1. Horizontal jaw relation refers to the relationship of the mandible to the maxilla in the anteroposterior plane. There are two types: centric relation and eccentric relation.
2. Centric relation is the maxillomandibular relationship where the condyles are positioned in the anterior-superior position against the articular eminences, independent of tooth contact. It is the starting point for developing occlusion.
3. There are several methods to record centric relation including physiological, functional, graphic, and radiographic methods. The physiological method uses proprioception while the functional method utilizes mandibular movements.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
Border Moulding in Complete Denture Prosthesis ,This Seminar was presented By Dr. Alim Al Razi,DR. Halima Sadia, and Dr. Tahmina Akter at prosthodontics Department ,Dhaka Dental College and Hospital.We tried To cover Full theoretical and practical Information Regarding This Topic.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
Border Moulding in Complete Denture Prosthesis ,This Seminar was presented By Dr. Alim Al Razi,DR. Halima Sadia, and Dr. Tahmina Akter at prosthodontics Department ,Dhaka Dental College and Hospital.We tried To cover Full theoretical and practical Information Regarding This Topic.
Teeth don’t possess regenerative ability found in most other tissues. Therefore, once enamel & dentin are lost as a result of caries, trauma or wear, restorative material must be used, to reestablish form & function.
Teeth require preparation to receive restoration & these preparations must be based on fundamental principles, which are discussed in this presentation, from which basic criteria can be developed to help predict the success of prosthodontic treatment.
This presentation specifically deals with the maxillary and mandibular Major connectors used in a cast partial denture. it also mentions the uses, advantages and disadvantages of each,
Teeth don’t possess regenerative ability found in most other tissues. Therefore, once enamel & dentin are lost as a result of caries, trauma or wear, restorative material must be used, to reestablish form & function.
Teeth require preparation to receive restoration & these preparations must be based on fundamental principles, which are discussed in this presentation, from which basic criteria can be developed to help predict the success of prosthodontic treatment.
This presentation specifically deals with the maxillary and mandibular Major connectors used in a cast partial denture. it also mentions the uses, advantages and disadvantages of each,
In prosthodontics, replacing the missing, without affecting the other components of the masticatory system has two main reference the maximum intercupation and the centric relation.
In this lecture discussion of centric relation as reference is exposed.
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,
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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.
Following the orientation of maxilla and determination of vertical
dimension, the final relation to be recorded is the horizontal relation.
This is the anteroposterior relation of the mandible to the maxilla in
the horizontal plane.
The horizontal relations can be classified as:
• Centric relation
• Eccentric relations – protrusive and lateral.
The maxillomandibular relationship in which the condyles articulate with the thinnest avascular portion of their respective discs with the complex in the anterior–superior position against the slopes of the articular eminencies. This position is independent of tooth contact. This position is clinically discernible when the mandible is directed superiorly and anteriorly. It is restricted to a purely rotary movement about the transverse horizontal axis
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.
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.
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.
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
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
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
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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!
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.
3. INTRODUCTION
JAW RELATION is defined as any relation of the
mandible to maxilla.
Jaw relation is recorded to measure the extensibility
and movements permissible by the patients TMJ.
3 DIFFERENT TYPES:
1. Orientation jaw relation
2. Vertical jaw relation
3. Horizontal jaw relation
4. HORIZONTAL JAW RELATION
Horizontal jaw relation is the maxillomandibular
relation in a horizontal plane.
Described as relationship of mandible to maxilla in
the anteroposterior direction.
2 TYPES:
1) CENTRIC jaw relation
2) ECCENTRIC jaw relation
5.
6. CENTRIC RELATION
Def :The maxillomandibular relationship in which
condyles articulate with the thinnest avascular
portion of their respective disc with the complex in the
anterior superior position against the slopes of
articular eminences.
This position is independent of tooth contact.
This position is discernible when the mandible is directed
superiorly and anteriorly.
It is restricted to a purely rotary movement about the
transverse horizontal axis.
7.
8. 3 primary requirements:
1. To record the correct horizontal relationship of
mandible to maxilla
2. To expert equalized vertical pressure
3. To retain record in undistorted condition until the
cast have been accurately mounted on articulator
9. SIGNIFICANCE:
In case of dentulous patients proprioceptive impulses
are obtained from PDL.
In case of edentulous patients centric relation act as
proprioceptive centre to guide occlusal movements.
10. SALIENT FEATURES:
o Is a definite learned position
o Patient can voluntarily and reflexily return to this position.
o Can be recorded and repeated.
o On mounting the cast on articulator he anteroposterior relation of
maxillary and mandibular casts becomes a definite entity.
o This position can be verified.
o Is a reference point in recording maxillomandibular relations and a
starting point for developing occlusion.
11. RETRUDING THE MANDIBLE:
Mandible should be in the most posterior position while recording centric
relation.
Method:
Relax the patient
Try to bring his upper jaw forward while occluding on the posterior teeth.
Instruct the patient to touch the posterior border of the upper record base
with his tongue.
Mandibular occlusal rim should be tapped with a finger gently.this would
help patient automatically to retrude his mandible.
12.
13.
14. METHODS TO RECORD CENTRIC RELATION:
PHYSIOLOGICAL
tactile or inter occlusal check record method
Pressureless method
Pressure method
FUNCTIONAL
Needle house method
Patterson method
GRAPHIC
Intra oral
Extra oral
RADIOGRAPHIC METHOD
15. Physiologic method
Based on:
o Proprioceptive impulse of patient
o Kinethetic sense of mandibular movement
o Visual acuity and sense of touch of patient
1) Tactile sense or inter occlusal check record method.
Tentative jaw relation is recorded.
Ask the patient to retrude the mandible.
Casts are articulated based on this tentative record
16. INDICATIONS
Abnormally related jaws.
Displaceable flabby tissue.
Large tongue
Uncontrolled mandibular movements.
In patients already using a complete denture
18. PROCEDURE:
a) Recording tentative jaw relation:
) Maxillary occlusal rim inserted to patients mouth.
) Vertical dimension at rest is established.mandibular
occlusal rim inserted and reduced accordingly,
) Tentative centric relation recorded using tentative
jaw relations.artificial teeth are arranged.
19. b) Making the inter occlusal check record.
Upper and lower trial dentures are inserted into the
mouth.keep a piece of cotton to prevent contact of
opposing members.
Aluwax is added on the occlusal surface of teeth of
mandibular occlusal rim
Patient asked to retrude mandible and close on the wax
till tooth contact occurs.
Trial dentures removed and allowed to cool.
20.
21. 2)Static or pressureless method.
Nick notch method:
Patient asked to retrude mandible in position.
Upto 3mm of wax removed from mandibular occlusal
rimfrom the premolar region till the distal end
1 or 2 notches are cut on the corresponding area of maxillary
occlusal rim.
One nick is cut anterior to the notch,a V shaped valley
Nick:prevent lateral movement
Notch: anteroposterior movement
22. Nick and notch are lubricated with petroleum.
Prepared occlusal rim are inserted into patient’s mouth
and taught to close his mandible in maximum retruded
position.
Aluwax is placed on the trough created in mandibular
rim.
Mandibular occlusal rim is cooled and inserted into
patients mouth and closed in centric relation.
23.
24.
25. 3)Pressure method
Establish vertical dimension.
Upper occlusal rim inserted.lower occlusal rim is
fabricated by softening in water bath.
Insert it into patients mouth.
Patient asked to close mouth in centric relation on soft
wax in predetermined vertical dimension and then
articulated.
26.
27.
28. Functional method
Method utilise the the functional movements of jaws to record the centric relation.
Patient asked to perfprm border border movements such as protrusive and lateral
excersion movement.
a) Needle house method
) Fabrication of occlusal rim made from impression compound
) Four metal beads or styli are embedded into premolar and molar areas of
maxillary occlusal rim.
) Occlusal rim inserted into patients mouth and asked to close occlusal rim and
make protrussive,retrussive ,right and left movement of mandible.
) When movements are made “diamond shaped marking pattern rather than a line
is formed on the mandibular occlusal rim.
31. b)Patterson method
Occlusal rim made of modelling wax.
In trench or trough is made along the length of
mandibular occlusal rim.
A mixture of carborundum and dental plaster is loaded
into the trench.
Perform mandibular movement till predetermined
vertical dimension.
Movement generates compensative curves in plaster
32.
33. Graphic method
The graphic method record a tracing of mandibular
movements in one plane
2 types:
1) Arrow point tracing
2) Pantograph
Arrow point tracing is a graphic record measured across single
plane
Pantogaph is measured three dimensionally.
34.
35. Factors to be considered while carrying out
tracing
1. Stability of denture base
2. Resistance of rims
3. Difficulty in placing central bearing device
4. Height of residual alveolar ridge
5. Tongue interferance
6. Efficiency of recording device
7. Lack of coordinated movements
36. Arrow point tracing or gothic arch tracer
Made using gothic arch tracers
Recorded in horizontal plane.
Consists of central bearing device:a device that provide central point of
bearing or support between the maxillary & mandibular dental arches.
consists of contacting point attached to one dental arch and plate attached
to opposing dental arch
Plate provide surface on which the tracing of mandibular movements is
recorded.
Consists of:CENTRAL BEARING POINT & CENTRAL BEARING PLATE.
37.
38.
39.
40. TYPES OF ARROW POINT TRACERS:
1) INTRA ORAL TRACING POINT:
) Central bearing device is located intra orally.
) Tracer is placed within the mouth.
) Central bearing point & plate is inserted into patients mouth.
) Central bearing point is adjusted such that it contact the central bearing
plate at predetermined vertical dimension.
) Ask to make anteroposterior and lateral movements.
) Central bearing point will draw the tracing pattern on central bearing
plate
) Tracing should resemble an arrow point with a sharp apex.
41.
42. 2)EXTRA ORAL POINT TRACER:
Concept similar to intra oral tracer.
Additionally have an attachment that project outside mouth.
Record bases attached to recording devices inserted in patients mouth.
Central bearing point is retracted to conduct training exercises.
Recording plate which projects extra orally is coated with precipitated
chalk and denatured alcohol.
Patient asked to perform all movements.
Examine for sharp apex.
43.
44.
45.
46. Points to be considered while doing graphic
tracing method
1. Displacement of record base may result from
pressure if central bearing points is off center when
mandible moves in eccentric relation to maxilla
2. If central bearing device is not used the occlusal
rims offer more resistance to horizontal movements
3. Difficult to stabilize record base against horizontal
forces on tissue that are pendulous
47. 4. Difficult to stabilize record base against horizontal
forces on residual ridges that have no vertical height
5. Difficult to stabilize record base with pt who have
awkward tongues
6. Recording device are not usually considered
compactible with physiologic stimulation in
mandibular movements
7. Tracing is not accepted unless a pointed apex is
developed
48. 8. Double tracing-lack of coordinated movement
9. It is made at predetermined vertical dimension of
occlusion.this harmonius centric relation with
centric occlusion and anteroposterior bone –bone
relation with tooth-tooth contact
10. Graphic method can reecord eccentric relation of
mandible to maxilla
11. Most accurate means
49. Pantographic tracing
A graphic record of mandibular movements in three planes
as registered by styli on recordable tables of a
pantograph,tracing of mandibular movement recorded on
plates in horizontal and sagittal planes.
Make the rim contact at desired vertical relationship.
Strips of celluloid paper are placed between the rim and
pulled out.patient is asked to close and restrain the celluloid
from slipping away,mandible goes to centric relation.
Softened wax is placed on mandibular occlusal rim and
patient is asked to bite in centric relation.
50.
51. ECCENTRIC JAW RELATION
“any relationship of mandible to maxilla other than
centric relation”
Include protrusive and lateral relations.
Help to adjust the lateral and horizontal condylar
inclination in the articulator.
Thus helps the articulator to reproduce eccentric
movements of mandible and establish balanced
occlusion.
Recorded using functional or tactile method.
52.
53. conclusion
The accurate determination , recording, and transfer
of jaw relation records from edentulous patient to
articulator is essential for restoring function, facial
apperance, and maintainance of patients health.
Un satisfactory maxillomandibular relations will
eventually lead to failure of complete denture
54. Referances
1. Essentials of complete denture prosthodontics 2nd
edition: Sheldon Winkler
2. Clinical dental prosthetics: H.R.B FENN: 2nd edition
3. Syllabus of complete denture : Charles M
Heartwell:4th edition
4. Textbook of prosthodontics : Deepak Nallaswami