all the techniques used in completedenture fabrication in condition like flabby tissue and resorbed rigdes plus patients having problem of gag. it includes various pictures and procedure of impression techniques.
A STEP IN CASTING OF CAST PARTIAL DENTURE, a precious duplication process and proper wax up of refractory cast results in accurate fitting of the framework of the prosthesis.
all the techniques used in completedenture fabrication in condition like flabby tissue and resorbed rigdes plus patients having problem of gag. it includes various pictures and procedure of impression techniques.
A STEP IN CASTING OF CAST PARTIAL DENTURE, a precious duplication process and proper wax up of refractory cast results in accurate fitting of the framework of the prosthesis.
Non rigid connectors in fixed prosthesis / cosmetic dentistry trainingIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Failures in Fixed Partial Denture
(Prosthodontics FPD- Dental science)
Various types of failures in the fabrication of fixed partial denture
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
Presented by
NAVEEN GOKUL R,
CRI (2023) CARNAZZIANZ,
DEPARTMENT OF PROSTHODONTICS,
PRIYADARSHINI DENTAL COLLEGE - TN
Stents GPT 9th ed - Any supplementary device used in conjunction with a surgical procedure to keep a skin graft in place, often modified with acrylic resin or dental modeling plastic impression compound .
Splints - GPT 9th ed
A rigid or flexible device that maintains in position of a displaced or movable part; also used to protect and assists in stabilization and immobilization of an injured part.
CONTENTS:
INTRODUCTION
DEFINITION –STENTS
MATERIALS USED FOR STENTS
FUNCTIONS OF STENTS
TYPES OF STENTS
DEFINITION –SPLINTS
MATERIALS USED FOR SPLINTS
FUNCTIONS OF SPLINTS
TYPES OF SPLINTS
RECENT ADVANCEMENTS IN STENTS AND SPLINT THERAPIES
this is a presentation that describes the laboratory procedure in RPD framework fabrication
also has a flow chart in the beginning explaining steps to be done by dentist and steps to be taken by laboratory technician
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
Non rigid connectors in fixed prosthesis / cosmetic dentistry trainingIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Failures in Fixed Partial Denture
(Prosthodontics FPD- Dental science)
Various types of failures in the fabrication of fixed partial denture
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
Presented by
NAVEEN GOKUL R,
CRI (2023) CARNAZZIANZ,
DEPARTMENT OF PROSTHODONTICS,
PRIYADARSHINI DENTAL COLLEGE - TN
Stents GPT 9th ed - Any supplementary device used in conjunction with a surgical procedure to keep a skin graft in place, often modified with acrylic resin or dental modeling plastic impression compound .
Splints - GPT 9th ed
A rigid or flexible device that maintains in position of a displaced or movable part; also used to protect and assists in stabilization and immobilization of an injured part.
CONTENTS:
INTRODUCTION
DEFINITION –STENTS
MATERIALS USED FOR STENTS
FUNCTIONS OF STENTS
TYPES OF STENTS
DEFINITION –SPLINTS
MATERIALS USED FOR SPLINTS
FUNCTIONS OF SPLINTS
TYPES OF SPLINTS
RECENT ADVANCEMENTS IN STENTS AND SPLINT THERAPIES
this is a presentation that describes the laboratory procedure in RPD framework fabrication
also has a flow chart in the beginning explaining steps to be done by dentist and steps to be taken by laboratory technician
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
INTRODUCTION- Removable partial denture: the replacement of missing teeth and supporting tissues with a prosthesis designed to be removed by the wearer-GPT.
Cast partial denture is a type of partial denture comprising a cast metal framework with acrylic resin prosthetic teeth.
Traditional acrylic partial dentures are less durable, retentive, and stronger than cast partial dentures.
Academic presentation prepared for the final professional of BDS. The presentation talks about casting and investing techniques used in the Conservative Dentistry and Endodontics.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
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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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
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
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3. • Framework fabrication delegated to a technician
located outside the dental office.
• Therefore, effective communication between the
dentist and the technician is essential.
Removable partial denture
Lap Procedures
4. • For successful construction of a removable partial
denture, the dentist must provide dental laboratory
with the following:
• (1) a written work authorization describing the
desired Prosthesis
• (2) a properly articulated and surveyed diagnostic
cast with appropriate partial denture design
• (3) a properly master cast that provides an accurate
reproduction of hard and soft tissue.
Removable partial denture
Lap Procedures
5. LAB WORK STEPS
• First laboratory steps
• Making a diagnostic cast (pouring a cast)
• Surveying the diagnostic cast
• Articulate the casts and drawing design
• Making special trays to be used for taking the final impressions
• Second laboratory steps
• Pouring a master cast using the final impression
• Surveying of the Master Cast and transfer design
• Third laboratory steps
• Investing refractory cast (duplicating master cast)
• Wax elimination and Casting of metal framework
• finishing, polishing
Removable partial denture
Lap Procedures
10. RETRIPODING THE MASTER CAST
• During the survey and design process, the clinician determines a
specific path of insertion and removal for the partial denture.
• This path is recorded by placing tripod marks on the diagnostic
cast.
Removable partial denture
Lap Procedures
12. RETRIPODING THE MASTER CAST
• Placing three easily identifiable marks on the same
horizontal plane.
• These marks must be widely separated and must be
positioned on anatomic portions of the diagnostic cast
• they allow rapid reorientation of the diagnostic cast.
• permits orientation of the master cast and reproducing the
prescribed path of insertion
Removable partial denture
Lap Procedures
13. DESIGN TRANSFER
• Without removing the master cast from the survey
table or changing the tilt, the technician transfers the
design from the diagnostic
cast to the master cast with
extreme care and clearly
marked to avoid confusion.
Removable partial denture
Lap Procedures
14. •Block out is the act of placing
wax and other materials into
undesirable undercuts on the
master cast.
Removable partial denture
Lap Procedures
15. CAST PREPARATION
Removable partial denture
Lap Procedures
Before the addition of the blockout wax,
• maxillary cast is beaded to ensures positive contact of the major
connector with the palatal tissues.
• master cast treated with a surface sealer to provides a film protects
design through blockout and duplication processes.
16. BLOCKOUT TECHNIQUE
• Wax is placed apical to the height of contour and is not applied
in areas where intimate metal contact is desired.
Removable partial denture
Lap Procedures
17. BLOCKOUT TECHNIQUE
• Blockout wax is contoured with a metallic blockout instrument
mounted in the dental surveyor this results in
0-degree blockout (parallel to the path of insertion).
• Other blades are available and offer blockouts that range from 2
to 6 degrees from the path of insertion.
Removable partial denture
Lap ProceduresParallel
18. BLOCKOUT TECHNIQUE
• All tooth-supported removable partial dentures should be
blocked out parallel to the path of insertion.
• Tooth-tissue–supported removable partial dentures may be
given a tapered blockout to allow increased freedom of
movement in function.
Removable partial denture
Lap ProceduresParallel
19. BLOCKOUT TECHNIQUE
• wax shaped with hand instruments on buccal and lingual surface
to provide a slight ledge just apical to the clasp terminus
This guides the placement of the wax pattern accurately.
Removable partial denture
Lap Proceduresshaped
20. BLOCKOUT TECHNIQUE
• Areas of undercut that are not directly involved with framework
fabrication also must be addressed to minimize distortions
during cast duplication.
Removable partial denture
Lap ProceduresArbitrary
21. BLOCKOUT TECHNIQUE
• Wax is used to create a space between the framework and soft
tissue in edentulous area to provide for attachment of acrylic
denture bases
• Wax is also used beneath lingual bars and in other area such as
maxillary and mandibular tori.
Removable partial denture
Lap ProceduresRelief
22. DUPLICATION
• Duplication materials and techniques are alloy specific.
• low heat alloys are use gypsum-bound refractory materials that
use reversible hydrocolloid for duplication .
• high-heat alloys use phosphate-bound investments and glycerin-
based colloids for duplication.
Removable partial denture
Lap Procedures
23. REFRACTORY CAST
• Gypsum-bonded refractory materials (low heat investments) are
used for casting Type IV partial denture gold and Ticonium and
can be heated to 704°C.
• Refractory materials used for Vitallium, chrome cobalt alloys, and
titanium alloys (high-heat investments) can be heated to1037°C
Removable partial denture
Lap Procedures
24. REFRACTORY CAST
• After removal, the refractory cast is placed in a drying oven at
93°C for 30 to 60 minutes .
• The dry refractory cast is dipped into beeswax at138°C to 149°C
for 15 seconds to ensure a smooth, dense surface.
Removable partial denture
Lap Procedures
25. WAXING THE FRAMEWORK
• Before waxing can begin, the design must be transferred from
the master cast to the refractory cast.
• If appropriate ledges were created during blockout procedures,
the placement of retentive clasp tips is much easier and more
precise.
Removable partial denture
Lap Procedures
26. WAXING THE FRAMEWORK
• The plastic patterns are “glued” to the refractory cast with a
mixture of acetone and plastic pattern scraps mixed to a
watery consistency (tacky liquid).
Removable partial denture
Lap Procedures
27. WAXING THE FRAMEWORK
• Some care is required to remove these prefabricated patterns
without distorting them.
• It is important that retentive clasp patterns are not distorted
because the shape of the clasp greatly affects flexibility.
• After the plastic patterns have been placed on the refractory
cast, they must be adapted without distortion.
Removable partial denture
Lap Procedures
28. WAXING THE FRAMEWORK
• At every step, the technician must exercise
extreme care not to stretch the pattern.
• A blade is used to trim pattern material that
extends beyond the outline drawn on the cast.
• these patterns must be joined using wax that
used to seal the margins of the major
connector and to create the minor connectors
and rests.
Removable partial denture
Lap Procedures
29. SPRUING THE FRAMEWORK
• The location and geometry of the sprue former is based upon
recommendations of the alloy manufacturer.
Removable partial denture
Lap Procedures
30. SPRUING THE FRAMEWORK
• Ticonium is cast using a single sprue former that approaches
through the refractory cast.
• Type IV gold and chrome-cobalt alloys are cast using a sprue
that approaches from above and gives rise to a number of
smaller, accessory sprues.
Removable partial denture
Lap Procedures
31. INVESTING THE REFRACTORY CAST
• Some systems require a two-part investment process, the first
part being a 3- to 4-mm “paint-on” layer that is carefully
brushed onto the waxed refractory cast to ensure that no voids
are present.
Removable partial denture
Lap Procedures
32. INVESTING THE REFRACTORY CAST
• An investment ring large enough to accommodate the
refractory cast and its first layer is selected. An appropriate
amount of refractory material is measured, mixed, and placed
into the investment ring.
Removable partial denture
Lap Procedures
33. WAX ELIMINATION
• The burnout has three purposes :
• It drives off moisture in the mold.
• It vaporizes and thus eliminates the
pattern leaving the cavity in the mold.
• It expands the mold to compensate
for contraction of the metal on
cooling.
Removable partial denture
Lap Procedures
34. CASTING
• The metal is melted by heat and forced into the mold cavity by
force.
Removable partial denture
Lap Procedures
35. CASTING
• Heat may be applied by a blowtorch using gas air ,gas and
oxygen, acetylene, electric conduction or induction.
• Force may be Centrifugal or air pressure.
• Induction casting is the method of choice for base metal alloys.
Removable partial denture
Lap Procedures
37. CASTING RECOVERY
Removable partial denture
Lap Procedures
• the mold is removed and allowed to cool
• the outer layer of refractory material is removed by tapping it
with a mallet
• The remaining investment is removed by airborne particle
abrasion
38. FINISHING THE FRAMEWORK
Sprue removal
• Using high-speed lathes and large abrasive disks
Removable partial denture
Lap Procedures
39. FINISHING THE FRAMEWORK
Finishing
• Nodules are removed from the surfaces that
will contact the teeth.
• Rubber wheels and points are used to give
the framework a “satin” finish.
• Technician uses coarser disks and stones and
then proceeds to finer grinding agents
Removable partial denture
Lap Procedures
40. FINISHING THE FRAMEWORK
Polishing
• Electro-polishing occurs in a bath of 85%
orthophosphoric acid, which is heated to
60°C.
• The anode is attached to the cast that
immersed in the solution
• Ultrasonic cleaning is used to remove residual
polishing materials.
Removable partial denture
Lap Procedures