Endodontic emergency
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This document classifies dental emergencies into pre-treatment, inter-appointment, and post-appointment emergencies. Pre-treatment emergencies include acute pulpitis, acute pulpitis with apical periodontitis, and pulp necrosis. Inter-appointment emergencies can result from misdiagnosis, missed canals, incomplete removal of pulp tissue, overinstrumentation, irrigation methods, and intracanal medicaments. Post-appointment emergencies involve complications after a root canal procedure. The document provides details on signs, symptoms, and emergency treatments for several common dental conditions.
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Endodontic emergencies
This presentation includes emergencies and their management in endodontics. Pulpitis, periodontitis, trauma etc...
Treatment plan
This document outlines a treatment plan for periodontal disease. It includes 5 phases: emergency, etiotropic (non-surgical), surgical, restorative, and maintenance. The etiotropic phase involves nonsurgical therapies like scaling, root planing, and oral hygiene instruction. The surgical phase uses various periodontal surgeries to further treat pockets and furcations. The restorative phase focuses on final restorations. Lastly, the maintenance phase provides periodic recall visits to monitor the patient's condition. The overall goal is to resolve inflammation and reduce pocket depths through a coordinated approach involving multiple dental specialists.
Pain control in endodontics
CONSIST OF INDTRODUCTION, PAIN DEFINITION , MECHANISM OF PAIN, THEORIES OF PAIN, PATHOPHYSIOLOGY OF PAIN, THORIES OF DENTIN HYPERSENSTIVITY , TREATMENT
Endo emergency
An endodontic emergency is a situation requiring immediate treatment due to severe pain and/or swelling. It may involve rescheduling normal appointments. Key factors in diagnosing an emergency include whether the problem is disturbing sleep, eating or concentration. Accurate diagnosis involves determining the cause, such as microbial infection, mechanical trauma or chemical irritants. Non-surgical emergency treatment may involve pulpotomy, pulpectomy or incision and drainage, while surgical treatment includes incision or trephination. Definitive treatment, antibiotics and analgesics are aimed at resolving the underlying etiology and symptoms.
Diseases of the Pulp
The document discusses diseases of the dental pulp. It begins with an introduction to the pulp, including its composition and role in tooth development. It then discusses the pathophysiology of pulpal disease, describing how noxious stimuli can lead to inflammation and necrosis by disrupting blood flow. Several classifications of pulpal diseases are presented, including those based on histopathology, clinical symptoms, and the World Health Organization framework. Etiological agents are explored, such as mechanical trauma, thermal or chemical insults, bacterial invasion, and idiopathic causes. Specific pulpal diseases like reversible and irreversible pulpitis are also mentioned.
Techniques of Root Canal Obturation
This document discusses various obturation techniques for filling root canals including:
1. Cold lateral compaction, the most widely used technique, involves inserting a master cone coated with sealer followed by lateral compaction of accessory cones.
2. Warm vertical compaction uses heated pluggers to vertically compact gutta percha that has been softened with heat.
3. Carrier-based techniques like Thermafil involve heating and inserting a gutta percha coated metal core carrier into the canal.
The document provides details on how to perform each technique and their advantages and disadvantages. A variety of materials can be used for obturation including gutta percha, resins, and single cone techniques.
Endodontic emergencies
This document discusses various types of dental emergencies that may occur during or after endodontic treatment. It describes three types of pre-treatment, intra-appointment, and post-obturation emergencies. Specific emergencies discussed in detail include acute reversible and irreversible pulpitis, acute apical periodontitis, acute periapical abscess, flare-ups during treatment, instrument separation beyond the apex, and overfilling of the root canal. The document provides descriptions of symptoms, causes, and recommended treatment approaches for resolving each emergency.
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Endodontic emergencies
This presentation includes emergencies and their management in endodontics. Pulpitis, periodontitis, trauma etc...
Treatment plan
This document outlines a treatment plan for periodontal disease. It includes 5 phases: emergency, etiotropic (non-surgical), surgical, restorative, and maintenance. The etiotropic phase involves nonsurgical therapies like scaling, root planing, and oral hygiene instruction. The surgical phase uses various periodontal surgeries to further treat pockets and furcations. The restorative phase focuses on final restorations. Lastly, the maintenance phase provides periodic recall visits to monitor the patient's condition. The overall goal is to resolve inflammation and reduce pocket depths through a coordinated approach involving multiple dental specialists.
Pain control in endodontics
CONSIST OF INDTRODUCTION, PAIN DEFINITION , MECHANISM OF PAIN, THEORIES OF PAIN, PATHOPHYSIOLOGY OF PAIN, THORIES OF DENTIN HYPERSENSTIVITY , TREATMENT
Endo emergency
An endodontic emergency is a situation requiring immediate treatment due to severe pain and/or swelling. It may involve rescheduling normal appointments. Key factors in diagnosing an emergency include whether the problem is disturbing sleep, eating or concentration. Accurate diagnosis involves determining the cause, such as microbial infection, mechanical trauma or chemical irritants. Non-surgical emergency treatment may involve pulpotomy, pulpectomy or incision and drainage, while surgical treatment includes incision or trephination. Definitive treatment, antibiotics and analgesics are aimed at resolving the underlying etiology and symptoms.
Diseases of the Pulp
The document discusses diseases of the dental pulp. It begins with an introduction to the pulp, including its composition and role in tooth development. It then discusses the pathophysiology of pulpal disease, describing how noxious stimuli can lead to inflammation and necrosis by disrupting blood flow. Several classifications of pulpal diseases are presented, including those based on histopathology, clinical symptoms, and the World Health Organization framework. Etiological agents are explored, such as mechanical trauma, thermal or chemical insults, bacterial invasion, and idiopathic causes. Specific pulpal diseases like reversible and irreversible pulpitis are also mentioned.
Techniques of Root Canal Obturation
This document discusses various obturation techniques for filling root canals including:
1. Cold lateral compaction, the most widely used technique, involves inserting a master cone coated with sealer followed by lateral compaction of accessory cones.
2. Warm vertical compaction uses heated pluggers to vertically compact gutta percha that has been softened with heat.
3. Carrier-based techniques like Thermafil involve heating and inserting a gutta percha coated metal core carrier into the canal.
The document provides details on how to perform each technique and their advantages and disadvantages. A variety of materials can be used for obturation including gutta percha, resins, and single cone techniques.
Endodontic emergencies
This document discusses various types of dental emergencies that may occur during or after endodontic treatment. It describes three types of pre-treatment, intra-appointment, and post-obturation emergencies. Specific emergencies discussed in detail include acute reversible and irreversible pulpitis, acute apical periodontitis, acute periapical abscess, flare-ups during treatment, instrument separation beyond the apex, and overfilling of the root canal. The document provides descriptions of symptoms, causes, and recommended treatment approaches for resolving each emergency.
Root resorption
This document discusses root resorption, including its history, types, causes, pathogenesis, classification, and treatment. It describes internal resorption in detail, noting that it begins with a breach in the dentin layer that allows resorption to spread towards the cementum. Internal resorption can be inflammatory or replacement, and treatment involves root canal therapy to remove pulpal tissue and arrest resorption, as well as disinfecting and sealing the root canal system. For large defects, biocompatible materials like MTA or Biodentine may be used to fill the area.
Endodontic emergencies
Introduction
Classification of endodontic emergency
According to P Carrotte
According to Walton and Torabinejad
According to Weine
Importance of diagnosis in endodontic emergency
Types of diagnostic Aids needed
Emergency treatment of pulp and periapical related diseases
Acute pulpitis
Acute pulpitis with apical periodontitis
Pulp necrosis
Acute periapical abscess
Emergency treatment of traumatic injuries
Crown fracture
Root fracture
Avulsion
Andreasen’s criteria
Summer’s criteria
Emergency therapy for intratreatment pain
Endodontic emergency after treatment
Medication in endodontic emergency
Conclusion
References
Diseases of pulp
This document discusses various pulpal diseases, their causes, symptoms and treatment. It covers reversible and irreversible pulpitis caused by physical, chemical and bacterial factors. It also covers chronic hyperplastic pulpitis, characterized by a fleshy pulpal mass filling the pulp chamber. Internal resorption is discussed as an idiopathic resorptive process in the dentin and root canals, often asymptomatic with a history of trauma. Classification schemes and histopathological features of different pulpal conditions are also presented.
Periodontal Chart presentation
This document contains sections for recording a patient's personal and medical history, along with findings from an oral examination. The personal history includes name, age, gender, and other demographic details. The medical history covers the patient's chief complaint, present illness, past medical/dental history, family history, and habits. The oral examination documents extraoral and intraoral soft tissue and bone findings, tooth characteristics, occlusion, and periodontal measurements. Radiographic findings are also noted. The summary concludes with diagnoses and an outline of the treatment plan phases.
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This document discusses various endodontic emergencies including pre-treatment emergencies like cracked tooth syndrome and acute irreversible pulpitis, mid-treatment flare-ups, and post-treatment emergencies. It defines endodontic emergencies and classifies them according to different authors. It also describes the management of various emergencies through accurate diagnosis, effective pain relief treatments, and addressing the underlying causes. Key procedures discussed include pulpectomy, apical trephination, incision and drainage, and irrigation with appropriate solutions.
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This document provides an overview of endodontic surgery. It begins with a brief history of endodontic surgery dating back over 1500 years. It then discusses the definition, rationale, objectives, and indications for endodontic surgery. The document outlines the classification of endodontic surgery and describes various surgical procedures like periradicular surgery, root-end resection, and root-end filling. It provides details on surgical instruments, treatment planning considerations, and techniques for achieving profound local anesthesia. In summary, the document provides a comprehensive review of the principles and procedures involved in endodontic surgery.
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The document discusses gingival curettage, which involves using instruments to remove diseased soft tissue from periodontal pockets. It defines curettage and provides the history of the procedure. The basic technique is described as using curettes to scrape the inner lining of the pocket to remove ulcerated epithelium and damaged connective tissue. Indications include edematous pockets aiming to reduce inflammation and shrink tissue. Healing after curettage is examined through a study showing revascularization of the wound site over time.
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1. Osseous surgery involves modifying the alveolar bone support of teeth and includes techniques like osteoplasty and ostectomy. It aims to eliminate pockets and correct unphysiological bone architecture.
2. Factors in selecting a technique include the amount and location of bone loss, root trunk length, and anatomical limitations. Techniques range from non-resective procedures like osteoplasty to resective procedures like ostectomy.
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Introduction
Classification of endodontic emergency
According to P Carrotte
According to Walton and Torabinejad
According to Weine
Importance of diagnosis in endodontic emergency
Types of diagnostic Aids needed
Emergency treatment of pulp and periapical related diseases
Acute pulpitis
Acute pulpitis with apical periodontitis
Pulp necrosis
Acute periapical abscess
Emergency treatment of traumatic injuries
Crown fracture
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Andreasen’s criteria
Summer’s criteria
Emergency therapy for intratreatment pain
Endodontic emergency after treatment
Medication in endodontic emergency
Conclusion
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Diseases of pulp
This document discusses various pulpal diseases, their causes, symptoms and treatment. It covers reversible and irreversible pulpitis caused by physical, chemical and bacterial factors. It also covers chronic hyperplastic pulpitis, characterized by a fleshy pulpal mass filling the pulp chamber. Internal resorption is discussed as an idiopathic resorptive process in the dentin and root canals, often asymptomatic with a history of trauma. Classification schemes and histopathological features of different pulpal conditions are also presented.
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Here are some key resources on pain and anxiety control in dentistry:
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- Ada's journal on anxiety and pain control - The American Dental Association's journal focused on non-pharmacological approaches.
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This document discusses various endodontic emergencies including pre-treatment emergencies like cracked tooth syndrome and acute irreversible pulpitis, mid-treatment flare-ups, and post-treatment emergencies. It defines endodontic emergencies and classifies them according to different authors. It also describes the management of various emergencies through accurate diagnosis, effective pain relief treatments, and addressing the underlying causes. Key procedures discussed include pulpectomy, apical trephination, incision and drainage, and irrigation with appropriate solutions.
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A absolutely minimalist way to describe each and every diagnostic aid in the beautiful stream of endodontics.
one has to understand the topic by going through the bible, "Grossman 13th Edition" along with the slides I've created.
Hope this helps.
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Non carious tooth lesions
non carious cervical lesions
Classification (Grippo)
Atrition
Definition
Classification
Proximal surface attrition
Occlusal surface attrition
Etiology and Clinical features
Treatment modalities
The Dahl concept
Schools of thought to increase the V.D.
Endodontic considerations
Treatment strategies for Dentinal hypersensitivity
Nerve desensitization
Anti-inflammatory agents
Covering or plugging dentinal tubules
Restorative materials
Periodontal surgery
Lasers
Abrasion, Erosion, Abfraction
Definition
Etiology and pathogenesis
Clinical features
Treatment modalities
Monitoring of lesion progression
Restorative decision making
Perimolysis
Fracture line/tooth crack
Etiopathogenesis
Classification
Characteristics
Distribution
Clinical diagnosis
Radiographic examination
Treatment modalities
Management of peg laterals
Management of palatogingival groove
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2. Basic techniques include soft tissue operations to address issues like fibrous hyperplasia and frenum attachments. Bony operations recontour ridges and remove exostoses. Advanced techniques augment ridges with grafts and extend them with vestibuloplasties.
3. Ridge augmentation aims to restore ridge height and width through grafts to bone. Mandibular augmentation techniques include superior border grafts to add strength and contour.
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Introduction
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References And Conclusion
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This document provides an overview of endodontic surgery. It begins with a brief history of endodontic surgery dating back over 1500 years. It then discusses the definition, rationale, objectives, and indications for endodontic surgery. The document outlines the classification of endodontic surgery and describes various surgical procedures like periradicular surgery, root-end resection, and root-end filling. It provides details on surgical instruments, treatment planning considerations, and techniques for achieving profound local anesthesia. In summary, the document provides a comprehensive review of the principles and procedures involved in endodontic surgery.
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The document discusses gingival curettage, which involves using instruments to remove diseased soft tissue from periodontal pockets. It defines curettage and provides the history of the procedure. The basic technique is described as using curettes to scrape the inner lining of the pocket to remove ulcerated epithelium and damaged connective tissue. Indications include edematous pockets aiming to reduce inflammation and shrink tissue. Healing after curettage is examined through a study showing revascularization of the wound site over time.
working length estimation in endodontic
The document discusses methods for determining working length in root canals. It describes both radiographic and non-radiographic methods. Radiographic methods include Grossman's formula, Ingles method, Weine's modification, and use of xeroradiography and radiovisiography. Non-radiographic methods discussed are digital tactile sense, apical periodontal sensitivity, paper point measurement, and use of electronic apex locators. Electronic apex locators are highlighted as an important advancement, with different generations discussed varying in their measurement of resistance, impedance, or frequency. Accuracy and limitations of different methods are also reviewed.
Direct and Indirect pulp capping
This document discusses direct and indirect pulp capping procedures. Indirect pulp capping involves covering the deepest layer of remaining carious dentin with a biocompatible material to prevent pulp exposure and stimulate tertiary dentin formation. Direct pulp capping places a protective dressing directly over an exposed pulp to preserve its vitality. Various materials used for both procedures are discussed, along with their advantages and disadvantages. The document provides details on performing indirect and direct pulp capping clinically and factors affecting their success.
Endodontic surgery
Endodontic surgery is performed to address issues like failed root canal treatments, procedural errors, anatomical variations, and biopsies. It involves raising a surgical flap, resecting the root tip, preparing and filling the root end cavity. Potential complications include swelling, pain, nerve damage and infection. A variety of materials can be used for the root end filling including zinc oxide eugenol cements, MTA, composites and glass ionomer cements. The goal is to provide an apical seal to prevent reinfection from microbes remaining in the root canal system.
Resective osseous surgery
1. Osseous surgery involves modifying the alveolar bone support of teeth and includes techniques like osteoplasty and ostectomy. It aims to eliminate pockets and correct unphysiological bone architecture.
2. Factors in selecting a technique include the amount and location of bone loss, root trunk length, and anatomical limitations. Techniques range from non-resective procedures like osteoplasty to resective procedures like ostectomy.
3. Outcomes of osseous surgery generally include pocket elimination and establishment of physiological bone contours and architecture, though some bone loss from remodeling is expected in the range of 0.06mm to 1.2mm.
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3. Diagnosing ocular tuberculosis can be difficult as bacterial loads are often low in ocular tissues and fluids. Investigations include tests like Mantoux, chest imaging, and PCR on ocular samples, but results are not always conclusive.
Otitis externa - ENT
1. The document provides information on the anatomy and physiology of the external ear canal and discusses various types of otitis externa including acute otitis externa, chronic otitis externa, necrotizing external otitis, fungal otitis externa, and herpes zoster oticus.
2. It describes the symptoms, signs, causative agents, diagnosis, and treatment for each type of otitis externa. For acute otitis externa, examples of treatment mentioned include ear toilet, medicated wicks, antibiotic-steroid preparations, and analgesics.
3. Necrotizing external otitis is described
Abdominal trauma
1) Abdominal trauma can result from blunt or penetrating injuries and requires prompt evaluation and treatment to save lives.
2) Clinical signs of abdominal trauma include abdominal pain, distension, discoloration, and shock. Specific signs indicate injuries to organs like the liver or spleen.
3) Evaluation involves visual examination, palpation of the abdomen, and consideration of internal injuries to organs. Imaging like CT scans or ultrasound can help diagnose injuries.
4) Initial management consists of stabilizing the patient, controlling bleeding, giving IV fluids and oxygen, dressing wounds, and monitoring for signs of internal bleeding or injury before determining if surgery is needed.
Conjunctival diseases by dr abdul basir safi
This document provides an overview of the anatomy of the conjunctiva and various conditions that can affect it. It discusses the structure of the conjunctiva and describes different types of conjunctivitis including acute mucopurulent, purulent, membranous, chronic, angular, trachoma, follicular, viral, allergic, and vernal conjunctivitis. It also covers conjunctival degenerations like concretions, pinguecula, and pterygium. Treatment options are mentioned for some conditions.
Odontogenic infection
This document discusses odontogenic infections, including periapical pathosis, types of odontogenic infections, etiology, clinical features, treatment, and principles of management. It describes acute infections such as periapical abscesses, dentoalveolar abscesses, and cellulitis. It also discusses chronic periapical periodontitis and complications involving facial spaces and regions like the neck. The principles of management emphasize determining the severity of infection, evaluating the patient's defenses, deciding on treatment setting, performing surgery, providing medical support, choosing antibiotic therapy, and frequent evaluation.
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Gallbladder perforation requiring an emergent treatment is usually a complication of cholecystitis [1]. Acute cholecystitis develops in up to 2% of patients affected by asymptomatic cholelithiasis. Gallbladder perforation occurs in 2 to 11% of acute cholecystitis cases. Due to the high mortality that can be caused by a delay in the correct diagnosis and following adequate surgical treatment, gallbladder perforation represents a special diagnostic and surgical challenge [2].
https://crimsonpublishers.com/smoaj/fulltext/SMOAJ.000505.php
For more Open access journals in Crimson Publishers
Please click on: https://crimsonpublishers.com/
For more articles in Open access journal of Innovation in Surgical Medicine Open Access Journal Please click on: https://crimsonpublishers.com/smoaj/index.php
Burn management
its include next portion of burn which include clinical menifestation, diagnostic evaluation, complication, and management
ChronicPerio.ppt
This document discusses chronic periodontitis, including its characteristics, pathogenesis, clinical presentation, histopathology, and classification. Key points include:
- Chronic periodontitis can be localized or generalized. It typically has an onset in adulthood and is initiated by plaque, with calculus and poor oral hygiene contributing. Progression can be slow or have periods of rapid change, and is modified by local/systemic factors and smoking.
- The extent and severity are classified based on the percentage of sites affected and amount of clinical attachment level (CAL) loss/bone loss. Pockets form from bacterial challenge causing gingival inflammation and destruction of connective tissue fibers.
- Histopathology shows
Clinical diagnosis of periodontal diseases
This document provides information on periodontal diagnosis and examination. It discusses the importance of a thorough history and clinical examination in making an accurate diagnosis. The stages of clinical diagnosis are outlined as history recording, clinical examination, provisional diagnosis, investigations, and final diagnosis. Clinical examination parameters for soft tissues, hard tissues, furcations, mobility, and recession are defined. Common periodontal diseases like gingivitis, periodontitis, and necrotizing periodontal diseases are introduced. The Basic Periodontal Examination code system and indices for bleeding, recession, furcations, and mobility are explained as screening and assessment tools. The importance of a problem-focused examination and treatment based on a problem-based approach are emphasized
Oral malignancy
This document discusses the clinical diagnosis and evaluation of oral malignancy. It covers:
- Performing a thorough clinical examination of the oral cavity and lymph nodes to check for abnormalities.
- Taking a detailed patient history regarding the lesion.
- Using radiographic imaging like x-rays and MRI to examine intraoral lesions and bone involvement.
- Conducting lab tests and biopsy of suspicious areas to confirm a diagnosis of oral cancer.
- Classifying oral cancers based on location, pathology, and extent of spread to aid in staging and treatment planning.
Orbital Cellulitis
Orbital cellulitis is an inflammatory condition affecting the tissues behind the orbital septum. It typically presents with eyelid swelling and redness, vision loss, and pain with eye movement. The most common causes are sinus infections or infections of nearby structures that spread. Prompt diagnosis and treatment with antibiotics and imaging such as CT are important to prevent complications like abscesses or intracranial infections. Surgical drainage may be needed for abscesses. With appropriate treatment, outcomes have improved but orbital cellulitis still poses risks if not addressed quickly.
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Endodontic emergency
- 2. Emergency in dentistry may be classified into: pain and swelling • Classification:
- 3. For proper diagnosis you must:
- 5. PRE-TREATMENT EMERGENCIES I. Acute Pulpitis:-
- 6. Acute pulpitis: Visual examination and history: Vitality tests:Thermal:
- 7. Emergency treatment: Pulpectomy/ pulpotomy 1-pulpotomy. 2-Pulpectomy. 3-extraction.
- 8. II. AcutePulpitisWith Apical Periodontitis:- Signs and symptoms:
- 9. III. Pulp necrosis: • Necrosis Is Not An Emergency...Yet It May Create An Emergency!! • Signs and Symptoms: • Treatment
- 10. IV. Acute Periapical Abscess and cellulitis:- Signs and Symtoms:
- 11. • emergency treatment • Note:
- 14. INTER-APPOINTMENT EMERGENCIES: 1.Mis-diagnosis: 2.Missed canal: 3.Incomplete removal of pulp tissue:
- 15. 4. Overinstrumentation: 5. Method of irrigation:
- 16. 6. Open versus closed access: 7.Intracanal medicaments:
- 17. Inter-Appointment Emergencey Cases: 1- Secondary Apical Periodontitis:
- 20. 2- Incomplete Removal Of PulpTissue:
- 21. 3- Recrudescence of a chronic periapical lesion (Recrudescent or Phoenix abscess):