This document provides information about a two-day course on temporomandibular joint (TMJ) disorders presented by Dr. Islam Kassem. The course will cover the surgical anatomy of the TMJ, different treatments for TMJ pathology, and complications of TMJ treatment on Day 1. Day 2 will focus on medical management of temporomandibular disorders, laser biostimulation, neurotoxins, and complications of TMJ treatment. The course aims to help distinguish between muscular and joint disorders of the TMJ and properly diagnose and treat these conditions.
The document discusses various types of headaches and facial pains, their potential causes and pathophysiology, as well as approaches to clinical assessment and treatment. Major types covered include tension headaches, migraines, cluster headaches, neuralgias affecting different cranial nerves, and pains that can originate from head and neck muscles or underlying conditions like sinus disease, temporomandibular joint dysfunction, and cervical spondylosis.
This document summarizes information about different types of headaches, including their causes, characteristics, and treatment. It discusses primary headaches like tension-type headaches and migraines as well as secondary headaches caused by other medical issues. Diagnostic criteria, pathophysiology, and management strategies are provided for several common headache types. The document also covers complications, atypical facial pain, and rebound headaches that can arise from medication overuse.
This document provides an overview of headache evaluation and classification. It discusses evaluating the causes and red flags, performing a history and examination, ordering investigations, and classifying headaches according to the International Classification of Headache Disorders 3rd edition (ICHD-3). The ICHD-3 classification system divides headaches into primary and secondary types. Primary headaches include migraine, tension-type headache, and trigeminal autonomic cephalalgias. Secondary headaches are attributed to underlying causes like head trauma, vascular disorders, and psychiatric disorders. The document also outlines the diagnostic criteria for common headache types like migraine, tension-type headache, and cluster headache.
This document provides information on primary headache disorders, with a focus on migraine. It discusses the structures in the head that are sensitive to pain, and classifies headaches as either primary (having no underlying cause) or secondary (having an identifiable structural or metabolic cause). The primary headaches are further classified, with detailed descriptions and diagnostic criteria provided for migraine without aura, migraine with aura, and tension-type headache. Pathophysiology, epidemiology, triggers, management approaches including acute and preventive therapies are summarized for migraine. Botulinum toxin, triptans, ergot alkaloids, and other medication options are outlined for migraine treatment.
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
The document discusses different types of headaches including:
1) Trigeminal autonomic cephalalgias which include cluster headache, paroxysmal hemicrania, and SUNCT/SUNA. Cluster headache is characterized by severe unilateral orbital or temporal pain lasting 15-180 minutes with associated autonomic symptoms.
2) Trigeminal neuralgia which causes sharp, stabbing pains in the face triggered by light touch in specific areas innervated by branches of the trigeminal nerve.
3) A case of cluster headache is then presented in more detail to illustrate the distinguishing features between cluster headache and other primary headache disorders.
The document discusses various types of headaches and facial pains, their potential causes and pathophysiology, as well as approaches to clinical assessment and treatment. Major types covered include tension headaches, migraines, cluster headaches, neuralgias affecting different cranial nerves, and pains that can originate from head and neck muscles or underlying conditions like sinus disease, temporomandibular joint dysfunction, and cervical spondylosis.
This document summarizes information about different types of headaches, including their causes, characteristics, and treatment. It discusses primary headaches like tension-type headaches and migraines as well as secondary headaches caused by other medical issues. Diagnostic criteria, pathophysiology, and management strategies are provided for several common headache types. The document also covers complications, atypical facial pain, and rebound headaches that can arise from medication overuse.
This document provides an overview of headache evaluation and classification. It discusses evaluating the causes and red flags, performing a history and examination, ordering investigations, and classifying headaches according to the International Classification of Headache Disorders 3rd edition (ICHD-3). The ICHD-3 classification system divides headaches into primary and secondary types. Primary headaches include migraine, tension-type headache, and trigeminal autonomic cephalalgias. Secondary headaches are attributed to underlying causes like head trauma, vascular disorders, and psychiatric disorders. The document also outlines the diagnostic criteria for common headache types like migraine, tension-type headache, and cluster headache.
This document provides information on primary headache disorders, with a focus on migraine. It discusses the structures in the head that are sensitive to pain, and classifies headaches as either primary (having no underlying cause) or secondary (having an identifiable structural or metabolic cause). The primary headaches are further classified, with detailed descriptions and diagnostic criteria provided for migraine without aura, migraine with aura, and tension-type headache. Pathophysiology, epidemiology, triggers, management approaches including acute and preventive therapies are summarized for migraine. Botulinum toxin, triptans, ergot alkaloids, and other medication options are outlined for migraine treatment.
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
The document discusses different types of headaches including:
1) Trigeminal autonomic cephalalgias which include cluster headache, paroxysmal hemicrania, and SUNCT/SUNA. Cluster headache is characterized by severe unilateral orbital or temporal pain lasting 15-180 minutes with associated autonomic symptoms.
2) Trigeminal neuralgia which causes sharp, stabbing pains in the face triggered by light touch in specific areas innervated by branches of the trigeminal nerve.
3) A case of cluster headache is then presented in more detail to illustrate the distinguishing features between cluster headache and other primary headache disorders.
- Trigeminal neuralgia is characterized by sudden, severe facial pain that occurs in the areas of the face served by the trigeminal nerve. The pain is often triggered by light touch or other minor stimuli. Examination will reveal no sensory deficits. Treatment options include pharmacotherapy, microvascular decompression, or trigeminal ganglion block/radiofrequency ablation.
- Cluster headache is a severe headache occurring as multiple attacks and characterized by excruciating unilateral orbital, supraorbital, or temporal pain lasting 15-180 minutes if untreated. Attacks are associated with ipsilateral cranial autonomic features and a sense of restlessness. Treatment involves acute abortive therapy with oxygen or triptans and prevent
Headaches are a common complaint in children and adolescents, with prevalence increasing with age. There are primary headaches like migraines and tension-type headaches, as well as secondary headaches caused by conditions like infections, trauma, or masses. Migraines are the most common primary headache and their frequency increases in adolescence. Evaluation involves ruling out secondary causes through history and exam. For primary headaches, management includes acute treatment of attacks as well as preventive therapies and non-pharmacological methods. Frequent childhood headaches can negatively impact functioning and are associated with increased risk of future health problems.
This document discusses approaches to evaluating and diagnosing different types of headaches. It provides guidance on taking a thorough headache history, including questions about timing, characteristics, potential triggers and aggravating/relieving factors. Common headache types like migraine and tension headache are described. The document also outlines acute and preventive treatment strategies for migraine and tension headache, emphasizing the importance of empathy, shared decision making and monitoring response to treatment.
This document discusses the evaluation and classification of facial pain and headache. It notes that while patients are often referred for suspected sinusitis, few actually have sinogenic pain. A thorough history is key to determining the cause, such as determining if the pain is continuous or intermittent, any precipitating or relieving factors, and the effect on daily life. Common etiologies include sinusitis, dental issues, trigeminal neuralgia, migraine, tension headaches, and atypical facial pain. A neurological examination and imaging may aid diagnosis. Proper classification is important for determining appropriate treatment.
Dr Gina Kennedy provides an overview of headache diagnosis and management. Primary headaches include migraine, tension-type headache, and trigeminal autonomic cephalalgias. It is important to identify red flags and consider secondary causes. Treatment involves lifestyle modifications, acute medications, and preventive medications. Medication overuse headache is common and requires addressing overuse before initiating preventive treatment. Referral is indicated for atypical presentations or lack of response to treatment.
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
The document discusses conditions of the peripheral nervous system. It describes the peripheral nervous system as consisting of nerves and ganglia outside the central nervous system. It then provides details on several specific nerves that are part of the peripheral nervous system, including the functions they control and areas of the body they innervate. The document also discusses three conditions that can affect the peripheral nervous system: trigeminal neuralgia, Bell's palsy, and sciatica.
Headache is a common pain condition that has many potential causes. This document discusses the classification, pathophysiology, and management of various headache types. Primary headaches like migraines arise from the disorder itself, while secondary headaches are caused by other conditions. Migraines are the most common primary headache and present with throbbing pain that can be unilateral or bilateral, along with nausea, photophobia, and phonophobia. Cluster headaches are less common but more severe, occurring in clusters with unilateral eye and nasal pain. Tension headaches involve diffuse band-like pain worsened by touch. Treatment depends on the headache type but may include analgesics, triptans, oxygen therapy, or preventive medications.
This document provides guidance on evaluating and approaching a case of headache presenting in an ophthalmology office. It begins by outlining the importance of headaches and various potential causes. It then discusses conducting a visual acuity check, medical history, and eye examination including tonometry and fundoscopy. Key points are made about differentiating primary from secondary headaches and evaluating for conditions like migraines, tension headaches, refractive errors, hypertension, and more. The document emphasizes the need to thoroughly evaluate for potential neurological or systemic issues causing secondary headaches.
Trigeminal neuralgia is a disorder characterized by severe, sporadic facial pain caused by malfunction of the trigeminal nerve. The pain is often triggered by simple activities like eating, talking, or brushing teeth. It commonly affects middle-aged or elderly patients and is more frequent in women. While the exact cause is often unknown, trigeminal neuralgia is frequently caused by compression of the trigeminal nerve by blood vessels at the root of the brain. Carbamazepine is usually the first-line treatment, while microvascular decompression surgery may also be considered.
This document provides an overview of common types of headaches, including migraine, tension-type headache, cluster headache, and medication overuse headache. It discusses the signs, symptoms, diagnostic approach, and management strategies for each type. The diagnostic approach involves taking a thorough history, performing a physical examination, and ordering imaging tests only if indicated. Management involves both acute and preventative treatment depending on the headache type. The document emphasizes the importance of making an accurate diagnosis and reassuring patients that other pathology has been excluded.
This document provides guidance on evaluating and managing headaches. It emphasizes the importance of a thorough history and examination to properly analyze the headache and guide management. The history should follow the SOCRATES framework and look for red flags. Examination includes mental status, cranial nerves, and looking for triggers of migraine or tension headaches. Common headache types like migraine and tension headaches are described. Migraine prophylaxis includes beta-blockers, antiepileptics, and antidepressants. Tension headaches are often treated with aspirin, paracetamol, or amitriptyline. Cluster headaches respond to sumatriptan or verapamil. A structured approach is key to diagnosing the headache type and choosing appropriate treatment
Pediatric headache by dr. milind bapatMilind Bapat
Headaches are common in children, affecting 39% by age 6 and 75% by age 15. Migraines, the most common type of primary headache in children, can cause school absences and impair academic performance. Evaluation of childhood headaches should consider secondary causes from infections, injuries, or intracranial pathology. For primary headaches like migraines, treatment involves acute abortive medications and lifestyle changes to prevent triggers as well as prophylactic medications if headaches are frequent or severe.
This document provides an overview of pediatric and adult headaches. It begins by classifying headaches as acute, subacute, or chronic. For pediatric headaches, it outlines the important aspects of history taking and danger signs that warrant further evaluation. It describes migraine headaches in children in detail. For adult headaches, it discusses mechanisms, classification, precipitating factors, and characteristics. It provides guidance on evaluation, management, and when to refer or admit patients with headaches.
Headache in children -indexforpaediatrics.comdr-nagi
Headache is one of the commonest neurological symptoms in children and young people who are
referred to doctors. Headache refers to pain involving the orbits, forehead, scalp and temples but not
the face or neck. The primary headache includes chronic or recurrent headache and migraine. The
prevalence of chronic or recurrent headaches in children occur in 60-69% by the age of 7-9 years
and 75% by the age of 15 years. The prevalence of migraine in children is up to 28% of older
teenagers. The most serious cause of the secondary headache is brain tumor and the prevalence of
brain tumours in children is 3 per 100,000 per annum.
https://indexforpaediatrics.com
This document provides an overview of evaluating and treating patients presenting with headache. It describes the approach of determining if the headache is due to a primary or secondary cause through history, physical exam, and diagnostic testing. Primary headaches include tension, migraine and cluster headaches and are treated differently than secondary headaches which require identifying and treating their underlying cause.
This document discusses the management of patients with neurological disorders like epilepsy. It defines a seizure as excessive electrical activity in the brain that causes changes in behavior. Epilepsy is characterized by recurrent seizures that may or may not involve loss of consciousness. Some key considerations for dental management of epileptic patients include scheduling appointments when medications have been taken, using proper lighting to avoid triggering seizures, and allowing seizures to run their course without intervention if one occurs. The document also discusses managing pregnant patients by deferring elective procedures if possible, using lead shielding for necessary x-rays, and avoiding teratogenic drugs.
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
This document discusses different types of headaches. It defines headache and classifies headaches as primary or secondary. The main primary headaches are tension-type headaches, migraines, and cluster headaches. Tension-type headaches are the most common and feel like constant squeezing tightness. Migraines typically affect one side of the head and cause throbbing pain. Cluster headaches cause severe, stabbing pain around the eye and last 15-180 minutes. The document outlines symptoms, causes, diagnostic tests, and treatment for each type of primary headache. Nursing management includes comprehensive assessment, non-pharmacological therapies, avoiding triggers, and educating patients.
This document discusses approaches to evaluating and treating headaches in children. It begins by outlining common causes of chronic and severe headaches in children, including tension-type headaches, cluster headaches, and migraines. It then provides details on evaluating patients with headaches and classifying different headache types based on international standards. The rest of the document elaborates on diagnostic criteria and treatment strategies for recurrent headache types like tension headaches, cluster headaches, and migraines. It describes treating acute migraine attacks with analgesics and triptans and providing migraine prophylaxis for frequent or disabling attacks.
Neuromuscular disorders affect the peripheral nervous system and cause progressive muscle weakness. While individually rare, as a group they are not uncommon. Some neuromuscular conditions can affect dental treatment for elderly patients who may have difficulty with oral hygiene. Myasthenia gravis is the most common neuromuscular disease, where antibodies prevent nerve impulse transmission to muscles causing weakness. Dental care requires awareness of medications and increased risk of secretions for patients with these disorders.
This document outlines the important components of taking an ocular history. It emphasizes that obtaining an accurate history is critical for determining the etiology of a patient's problem, and that a diagnosis can often be made in 70% of cases based on history alone. The structure of a history includes sections on chief complaint, history of present illness, past ocular and medical history, medications, social history, family history, and birth history. Key details to gather for common complaints like sudden vision loss, double vision, and headaches are provided.
- Trigeminal neuralgia is characterized by sudden, severe facial pain that occurs in the areas of the face served by the trigeminal nerve. The pain is often triggered by light touch or other minor stimuli. Examination will reveal no sensory deficits. Treatment options include pharmacotherapy, microvascular decompression, or trigeminal ganglion block/radiofrequency ablation.
- Cluster headache is a severe headache occurring as multiple attacks and characterized by excruciating unilateral orbital, supraorbital, or temporal pain lasting 15-180 minutes if untreated. Attacks are associated with ipsilateral cranial autonomic features and a sense of restlessness. Treatment involves acute abortive therapy with oxygen or triptans and prevent
Headaches are a common complaint in children and adolescents, with prevalence increasing with age. There are primary headaches like migraines and tension-type headaches, as well as secondary headaches caused by conditions like infections, trauma, or masses. Migraines are the most common primary headache and their frequency increases in adolescence. Evaluation involves ruling out secondary causes through history and exam. For primary headaches, management includes acute treatment of attacks as well as preventive therapies and non-pharmacological methods. Frequent childhood headaches can negatively impact functioning and are associated with increased risk of future health problems.
This document discusses approaches to evaluating and diagnosing different types of headaches. It provides guidance on taking a thorough headache history, including questions about timing, characteristics, potential triggers and aggravating/relieving factors. Common headache types like migraine and tension headache are described. The document also outlines acute and preventive treatment strategies for migraine and tension headache, emphasizing the importance of empathy, shared decision making and monitoring response to treatment.
This document discusses the evaluation and classification of facial pain and headache. It notes that while patients are often referred for suspected sinusitis, few actually have sinogenic pain. A thorough history is key to determining the cause, such as determining if the pain is continuous or intermittent, any precipitating or relieving factors, and the effect on daily life. Common etiologies include sinusitis, dental issues, trigeminal neuralgia, migraine, tension headaches, and atypical facial pain. A neurological examination and imaging may aid diagnosis. Proper classification is important for determining appropriate treatment.
Dr Gina Kennedy provides an overview of headache diagnosis and management. Primary headaches include migraine, tension-type headache, and trigeminal autonomic cephalalgias. It is important to identify red flags and consider secondary causes. Treatment involves lifestyle modifications, acute medications, and preventive medications. Medication overuse headache is common and requires addressing overuse before initiating preventive treatment. Referral is indicated for atypical presentations or lack of response to treatment.
Pain in facial area may be due to neurologic or vascularcauses as well as can be due to dental origin.
The main causes can be Temporomandibular joint disorders or trigeminal neuralgia.
Trigeminal neuralgia can cause abrupt,searing pain due to nerve irritation or damage.
It causes pain along the course of the nerve all over the face and will mostly be on one side of the face.It is treated with anti convulsant medicines or a series of surgeries.
TMJ pain can be due to tenderness in the temporo mandibular joint.It can be unilateral or bilateral.IT can cause difficulty in chewing and even in speaking.It can also lead to difficulty in opening of mouth due soreness of joint.It is usually surgically treated.
Dr Sachdeva's Dental clinic and Facial aesthetic centre is one of the leading clinics offering treatment for facial pain in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
The document discusses conditions of the peripheral nervous system. It describes the peripheral nervous system as consisting of nerves and ganglia outside the central nervous system. It then provides details on several specific nerves that are part of the peripheral nervous system, including the functions they control and areas of the body they innervate. The document also discusses three conditions that can affect the peripheral nervous system: trigeminal neuralgia, Bell's palsy, and sciatica.
Headache is a common pain condition that has many potential causes. This document discusses the classification, pathophysiology, and management of various headache types. Primary headaches like migraines arise from the disorder itself, while secondary headaches are caused by other conditions. Migraines are the most common primary headache and present with throbbing pain that can be unilateral or bilateral, along with nausea, photophobia, and phonophobia. Cluster headaches are less common but more severe, occurring in clusters with unilateral eye and nasal pain. Tension headaches involve diffuse band-like pain worsened by touch. Treatment depends on the headache type but may include analgesics, triptans, oxygen therapy, or preventive medications.
This document provides guidance on evaluating and approaching a case of headache presenting in an ophthalmology office. It begins by outlining the importance of headaches and various potential causes. It then discusses conducting a visual acuity check, medical history, and eye examination including tonometry and fundoscopy. Key points are made about differentiating primary from secondary headaches and evaluating for conditions like migraines, tension headaches, refractive errors, hypertension, and more. The document emphasizes the need to thoroughly evaluate for potential neurological or systemic issues causing secondary headaches.
Trigeminal neuralgia is a disorder characterized by severe, sporadic facial pain caused by malfunction of the trigeminal nerve. The pain is often triggered by simple activities like eating, talking, or brushing teeth. It commonly affects middle-aged or elderly patients and is more frequent in women. While the exact cause is often unknown, trigeminal neuralgia is frequently caused by compression of the trigeminal nerve by blood vessels at the root of the brain. Carbamazepine is usually the first-line treatment, while microvascular decompression surgery may also be considered.
This document provides an overview of common types of headaches, including migraine, tension-type headache, cluster headache, and medication overuse headache. It discusses the signs, symptoms, diagnostic approach, and management strategies for each type. The diagnostic approach involves taking a thorough history, performing a physical examination, and ordering imaging tests only if indicated. Management involves both acute and preventative treatment depending on the headache type. The document emphasizes the importance of making an accurate diagnosis and reassuring patients that other pathology has been excluded.
This document provides guidance on evaluating and managing headaches. It emphasizes the importance of a thorough history and examination to properly analyze the headache and guide management. The history should follow the SOCRATES framework and look for red flags. Examination includes mental status, cranial nerves, and looking for triggers of migraine or tension headaches. Common headache types like migraine and tension headaches are described. Migraine prophylaxis includes beta-blockers, antiepileptics, and antidepressants. Tension headaches are often treated with aspirin, paracetamol, or amitriptyline. Cluster headaches respond to sumatriptan or verapamil. A structured approach is key to diagnosing the headache type and choosing appropriate treatment
Pediatric headache by dr. milind bapatMilind Bapat
Headaches are common in children, affecting 39% by age 6 and 75% by age 15. Migraines, the most common type of primary headache in children, can cause school absences and impair academic performance. Evaluation of childhood headaches should consider secondary causes from infections, injuries, or intracranial pathology. For primary headaches like migraines, treatment involves acute abortive medications and lifestyle changes to prevent triggers as well as prophylactic medications if headaches are frequent or severe.
This document provides an overview of pediatric and adult headaches. It begins by classifying headaches as acute, subacute, or chronic. For pediatric headaches, it outlines the important aspects of history taking and danger signs that warrant further evaluation. It describes migraine headaches in children in detail. For adult headaches, it discusses mechanisms, classification, precipitating factors, and characteristics. It provides guidance on evaluation, management, and when to refer or admit patients with headaches.
Headache in children -indexforpaediatrics.comdr-nagi
Headache is one of the commonest neurological symptoms in children and young people who are
referred to doctors. Headache refers to pain involving the orbits, forehead, scalp and temples but not
the face or neck. The primary headache includes chronic or recurrent headache and migraine. The
prevalence of chronic or recurrent headaches in children occur in 60-69% by the age of 7-9 years
and 75% by the age of 15 years. The prevalence of migraine in children is up to 28% of older
teenagers. The most serious cause of the secondary headache is brain tumor and the prevalence of
brain tumours in children is 3 per 100,000 per annum.
https://indexforpaediatrics.com
This document provides an overview of evaluating and treating patients presenting with headache. It describes the approach of determining if the headache is due to a primary or secondary cause through history, physical exam, and diagnostic testing. Primary headaches include tension, migraine and cluster headaches and are treated differently than secondary headaches which require identifying and treating their underlying cause.
This document discusses the management of patients with neurological disorders like epilepsy. It defines a seizure as excessive electrical activity in the brain that causes changes in behavior. Epilepsy is characterized by recurrent seizures that may or may not involve loss of consciousness. Some key considerations for dental management of epileptic patients include scheduling appointments when medications have been taken, using proper lighting to avoid triggering seizures, and allowing seizures to run their course without intervention if one occurs. The document also discusses managing pregnant patients by deferring elective procedures if possible, using lead shielding for necessary x-rays, and avoiding teratogenic drugs.
Facial pain is pain felt in any part of the face, including the mouth and eyes.
It’s normally due to an injury or a headache, occasionally facial pain may also be due to neurological or vascular causes, but equally well may be dental in origin.
This document discusses different types of headaches. It defines headache and classifies headaches as primary or secondary. The main primary headaches are tension-type headaches, migraines, and cluster headaches. Tension-type headaches are the most common and feel like constant squeezing tightness. Migraines typically affect one side of the head and cause throbbing pain. Cluster headaches cause severe, stabbing pain around the eye and last 15-180 minutes. The document outlines symptoms, causes, diagnostic tests, and treatment for each type of primary headache. Nursing management includes comprehensive assessment, non-pharmacological therapies, avoiding triggers, and educating patients.
This document discusses approaches to evaluating and treating headaches in children. It begins by outlining common causes of chronic and severe headaches in children, including tension-type headaches, cluster headaches, and migraines. It then provides details on evaluating patients with headaches and classifying different headache types based on international standards. The rest of the document elaborates on diagnostic criteria and treatment strategies for recurrent headache types like tension headaches, cluster headaches, and migraines. It describes treating acute migraine attacks with analgesics and triptans and providing migraine prophylaxis for frequent or disabling attacks.
Neuromuscular disorders affect the peripheral nervous system and cause progressive muscle weakness. While individually rare, as a group they are not uncommon. Some neuromuscular conditions can affect dental treatment for elderly patients who may have difficulty with oral hygiene. Myasthenia gravis is the most common neuromuscular disease, where antibodies prevent nerve impulse transmission to muscles causing weakness. Dental care requires awareness of medications and increased risk of secretions for patients with these disorders.
This document outlines the important components of taking an ocular history. It emphasizes that obtaining an accurate history is critical for determining the etiology of a patient's problem, and that a diagnosis can often be made in 70% of cases based on history alone. The structure of a history includes sections on chief complaint, history of present illness, past ocular and medical history, medications, social history, family history, and birth history. Key details to gather for common complaints like sudden vision loss, double vision, and headaches are provided.
This document provides an overview of how to take a case history for a dental patient. It discusses the importance of gathering demographic data, chief complaints, medical history, dental history and conducting examinations. The key components of a case history are outlined, including the steps of taking a history, examining the patient, making a provisional diagnosis, conducting investigations, reaching a final diagnosis and developing a treatment plan. Taking a thorough case history is important for understanding the patient's condition, making an accurate diagnosis and determining an effective treatment approach.
Headaches and orthodontics 45° Sido International CongressStudio Robotti
1) Headaches are among the most common and disabling health problems, affecting nearly 10% of the global population. Proper classification of headaches is important for uniformity, research, and treatment guidelines.
2) The first consultation for a patient with headaches should gather information on frequency, duration, triggers, and previous treatments to classify the headache type according to the International Classification of Headache Disorders.
3) Migraines are a common primary headache type characterized by pulsating pain that worsens with activity along with nausea and sensitivity to light/sound. Early recognition and treatment are key to effective migraine management.
This document discusses the differential diagnosis of orofacial pain from both dental and non-dental causes. It outlines various types of pain such as pulpal pain, periapical pain, referred pain, neuropathic pain, myofascial pain and others. For each type of pain, it describes characteristics such as quality, localization, reproduction of pain and response to local anesthesia. The document emphasizes taking a thorough history from the patient and considering all potential sources of pain before making a diagnosis. Diagnostic tests may include imaging, labs or use of an occlusal appliance depending on findings from history and examination.
DIFFERENTIAL DIAGNOSIS OF CHRONIC UNILATERAL FACIAL PAIN ann ppt (1).pptxNAVANEETH KRISHNA
This document provides an overview of chronic unilateral facial pain, including definitions of pain, classifications of orofacial pain, and descriptions of specific conditions that can cause chronic facial pain such as trigeminal neuralgia, post-herpetic neuralgia, atypical facial pain, and temporomandibular disorders. It discusses evaluating and diagnosing pain through history, clinical examination, and knowledge of conditions. Various types of chronic facial pain are defined and their clinical features and management are outlined.
dental Management of epileptic pat.pptEman Hassona
This document discusses the management of epileptic patients in the dental setting. It begins by defining epilepsy and describing the most common causes. It then discusses considerations for treating epileptic patients, including risks of seizures during appointments, medication side effects like gingival hyperplasia, and drug interactions. The document provides guidance on first aid during a seizure, including positioning the patient safely and timing the seizure. It emphasizes the importance of a thorough medical history and treating epileptic patients in a low-stress manner.
The document discusses the management of endodontic pain. It defines pain and describes the various causes of pre-treatment, during treatment, and post-treatment endodontic pain. It outlines strategies for diagnosing the source of pain and discusses both pharmacological and non-pharmacological options for managing different types of endodontic pain, including the use of analgesics, local anesthetics, antibiotics, and steroids. Challenges in achieving pulpal anesthesia for teeth with irreversible pulpitis ("hot tooth") are also covered, along with strategies for improving anesthesia success.
Dr. Vaishal Shah provides an overview of eye pain for neurologists. The trigeminal system supplies sensation to the eye and is involved in many causes of eye pain. Common ophthalmological causes of painful red eye include conjunctivitis, while neurological causes can include optic neuritis. Evaluation of painful white eye involves considering ophthalmological issues like glaucoma, uveitis, or scleritis, as well as neurological conditions such as optic neuritis. Eye pain with ophthalmoplegia may indicate orbital cellulitis, thyroid eye disease, giant cell arteritis, or structural lesions. Primary headache syndromes like cluster headache or trigeminal neuralgia can also cause eye pain and
The document discusses the importance of evaluating a patient's medical history and status prior to dental treatment in order to identify any medical conditions or medications that could impact treatment or pose health risks, and provides guidance on modifying treatment for various cardiovascular conditions like hypertension, congestive heart failure, myocardial infarction, and angina pectoris.
The document provides details about taking a thorough case history for periodontal patients. It emphasizes that case history recording is the first and most important step, as it allows for correct diagnosis and treatment planning. The case history should include chief complaint, history of present illness, past medical/dental history, family history, personal habits, general examination, and intraoral and extraoral examinations. Taking a comprehensive case history provides important insights into the patient's condition and relevant social, medical, and dental factors.
The document discusses diagnostic procedures used in dentistry. It outlines various tests like thermal tests, electric pulp tests, mobility tests, and radiographs that are used to diagnose dental issues like pulp vitality, periapical lesions, and periodontal disease. The goal of diagnosis is to accurately identify the disease through signs, symptoms, and test results to determine the appropriate treatment.
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is initiated by specialized nerve endings called nociceptors and transmitted by neurons. There are four processes involved in pain: transduction, transmission, modulation, and perception. Pain can be classified as nociceptive (resulting from tissue damage) or neuropathic (resulting from damage or disease affecting the nervous system). A thorough history and clinical/radiographic examination is needed to diagnose the source and type of pain. Common sources of dental pain include pulpal and periapical diseases, periodontal diseases, fractures, cysts, and tumors. Non-dental sources can also mimic dental pain and should be considered.
This document discusses whiplash injury, providing definitions, clinical findings, management, and prognosis. Whiplash is defined as a sudden hyperextension or hyperflexion injury to the neck caused by an acceleration/deceleration mechanism. It most commonly results from rear-end motor vehicle collisions. Clinical findings can include neck pain, stiffness, reduced range of motion, headaches, and neurological symptoms. Treatment involves education, medications, physical therapy, and potentially minimally invasive procedures like injections. Most people recover within a month, though a small percentage may have long-term issues. Factors like additional injuries, female sex, and litigation involvement can impact prognosis.
Differential Diagnosis of Oral & Maxillofacial PainBharath omfs
This document discusses the differential diagnosis of oral and maxillofacial pain. It begins by defining pain and noting that pain in this region is commonly due to dental disease. A thorough evaluation includes a history, examination, and diagnostic testing to determine the underlying cause. Causes are classified and include primary headaches, secondary headaches attributed to various conditions, and painful cranial neuropathies. The evaluation involves assessing the chief complaint, medical history, physical exam of the head, neck, mouth and muscles, and diagnostic imaging and psychosocial factors. Red flags are provided for various potential underlying conditions.
This slide is prepared by medical student for educatonal purpose. Please comment if anything to add on this slide.Please share if youlike the slide in your educational group.
1 Examination, evaluation, diagnosis and treatment planningShruti MISHRA
The document provides an overview of the process of examination, evaluation, diagnosis and treatment planning in endodontics. It discusses the importance of collecting a thorough medical and dental history from the patient, as well as performing a clinical examination. A variety of diagnostic tests and methods are outlined, including palpation, percussion, pulp testing, radiography and more. The document also covers factors to consider in a patient's medical history that could impact endodontic treatment, such as cardiovascular disease, diabetes and pregnancy. Finally, it emphasizes that correct diagnosis is essential before providing a treatment plan to avoid worsening the patient's condition or providing the wrong treatment.
Diagnosis and treatment planning in implant dentistryLaju Mahesh
This document discusses diagnosis and treatment planning for implant dentistry. It outlines the importance of a thorough medical history, dental history, and intraoral examination to properly assess a patient's conditions and needs. Key factors in treatment planning include analyzing the patient's existing occlusion, bone density, available bone for implants, and force factors to determine the best implant positions, sizes, and design. Developing a treatment plan requires considering all of these diagnostic elements to maximize the success of the implant rehabilitation.
Complications of wisdo removal neurological mangment .pdfIslam Kassem
1. The document provides information about impacted wisdom teeth and their treatment, including alternatives to removal, principles of surgery, and complications.
2. Key points discussed include evaluation of impaction patterns, lingual splitting surgical technique, laser therapy benefits, and management of dry socket and nerve injuries.
3. Post-extraction healing processes and potential complications are outlined, along with prevention strategies and treatment approaches.
This document provides information about Dr. Islam Kassem and his team who perform salivary gland surgery. It lists some of Dr. Kassem's publications on topics like parotitis related to Covid 19. The document then gives advice on oral diagnosis and the diagnostic sequence which involves detecting and examining lesions, examining the patient, developing differential diagnoses, and making a final diagnosis. It also provides details on various aspects of history taking and physical examination for oral diagnosis.
This document provides information about bone grafts and grafting procedures in dentistry. It defines different types of grafts including autografts, allografts, xenografts, and alloplastic grafts. It describes the properties of osteoinduction, osteoconduction, and osteogenesis. It discusses various graft materials like human bone, allogeneic grafts, bone substitutes, and their advantages and disadvantages. The document also outlines objectives and techniques of bone grafting as well as factors affecting the fate of graft materials.
Preoperative Evaluation and Investigations for Maxillofacial Surgery 1.pdfIslam Kassem
The document provides guidelines for preoperative evaluation, admission notes, operative notes, and postoperative care of patients undergoing maxillofacial surgery. It discusses the purpose and key contents of admission notes, preoperative notes, informed consent processes, surgical site marking, brief operative notes, full operative reports, immediate postoperative notes, progress notes, postoperative orders, and discharge summaries. The guidelines aim to ensure thorough documentation and communication between healthcare providers regarding patient care.
Blood glucose monitoring helps identify patterns in fluctuations and better manage diabetes. It plays a vital role in self-management education and treatment. Regular monitoring through intermittent glucometers or continuous monitors allows for individualized control and adjustment of medications. The frequency of monitoring depends on the treatment regimen but commonly includes before meals and at bedtime. Both methods have advantages and disadvantages such as cost and reliability. Laboratory testing also evaluates long-term control through A1C levels. Maintaining stable blood glucose through effective self-monitoring and medical consultation can reduce risks of short and long-term complications.
This document contains information about Islam Kassem, an oral and maxillofacial surgeon, including his educational background and credentials. It also lists other doctors in the maxillofacial department and discloses no conflicts of interest. The rest of the document discusses topics related to scar management, including different types of skin, ideal patients for peels, goals of conditioning skin, and depths of peels.
This document discusses impacted and unerupted teeth, with a focus on impacted wisdom teeth. It provides information on:
- The frequency of tooth impactions, with wisdom teeth and maxillary third molars being most common.
- Factors to consider when deciding whether to remove impacted wisdom teeth, including development stages, potential risks like infection, and possible benefits like occlusion.
- Surgical principles for removing impacted teeth, including flap design, suturing techniques, and managing complications like nerve injury.
- Alternatives to surgical removal like restoration and the optimal timing for prophylactic removal of wisdom teeth between ages 15-18.
This document discusses dentoalveolar trauma, including diagnosis, clinical examination, radiographic examination, classification, and treatment. It covers obtaining a thorough history of the trauma and examining the soft tissues, teeth, and bone clinically and radiographically. Ellis' classification of dental injuries is described. Treatment depends on the class of injury and may include splinting, stabilization, root canal treatment, or referral for surgery. Low-level laser therapy can aid in healing. Management aims to reduce complications and promote healing of injured tissues.
This document discusses the use of dental lasers and their advantages. It provides information on different types of lasers and their wavelengths. Lasers can provide benefits like greater patient satisfaction, less bleeding and shorter procedure times compared to traditional techniques. The document discusses laser safety and appropriate eyewear. Lasers have various applications in dentistry such as incisions, hemostasis and treating conditions like gingival enlargement and snoring.
This document provides information about Islam Kassem, an oral and maxillofacial surgeon, including his qualifications and specializations. It then outlines a 3 day course covering topics like impacted teeth, lasers, trauma, piezosurgery, sinus implications, complications, and more. The document also discusses the importance of oral diagnosis and clinical pathology. It provides details on the diagnostic sequence including detection, examination, classification, differential diagnosis, and treatment planning. Key aspects of history taking like chief complaints, medical history, and physical examination are also summarized.
Local anesthesia interrupts nerve transmission by blocking sodium channels and preventing the propagation of action potentials along nerve fibers. The ideal local anesthetic has rapid onset, prolonged duration, is reversible, selectively acts on sensory nerves, is water soluble, non-irritating, stable, and has no systemic side effects. Complications from local anesthesia can arise from the drugs, injection techniques, or both. Common complications include soft tissue injury, tissue necrosis, needle breakage, hematoma, and failure to achieve anesthesia. Proper injection technique and use of medications can help reduce complications.
This document discusses tooth extraction, including indications, contraindications, techniques, and complications. It provides details on:
1. Indications for tooth extraction such as non-restorable caries, pulpitis, periodontal disease, fractures, bony lesions, impacted teeth, and orthodontic reasons.
2. Contraindications including certain medical conditions, medications, pregnancy, infections, and uncooperative patients.
3. Techniques for simple extractions using forceps with different types for various tooth positions, and trans-alveolar extractions for difficult cases.
4. Potential complications from the procedure or analgesia like fracture, nerve damage, bleeding, pain, or displacement of the tooth
This document provides information about dento-alveolar trauma. It begins with the speaker's credentials and declarations of no conflicts of interest. The learning objectives are listed as diagnosis, first aid treatment, in-office treatment, maxillofacial trauma signs, biostimulation use, and complications of improper management. Diagnosis involves history, clinical examination including vitality tests, and radiographic examination. Treatment depends on factors like stage of root formation and presence of fractures. Splinting may be used for alveolar fractures or displaced teeth. Laser biostimulation is discussed as a potential alternative or addition to endodontic treatment. References are provided.
This document discusses temporomandibular joint (TMJ) pathology and occlusion. It begins by defining key occlusion terms like centric occlusion, centric relation, and anterior guidance. It describes the importance of occlusion in diagnosis, treatment planning, and minimizing failure. Ideal occlusion provides comfort and function through features like anterior guidance, posterior stability, and lack of interferences. The document discusses how anatomic factors like condylar guidance, incisal guidance, and overlap influence occlusion and posterior tooth morphology. Finally, it examines how occlusion impacts mastication and bite force.
This document provides an anatomical overview of structures related to the temporomandibular joint (TMJ) including:
- Bones such as the mandible, maxilla, zygomatic, and hyoid bones
- Muscles like the masseter, temporalis, and lateral and medial pterygoid muscles
- The TMJ itself, which consists of the condylar process, disc, and articulation with the temporal bone
- Normal TMJ function involves initial rotation followed by translatory motion as the disc and condyle move together
1. Local anesthetic complications can arise from the drugs themselves or injection techniques. Soft tissue injury and sloughing of tissues from ischemia are complications of the drugs, while needle breakage, hematoma, and failure to achieve anesthesia can result from injection issues.
2. Proper administration techniques such as slow injection, aspiration, and choice of anesthetic agent and dose can help prevent complications. Monitoring for signs of excessive dosage or allergic reaction and having BLS protocols in place are also important for managing potential issues.
3. An understanding of anatomy, use of proper technique, and care in performing injections can help minimize risks. However, despite best efforts, complications may still occur rarely and require prompt treatment of symptoms
1. This document discusses techniques for maxillary anesthesia including local infiltration, field blocks, and nerve blocks. It describes specific techniques such as the posterior superior alveolar nerve block, middle superior alveolar nerve block, and greater palatine nerve block.
2. Each technique is indicated for anesthetizing certain areas like the maxillary molars, premolars, canines, and incisors as well as associated gingiva and bone. Landmarks, needle position, aspiration, and volume of local anesthetic solution are outlined.
3. Advantages include high success rates and being technically easy. Risks include hematoma and failure to adequately anesthetize if proper technique is not followed
This document provides information on mandibular anesthesia techniques. It discusses:
1. The lower success rate of mandibular anesthesia compared to maxillary anesthesia, around 80-85%, due to bone density and less access to nerve trunks.
2. The various mandibular nerve blocks including inferior alveolar, mental, buccal, lingual, and Gow-Gates techniques. The inferior alveolar nerve block is the most commonly performed but has the highest failure rate of 15-20%.
3. Details of performing the inferior alveolar nerve block including target area, landmarks, technique, areas anesthetized, indications, contraindications, and complications.
4
This document provides an anatomy overview of the trigeminal nerve (nervus trigeminus), which contains both motor and sensory fibers. It describes the locations and functions of the trigeminal ganglion and nuclei, as well as the three main divisions of the trigeminal nerve - the ophthalmic, maxillary, and mandibular nerves. It then provides detailed information on the branches and innervation territories of the ophthalmic and maxillary nerves.
This document provides information on local anaesthesia techniques and armamentarium. It discusses various topics such as:
- Types of pain fibers and how local anaesthesia works to block pain transmission
- Different types of local anaesthetic syringes including reusable, disposable, and safety syringes as well as their advantages and disadvantages
- Local anaesthetic needle features like gauge, length, and proper handling techniques
- Local anaesthetic cartridge contents and potential problems that can occur with cartridges
- Maintenance of syringes, needles, and cartridges
- Selection of local anaesthetic drugs for different medical conditions
- Record keeping requirements for sedation methods
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Communicating effectively and consistently with students can help them feel at ease during their learning experience and provide the instructor with a communication trail to track the course's progress. This workshop will take you through constructing an engaging course container to facilitate effective communication.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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How to Setup Warehouse & Location in Odoo 17 InventoryCeline George
In this slide, we'll explore how to set up warehouses and locations in Odoo 17 Inventory. This will help us manage our stock effectively, track inventory levels, and streamline warehouse operations.
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
2. Islam Kassem
• BDS Alexandria Dental school 2002
• MSc Oral & Maxillofacial surgery 2008
• MFDS RCS Ed 2005
• MOMS RCPS Glasg 2009
• FFD RCSI OS OM 2011
• AO-CMF Fellowship 2012
• American Aesthetic fellowship diploma 2013
• Implant Diploma Napoli university 2014
• Laser Diploma ALD 2015
• Oral & Maxillofacial Surgeon
3.
4. Declaration
• There is no conflict of interest in this
Course .
• I have no monetary benefit from this
Course.
• No implied sponsorship by any company to
the speaker
• all photographed patients were treated by
the speaker and consented for
photographing and public publishing
ikassem@dr.com
14. Epidemiology
10 million people treated for “TMJ” at any one
time
50% of population
1/5 require some treatment
1/10 of those treated will need surgery
15. Epidemiology
Avg age onset 18-26
Females 5:1
50% have progressive Sx
50% accommodate by functioning within
physiologic limits
84% not treated improve
86% treated improve
18. What is Pain?
• “Pain is an unpleasant sensory and emotional
experience associated with actual or potential
tissue damage or described in terms of such
damage”
• “- pain is always subjective -”
Int. Assoc. for the Study of Pain
19. Oro-Facial Pain
• The remit of the dentist?
• Patients go to dentist to get
problem fixed
– Filling, extraction etc
• Problem arises when dentist
can’t fix it!
• Patients don’t go to dentist for
medical/psychological help!
• Dentist under pressure to do
something!
• Poor inter-professional
communication between
medicine and dentistry
• Dentists often isolated
20. Oro-facial Pain
• Oro-facial pain can be
difficult to diagnose!
• TMD can be a great
mimic!
• Beware of referred pain!
21. In the primary care setting
how much do each of the following contribute to
the diagnosis?
• History taking
• >80%
• Physical examination
• <10%
• Investigations
• <10%
• So why do we do so many investigations?
22. Why Do We Order So Many Tests?
• "Defensive" medicine in an increasingly
litigious environment
• Loss of confidence in our abilities to extract
meaningful information from the history and
examination
23. Consequences of Ordering So Many
Tests
– Time delay in diagnosis as one awaits the test
results
– The patient is exposed to the risk and side effects
of tests that may not be necessary
24. The pain history
• Onset, location and duration of facial pain
• Alleviating or aggravating factors
• Medical, dental & social history
25. KEY QUESTIONS
• IS THE PAIN PRESENT EVERY DAY ?
• WHAT IS A NORMAL DAY LIKE ?
• HOW SEVERE IS THE PAIN ? –
• (Score 0-10)
26. Rules of Thumb!
• Dental pain gets better or worse!
• Chronic pain is rarely dental!
• If an experienced dentist “feels” the pain is
not dental they are most often right !
31. Dental Pain - radiation
• Caries in mandibular
molars can produce
pain around the ear
• Caries in maxillary
teeth can produce
maxillary, orbital, retro-
orbital
32. Dental Pain
• Dental pain can be difficult
to diagnose!
– Tooth sleuth!
– Hot water test!
• TMD can be a great
mimic!
– Headaches, jaw pain,
toothache etc.!
• Beware of referred pain
– sinuses, cervical spine, heart
etc.!
33. Acute Maxillary Sinusitis
• Unilateral or bilateral
pressure, fullness or
burning pain over
cheekbone, upper teeth
and around eyes
• Exacerbated by stooping
• Usually follows an URTI
• Most cases self limiting
35. Sinusitis Management
• Decongestants
• Steam inhalations
• Antibiotics if indicated
• Local Heat
• Antihistamines if allergic component
• corticosteroids
• Sinus irrigation
• Endoscopic surgery
36. TEMPOROMANDIBULAR JOINT
DISORDERS
• Common
• More has been written about this topic than
for any other joint !
• Various classifications
• Many cases are self limiting
• Surgery is indicated in very few BUT
important exceptions
37. Temporomandibular Dysfunction
• Pain in the joint and/or surrounding muscles
• Joint “clicking”
• Periods of limitation of joint movement (trismus)
38. EPIDEMIOLOGICAL DATA
• Percentage of population with signs
50-75%
• Percentage of population with symptoms
20-25%
• Percentage of population who seek
treatment 3-4%
40. Bruxism
• Tooth wear
• Painful teeth
• Cracked cusps
• Mouth ulcers due to trauma
• Jaws ache in the morning
41. Temporomandibular Dysfunction
• Pain distribution
• Variable – a great mimic!!
• Joint pain
• Earache
• Toothache
• Facial pain
• Headache
• Can be associated with
neck and shoulder pain
43. Trigeminal Neuralgia - Description
• A painful unilateral affliction of the face,
characterized by brief electric shock-like
(lancinating) pains limited to one or more
divisions of the trigeminal nerve
• Pain evoked by washing, shaving,
smoking, talking, brushing, air blowing, or
spontaneously occurring
• Pain is abrupt in onset and may remit for
varying periods
44. Trigeminal Neuralgia
• Subclassified into idiopathic and
symptomatic
• Idiopathic trigeminal neuralgia: due to an
interaction between trigeminal nerve and
vasculature
• Symptomatic trigeminal neuralgia: caused
by demonstrable structural lesion
45. Trigeminal Neuralgia
• Females > males
• Usually elderly – (if < than 40 -?MS)
• Restricted to Vth nerve
– Similar can affect IXth nerve – glossopharyngeal
neuralgia
• Trigger point – may bear no anatomical
relation to site of pain but on same side!
• Sleep often not affected
• May go into remission
46. Trigeminal Neuralgia
Diagnosis:
• History
• Examination
• MRI
– aberrant pontine blood
vessel?
– exclusion of other
cause (neoplasm, MS)
• (Response to trial of
carbamazepine)
47. Trigeminal Neuralgia
Treatment:
• Medical – anticonvulsants
( e.g. carbamazepine) –
needs medical monitoring!
• Use of additive drugs –
e.g. baclofen
• Damage to trigger point –
alcohol injection,
cryotherapy
49. Establishment of VZV Latency in Sensory-Nerve
Ganglia.
After a primary VZV infection (chickenpox), latent VZV
infection is established in the dorsal-root ganglia, and
zoster occurs with subsequent reactivation of the virus
N Engl J Med Vol 356(13) P1338-1343
50. Zoster: Clinical Features
• Usually limited to 1 or 2
adjacent, unilateral
dermatomes
• “Grape-like” lesions
clustered on an
erythematous base
• Lesions usually heal
within 4 weeks1
51. Post Herpetic Neuralgia
• Burning, itching, prickly pain that worsens
with contact or movement
• Persists along any of the three trigeminal
nerve distributions affected by shingles
• Difficult to treat!
• Importance of adequate treatment of
shingles – especially the elderly
• Carbamazepine, tricyclics
54. Treatment of GCA
• Give corticosteroids immediately in all
suspected cases
• Start with 1mg/Kg prednisolone daily with vitamin
D and calcium supplements.
• Refer for Ophthalmology
58. Atypical Pain Conditions
• Atypical = poorly understood!
• Often regarded as purely “psychogenic”!
• But chronic pain will make you depressed!
• Other factors may be involved!
– There may be a cause?
– Patient may just be a poor historian!
• Be careful of labels!
• Keep an open mind!
60. Persistent Idiopathic Facial Pain
• Middle aged or older
• Mainly female
• Constant pain / discomfort
• Poorly localised
• May cross midline
• Does not waken patient from sleep
• Lack objective signs
• Investigations (-ve)
• Other symptoms (headaches,IBS,backache etc.)
61. Persistent Idiopathic Facial Pain
• Demand physical treatment
• Often do not accept psychological
explanation
• May have seen several specialists/
practitioners
• May be obsessed with symptoms
62. Psychogenic Toothache
• Patient reports that multiple teeth are often painful with
frequent change in character and location
• A general departure from normal or physiological patterns of
pain
• Patient presents with chronic pain behaviour
• Lack of response to reasonable dental treatment
• Unusual or unexpected response to therapy
• No other identifiable pain condition that can explain the
toothache
63. Non-Odontogenic Toothaches
Warning Symptoms- Summary
• Spontaneous multiple toothaches
• Inadequate local dental cause for the pain
• Stimulating, burning, non-pulsatile toothaches
• Constant, unremitting, non-variable toothaches
• Persistent, recurrent toothaches
• Local anesthetic blocking of the offending tooth does not
eliminate the pain
• Failure of the toothache to respond to reasonable dental
therapy
64. Chronic Orofacial pain
Burning mouth syndrome is characterized as a
burning, tender, or annoying sensation in the
mouth with no apparent mucosal lesion.
Descriptive symptom
Late middle age – elderly
Female>Male
66. Management – What You Should Do!
• History ( what’s the story in detail )
– Exacerbants, alleviation, associated features
• Exclude organic disease
• Be aware of emotional state
– Depression / anxiety (HAD score)
- Secondary gain – what benefits does the patient get
from being unwell?
• Life events – connections with onset etc.
• Discuss with GMP (with patients consent)
• Decide on need for medication / referral
67. Management – What You Should Do!
• Remember the patients pain is real even if a
physical cause can not be found – tact!
• Allow the patient to express themselves
– What do you understand about your pain?
– What do you feel it represents?
– Cancer phobia?
• It can take time
• Remember most complaints are regarding
communication – or lack of it!
68. Management Strategies
The Pain Clinic
• Medical – drugs – alter the chemical soup!
• Surgical – nerve ablation procedures e.g. for
cancer pain
• Physiotherapy – improving activity
• Clinical Psychology – living with the problem
– Cognitative, Behavioural Therapy (CBT)
Pain Management is multidisciplinary!
Liaise closely with the GMP
69. Take-Home Points
• Oro-facial pain is common
• Most cases are dental
• Diagnosis can be very difficult
• Patients are frequently frustrated & very
distressed by time they reach secondary
care
• Need a lot of listening too!
70. Conclusions
• Careful history taking is essential to correctly
diagnose facial pain
• Remember the anatomy of the trigeminal
nerve
• Many facial pain syndromes are wrongly
attributed to disease of the teeth or sinuses
71. OROFACIAL PAIN
The field of Dentistry that includes the
Assessment, Diagnosis and Treatment of
Complex chronic orofacial pain and dysfunction
Oromotor and jaw behaviour disorders
Chronic facial, head and neck pain
72. o Head
-meninges
-skull & scalp
-nerves
-trigeminal (V)
-C2-3 (GON/LON)
o Orofacial
-sinuses
-TMJ, ear
-teeth, nerves
o Neck & shoulders
Pain generators
73. Red flags
T.I.N.T
o Tumour
o Temporal arteritis
o Intracranial pressure
o Infection
o Neurovascular
o Trigeminal
o Trauma
74. Red Flag Case Presentation
Female 16 years
Hx of constant deep aching TMJ/jaw pain worse with
chewing, extending to occiput.
Initially treated with Occlusal Splint/Physio.
Headaches on exertion - paroxysmal with “fainting”.
Parents noted subtle personality changes.
MRI - Arnold Chiari formation- surgery.
75. Intracranial Pathology
Diagnostic Clues
Neurological type symptoms/signs.
No response to peripheral therapies.
Unusual or worsening symptoms despite therapy.
Negative response to somatic/sympathetic blocks.
78. Temporal (Giant cell) Arteritis
RED FLAG
Headache emergency
New onset headache in >50 years
Uni/bilateral dull temporal pain
Claudication masticatory muscles
Visual disturbance
Polymyalgia-shoulder/hip, malaise
Swollen, tender temporal artery
Elevated ESR, CRP
Positive biopsy
79. Temporal Arteritis
RED FLAG
Headache of vascular origin
Initial symptoms may resemble TMD
- Pain/stiffness in jaw
- Pain/fatigue of jaw when chewing
- Pain may radiate to ear, teeth
- Temporal headache
If untreated may cause blindness, stroke and death!
Generally resolves with high dose steroids
81. Odontogenic Pain – Toothache
▪ Most common cause of orofacial pain!
▪ Often missed by medical people
▪ Dental caries into dentine / pulp
▪ Pulpitis, pulp necrosis
▪ Cracked teeth
▪ Periodontal infection
▪ ASK ABOUT HOLES IN TEETH
▪ Hot/cold/bite SENSITIVITY, PAIN AT NIGHT
82. TOOTHACHE
• Toothache - most common orofacial pain complaint
• 12.2% of population reported toothache in last 6M
• Diagnosis can be challenging and complicated
• Pain from one tooth may be referred from another
tooth or from other orofacial structures
• Other craniofacial pain disorders may mimic the
symptoms of toothache
• Proper diagnosis is critical
83. Consider all pains in the mouth and face to be
of dental origin until proven otherwise
85. TEMPOROMANDIBULAR DISORDERS
Collection of medical and dental conditions
affecting the temporomandibular joint and/or
muscles of mastication and/or contiguous
tissues resulting in pain and/or dysfunction
87. Case Presentation
48 year old female
Intermittent dull throbbing pain in upper tooth/jaw,
radiating to temple and eye.
Severe attacks, last 1-3 days with constant dull pain.
When severe, feels sick and prefers dark, quiet room to
sleep.
Attacks used to respond well to NSAIDs.
Had a root canal, crown of upper premolar + splint
89. Case Presentation
Male in mid forties.
Right sided face pain attacks on/off over three years
Extending into right eye.
Often awakened from sleep with severe throbbing pain.
Would get up and pace around holding his R. eye.
Face would feel sweaty, tearing of eye.
Numerous dental visits – Root canals/ extractions.
91. TRIGEMINALAUTONOMIC
CEPHALGIAS (TACs)
CLUSTER HEADACHE
CHRONIC PAROXYSMAL HEMICRANIA
HEMICRANIA CONTINUA
Peri-orbital or maxillary pain.
Frequently leads to dental work including extractions.
Unilateral, severe attacks with typical autonomic
headache accompanying symptoms.
92. Cluster Headache
Clinical Features
• Attacks are severe - boring
• Strictly unilateraln in and
around eye and/or temporal
region - “hot poker”
• Attack duration 15-180 min
• Attacks occur from once
every 2nd day up to 8x day.
• Attacks occur in series
lasting weeks to months
Remissions mths-yrs
• Autonomic features +++
• Males 5-7:1
65% had dental Tx
93. Chronic Paroxysmal Hemicrania
Similar to Cluster but
Female preponderance (3:1)
Attacks are more frequent and of shorter duration
5-40 attacks per day (median 5-10)
Attacks last 2-45 minutes
At least one autonomic symptom on the side of pain
conjunctival injection lacrimation
nasal congestion rhinorrhoea,
ptosis eyelid oedema
94. Chronic Paroxysmal Hemicrania
Always unilateral orbital, and/or temporal.
Severe stabbing/boring type pain that throbs as it builds
up.
Episodic form occursin bouts lasting months to years with
clear intervals (rare).
In most cases responds rapidly and absolutely to
Indomethacin (diagnostic test).
95. Tension Type Headache (TTH)
Previously called tension headache, muscle contraction
headache, stress headache
Most common primary headache (30-70% prevalence)
Episodic (frequent/infrequent) and chronic forms
Usually frontal /temporal location
Tightness, pressure in hat-band like distribution
+/- pericranial muscle tenderness
Often co morbid with migraine w/o aura.
98. Case Presentation
▪ 65 year old female
▪ Sharp shooting pains upper anterior teeth 22/23
▪ Saw dentist - fillings, root canals, extraction,
bridge, removal of bridge
▪ Inserting denture triggers sharp pain
▪ Repeated denture adjustments
99. Case Presentation
EXAMINATION
Cervical spine - normal
Cranial nerve screen - normal
TMJ/MM - normal
Myofascial - tender masseter.
Intraoral - mucosa normal appearance
trigger area palatal to 23 site.
101. Trigeminal neuralgia
Brief, electric shock-like, lancinating pains
that affects the face unilaterally affecting one
or more divisions of the trigeminal nerve
102. Trigeminal Neuralgia
Intermittent brief paroxysmal pain (secs-mins)
Limited distribution: V2 and/or V3 > V1
Trigger zone –minor stimuli- touch, wind, shave
Abrupt in onset and termination and may remit
Remission period can spontaneously occur that lasts for
weeks to years, and may return
Triggerable or spontaneous
No obvious local cause
103. Painful Post Traumatic Trigeminal
Neuropathy (AFP, PIFP)
Unilateral facial and/or oral pain
Usually continuous +/- sharp jolts of pain
History of trauma to same V nerve branch
Positive and/or negative neurosensory signs
(allodynia, hyperalgesia, hypoesthesia etc)
Equivocal response to LA nerve block
Varying degree of central & sympathetic involvement
104. Case presentation
40 yo female
Complains of 3 years continuous dull aching pain in
lower left quadrant. Occasional sharp pains.
Problem commenced after periodontal surgery and
surgical extraction of third molar.
Since had RCT of 1st and 2nd molars w/o effect
Aggravated by eating on that side and brushing teeth.
105. Persistent Dento-Alveolar Pain
Disorder (PDAP)
(Atypical Odontalgia, Phantom tooth pain)
Continuous variable pain
Localized to dento-alveolar region – tooth/extrn sites
Usually multiple (unsuccessful) dental procedures
No obvious local pathology-clinical/radiography
Not caused by another disease or disorder
+/- Sensory abnormalities
Somatic block equivocal
106. Case Presentation
48 year old female
2 years continuous dull, aching, burning pain in upper
right jaw
Presumed pulpitis so over time 3 x root canals
Extractions all upper molars, now wants premolar out
Extractions only aggravated pain, which has spread
Some sinus and menopausal symptoms
Hx of depression - not current
107. Case Presentation
Cervical Spine - normal
Cranial Nerve Screen - normal
Stomatognathic- normal
Myofascial – trigger points but not replicating pain
Intraoral- Extraction sites hyperaesthetic
Somatic block – negative
Sympathetic block- partially positive
Cone Beam CT, MRI- normal
108. Persistent Dento-Alveolar Pain
Disorder (PDAP)
(Atypical Odontalgia, Phantom Tooth pain)
Females > males – usually mid 40s on
Posterior maxillary quadrant most often
Hx of trauma - multiple dental procedures
Somatosensory abnormalities around tooth site
No evidence of psychopathology
<50% responded to LA block
Variable response to TCA, gabapentinoids, topicals etc
Repeated dental procedures are contraindicated