All you need to know about the gummy smile its causes and examination are included in the powerpoint, how to diagnose gummy smile, its treatment options and cases are presented in the powerpoint.
This presentation gives a brief description of the clinical features and causes of gummy smile conditions , their clinical and differential dignosis , as well as the different treatment methods that may be used to correct these problems .
Smile is more than a form of communication; it is kind of socialization
and attraction. Although moderate gummy smile can be quite acceptable and
esthetically pleasing if the gum is healthy, more pronounced cases are
less well tolerated and require treatment.
This presentation gives a brief description of the clinical features and causes of gummy smile conditions , their clinical and differential dignosis , as well as the different treatment methods that may be used to correct these problems .
Smile is more than a form of communication; it is kind of socialization
and attraction. Although moderate gummy smile can be quite acceptable and
esthetically pleasing if the gum is healthy, more pronounced cases are
less well tolerated and require treatment.
Recent and Latest Advances in Oral and Maxillofacial surgery, Dr. Lidetu Afew...LIDETU AFEWORK
Every one should update himself according to the recent advances in every single profession/department. These are some of advancements We got in OMFS. We have also some latest advances and future advances under study that is going to be released in near future. BE HIGHTECH HIGH QUALITY UPDATED AND INFORMED PROFESSION.
Anoverview of TMD'S categories and main types of interocclusal appliances( occlusal splints ) used during the management of these musculoskeletal disorders .
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
Slow maxillary expansion /certified fixed orthodontic courses by Indian dent...Indian dental academy
Description :
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
Recent and Latest Advances in Oral and Maxillofacial surgery, Dr. Lidetu Afew...LIDETU AFEWORK
Every one should update himself according to the recent advances in every single profession/department. These are some of advancements We got in OMFS. We have also some latest advances and future advances under study that is going to be released in near future. BE HIGHTECH HIGH QUALITY UPDATED AND INFORMED PROFESSION.
Anoverview of TMD'S categories and main types of interocclusal appliances( occlusal splints ) used during the management of these musculoskeletal disorders .
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
Slow maxillary expansion /certified fixed orthodontic courses by Indian dent...Indian dental academy
Description :
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
PREPROSTHETIC SURGERY: ROLE IN PREPARATION OF AN IDEAL FOUNDATION FOR COMPLET...Dr ARATI HOSKHANDE
The goal of preposthetic surgery is to modify the oral environment to render it free of disease and to make its form and possibly it’s function more compatible with the requirements of prosthesis.
Pre-prosthetic surgery is that part of oral and maxillofacial surgery which restores oral function and facial form. This is concerned with surgical modification of the alveolar process and its surrounding structures to enable the fabrication of a well-fitting, comfortable, and esthetic dental prosthesis. The ultimate goal of pre-prosthetic surgery is to prepare a mouth to receive a dental prosthesis by redesigning and smoothening bony edges.
Mouth preparation refers to procedures that must be accomplished before fixed prosthodontic treatment can be properly performed.
Rarely are crowns or fixed prosthodontic treatment provided without initial therapy because what causes the need for the fixed prosthesis also promote other pathological processes (caries and periodontal disease are the most common).
Failure of fixed prosthesis often results from inadequate or incomplete mouth preparation.
The presentation shows the relation between the restorative dentistry and the periodontium , explaining the per-prothetic surgeries and the biological consideration including the biological width. Also, mention how to restore the open embrasures between teeth (the black triangle).
This presentation displays causes and types of occlusal forces, also discusses the classification of trauma from occlusion and its effect on the periodontium clinically and radiographically.
Pathologic migration and its effect on the hard and soft tissues.
Standard surgical procedure for implant placement Diana Abo el Ola
The lecture gives in details step by step how to replace an implant in the osteotomy site. Also, mention the preoperative and postoperative procedures.
In this lecture, we explain the diagnosis, causes and treatment protocol CIST of peri-implant diseases such as peri-implantitis and peri-implant mucositis. In addition, the lecture shows the difference between the failed and failing implant and their line of treatment.
this lecture shows the relation between periodontal and pulpal tissues, pathways of transmission of bacteria and the different lesions of endodontic periodontal lesions.
Pre implant anatomy, biology, function and risk factors of an implant placementsDiana Abo el Ola
This presentation gives a simple review of history and types of implants. It shows the hard and soft tissue inter-relationship to implant replacements, evaluation of patients and risk factors.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
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.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
2. • Introduction
• Etiology
• Evaluation of gummy smile
• Diagnosis of Gummy smile
• Treatment modulates (surgical and non surgical )
3. What is the beautiful smile ??
It is a matter of
Pink & White
4. Gummy smile
• Is excessive exposure of maxillary gingiva during smiling.
• Prevalence: Females > Males
5.
6. Periodontal deformities
- Gingival hyperplasia.
- Delayed passive eruption of teeth.
The Etiology
Soft tissue deformities
- High lip line
- Short upper lip
- Lip hypermobility
Dental deformities
- Short clinical crown.
- Extrusion of maxillary teeth.
Skeletal deformities
- Vertical maxillary excess
- Maxillary protrusion
7.
8. 1.Extraoral facial examination
Facial symmetry and proportions.
2. Evaluate the morphology of upper lip
• The average lip length is measured from the subnasale to most inferior
portion of the upper lip in midline.
• Normal length: Males=23mm, Females=20 mm (if less=short lip)
• Lip length roughly should be equal to commissure height .
9. 3. Assessment of upper lip to incisal edge of maxillary incisor at rest.
• display of maxillary central incisors at rest position of the lips (normal =3-4mm)
4.Amount of gingival display during smile
Normal display of gingiva is 1-2mm.
10. 5. Evaluation of the smile line
Maxillary Lip line Amount of cervico-incisal of ant. Maxillary teeth
High lip line >100%
Standard lip line 75-100%
Low lip line <75%
11. 6. Occlusal plane and crown dimensions
• It is done by drawing imaginary line connecting the commissures of
the lips and two third the height of the retromolar pad.
• Evaluate the length and width of the anatomical crowns.
12. 7. Periodontal examination
• The width and thickness of keratinized tissues must be measured
(adequate or not ).
• PD & CAL
• Crestal bone level with respect to CEJ.
• Gingival biotype ( thin & scalloped , normal , thick & flat)
13. 8. Radiographic examination
Cephalometric radiograph :to detect any increase in lower anterior height,
occlusal plan angle & skeletal classes.
Periapical radiographs: to detect CEJ location, root length and bony support.
GP
14.
15. Gummy smile
Increase incisor exposure during rest Normal incisor exposure during rest
Normal lip length Short lip length Short clinical crown Normal clinical crown
Difference between
anterior and posterior
occ. plan
Incisor overeruption
Harmonious occ. plan
VEM
Incisal attrition No attrition
Altered passive
eruption or gingival
hyperplasia
Hyperactive upper lip
18. Gingivectomy
Or
Periodontal surgery
Indicated in case of G. hyperplasia - gummy smile.
PD >2mm
Needs adequate K. gingiva.
Scalloped marginal incision + raising flap w/without
crestal bone reduction 2.5 mm away from CEJ w/without
apically repositioned flap.
Disadv: risk of ID recession (black triangle)
It is only indicated when there are gingival hyperplasia or abnormal dentogingival relationship.
23. Type IA
Type IB
Type IIA
Type IIB
Type I
>2mm
Type II
<2mm
Bone crest apical to the CEJ (passive)
adequate attached gingiva .
Bone crest at CEJ (active)
adequate attached gingiva .
Bone crest apical to CEJ (passive)
inadequate keratinized tissues.
Bone crest at CEJ (active)
inadequate keratinized tissues.
Gingivectomy
Periodontal flap with bone
reduction
Apically displaced flap
Apically displaced flap
with bone reduction
24. Lip reposition
It is indicated for patients with GS caused by muscular cause.
It is done to limit the pulling of the elevator lip muscles during smiling.
Done by removing a strip of mucosa from the maxillary vestibule by a partial-thickness
flap between the MGJ and the upper lip musculature. The lip mucosa is then sutured to
the MGJ ……….causing narrower vestibule + restricted muscles.
Contraindications
1-Inadequate width of attached gingiva.
2-Patients with severe vertical maxillary excess
25.
26. Myectomy
It is a surgical procedure to detach smile muscle attachment to prevent relapse.
Done by placement of spacer between elevator muscles of lip and anterior nasal spine.
27.
28. Orthognathic surgery
• Indicated for vertical maxillary excess and to balance the relative
positions of the upper and lower jaws.
32. Botox injections
botulinum toxin produces partial chemical denervation of the muscle, resulting in
localized reduction in hyperactive upper labial muscles activity.
It is very effective but temporary .
33.
34. Filler injection(hyaluronic acid)
It changes the shape of the lip, and also restrict the movement of muscle
fibers in the lip acc. To injection site.
Fanning retrograde administration technique (from piriformis fossa)
Lip filler
35. • A retrograde fanning technique was used from the piriformis fossa to the
midline in a supramuscular plane.
• This creates a structural support and the lip was enhanced.
36. Gummy smile
• Orthodontic intrusion only
• Orthodontic & periodontic Rx
• Periodontic & restorative Rx
• Periodontics & restorative Rx
• Orthognathic surgery
• orthognathic surgery with
/without other dental Rx.
37. SMILE IS A FREE THERAPY
DON’T HIDE IT
Thank you
Instagram @dr.diana.mostafa
38. Dr. Diana Mostafa
• Periodontist in Private Reval Clinics, Riyadh, KSA.
• Demonstrator and academic periodontist in faculty of
dentistry, Alexandria University, Egypt.
• Previous lecturer & course director of periodontology courses,
Vision Colleges, Riyadh, KSA.
• Main and corresponding author in many international journals
• Editor in Pan African journal.
• Peer reviewer in SCOUPS and PUBMED journals. Instagram @dr.diana.mostafa
At the beginning, the face height should be measured; the length of the middle third of the face should equal the lower third of the face. The mid-face is measured from the glabella, the most prominent point of the forehead between the eyebrows, to subnasale, the point below the nose. The lower third of the face is measured from the subnasale to the lower boarder of the chin.( ) these measurements help in recognizing the etiology if it is skeletal or not. Next , the length and activity of the upper lip must be evaluated; the average maxillary lip length at rest (from subnasale to the most inferior portion of the upper lip at the midline ) is about 23mm in males and 20mm in females and the average maxillary incisor display of 1.91 mm in men and 3.40mm in women.(10, 23) If the maxillary lip measurement is shorter than the norms, a diagnosis of short lip can be diagnosed. While , the amount of translation of the maxillary lip from the rest position to that seen during a dynamic smile is the key to identifying whether the patient has hyperactivity lip muscles or not. (14)
Chu gauge
Slow ortho. Extrusion ………eruption of tooth slowely bringing the alv. Bone anf g. tissue with it
Rapid ortho. Extrustion …..prevent bone and G> to follow the tooth.
Advantages
Adequate contouring and controls hemorrhage.
Disadvantages
Contraindicated for incompatible or poorly shielded cardiac pacemakers.
Unpleasant odor.
If it touches the bone, irreparable damage can be occur.
In Type I, there is an excessive amount of keratinized gingiva and the MGJ apical to the alveolar crest.
A and B depending on the relationship of the osseous crest to the CEJ of the tooth. In type IA, the dimension between the osseous crest and the CEJ is more than 1 mm. Therefore, adequate connective tissue attachment component in the biologic width, which make a simple Gingivectomy the best treatment to remove the excess gingiva. While in Type II B, the osseous crest is in close proximity to the CEJ, so adequate space for the connective tissue attachment component of the biologic width. Therefore, a crown lengthening procedure with bone reduction to move the crestal bone apically will be necessary to provide stable results.
In contrast to Type II, there is no excessive amount of keratinized gingiva but MGJ is near to CEJ. Treatment requires apical positioned flap with or without osseous reduction to provide more ideal esthetics.(20,21)
This spacer is placed with nasal approach between the elevator muscles of the lip and the anterior nasal spine, thus preventing the superior displacement of the repositioned lip. Lip repositioning has also been performed in conjunction with rhinoplasty.[26]
Treatment strategy of gummy smile Type 1. There is an important lack of structural support that, besides a gummy smile, causes a drop of the tip of the nose Upper image: The recommended strategy is 0.6 mL/per side of high-density hyaluronic acid (HA) filler (RHA4®, Teoxane, Geneve, Switzerland) administered by means fanning retrograde technique with a blunt microcannula. In this case it would be necessary to inject an additional bolus (blue ellipse) of 1 mL–2 mL of HA 23 mg/mL. Lower image: The recommended strategy is 0.6 ml/per side of high-density hyaluronic acid (HA) filler (RHA4®, Teoxane, Geneve, Switzerland) administered by means fanning retrograde technique with a blunt microcannula. Additionally, small boluses (blue ellipses) 0.4 mL–0.6 mL de HA 23 mg/mL at the end of each fanning retrograde administration upon reaching the central region of the white lip and circumscribed to the edges of the insertion of the nasal wings. a Frontal view. b lateral view