indicator
measured from a fixed point on the tooth that doesn’t change, the CEJ