History Scope and Training in Oral and Maxillofacial Surgery Arjun Shenoy
The document provides a history of oral and maxillofacial surgery (OMFS). It discusses early pioneers like Hippocrates and Ambrose Pare. James Edmund Garretson is described as the "father of oral surgery" for establishing OMFS as a specialty in the US. The document outlines the scope of OMFS, including dentoalveolar surgery, trauma management, and cosmetic procedures. It compares training pathways between Western countries that typically require dual medical/dental degrees, to India's MDS program following a BDS.
This document discusses root canal morphology and access cavity preparation. It begins with an introduction discussing the objectives of root canal treatment and the importance of understanding root canal anatomy. It then covers topics like root canal classification systems, anatomy of the apical root, accessory canals, canal isthmuses, root canal curvatures, and guidelines for cavity preparation. The document provides detailed information on root canal anatomy and considerations for access cavity preparation.
This document discusses furcation involvement in multi-rooted teeth. It defines furcation as the anatomic area where tooth roots diverge, which can be difficult to clean. The document classifies furcation involvement into various grades based on the amount of bone loss and discusses clinical features, diagnosis, and various surgical treatment options like furcationplasty, tunneling, root resection, and guided tissue regeneration depending on the grade of involvement. Maintaining good oral hygiene is important for prognosis. The goal of management is to eliminate periodontal defects in the furcation area through various regenerative and resective procedures.
An interim prosthesis is a temporary dental restoration used while determining the effectiveness of a treatment plan or design of a definitive prosthesis. It must satisfy patient and dentist needs by protecting pulp, maintaining oral health, and establishing proper occlusion. Interim restorations can be custom made using impressions or prefabricated shells that are later adjusted. The direct technique forms the restoration directly in the mouth while indirect techniques use models to improve fit and reduce risks.
Periodontal surgery is classified as either pocket reduction surgery, which includes resective and regenerative techniques, or correction of anatomic defects like gingival recession or ridge augmentation. Key indications for periodontal surgery include deep pockets, furcation involvement, and persistent inflammation. Contraindications include advanced age, uncontrolled systemic diseases, and poor prognosis cases. General principles involve patient preparation, careful technique, and postoperative monitoring.
The document discusses the definitions, objectives, and techniques for cleaning and shaping the root canal system, including the use of various hand files, rotary instruments, and ultrasonic devices. It covers the phases of negotiation, coronal pre-enlargement, working length determination, and root canal shaping techniques. The goals are to remove debris and shape the canal to receive obturation while preserving the canal anatomy and preventing errors.
This document provides information about osteomyelitis and osteoradionecrosis of the jaws. It defines osteomyelitis as an inflammatory condition of bone that begins as an infection of the medullary cavity. Predisposing factors include fractures, radiation damage, and systemic diseases. Acute osteomyelitis is characterized by pain, fever, and identifiable cause, while chronic osteomyelitis involves fistulas and induration. Imaging techniques include radiography and scintigraphy. Treatment involves antibiotics, sequestrectomy, decortication, and reconstruction. Infantile osteomyelitis usually involves the maxilla and is treated with drainage and antibiotics.
History Scope and Training in Oral and Maxillofacial Surgery Arjun Shenoy
The document provides a history of oral and maxillofacial surgery (OMFS). It discusses early pioneers like Hippocrates and Ambrose Pare. James Edmund Garretson is described as the "father of oral surgery" for establishing OMFS as a specialty in the US. The document outlines the scope of OMFS, including dentoalveolar surgery, trauma management, and cosmetic procedures. It compares training pathways between Western countries that typically require dual medical/dental degrees, to India's MDS program following a BDS.
This document discusses root canal morphology and access cavity preparation. It begins with an introduction discussing the objectives of root canal treatment and the importance of understanding root canal anatomy. It then covers topics like root canal classification systems, anatomy of the apical root, accessory canals, canal isthmuses, root canal curvatures, and guidelines for cavity preparation. The document provides detailed information on root canal anatomy and considerations for access cavity preparation.
This document discusses furcation involvement in multi-rooted teeth. It defines furcation as the anatomic area where tooth roots diverge, which can be difficult to clean. The document classifies furcation involvement into various grades based on the amount of bone loss and discusses clinical features, diagnosis, and various surgical treatment options like furcationplasty, tunneling, root resection, and guided tissue regeneration depending on the grade of involvement. Maintaining good oral hygiene is important for prognosis. The goal of management is to eliminate periodontal defects in the furcation area through various regenerative and resective procedures.
An interim prosthesis is a temporary dental restoration used while determining the effectiveness of a treatment plan or design of a definitive prosthesis. It must satisfy patient and dentist needs by protecting pulp, maintaining oral health, and establishing proper occlusion. Interim restorations can be custom made using impressions or prefabricated shells that are later adjusted. The direct technique forms the restoration directly in the mouth while indirect techniques use models to improve fit and reduce risks.
Periodontal surgery is classified as either pocket reduction surgery, which includes resective and regenerative techniques, or correction of anatomic defects like gingival recession or ridge augmentation. Key indications for periodontal surgery include deep pockets, furcation involvement, and persistent inflammation. Contraindications include advanced age, uncontrolled systemic diseases, and poor prognosis cases. General principles involve patient preparation, careful technique, and postoperative monitoring.
The document discusses the definitions, objectives, and techniques for cleaning and shaping the root canal system, including the use of various hand files, rotary instruments, and ultrasonic devices. It covers the phases of negotiation, coronal pre-enlargement, working length determination, and root canal shaping techniques. The goals are to remove debris and shape the canal to receive obturation while preserving the canal anatomy and preventing errors.
This document provides information about osteomyelitis and osteoradionecrosis of the jaws. It defines osteomyelitis as an inflammatory condition of bone that begins as an infection of the medullary cavity. Predisposing factors include fractures, radiation damage, and systemic diseases. Acute osteomyelitis is characterized by pain, fever, and identifiable cause, while chronic osteomyelitis involves fistulas and induration. Imaging techniques include radiography and scintigraphy. Treatment involves antibiotics, sequestrectomy, decortication, and reconstruction. Infantile osteomyelitis usually involves the maxilla and is treated with drainage and antibiotics.
This document discusses factors to consider when selecting anterior teeth for dental prosthetics. It describes evaluating the size, form, and color of the new teeth based on the patient's existing anatomy when possible, as well as anthropometric measurements. Size can be estimated using pre-extraction records, the patient's facial features, or theoretical concepts linking tooth dimensions to head or facial proportions. Form follows the patient's facial profile or type. Color selection considers the patient's age, skin tone, and other characteristics to achieve natural harmony with the face. Multiple techniques ensure the new teeth appear appropriately sized, shaped, and colored for a comfortable and aesthetic result.
This document discusses complications that can occur during and after tooth extraction surgery. It describes various operative complications related to the tooth, bone, and soft tissues that can happen intraoperatively like tooth fracture, nerve injury, or hemorrhage. Postoperative complications discussed include pain, swelling, dry socket, and osteomyelitis. Throughout the document, each complication is defined, causes are outlined, and management approaches are provided to help prevent or treat issues if they arise from exodontia procedures.
The document discusses the history and development of porcelain jacket crowns (PJCs). The first all-ceramic crown was developed by Land in 1886 and was called a PJC. Originally made of feldspathic porcelain, PJCs are now made of advanced ceramics like aluminum oxide and zirconium. PJCs offer esthetic benefits but require more tooth reduction than metal crowns. They are best for anterior teeth but have limitations for posterior teeth or situations without adequate tooth structure.
Brief notes on the inflammation of Alveolar bone that surrounds a tooth that has recently been extracted. It occurs as a complication of tooth extraction.
1. The document discusses various types of orofacial pain including somatic, neurogenic, and psychogenic pain. It describes trigeminal neuralgia as a common type of neurogenic pain characterized by sharp, electric shock-like pain in the face that is triggered by stimulation of specific trigger zones. 2. Evaluation of orofacial pain involves taking a thorough medical history and performing physical and neurological examinations. Differential diagnosis considers local causes as well as neurological disorders. 3. Treatment depends on the underlying cause but may include medications, nerve blocks, surgery, or a combination. Carbamazepine is first-line treatment for trigeminal neuralgia.
This document discusses root canal preparation techniques presented by Dr. Fasahath Ahmed Butt. It covers the objectives of root canal preparations, which are to completely remove pulp tissue and bacteria while maintaining the original root canal anatomy. The main types of preparations discussed are crown-down, step-back, and hybrid techniques. For each technique, the document outlines the basic process and advantages and disadvantages. It also briefly covers different filing techniques used in root canal preparations like watch winding, reaming, and balanced force.
Dry socket, also known as alveolar osteitis, is a painful condition that can occur after a dental extraction. It results from the premature disintegration of a blood clot within the extraction socket, preventing normal healing. Risk factors include difficult extractions, oral contraceptive use, smoking, and poor oral hygiene. Clinically, patients experience severe pain localized to the socket starting 2-3 days after extraction along with bad breath. Two main theories propose either a fibrinolytic or bacterial cause that disrupts the blood clot formation and healing. Management focuses on irrigation, placement of medicated dressings, analgesics, and potentially topical anti-inflammatory treatments to reduce pain and promote socket healing.
This document discusses cysts of the oral and maxillofacial region. It defines true cysts as pathological cavities lined by epithelium and containing fluid, and pseudo cysts as cavities not lined by epithelium that may contain fluid. Cysts are classified based on their origin (odontogenic vs non-odontogenic) and location. Diagnosis involves history, clinical examination, radiographic evaluation and sometimes aspiration biopsy or surgical biopsy. Treatment options include enucleation, marsupialization, or a combination depending on the cyst size and location.
This document discusses factors to consider when selecting abutment teeth for fixed partial dentures. It outlines Ante's law which states the root surface area of abutment teeth should be greater than or equal to the teeth being replaced. Ideal abutments have adequate root length and bone support, proper crown-root ratio, and good periodontal health. Other considerations include a patient's occlusion, arch form, oral health, and long-term prognosis of the abutment teeth. Careful evaluation of anatomical, functional and biological factors is necessary for successful abutment selection and long-term outcomes.
The document provides information on traumatic injuries to teeth, including concussions, luxations, and fractures. It describes the clinical signs, radiographic findings, and treatment approaches for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, sometimes with alveolar bone fractures. Fractures are classified as enamel fractures, enamel-dentin fractures, enamel-dentin-pulp fractures, or root fractures. Treatment depends on the specific injury but may include repositioning displaced teeth, pulpotomies, root canals, extractions, or orthodontic/surgical repositioning.
This document discusses condylar fractures of the mandible. It begins with an introduction and overview of condylar fracture classification systems. It then covers the etiology, clinical examination, principles of treatment, and treatment options for condylar fractures, including closed and open reduction techniques. Complications of treatment are also outlined. The document emphasizes that the treatment approach depends on factors like the patient's age, fracture characteristics, and whether other injuries are present. The goal of treatment is to achieve a stable occlusion and restore function through both surgical and non-surgical means.
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
This document discusses common mistakes that can occur during root canal treatment and ways to correct them. It is divided into sections on access-related mistakes, instrumentation mistakes, obturation mistakes, and other miscellaneous issues. Some key points include: treating the wrong tooth can be corrected by treating both teeth; ledges can be corrected with small files and lubricants; perforations should be repaired immediately with materials like MTA; fractured instruments may require surgery if unable to bypass. Proper access cavity preparation, gentle instrumentation, and avoidance of overfilling are emphasized to minimize complications.
This document discusses oroantral communications and fistulas. It defines them as abnormal connections between the oral and maxillary sinus cavities. Causes include tooth extraction, tumors, cysts, and trauma. Signs and symptoms may include unpleasant taste/odor, fluid/food reflux into the nose, and air leakage. Examination involves inspection, suctioning the socket, and radiographs. Management includes immediate closure attempts and antibiotics to prevent sinusitis. Surgical techniques like buccal and palatal flaps are used for larger defects or fistulas based on factors like location, size, and presence of infection.
The document discusses gingival curettage, which involves scraping diseased soft tissue from periodontal pockets. It describes different types of curettage including surgical, chemical, ultrasonic, and laser. Indications for curettage include shallow pockets and as maintenance treatment for recurrent inflammation. Contraindications include acute infections and pockets extending beyond the mucogingival junction. The procedure involves scraping the pocket wall with a curette. Excisional new attachment procedure is also discussed, which uses gingival incision followed by root planing. Healing after curettage involves blood clot formation, leukocyte proliferation, and re-epithelialization within 7 days.
This document outlines the principles and steps of surgical tooth extraction. It describes the indications for surgical extraction, including teeth with unusual root morphology, hypercementosis, dilacerated roots, ankylosed roots, fused teeth, retained root tips, and deciduous molars that embrace permanent teeth. Contraindications include asymptomatic root tips and situations with risk of local complications. The steps described include flap creation, bone removal, tooth extraction using forceps or elevators, and wound closure. Specific techniques are described for single-rooted, multi-rooted, ankylosed, and retained root extraction cases. Postoperative antibiotic recommendations are also provided.
This document provides information about maxillary sinus anatomy, oroantral communications, and their management. It begins with definitions of key terms like maxillary sinus and oroantral fistula. It then discusses the causes, signs, diagnosis, and various treatment approaches for oroantral communications depending on factors like size and chronicity. Surgical procedures like buccal flap advancement are described for repairing communications. Post-operative care instructions are also provided. The document provides a thorough overview of maxillary sinus anatomy and management of oroantral fistulae and communications.
The document discusses traumatic dental injuries including avulsion or complete displacement of a tooth from its socket. It defines avulsion and describes the associated injuries, causes, and long term consequences. It provides details on avulsed permanent teeth including common occurrence in maxillary central incisors, higher frequency in boys than girls, and common age of 7-9 years when permanent incisors are erupting. The document discusses management of avulsed teeth including storage media to maintain viability of periodontal ligament cells, immediate replantation when possible, and follow up care and potential complications.
This document discusses factors to consider when selecting anterior teeth for dental prosthetics. It describes evaluating the size, form, and color of the new teeth based on the patient's existing anatomy when possible, as well as anthropometric measurements. Size can be estimated using pre-extraction records, the patient's facial features, or theoretical concepts linking tooth dimensions to head or facial proportions. Form follows the patient's facial profile or type. Color selection considers the patient's age, skin tone, and other characteristics to achieve natural harmony with the face. Multiple techniques ensure the new teeth appear appropriately sized, shaped, and colored for a comfortable and aesthetic result.
This document discusses complications that can occur during and after tooth extraction surgery. It describes various operative complications related to the tooth, bone, and soft tissues that can happen intraoperatively like tooth fracture, nerve injury, or hemorrhage. Postoperative complications discussed include pain, swelling, dry socket, and osteomyelitis. Throughout the document, each complication is defined, causes are outlined, and management approaches are provided to help prevent or treat issues if they arise from exodontia procedures.
The document discusses the history and development of porcelain jacket crowns (PJCs). The first all-ceramic crown was developed by Land in 1886 and was called a PJC. Originally made of feldspathic porcelain, PJCs are now made of advanced ceramics like aluminum oxide and zirconium. PJCs offer esthetic benefits but require more tooth reduction than metal crowns. They are best for anterior teeth but have limitations for posterior teeth or situations without adequate tooth structure.
Brief notes on the inflammation of Alveolar bone that surrounds a tooth that has recently been extracted. It occurs as a complication of tooth extraction.
1. The document discusses various types of orofacial pain including somatic, neurogenic, and psychogenic pain. It describes trigeminal neuralgia as a common type of neurogenic pain characterized by sharp, electric shock-like pain in the face that is triggered by stimulation of specific trigger zones. 2. Evaluation of orofacial pain involves taking a thorough medical history and performing physical and neurological examinations. Differential diagnosis considers local causes as well as neurological disorders. 3. Treatment depends on the underlying cause but may include medications, nerve blocks, surgery, or a combination. Carbamazepine is first-line treatment for trigeminal neuralgia.
This document discusses root canal preparation techniques presented by Dr. Fasahath Ahmed Butt. It covers the objectives of root canal preparations, which are to completely remove pulp tissue and bacteria while maintaining the original root canal anatomy. The main types of preparations discussed are crown-down, step-back, and hybrid techniques. For each technique, the document outlines the basic process and advantages and disadvantages. It also briefly covers different filing techniques used in root canal preparations like watch winding, reaming, and balanced force.
Dry socket, also known as alveolar osteitis, is a painful condition that can occur after a dental extraction. It results from the premature disintegration of a blood clot within the extraction socket, preventing normal healing. Risk factors include difficult extractions, oral contraceptive use, smoking, and poor oral hygiene. Clinically, patients experience severe pain localized to the socket starting 2-3 days after extraction along with bad breath. Two main theories propose either a fibrinolytic or bacterial cause that disrupts the blood clot formation and healing. Management focuses on irrigation, placement of medicated dressings, analgesics, and potentially topical anti-inflammatory treatments to reduce pain and promote socket healing.
This document discusses cysts of the oral and maxillofacial region. It defines true cysts as pathological cavities lined by epithelium and containing fluid, and pseudo cysts as cavities not lined by epithelium that may contain fluid. Cysts are classified based on their origin (odontogenic vs non-odontogenic) and location. Diagnosis involves history, clinical examination, radiographic evaluation and sometimes aspiration biopsy or surgical biopsy. Treatment options include enucleation, marsupialization, or a combination depending on the cyst size and location.
This document discusses factors to consider when selecting abutment teeth for fixed partial dentures. It outlines Ante's law which states the root surface area of abutment teeth should be greater than or equal to the teeth being replaced. Ideal abutments have adequate root length and bone support, proper crown-root ratio, and good periodontal health. Other considerations include a patient's occlusion, arch form, oral health, and long-term prognosis of the abutment teeth. Careful evaluation of anatomical, functional and biological factors is necessary for successful abutment selection and long-term outcomes.
The document provides information on traumatic injuries to teeth, including concussions, luxations, and fractures. It describes the clinical signs, radiographic findings, and treatment approaches for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, sometimes with alveolar bone fractures. Fractures are classified as enamel fractures, enamel-dentin fractures, enamel-dentin-pulp fractures, or root fractures. Treatment depends on the specific injury but may include repositioning displaced teeth, pulpotomies, root canals, extractions, or orthodontic/surgical repositioning.
This document discusses condylar fractures of the mandible. It begins with an introduction and overview of condylar fracture classification systems. It then covers the etiology, clinical examination, principles of treatment, and treatment options for condylar fractures, including closed and open reduction techniques. Complications of treatment are also outlined. The document emphasizes that the treatment approach depends on factors like the patient's age, fracture characteristics, and whether other injuries are present. The goal of treatment is to achieve a stable occlusion and restore function through both surgical and non-surgical means.
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
This document discusses common mistakes that can occur during root canal treatment and ways to correct them. It is divided into sections on access-related mistakes, instrumentation mistakes, obturation mistakes, and other miscellaneous issues. Some key points include: treating the wrong tooth can be corrected by treating both teeth; ledges can be corrected with small files and lubricants; perforations should be repaired immediately with materials like MTA; fractured instruments may require surgery if unable to bypass. Proper access cavity preparation, gentle instrumentation, and avoidance of overfilling are emphasized to minimize complications.
This document discusses oroantral communications and fistulas. It defines them as abnormal connections between the oral and maxillary sinus cavities. Causes include tooth extraction, tumors, cysts, and trauma. Signs and symptoms may include unpleasant taste/odor, fluid/food reflux into the nose, and air leakage. Examination involves inspection, suctioning the socket, and radiographs. Management includes immediate closure attempts and antibiotics to prevent sinusitis. Surgical techniques like buccal and palatal flaps are used for larger defects or fistulas based on factors like location, size, and presence of infection.
The document discusses gingival curettage, which involves scraping diseased soft tissue from periodontal pockets. It describes different types of curettage including surgical, chemical, ultrasonic, and laser. Indications for curettage include shallow pockets and as maintenance treatment for recurrent inflammation. Contraindications include acute infections and pockets extending beyond the mucogingival junction. The procedure involves scraping the pocket wall with a curette. Excisional new attachment procedure is also discussed, which uses gingival incision followed by root planing. Healing after curettage involves blood clot formation, leukocyte proliferation, and re-epithelialization within 7 days.
This document outlines the principles and steps of surgical tooth extraction. It describes the indications for surgical extraction, including teeth with unusual root morphology, hypercementosis, dilacerated roots, ankylosed roots, fused teeth, retained root tips, and deciduous molars that embrace permanent teeth. Contraindications include asymptomatic root tips and situations with risk of local complications. The steps described include flap creation, bone removal, tooth extraction using forceps or elevators, and wound closure. Specific techniques are described for single-rooted, multi-rooted, ankylosed, and retained root extraction cases. Postoperative antibiotic recommendations are also provided.
This document provides information about maxillary sinus anatomy, oroantral communications, and their management. It begins with definitions of key terms like maxillary sinus and oroantral fistula. It then discusses the causes, signs, diagnosis, and various treatment approaches for oroantral communications depending on factors like size and chronicity. Surgical procedures like buccal flap advancement are described for repairing communications. Post-operative care instructions are also provided. The document provides a thorough overview of maxillary sinus anatomy and management of oroantral fistulae and communications.
The document discusses traumatic dental injuries including avulsion or complete displacement of a tooth from its socket. It defines avulsion and describes the associated injuries, causes, and long term consequences. It provides details on avulsed permanent teeth including common occurrence in maxillary central incisors, higher frequency in boys than girls, and common age of 7-9 years when permanent incisors are erupting. The document discusses management of avulsed teeth including storage media to maintain viability of periodontal ligament cells, immediate replantation when possible, and follow up care and potential complications.
Dry socket, or alveolar osteitis, is a common complication after tooth extraction where the blood clot fails to form or is lost from the socket, leaving exposed bone. Signs include severe pain on the second or third day after extraction, bad taste, and halitosis. Causes include smoking, traumatic extractions, and pre-existing infections. Treatment involves cleaning the socket, reforming the blood clot, and using pain medications or medicated dressings. Prevention focuses on not smoking, rinsing gently, and following dentist instructions after extraction.
This document discusses the management of tooth pulp. It describes the pulp as the formative organ that builds dentin during tooth development and after eruption. It also discusses patient history, clinical exam, categories of pulp pathology, types of pulpal pain, and techniques for managing deep carious lesions, including indirect pulp capping, direct pulp capping, and using corticosteroid-antibiotic pastes. The goal of pulp capping techniques is to protect the pulp from bacterial contamination if exposed and encourage reparative dentin formation.
Complication and management of tooth extraction albayatiAHMED ALBAYATI
This document discusses complications that can occur with tooth extraction and their management. It describes local complications that can happen immediately during extraction such as failure of local anesthesia, tooth fracture, alveolar fracture, oroantral communication, and hemorrhage. It also discusses delayed local complications like pain, swelling, bleeding, dry socket, osteomyelitis, infection, oroantral fistula, and failure of the socket to heal. Systemic complications that can occur immediately are also summarized, such as fainting, hypoglycemia, hyperventilation, and Addisonian crisis. Late complications mentioned are chronic osteomyelitis, osteoradionecrosis, nerve damage, and chronic pain.
This document provides information about tooth extraction procedures. It begins by defining a tooth extraction as the removal of teeth from the dental alveolus. Extractions are commonly performed to remove teeth that are decayed, affected by periodontal disease, or damaged by trauma. It then lists various reasons for extracting teeth and factors that can complicate extractions. The document discusses the clinical examination and radiographs required before an extraction and covers topics like local anesthesia, forceps usage, and post-extraction care.
Otosclerosis is a hereditary disease where abnormal bone growth fixes the stapes footplate, reducing vibration transmission to the inner ear and causing hearing loss. It has two phases: early spongiotic phase with vascular changes seen as "Schwartze's sign," and later sclerotic phase with dense bone formation. Symptoms include unilateral or bilateral hearing loss, tinnitus, and dizziness. Diagnosis involves audiometry and imaging. Treatment options include medication to slow bone changes or surgery to replace the stapes bone with a prosthesis, after which patients need to avoid sudden movements due to dizziness risk.
Otosclerosis is a primary disease of the bony labyrinth that causes one or more foci of irregularly laid spongy bone to replace the normally dense bone of the otic capsule. It most commonly involves the stapes region, leading to stapes fixation and conductive hearing loss. The exact cause is unknown but factors like heredity, race, age, and endocrine changes have been proposed. Stapedectomy or stapedotomy with prosthesis placement is the treatment of choice for symptomatic cases. Complications can include injury to surrounding structures like the facial nerve or chorda tympani during surgery.
Otitis Media in Medical Surgical Nursing. It's includes definition ,types,causes,symptoms,dignosis,prevention,treatement,medication and nursing management.
A dry socket occurs when the blood clot inside a tooth socket is lost after a tooth extraction, exposing the bone. This can cause severe pain as the exposed bone is sensitive. Dry sockets are most common after wisdom tooth extractions, affecting 1-3% of all extractions but 25-30% of lower wisdom tooth extractions. Signs include pain 3-4 days after extraction and bad taste or odor. Treatment involves gently rinsing the socket and placing a pain-relieving dressing like alvogyl paste directly inside to soothe the bone and promote healing.
Otitis externa, also known as swimmer's ear, is an infection of the outer ear canal caused by bacteria or fungi. Symptoms include ear pain, drainage from the ear, and sometimes fever. On examination, the ear canal appears swollen, red, and full of debris or drainage. Treatment involves cleaning the ear canal, inserting a wick to allow topical medications to penetrate, prescribing topical steroids and antibiotics, and following up within a few days to remove the wick and remaining debris. Proper treatment helps relieve symptoms while avoiding unnecessary oral antibiotics or long term topical antibiotics that could lead to fungal superinfections.
Oroantral communication is an unnatural connection between the oral cavity and the maxillary sinus. It is commonly caused by tooth extraction in the upper molar or premolar region. If the opening is less than 2mm, it may close on its own with clot formation and sinus precautions. Larger openings require surgical closure using local soft tissue flaps like buccal or palatal flaps. An oroantral fistula occurs when the opening fails to close spontaneously and becomes epithelialized. Chronic fistulas require more extensive treatment like flap procedures and sometimes bone grafting to achieve closure.
This document discusses complications that can occur during and after tooth extractions. It describes various complications that can happen during surgery such as soft tissue injury, extracting the wrong tooth, tooth fracture, alveolar fracture, displacement of a tooth into the maxillary sinus, and more. Post-operative complications discussed include dry socket, infection, presence of bony spicules, and hemorrhage. For each complication, the causes and management approaches are outlined. The document provides an extensive overview of potential risks from exodontia and guidelines for prevention and treatment of complications.
This document discusses dentigerous cysts. It defines a dentigerous cyst as a cyst that forms around the crown of an unerupted tooth due to fluid accumulation between the reduced enamel epithelium and enamel surface. Dentigerous cysts most commonly occur in males in the first three decades of life in the mandibular third molar and maxillary canine regions. Clinical features include swelling and expansion of bone that may cause facial asymmetry. Treatment options include enucleation, marsupialization, or a combination of the two to remove the cyst lining while preserving adjacent structures.
This document discusses various pathologies that can affect the dental pulp and their sequels. It begins with definitions of pulp and pulpitis, describing pulpitis as an inflammatory response to noxious stimuli. Pulpitis is classified as reversible or irreversible. Causes and risk factors of pulpitis include mechanical, thermal, chemical, and bacterial factors. Sequels of untreated pulpitis include pulp necrosis, periapical abscesses, and periapical lesions such as granulomas or scars. Other topics covered include pulp degeneration, calcification, polyps, and dry socket. Throughout, the document provides details on clinical features, mechanisms, management approaches, and importance of prevention for these dental pulp conditions and their outcomes
Otosclerosis is a disease characterized by abnormal bone growth in the middle ear that causes hearing loss. It is usually hereditary and more common in females between 20-30 years old. The abnormal bone growth fixes the stapes bone and prevents proper vibration of the ear bones in response to sound. This results in conductive hearing loss that progresses over time and can eventually cause sensorineural hearing loss. Treatment involves surgical procedures like stapedectomy or stapedotomy to replace the stapes bone and restore hearing conduction. Post-operative care and lifestyle changes are needed to aid recovery and prevent complications.
Complications and management_slide[1] final to be put on slideshareKulsuum Daaya
This document discusses complications that can occur before, during, and after tooth extractions and their management. Pre-operative complications include issues with a patient's medical or dental history. Intra-operative complications involve problems with local anesthesia, tooth removal, trauma to hard or soft tissues, or displacement of teeth or the temporomandibular joint. Post-operative complications include hemorrhage, pain such as from dry sockets or infection. The document provides details on how to diagnose and treat each complication.
A dental abscess is a localized collection of pus caused by a bacterial infection associated with a tooth. There are several types of dental abscesses, including periapical abscesses at the tip of the root, gingival abscesses involving the gum tissue, and periodontal abscesses involving the bone near the tooth. Symptoms include severe toothache, swelling, fever, and pain when tapping or biting on the tooth. Treatment involves draining the abscess through root canal treatment, incision and drainage, or tooth extraction depending on the prognosis of the tooth and patient preferences. Leaving an abscess untreated can damage surrounding structures and potentially lead to tooth loss.
This document discusses acute apical abscess, which is a severe localized inflammatory condition characterized by the formation of pus around the apex of a tooth. The most common cause is bacterial invasion of the dental pulp from tooth decay. Clinically, it presents as acute pain that is worsened by pressure, percussion or palpation. Diagnosis involves a dental examination and x-rays. Emergency management involves establishing drainage to relieve pain, either through root canals or surgical drainage. After drainage is achieved, root canal treatment should be performed to thoroughly clean and disinfect the canals and remove the source of infection. Antibiotics may be prescribed in some cases but are generally not needed if adequate drainage is established.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
This presentation includes basic of PCOS their pathology and treatment and also Ayurveda correlation of PCOS and Ayurvedic line of treatment mentioned in classics.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
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!"
How to Build a Module in Odoo 17 Using the Scaffold MethodCeline George
Odoo provides an option for creating a module by using a single line command. By using this command the user can make a whole structure of a module. It is very easy for a beginner to make a module. There is no need to make each file manually. This slide will show how to create a module using the scaffold method.
How to Add Chatter in the odoo 17 ERP ModuleCeline George
In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
2. INTRODUCTION
SYNONYMS
EPIDEMIOLOGY
CAUSES
SIGNS AND SYMPTOMS
TREATMENT
WHAT NOT TO DO ?
PREVENTION OF DRY SOCKET
WHAT IS DRY SOCKET ?
3. DEFINITION
defined as a post-operative pain in and around the dental alveolus,
which increase in severity at some moment between the first and third
day after dental extraction , accompanied by partial or total
disintegration of the intra-alveolar clot, causing foul smell.
Term was coined by CRAWFORD in 1896.
5. EPIDEMIOLOGY
25% - 30% impacted wisdom
teeth.
Mandibular teeth common
than maxillary
Females have higher rate of incidence 1% - 3% of all tooth extraction
International Journal Of Dentistry 2014,June 2
7. SIGNS
Inflammation of the soft tissues
around.
Exposed bone visible and sensitive to
touch.
Food debris trapped in the socket
Empty socket that partially or totally
lacks blood clot
8. SYMPTOMS
Severe pain:-
o Onset:- 2-3 days after extraction.
o Radiation:- Pain radiates to the jaws, ears, eyes and
neck of the affected tooth.
Regional lymphadenopathy
(Rare).
Intra oral odour
(Halitosis)
Bad taste in mouth.
9. TREATMENT
1. Remove any sutures to allow adequate exposure of the extraction site; the socket
should be irrigated with warm sterile isotonic saline solution and all degenerated
blood-clot is removed.
2. If loose bone is present, local anesthesia may be necessary to allow thorough cleaning
of the socket.
3. Sharp bony spurs should be either excised with rongeur forceps or smoothed with a
bone file.
4. Once the socket no longer collects any debris patient should be shown how to irrigate
the area and told to do this regularly.
5. Pt. is given a plastic syringe with a curved tip for home irrigation with chlorhexidine
solution or saline and instructed to keep the socket clean.
6. Analgesics and antibiotic are indicated, but pain may persist for several days.
7. Ice packs can help to relieve swelling and pain.
10.
11. WHAT NOT TO DO ?
A loose dressing composed of zinc
oxide and oil of cloves or a pack composed
of white head varnish.
Curettage of the socket is avoided