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.
Due to the complex morphology of the root canal system in primary teeth, the clinician must rely primarily on chemical cleansing and sterilization and secondarily on mechanical instrumentation during pulpectomy procedure.
And in order to increase the chance of success of the endodontic treatment, substances with antimicrobial properties are frequently used as root canal filling materials in deciduous teeth
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.
Due to the complex morphology of the root canal system in primary teeth, the clinician must rely primarily on chemical cleansing and sterilization and secondarily on mechanical instrumentation during pulpectomy procedure.
And in order to increase the chance of success of the endodontic treatment, substances with antimicrobial properties are frequently used as root canal filling materials in deciduous teeth
An overview of the diagnostic process in endodontics, including information about the pain system, referred pain, non-odontogenic pain, the diagnostic process, tests and treatment planning in endodontics.
self correcting anomalies in the development of occlusion. this ppt includes the anomalies of a child's developing occlusion which get corrected by itself in some time as the development continues. This includes Retrognathic mandible,infantile swallow,anterior open and deep bite,etc. these topics are important in BDS final examination
An overview of the diagnostic process in endodontics, including information about the pain system, referred pain, non-odontogenic pain, the diagnostic process, tests and treatment planning in endodontics.
self correcting anomalies in the development of occlusion. this ppt includes the anomalies of a child's developing occlusion which get corrected by itself in some time as the development continues. This includes Retrognathic mandible,infantile swallow,anterior open and deep bite,etc. these topics are important in BDS final examination
Local Anesthesia and Pain Control Pediatric Dentistry by Dr. Ahmed Sami Abde...AhmedAbdelMoaty8
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Clinic Efficacy of the Piper Ottonoides Based Ointment for the Topical Anesth...inventionjournals
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Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
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http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
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The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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2. PAIN ASSESSMENT TOOLS
METHODS OF REDCUING PAIN DURING
USAGE OF ANESTHETIC AGENTS
LOCALANESTHESIA
CONTENTS
DEVICES USED FOR REDUCING PAIN
DISCUSSION
CONCLUSION
PAIN
REFERENCES
3. First text statementSecond text statementFinal text statementIt is defined as an unpleasant sensational experience initiated
by noxious stimulus & transmitted over a specialized neural
network to CNS where it is interpreted as such feeling
DEFINITION
PAIN
4. INFANTS
NEONATAL INFANT PAIN SCALE(NIPS)
CRIES
CHILDREN >3 YEARS
WONG-BAKERS FACE PAIN RATING SCALE
FLACC SCALE
PRE SCHOOL
CHILD FACIAL CODING SYSTEM
SCHOOL AGE
VISUAL ANALOUG SCALE
Measurement and Assessment of Pain In Children – A Review Amit Jain*/ Ramakrishna Yeluri**/
Munshi. A K The Journal of Clinical Pediatric Dentistry Volume 37, Number 2/2012
PAIN ASSESSMENT TOOLS
5. NEONATAL INFANT PAIN SCALE(NIPS)
CRIES
Crying
Requires oxygen to maintain sat > 95%
Increased vital signs
Expression level of sleep
Level of Sleep
INFANTS
9. Points to be kept in mind regarding the differences
between child and adult patient
Density and calcification of maxillary and mandibular bone.
Anatomic structures.
Penetration of the needle.
Depth of needle penetration.
Emotional aspect
10. Transient loss of sensation in a circumscribed area of the body
caused by a depression of excitation in nerve endings or an
inhibition of the conduction process in peripheral nerves
LOCALANESTHESIA
DEFINITION
11. METHODS OFREDUCING PAIN DURING USAGE OF
LOCAL ANESTHETICAGENTS
1)PRECOOLING THE INJECTION SITE:
Cooling the site prior to the block at injection site reduced the pain
perceived during the local anesthesia.
Ice pre treatment of the soft tissue at injection site before the
procedure.
According to Harbert etal precooling the injection site reduced pain
perception during palatal injections.
Effect of precooling the injectionsite on pediatric pain perception during local anesthesia.Journal of
contemporary dental practice volume10,no.3 may2009
13. Mixture of 5% lidocaine & Prilocaine.
It is used more often for skin than intra orally.
According toSvennson et al observed more effective results
when applied at incisve foramen region and greater palatine
region.
In children under 6 months is contraindicated due to the
possibility for developing methemoglobinemia due to
prilocaine.
3) EMLA(EUTECTIC MIXTURE OF LA):
14. Oraqix contains 25 mg ⁄ g lidocaine and 25 mg ⁄ g prilocaine.
Thermosetting agent.
The material is liquid at room temperature but when injected
into the gingival crevice it forms an elastic gel.
Fast onset in 30 seconds with duration of 20 minutes
approximately
ORAQIX
15. To approach the palatal mucosa via the already an
anesthetised buccal inter dental papilla. This is the called
“chasing” techniqueA)
B) C)
D)E)
European Archives of Paediatric
Dentistry // 10 (2). 2009
J. G. Meechan
CHASING TECHNIQUE:
16. DEVICES USED FOR REDUCING PAIN
VIBROTACTILE DEVICES: Based on gate control theory
VIBROJECT
DENTAL VIBE
ACCUPAL
VIBROJECT : Small battery-operated attachment that snaps on to
the standard dental syringe.
Pain perception by vibrating needle (VibrajectTM) and conventional syringe anesthesia . International Dental
& Medical Journal of Advanced Research ● Vol. 1 ● 2015
17. DENTALVIBE
It is a cordless, rechargeable, hand held device that delivers soothing,
pulsed, percussive micro-oscillations to the site where an injection
being administered.
Stimulates the sensory receptors at the injection site, effectively
closing the neural pain gate, blocking the painful sensation.
Effect of the DentalVibe Injection System on Pain During Local Anesthesia Injections
InAdolescent PatientsDavid Ching, DMD' • Matthew Finkelman, PhD^ •
PEDIATRIC DENTISTRY V 36 ; NO 1 JAN / EEB 14
18. Cordless device that uses both vibration and pressure to precondition
the oral mucosa.
Accupal provides pressure and vibrates the injection site 360°
proximal to the needle penetration, which shuts the “pain gate.”
. Murray P, Terrett K, Lynch E, Hussey DL. Efficacy of a vibrating dental syringe
attachment on pain levels. Paper presented at: 81st General Session of the International
Association for Dental Research; June 26, 2003; Göteborg, Sweden.
ACCUPAL:
19. COMPUTER CONTROLLED LOCALANESTHETIC
DELIVERY SYSTEM (CCLAD)
Advanced Techniques and Armamentarium for Dental Local Anesthesia Taylor
M. Clark, DDS, DCNA October 2010Volume 54, Issue 4, Pages 757-768
• WAND/COMPUDENT SYSTEM:
• The light weight hand piece is held in a pen-like grasp that
provides the user with greater tactile sensation.
• The available flow rates of LA delivery are controlled by a
computer
• COMFORT CONTROL SYRINGE:
• It has two main components: A base unit and a syringe.
• functions of the unit- most importantly injection and aspiration-
can be controlled directly from the syringe.
20. JET INJECTORS
SYRIJET:
Features of the device is
that it accepts the
standard 1.8 mL cartridges
of LA solution (thereby
ensuring sterility of the
solution).
Completely autoclavable
MED-JET H III:
Extremely small stream of
liquid under pressure
pierces and then the
remainder of the dose will
be dispersed into the
desired layer of tissue.
Ability to utilize low
pressure delivery methods
without compromising
accuracy, convenience and
ease of use - while
ensuring patient comfort.
22. ELECTRONIC DENTAL ANESTHESIA
Uses the principle of Transcutaneous
Electrical Nerve Stimulation (TENS).
It increases salivary blood flow. Requires
good patient co-operation
23. DISCUSSION The use of topical application to obtain anesthesia for
intraoral operative procedures is appealing.
The patch was applied for 15 minutes and the gel for
30 seconds.
When the different jaws were compared the lidocaine
patch was more effective than the benzocaine gel.
Effectiveness of EMLA when applied apical to
deciduous teeth showed significant results.
Significant reduction of pain was observed when using
topical anesthetic and reduced anxiety in children.
Devices used while during the procedures results
shown that there is decrease in Pain and more comfort
compared to conventional syringes.
24. CONCLUSION
Sight of large syringe being injected into tender gums can bring
tears to the eyes of most of the children.
Achievement of successful local anesthesia is a continual
challenge in dentistry.
Adjuvant techniques and devices can effectively reduce the pain
in children during dental treatment.
25. MALAMED SF. HANDBOOK OF Local anesthesia.5th edition. St.Louis,
Mo:CV Mosby;2004:274-2754TH .
Measurement and Assessment of Pain In Children – A Review Amit Jain*/
Ramakrishna Yeluri**/ Munshi. A K The Journal of Clinical Pediatric
Dentistry Volume 37, Number 2/2012.
Effect of precooling the injectionsite on pediatric pain perception during
local anesthesia.Journal of contemporary dental practice volume10,no.3
may2009.
Intraoral topical anesthesia, JOHN G. MEECHAN Vol. 46, 2008, 56–79
Pain perception by vibrating needle (VibrajectTM) and conventional syringe
anesthesia . International Dental & Medical Journal of Advanced Research
● Vol. 1 ● 2015.
Effect of the DentalVibe Injection System on Pain During Local
Anesthesia Injections InAdolescent PatientsDavid Ching, DMD' Matthew
Finkelman, PhD^ • PEDIATRIC DENTISTRY V 36 ; NO 1 JAN / EEB 14.
REFERENCES
26. Murray P, Terrett K, Lynch E, Hussey DL. Efficacy of a vibrating dental
syringe attachment on pain levels. Paper presented at: 81st General Session
of the International Association for Dental Research; June 26, 2003;
Göteborg, Sweden.
Advanced Techniques and Armamentarium for Dental Local Anesthesia
Taylor M. Clark, DDS, DCNA October 2010Volume 54, Issue 4, Pages 757-
768
European Archives of Paediatric Dentistry // 10 (2). 2009 J. G. Meechan