The document discusses techniques for extracting teeth in a minimally invasive manner. It describes using a long diamond needle bur to section multi-rooted teeth at the furcation prior to extraction, which allows for easier removal of individual roots. The bur can also be used to create space around single-rooted teeth by troughing in the PDL. The 1312.11C NeoDiamond bur is well-suited for these techniques due to its long, tapered shape that removes only necessary bone. When used correctly, it can simplify extractions while preserving surrounding hard and soft tissues.
This presentation describe the evaluation of badly damaged teeth for crowning before starting RCT treatment, because the treatment of such teeth is always achieved by crowning otherwise they will end for extraction. All the necessary procedures to save the damaged teeth are discussed in the context of restoring function, aesthetic and mechanical qualities. Evaluation of any case based on scientific data will insure durability and patient satisfaction.
Restoration of endodontically treated teeth / dental implant coursesIndian 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.
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.
Pontics are the artificial teeth of a partial fixed dental prosthesis (FDP) that replace missing natural teeth, restoring function and appearance.They must enable continued oral health and comfort.
Rehabilitation of endodontically treated teeth : Post & CoreNaveed AnJum
These days we often come across mutilated or badly broken teeth in our practice. However various factors are involved for a better prognosis of such a teeth. This presentation mainly focuses on post and core treatment of such a teeth.
Retrievel of denture, correction of occlusal descripencies/certified fixed o...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
Retrievel of denture, correction of occlusal descripencies,/dental crown &bri...Indian dental academy
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.
This presentation describe the evaluation of badly damaged teeth for crowning before starting RCT treatment, because the treatment of such teeth is always achieved by crowning otherwise they will end for extraction. All the necessary procedures to save the damaged teeth are discussed in the context of restoring function, aesthetic and mechanical qualities. Evaluation of any case based on scientific data will insure durability and patient satisfaction.
Restoration of endodontically treated teeth / dental implant coursesIndian 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.
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.
Pontics are the artificial teeth of a partial fixed dental prosthesis (FDP) that replace missing natural teeth, restoring function and appearance.They must enable continued oral health and comfort.
Rehabilitation of endodontically treated teeth : Post & CoreNaveed AnJum
These days we often come across mutilated or badly broken teeth in our practice. However various factors are involved for a better prognosis of such a teeth. This presentation mainly focuses on post and core treatment of such a teeth.
Retrievel of denture, correction of occlusal descripencies/certified fixed o...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
Retrievel of denture, correction of occlusal descripencies,/dental crown &bri...Indian dental academy
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.
Vonlay; A paradigm shift in post endodontic restoration: A case report.komalicarol
Porcelain veneers have long been a popular restorative option that
have evolved into a well- accepted treatment that can be fabricated
in various ways. Onlays are another common treatment modality
used in contemporary dentistry to restore large areas of decay and
to replace old restorations. With the availability of newer highstrength materials such as lithium disilicate and processing technologies like CAD/CAM and heat pressing, dental professionals
are now able to produce highly esthetic, high-strength restorations
that blend seamlessly with the natural dentition while also withstanding posterior occlusal forces. A tooth more complex restoration is required after endodontic treatment when compared to normal tooth restoration, because of factors such as extensive caries,
post-treatment root canal dentin and even the economics condition
of the patient.One such design proposed by Dr.Ronald E Goldstein
is “Veenerlay”or “Vonlay”. Vonlay is a blend of an onlay with an
extended buccal veneer surface for use in premolar region, where
there is sufficient enamel present to bond. This restorative option
requires a much less invasive preparation than a full coverage
crown but provides the same structural benefits. Thus, the aim of
this case report is to present a case of Vonlay following endodontic
treatement of lower mandibular premol
Vonlay; A Paradigm Shift in Post Endodontic Restoration: A Case Reportsemualkaira
Porcelain veneers have long been a popular restorative option that
have evolved into a well- accepted treatment that can be fabricated
in various ways. Onlays are another common treatment modality
used in contemporary dentistry to restore large areas of decay and
to replace old restorations
Design of a fixed Partial Denture (with Abutment Tooth Preparation)Taseef Hasan Farook
A simplified take on the steps to designing a Fixed partial denture. This presentation also includes an overview of abutment preparation, associated finishes and methods of impression taking prior to the designing of the prosthesis itself
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
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.
Immediate Implant Placement And Restoration With Natural Tooth In The Maxilla...Abu-Hussein Muhamad
Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially distressing to the patient and requires a timely and esthetically pleasing solution. Immediate single-tooth implantation followed by immediate provisionalization is becoming an increasingly desirable treatment that offers numerous benefits over conventional delayed loading. Provisionalization for immediately-placed implants using the patient’s existing tooth can enhance the final aesthetic outcome if certain steps are
followed. If the natural tooth is intact and can be used as a provisional, the emergence profile can be very similar to the preoperative condition. This article outlines a technique to use the patient’s natural tooth after extraction to provisionalize an implant.
Overdentures are a useful treatment option in many clinical situations. A simple complete lower overdenture which encloses the roots of two root-treated canines has been shown above (Fig. 12.51). Cases can be more complicated than this. The reduction in the crowns of the teeth may have occurred due to tooth wear from a combination of erosion and attrition. In the elderly, where such tooth reduction has occurred, root canal treatment may not be necessary. The removal of the roots will not benefit the patient and the overdenture is the best form of treatment.
Less common situations, such as partial anodontia, cleft palate or loss of tooth crown substance in dentinogenesis imperfecta, may also require restoration using overdentures. The distinction between an onlay and an overdenture is not clear-cut and a potentially difficult partial denture treatment, such as the restoration of a free end saddle, may be helped by the coverage of a canine or molar tooth with a reduced crown rather than a more involved crown restoration.
In the case illustrated in Figure 12.53, an elderly patient has severe tooth surface loss. The aetiology of this wear must be diagnosed before treatment is commenced. For instance, is this wear a result of parafunction or erosion from the consumption of acidic drinks? The remaining dentition has been restored and a definitive overdenture placed.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- 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
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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!
How to Extract a Tooth as Atraumatically as Possible (Rosenbach 2015)
1. 72 | DENTALPRODUCTSREPORT.COM | March2015
CLINICAL&TECHNIQUES
1
2
3
4
5
6
COVER STORY CLINICAL TECHNIQUE TEAM APPROACH SOLVE MY PROBLEM TECH BRIEF
WITH THE PREPONDERANCE OF
published data demonstrating
compelling reasons to remove teeth
as minimally invasively as possible,
the burden of finding and utilizing
effective methods of atraumatic
exodontia falls upon the clinician as
never before. Clinicians often work
in regions with thin plates of bone
and thin overlying soft tissue, and
a shift in thinking has developed to
promote tooth removal procedures
that demonstrate a remarkable con-
cern for maintaining perfectly intact
facial plates with minimal disruption
of papillae or the midfacial zenith of
soft tissue.
One way of achieving this is by
sectioning multi-rooted teeth prior
to elevation and extraction. Another
is by creating space between a
tooth and the surrounding bone by
troughing around it with a bur prior
to employing somewhat more tradi-
tional extraction techniques. Both of
these unconventional techniques can
be made simpler by employing the
use of a long diamond needle bur,
such as the 1312.11C NeoDiamond
bur from Microcopy.
Root trunk length
A critical factor in sectioning
posterior teeth is appreciating the
root trunk length, or the distance
between CEJ and the furcation
entrance. Attempting to remove the
roots of a multi-rooted tooth that
has been sectioned short of the fur-
cation entrances can lead to an even
more traumatic extraction than
without sectioning at all.
In health, the gingival margin lies
at or very near the CEJ, and so its
distance from the furcation entrance
is virtually identical to that of the
root trunk length. Different sources
cite various average dimensions for
root trunk lengths for multi-rooted
teeth, but it is critical to recognize
that actual values may vary greatly
from the reported means (Fig. 1).
The importance of the root trunk
length is as follows: Failure to sec-
tion completely to the furcation
can turn what was supposed to be
a minimally invasive extraction
into one that becomes even more
surgically invasive than a traditional
extraction—attempting to elevate
roots that have been incompletely
sectioned more easily results in frac-
ture of the root trunk from the more
apical root cone.
The cutting length of an average
barrel-shaped bur is 4 mm long and
is sometimes greater than 1 mm
wide. Use of such a bur often leaves a
wide path that, in many cases, won’t
even reach the furcation with a single
sweep of the bur. Multiple subcrestal
bur sweeps are thus indicated to
reach the furcation, and because it is
difficult to maintain perfect paral-
lelism and positioning with each
sweep, the sectioned area becomes
wider than necessary and may
present with an irregular profile,
hampering efforts to access it with
an elevator.
Conversely, using an 11 mm long
diamond needle bur, such as the
1312.11C NeoDiamond bur from
Microcopy, can simplify this task
immensely. After either decoronat-
ing the tooth or sectioning to the gin-
gival margin with a barrel-shaped or
round bur, the diamond needle bur
can be sunk to reach the furcation
on many teeth by advancing just past
halfway its cutting surface. While
this bur is 1. 2 mm at its greatest
diameter, it is only 0.61 mm at the
tip and 0.86 mm at the halfway
point, permitting clinicians to reach
deeply into the subcrestal region
while removing only as much tooth
structure as necessary to section past
the furcation entrance.
Circumferential troughing
around teeth and roots
The NeoDiamond 1312.11C bur
can also be used to simplify extrac-
tion of single rooted teeth. By sink-
ing the long diamond needle bur
into the PDL space around a tooth,
subcrestal fibrous attachments are
obliterated and space is created for
both gaining better purchase points
and more efficient luxation.
In keeping with the principles of
atraumatic exodontia, care should be
taken to focus circumferential bone
DALE R. ROSENBACH,
DMD, MS
EXTRACT TEETH AS
ATRAUMATICALLY
AS POSSIBLE
Microcopy’s NeoDiamond burs provide multiuse quality
with a single-use price to permit advanced and effective
extraction techniques that won’t break the bank.
Information provided by Microcopy.
HOWTO
2. 74 | DENTALPRODUCTSREPORT.COM | March2015
CLINICAL&TECHNIQUES TECHNIQUE
11
9 10
7 8
1. Table of root trunk lengths.
2. Indications for
circumferential troughing.
3. The 1312.11C bur sunk into the
distal sulcus of tooth No. 12.
4. Subcrestal fracture on tooth No.
14, sectioned along the furcal paths.
5. The DB root is easily
delivered with forceps.
6. The extracted DB root.
7. The MB root is extracted.
8. The extracted MB root.
9. The palatal root is elevated
from its socket.
10. The elevated palatal root.
11. The extraction socket immediately
following tooth removal.
AT A GLANCE
Coarse grit
Pointed cone
Extra-long head length
NeoDiamond 1312.11C bur
Microcopy
800-235-1863|microcopydental.com
CIRCLERS#88
removal at the proximal surfaces and
away from the facial and lingual/
palatal socket walls, which may be
thinner, more fragile and thus more
susceptible to fracture and/or resorp-
tion. The length, taper and narrow-
ness of the 1312.11C bur provide
thebest combinationoffeatures to
achieve one of the most simple and
least traumatic methods of tooth
removal (Fig. 2).
01STEP The 1312.11C bur sunk
into the distal sulcus of tooth No.
12, exhibiting a complete loss of the
buccal half of the supragingival
tooth structure. The bur was then
drawn along the entire distal proxi-
mal surface (Fig. 3).
02STEP Following preparation and
temporization for a crown, tooth
No. 14 was determined to have a
subcrestal fracture and was sec-
tioned along the furcal paths with
the long-needle diamond bur (Fig.
4). (Notice how the cut correspond-
ing to the M furcation is palatalized
because the MB root is so large that
it displaces the furcation palatally.)
03STEP After elevating the tooth
segments off of one another, the DB
root is easily delivered with forceps,
despite having only the thinnest
sliver of supragingival tooth struc-
ture to grab onto (Figs. 5-6).
04STEP The MB root is extracted.
The immensity of the MB root
socket and the palatalization of the
M furcal bone can now be fully
appreciated (Figs. 7-8).
05STEP Finally, the palatal root is
elevated from its socket. Notice how
the gingival margin remains virtu-
ally intact around the circumference
of the socket (Figs. 9-10).
06STEP Figure 11 shows the
extraction socket immediately fol-
lowing tooth removal. Due to the
minimally invasive technique
employed, both the hard and soft
tissue remain largely undisturbed.
The robust architecture of the fur-
cal bone makes this an ideal site for
immediate implant placement.
Conclusion
The NeoDiamond 1312.11C bur
from Microcopy can assist in mak-
ing extractions simple and effective
and, perhaps most importantly, very
minimally invasive. Microcopy’s
single-use price makes this method
cost effective as well.
ABOUT THE AUTHOR
Dr. Dale Rosenbach received his
undergraduate degree in biology from
Yeshiva University and his dental degree
from New Jersey Dental School. After
completing a one-year general practice
residency at Woodhull Medical Center in
Brooklyn, he worked in private practice
for a year. Following this, he attended
Columbia University for his postdoctoral
training in periodontics and implant
dentistry, completing a master’s degree
focusing on the effects of abutment dis/
reconnection on initial peri-implant bone
loss. Dr. Rosenbach is a diplomate of the
American Board of Periodontology and is
currently a clinical instructor and course
director of the periodontics and implant
dentistry lecture series at the GPR at
Woodhull Medical Center in Brooklyn,
N.Y. He recently published a review
article in Dentaltown Magazine entitled
“Gap Management Around Immediate
Implants: A Review of the Literature and
its Application in Clinical Practice” and
has been appointed to both the editorial
advisory board and the continuing
education advisory board for the same
publication.
Dr. Rosenbach lectures extensively on
topics related to periodontics, implant
dentistry and adjunctive surgical
procedures. He has been invited to
speak for component CE groups of the
New York State Dental Association, the
New Jersey Dental Association and the
Pennsylvania Dental Association, as
well as private CE organizations, such
as the New Jersey Health Professionals
Development Institute, the Golden Study
Group, the Pascack Valley Dental Study
Club, Concord Dental Seminars and
Alpha Omega of the District of Columbia.
He was featured at the 2014 Greater New
York Dental Meeting and is scheduled
to speak at both the 2015 Greater Long
Island Dental Meeting and the 2015
World’s Fair of Dentistry. Dr. Rosenbach
maintains a private practice in New
York City and can be reached at
rosenbachperio@yahoo.com.
1
Carnavale F, Pontoriero R, Lindhe, J: Treatment of Furcation-
Involved Teeth. In Lindhe, Karring, Lang, editors: Clinical
Periodontology and Implant Dentistry, 4th Edition. London:
Blackwell Munksgaard. 2003. pages 707-8.