This document discusses interceptive orthodontics, which aims to prevent potential malocclusions from worsening by addressing issues early. It describes techniques like serial extraction and muscle exercises to correct developing crossbites and abnormal habits. The principles, indications, contraindications, diagnosis and procedures of interceptive orthodontics using techniques like Dewel's and Tweed's methods are explained. Interceptive treatment of issues like anterior crossbites and skeletal malocclusions are also outlined.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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management of vertical maxillary excess /certified fixed orthodontic courses ...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
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Orthodontic Treatment Modalities Done by: Dr. Mohamad Ghazi Kassem
2. Orthodontic Treatment Modalities Preventive orthodontics: Interceptive orthodontics Corrective orthodontics • Removable appliances • Fixed appliances Orthognathic Surgery “Jaw Surgery”
3. Preventive orthodontics Preventive Orthodontics is the action taken to preserve the integrity of what appears to be normal at a specific time. Any procedure that attempt to ward off untoward environmental attacks or anything that would change the normal course of events, e.g. 1. Early connection of proximal caries that might change the arch length 2. Early recognition and elimination of oral habits that might interfere with the normal development of the teeth and jaws 3. Placing of a space maintainer to maintain proper position of contiguous teeth It is defined as the action taken to preserve the integrity of what appears to be a normal occlusion at a specific time.
4. 1960 : Kesling stated that “some case should be referred as early as 3 or 4 years of age and all cases by the age of 8 or 9 years” there by lying the foundation of preventive and interceptive orthodontics. 1977: Begg stated that “proper time to begin the treatment is as the beginning of the variation from the normal, in the process of development of dental apparatus, as possible” 1980: Profit and Ackermann has defined it as a prevention of potential interference with occlusal development.
5. Various Preventive procedures are : 1. Pre-dental procedures 2. Care of deciduous dentition 3. Patient and parents education programs 4. Supernumerary teeth 5. Early loss of deciduous teeth 6. Proximal caries 7. Oral habits 8. Space maintainers
6. 1. Pre-dental procedures: • Proper nutrition of the child. • Proper nursing care of the infant. • Bottle feeding should be discouraged.
7. 2. Care of deciduous dentition: 3. Patient and parent’s education programs: Need of maintaining good oral hygiene should be explained to the patient and the parents. Demonstration of brushing methods and diet counseling etc are also important.
8. 4. Supernumerary teeth: Supernumerary teeth and supplemental teeth can interfere with the eruption of nearby teeth. Presence of mesiodens prevents the two maxillary central incisors from approximating each other. They should be removed at appropriate time.
9. 5.Oral habits: Abnormal oral habits should be recognized and patient should be helped by motivation or by fitting a suitable habit breaking appliance.
10. digit sucking Methods to prevent tongue thrusting Mouth breathing
11. 6.Space maintainers: Premature loss of deciduous teeth can cause drifting of the adjacent teeth into the space. Space maintainers must be inserted in appropriate cases after the loss of teeth, particularly after the loss of deciduous molars in inadequate arches. Fixed Space Maintainers Removable space maintainers
12. Interceptive orthodontics Richardson (1982)
The goal of early treatment is to correct existing or developing skeletal, dentoalveolar and muscular imbalances to improve the orofacial environment before the eruption of the permanent dentition is completed
Tongue thrust and mouth breathing habits in childrenDr. Harsh Shah
Overview on mouth breathing and tongue thrusting in children leading to ill effects
Presented by : Pratiksha Ahire
Guided by : Dr. Rehan Khan
Dept. of Pediatric Dentistry
SDDCH PArbhani
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
management of vertical maxillary excess /certified fixed orthodontic courses ...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
00919248678078
Orthodontic Treatment Modalities Done by: Dr. Mohamad Ghazi Kassem
2. Orthodontic Treatment Modalities Preventive orthodontics: Interceptive orthodontics Corrective orthodontics • Removable appliances • Fixed appliances Orthognathic Surgery “Jaw Surgery”
3. Preventive orthodontics Preventive Orthodontics is the action taken to preserve the integrity of what appears to be normal at a specific time. Any procedure that attempt to ward off untoward environmental attacks or anything that would change the normal course of events, e.g. 1. Early connection of proximal caries that might change the arch length 2. Early recognition and elimination of oral habits that might interfere with the normal development of the teeth and jaws 3. Placing of a space maintainer to maintain proper position of contiguous teeth It is defined as the action taken to preserve the integrity of what appears to be a normal occlusion at a specific time.
4. 1960 : Kesling stated that “some case should be referred as early as 3 or 4 years of age and all cases by the age of 8 or 9 years” there by lying the foundation of preventive and interceptive orthodontics. 1977: Begg stated that “proper time to begin the treatment is as the beginning of the variation from the normal, in the process of development of dental apparatus, as possible” 1980: Profit and Ackermann has defined it as a prevention of potential interference with occlusal development.
5. Various Preventive procedures are : 1. Pre-dental procedures 2. Care of deciduous dentition 3. Patient and parents education programs 4. Supernumerary teeth 5. Early loss of deciduous teeth 6. Proximal caries 7. Oral habits 8. Space maintainers
6. 1. Pre-dental procedures: • Proper nutrition of the child. • Proper nursing care of the infant. • Bottle feeding should be discouraged.
7. 2. Care of deciduous dentition: 3. Patient and parent’s education programs: Need of maintaining good oral hygiene should be explained to the patient and the parents. Demonstration of brushing methods and diet counseling etc are also important.
8. 4. Supernumerary teeth: Supernumerary teeth and supplemental teeth can interfere with the eruption of nearby teeth. Presence of mesiodens prevents the two maxillary central incisors from approximating each other. They should be removed at appropriate time.
9. 5.Oral habits: Abnormal oral habits should be recognized and patient should be helped by motivation or by fitting a suitable habit breaking appliance.
10. digit sucking Methods to prevent tongue thrusting Mouth breathing
11. 6.Space maintainers: Premature loss of deciduous teeth can cause drifting of the adjacent teeth into the space. Space maintainers must be inserted in appropriate cases after the loss of teeth, particularly after the loss of deciduous molars in inadequate arches. Fixed Space Maintainers Removable space maintainers
12. Interceptive orthodontics Richardson (1982)
The goal of early treatment is to correct existing or developing skeletal, dentoalveolar and muscular imbalances to improve the orofacial environment before the eruption of the permanent dentition is completed
Tongue thrust and mouth breathing habits in childrenDr. Harsh Shah
Overview on mouth breathing and tongue thrusting in children leading to ill effects
Presented by : Pratiksha Ahire
Guided by : Dr. Rehan Khan
Dept. of Pediatric Dentistry
SDDCH PArbhani
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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.
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. • Refers to measures undertaken to prevent a potential
malocclusion from progressing into a more severe one.
• When the maloccl has already developed or is developing
• Preventive orthodontics – when dentition and occl are prefectly
normal
• Interceptive orthodontics – when signs and symptoms of
maloccl already developed.
3. • Phase of the science and art of orthodontics employed to
recognize and eliminate potential irregularities and
malpositions of the developing dentofacial complex.
4. • Serial extraction
• Correction of developing crossbite
• Control of abnormal habits
• Space regaining
• Muscle exercises
• Interception of skeletal malrelation
• Removal of soft tissue or barrier to enable eruption of teeth
5. • Early mixed dentition
• Planned extraction of certain deciduous teeth in an orderly
sequence and predetermined pattern to guide the erupting
permanent teeth into a more favourable position.
• Kjellgren 1929 used the term first
• Nance 1940 popularised this technique in USA and termed it ‘
planned and progressive extraction’
• Hotz 1970 – ‘active supervision of teeth by extraction’
6. Principles
Arch length - tooth material discrepancy
Physiologic tooth movement – natural force, move to extraction
space
7. Indication
• Class I maloccl with nrml skeletal pattern
• Arch length deficiency
• Absence of physiologic spaces
• Premature loss
• Crowding
• Localized gingival recession in lower antrs
• Ectopic eruption
• Mesial migration of buccal segment
• Abnrml eruption pattern
• Lower antr flaring
• Ankylosis
• Where growth is not enuf to overcome discrepancy
• Straight profile
8. Contraindication
• Class II & III maloccl with skeletal abnrmlty
• Spaced dentition
• Anodontia / oligodontia
• Openbite and deepbite
• midline diastema
• Class I maloccl with minimal space defi
• Unerupted malformed teeth – dilaceration
• Extensive caries or heavily filled first permanent molar
• Mild disproportion between arch length and tooth matrl that
can be treated with proximal stripping.
9. Advantages
• Physiologic movement
• Physiological trauma can be avoided
• Reduce duration of fixed treatment
• Btr oral hygiene
• Healthy periodontium
• Lesser retention period
• More Stable result
10. Disadvantage
• Proper clinical judgement needed
• Treatment time prolonged (2-3 yrs)
• Pt cooperation needed
• Develop tongue thrusting
• Deepening of bite
• Mesial migration of buccal teeth
• Ditching between canine and premolar
• Fixed appl needed to correct axial inclination
11. Diagnosis
• Arch length deficiency of not less than 5-7 mm should exist
• Careys and arch perimeter analysis
• Mixed dentition analysis
• OPG to evaluate eruption status
• Ceph to assess skeletal relation
• Soft tissue assessment by clinical examination and ceph
16. • Characterized by reverse overjet where in one or more
maxillary anterior teeth are in lingual relation to the mandibular
teeth
• To prevent a minor orthodontic problem from progressing into
a major dentofacial anomaly
17. Classification
1) Dento alveolar anterior crossbite – due to retained deci tooth
Single tooth usually
Tongue blade
Catalans appliance
Double cantilever spring with PBP
2) functional anterior crossbite
Pseudo class III malocclusion
Occlusal prematurity
Eliminate occlussal prematurity
19. • Thumb sucking (2-3 yrs normal)
• Tongue thrusting
• Mouth breathing – obstructive and habitual
20. • Space loss by mesialization of molar after early loss of primary
molar
• Correction by distalization of molar
Appliances
• Gerber space regainer
• Space regainer using jack screw
• Space regaining using cantilever spring
21. • Improves aberrant muscle function
Exercise for the masseter muscle
• Clenching of teeth while counting 10
• Repeat for some duration of time
22. Exercise for lips
• Stretching of upper lip to maintain lip seal – hold a piece of
paper
• Stretch upper lip in a downward direction
• Holding and pumbing of water back and forth behind the lips
• Massaging of lips
• Button pull exercise : 1 ½ inch diameter button is taken and a
thread passed through the button hole. Asked to place the
button behind the lips and pull the thread while restricting it
from being pulled out by using lip pressure
• Tug of war exercise – two buttons. One placed behind the lips
while the other button is held by another person to pull the
thread.
23. Exercise of tongue
• One elastic swallow – to correct tongue position. 5/16 inch intra oral
elastic placed on the tip of the tongue,Pt is asked to raise the tongue
and hold the elastic against the rugae and swallow
• Tongue hold exercise – 5/16 inch elastic is positioned over the
tongue for a period of time with lip closed.pt is asked to swallow
with elastic in place and lips apart.
• Two elastic swallow – two 5/16 inch elastics placed one in midline
and other on tip
• Hold pull exercise – tip of the tongue and the midpoint are made to
contact the palate and the mandible is gradually opened. Stretches
the lingual frenum
24. • To reduce the severity
• To normalize the skeletal relationship
Interception of class II skeletal maloccl
• Facebow with headgear
• Myofunctional appliances
Interception of class III skeletal maloccl
• Chincup with headgear
• FR III
• Facemask therapy