This document discusses how various drugs and systemic factors can influence the rate of orthodontic tooth movement. It identifies 6 categories of drugs that can affect tooth movement: hormones, bisphosphonates, vitamin D metabolites, fluoride, nonsteroidal anti-inflammatory drugs, and eicosanoids. Hormones like estrogens, androgens, calcitonin, and corticosteroids can decrease or increase the rate of tooth movement depending on the hormone. Bisphosphonates, vitamin D, fluoride, and NSAIDs are also likely to decrease the rate of tooth movement.
Loops in orthodontics /certified fixed orthodontic courses by Indian 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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
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
Loops in orthodontics /certified fixed orthodontic courses by Indian 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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
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
MBT system in orthodontics /certified fixed orthodontic courses by Indian den...Indian dental academy
Welcome to 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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
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
Root resorption in orthodontics /certified fixed orthodontic courses by Indi...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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Frankles appliance Is a myofunctional appliance
Functional appliance are removable or fixed appliances that aim to utilize eliminate or guide the forces arising from muscle function,tooth eruption and growth inorder to alter skeletal and dental relationship
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
Dr. William Roth
Introduction
The Roth Rx
Reasons For Modification
Treatment Philosophy
Treatment Goals
Roth Rationale
Selection Of Treatment Mechanics
Roth Set-up
Sequencing Of Treatment Objectives
Treatment Mechanics
Anchorage Considerations
Detailing Of Tooth Position
Advantages
Comparisons
Conclusions
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
Biomechanical modifications made to accommodate orthodontic treatment of adult dentitions are generally minor and adhere to the basic laws of physics as they apply to orthodontic tooth movement.
Some adult presentations necessitate changes in treatment strategy from what would otherwise be employed in adolescent patients to achieve similar goals.
In other cases, objectives themselves may need to be modified because of lack of growth potential, constraints of treatment mandated by the patient or the presence of multiple missing or compromised teeth.
Frictionless Mechanics in Orthodontics
In frictionless mechanics, teeth are moved without the brackets sliding
over the archwire.
Retraction is accomplished with the help of loops or springs.
MBT system in orthodontics /certified fixed orthodontic courses by Indian den...Indian dental academy
Welcome to 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.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
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
Root resorption in orthodontics /certified fixed orthodontic courses by Indi...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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Frankles appliance Is a myofunctional appliance
Functional appliance are removable or fixed appliances that aim to utilize eliminate or guide the forces arising from muscle function,tooth eruption and growth inorder to alter skeletal and dental relationship
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
Dr. William Roth
Introduction
The Roth Rx
Reasons For Modification
Treatment Philosophy
Treatment Goals
Roth Rationale
Selection Of Treatment Mechanics
Roth Set-up
Sequencing Of Treatment Objectives
Treatment Mechanics
Anchorage Considerations
Detailing Of Tooth Position
Advantages
Comparisons
Conclusions
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
Biomechanical modifications made to accommodate orthodontic treatment of adult dentitions are generally minor and adhere to the basic laws of physics as they apply to orthodontic tooth movement.
Some adult presentations necessitate changes in treatment strategy from what would otherwise be employed in adolescent patients to achieve similar goals.
In other cases, objectives themselves may need to be modified because of lack of growth potential, constraints of treatment mandated by the patient or the presence of multiple missing or compromised teeth.
Frictionless Mechanics in Orthodontics
In frictionless mechanics, teeth are moved without the brackets sliding
over the archwire.
Retraction is accomplished with the help of loops or springs.
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
There are many benefits to integrating orthodontics and periodontics in the management of adult patients with underlying periodontal defects. The key to treating these patients is communication and proper diagnosis before orthodontic therapy. Not all periodontal problems are treated in the same way. It should be remembered that overall success of orthodontic treatment depends on the combined effort and close monitoring of the case, by an orthodontist and a periodontist.
A presentation on inter-relationship between periodontal and orthodontic events. Helpful for dental graduates and perio and ortho post graduate students.
Orthodontics-Periodontics Relationship
ntroduction
Biological basis for orthodontic therapy
Periodontal tissue response to orthodontic force
Effects of orthodontic tooth movement on the periodontium
Orthodontic tooth movement in adults with periodontal tissue breakdown
Specific factors associated with orthodontic tooth movement
Implants and orthodontic therapy
Systematics of combined ortho – perio treatment
Periodontally Accelerated Osteogenic Orthodontics (PAOO)
Minor periodontal surgery and orthodontic treatment
Review of literature
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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Effects of drugs and systemic factors on orthodontic
1. Effects of drugs and systemic
factors on orthodontic
treatment
Tyrovola , Spyropoulos
By Ahmad Khalifa
2. • The purpose of this review is to discuss current data concerning the
role of pharmaceutical products (and other systemic factors) known
to affect bone tissue and to influence the velocity of orthodontic
tooth movement.
3. EFFECTS OF SYSTEMIC FACTORS ON TOOTH
MOVEMENT
• Tooth movement depends on the state of calcium metabolism in the
alveolar bone
• Nutritional hyper-parathyroidism, induced in experimental animals by
administering a diet with decreased calcium to phosphorus rate, has
been shown to increase the ratio of orthodontic tooth movement
4. Drugs that can influence the rate of tooth
movement can be divided into 6 main categories :-
1.Hormones
2.Bisphosphonates
3.Vitamin D metabolites
4.Fluoride
5.Non steroidal anti-inflammatory drugs
6.Eicosanoids
5. HORMONES
Estrogens and androgen
• It controls bone remodeling during reproductive life
Estrogens
Cytokines
- IL-l
- IL-6
- TNF-a
Stimulating ostcoclast formation
And osteoclastic bone résorption
Decrease of the rate
of bone résorption
They also inhibit osteoblasts responsiveness to parathyroid hormone (PTH)
Oral contraceptives, which are taken by Younger women for long periods o f time, can influence the rate o f tooth
movement
Androgens also inhibit bone résorption . Thus, the excessive use o f these drugs by athletes, may affect the length And the
results o f orthodontic treatment.
6. Thyroid hormone
• Thyroid hormones are recommended for the treatment of
hypothyroidism and are also used after thyroidectomy in substitutive
therapy.
• Thyroxine administration seems to lead to increased bone
remodeling, increased bone resorptive activity, and reduced bone
density.
• It seems possible for the speed of orthodontic tooth movement to be
increased in patients undergoing such medication
Thyroid hormones –low concentrations IL-lB
Osteoclast formation, and
osteoclastic bone résorption
7. • Low-dosage and short-term thyroxine administrations are also
reported to lower the frequency and dimensions of "force-induced“
root résorption lesions.
8. Caicitonin
• Calcitonin is a peptide hormone secreted by the thyroid in response
to hypocalcemia; it targets the kidneys and bones. In bones, calcitonin
inactivates osteoclasts and thus inhibits bone résorption. It also
stimulates the bone forming activity of osteoblasts.
• Calcitonin is used in the treatment o f hypercalcemia and in
osteoporosis; because o f its physioiogical role, it is considered to
inhibit tooth movement.
• Consequently, a delay in orthodontic treatment can be expected
9. Corticosteroid
• Used in the treatment of arthritic, allergic, blood, renal, collagen, or
neoplastic diseases.
• The main effect on bone tissue is to be direct inhibition of the
osteoblastic function and thus the decrease of total bone formation
• Corticosteroids increase the rate of tooth movement and, since new
bone formation can be difficult in treated patients, they decrease the
stability of tooth movement and the stability of orthodontic results in
general.
10. • Main side effect o f these drugs is osteoporosis
• in animal models the rate o f active tooth movement is greater, but
the tooth movement is less stable.
• A more extensive retention may be helpful in retaining these teeth
11. BISPHOSPHONATES
• Potent blockers of bone résorption.
• Used in the treatment of metabolic bone diseases that involve
increased bone résorption.
• Effect :- Inhibition of osteoclastic metabolism and marked decrease of
the number of osteoclasts and affect the structure and function of
osteoclasts
• Can inhibit ortbodontic tooth movement and delay the orthodontic
treatment
• It seems that topical application o f Bisphosphonates could be helpful
in anchoring and retaining teeth under orthodontic treatment.
12. VITAMIN D3
• Regulates the amount of calcium and phosphorus
• It promotes intestinal calcium and phosphorus absorption and
calcium's release from the skeletal system to Blood circulation.
• Vitamin D 3 increases bone mass and thus reduces fractures in
osteoporotic patients. So we can assume this pharmacological agent
can inhibit orthodontic tooth movement
• Some authors consider vitamin D 3 To be a résorption-promoting
agent because it has stimulatory effects on osteoclasts
13. FLUORIDE
• On the cellular level, fluoride stimulates the growth and synthetic
activity o f osteoblasts and bone formation and influences the
chemistry o f the bone mineral. In the form of sodium fluoride, it has
been shown to inhibit the osteoclastic activity and to reduce the
number of active osteoclasts.
Increases bone mass and Mineral density
• It can influence the velocity o f orthodontic tooth movement.
• Caries preventive treatment with sodium fluoride During orthodontic
treatment may delay orthodontic tooth movement and affect the
time of the orthodontic therapy.
14. NON STEROIDAL ANTI-INFLAMMATORY
DRUGS (SALICYLATES)
• It inhibits the résorption process of bone.
• Orthodontic tooth movement is very slow in patients undergoing
long-term acetylsalicylic acid therapy, whereas when these patients
are taken of medication, a striking difference in orthodontic tooth
movement occurs.
• it is recommended that patients undergoing orthodontic treatment
should not take aspirin or related compounds for long periods of time
during the time of orthodontic treatment, because there is a great
possibility o f extension o f the treatment time.
15. EICOSANOIDS
Prostaglandins
• Prostaglandins may be important mediators of mechanical stress
during orthodontic tooth movement.
• They stimulate bone résorption by increasing the number o f
osteoclasts and activating already existing osteoclasts.
• It was found that administration of Prostaglandin 1(PGE 1) or
Prostaglandin 2(PGE 2) in experimental models or in orthodontic
patients accelerated bone résorption and orthodontic tooth
movement.
16. Leukotrienes
• Metabolites of arachidonic acid
• May also be important mediators of orthodontic tooth movement. It
has been demonstrated that they stimulate bone résorption.
• Inhibitors of leukotriene synthesis results in a significant reduction of
orthodontic tooth movement.
• Consequently, the use of leukotriene inhibitors can delay orthodontic
treatment, whereas leukotrienes and prostaglandins can have future
clinical applications that could result in enhanced tooth movement
17. CONCLUSION
• In addition to applied force ,bone remodeling changes induced by
systemic factors such as nutritional factors , metabolic bone diseases,
age ,or the use o f drugs, play an important role in regulating the rate
of tooth movement.
• Estrogen, androgen, calcitonin, bisphospbonates, vitaminD, fluoride,
and salicylates may decrease the velocity of tooth movement.
• Thyroid hormones, corticosteroids, prostaglandins, and leukotrienes
can enhance orthodontic tooth movement