This case study was part of an assignment for my Introduction to Dental Hygiene Theory class. The patient, Maya Patel, is not a real person. This assignment introduced me to the process of creating a treatment plan for my upcoming patients.
Age factors in orthodontics /certified fixed orthodontic courses by Indian de...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
hypomineralization of systemic origin of one to four permanent first molars frequently associated with affected incisors and these molars are related to major clinical problems in severe cases
Age factors in orthodontics /certified fixed orthodontic courses by Indian de...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
hypomineralization of systemic origin of one to four permanent first molars frequently associated with affected incisors and these molars are related to major clinical problems in severe cases
The following presentation was developed by Champagne Family Dentistry as an education tool for mothers of children between the ages of 3 months and 5 years.
Collection of job interview questions and the answersJohndLouie
Job interviews are always stressful - even for job seekers who have gone on countless interviews.
The best way to reduce the stress is to be prepared. Take the time to review the common interview
questions you will most likely be asked. Also review sample answers to the typical interview
questions.
A lecture given by Dr Imran Waheed in September 2012 on preparing to become a consultant. The lecture focuses on the application process and the consultant interview.
This is the first and noble study on Early Childhood Caries conducted in 2015 - 2016 by Dr. Wazhma Hakimi. MD/MPH in Kabul, Afghanistan with surprising findings and results.
The following presentation was developed by Champagne Family Dentistry as an education tool for mothers of children between the ages of 3 months and 5 years.
Collection of job interview questions and the answersJohndLouie
Job interviews are always stressful - even for job seekers who have gone on countless interviews.
The best way to reduce the stress is to be prepared. Take the time to review the common interview
questions you will most likely be asked. Also review sample answers to the typical interview
questions.
A lecture given by Dr Imran Waheed in September 2012 on preparing to become a consultant. The lecture focuses on the application process and the consultant interview.
This is the first and noble study on Early Childhood Caries conducted in 2015 - 2016 by Dr. Wazhma Hakimi. MD/MPH in Kabul, Afghanistan with surprising findings and results.
Poor Oral Health and Liver| Pancreatic Cancer and Oral Health| Pancreatic CancerDr. Rajat Sachdeva
Oral Health is important to prevent many disease.
Oral Hygiene is necessary to maintain to prevent growth of many bacteria
like F. nucleatum and Porphyromonas gingivalis are risk factor for developing
Liver and Pancreatic Cancer.
A 4 year female patient came to my clinic complaining of pain.
Patient was very uncooperative, I could only take my xrays in the clinic.
Parents agreed and they were the one who asked for GA
to save money parents agreed to extract the anterior teeth and to put Roberts appliance as the patient needs space maintainer any way
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
2. MAYA’S SITUATION
• Maya’s mother brought her to the dental office for her six
month oral prophylaxis
• Appears to be unnaturally stiff and short of breath
• Has difficulty answering questions about home care when
asked
• Overly willing to cooperate and keeps going through her
journal of poems she brought with her
• Nervous about dental treatment
3. PATIENT HISTORY & VITAL SIGNS
• Age: 9 years old
• Gender: Female
• Height: 4’ 5”
• Weight: 70 lbs.
• Blood Pressure: 100/60 mm
Hg
• Pulse Rate: 110 bpm
• Respirations: 20 rpm
• Smoking: No
4. SOCIAL HISTORY
• Family moved to the United States from India six years ago.
• Practices the Hindu religion.
• In the fourth grade and is known to be a good student.
• Likes to write poems.
5. MEDICAL HISTORY
• Maya is under the care of a physician for her asthma.
• Has had several emergency room visits for difficulty breathing,
but she has not been hospitalized in the last 5 years.
Medications:
• Montelukast sodium (Singulair®)- leukotriene receptor
• Antagonist albuterol (Proventil HFA®)- bronchodilator inhaler
Medications cause xerostomia, sore throat, taste changes, and increased
anxiety.
6. DENTAL HISTORY & CHIEF COMPLAINT
• Maya keeps on track with her 6 month recall appointments for
oral prophylaxis, where she receives professionally applied
fluoride treatments
• Uses a fluoride toothpaste on a regular basis
• Impressions for study cast have been indicated to evaluate
occlusion
• Exaggerated gag reflex and and mouth breathing
• Chief Complaint: Nervous about dental treatment.
7. CURRENT ORAL HYGIENE STATUS
• Generalized marginal plaque with slight bleeding on probing
• BI is 10%
• Slight supragingival calculus lingual surfaces of the mandibular
anterior teeth
• PI is 15%
• Slight generalized brown stain
• Flosses occasionally
• Probing Depths: Range from 1-3 mm
9. SUPPLEMENTAL ORAL EXAMINATION
FINDINGS (IO/EO)
• Gingiva is pointed, firm, stippled, and has pink/coral
appearance. There are pigmented areas due to Maya ethnicity.
• Slight tongue thrust
• Slight gingival sensitivity distal to the mandibular left
permanent canine
• Maxillary left primary first molar is mobile
• Restoration on tooth #I
10. SUPPLEMENTAL ORAL EXAMINATION
FINDINGS (IO/EO) CONT.
• Mamelons on anterior teeth
• Slightly coated tongue
• Mixed detention
• Caries lesion on disto-occlusal surface of B
• Occlusal open bite & overjet
11.
12.
13. PANORAMIC RADIOGRAPH FINDINGS
• Panoramic was taken
because of the
patients
hypersensitive gag
reflex.
• Tooth #I has a
restoration & is mobile
• Arrow is pointing to
hard palate
• Mixed dentition
• Permanent teeth are:
#7-#10, #22-#27, #3,
#14, #19, & #30.
14. CAMBRA
• Caries Risk Level: High
• New restorations due to caries within 1 year
• Consumption of sugared
beverages/snacks/medication
• Mechanical (Iatrogenic restorations)
• Salvia Reducing Factors: xerostomia
• Periodontal Risk Level: Moderate
• Systemic Disease
• Conditions affecting immune system, meds
affecting gingiva
• Cancer Risk Level: Low
• Nutrition Risk Level: High
• Impaired Taste
• 2/day cariogenic beverages with prolonged
consumption time (>30 min)
15. DENTAL HYGIENE DIAGNOSIS
• Due to: Isolated drug-influenced gingivitis due to
mouth breathing and medications causing xerostomia
• Singulair
• Proventil HFA
16. PROGNOSIS AND GOALS
• Good with continuing home care and routine dental visits.
• Short Term: Lower BI and PI by half. BI down to 5% and PI down
to 7%. Reduce cariogenic beverages, increase water intake.
• Long Term: Reduce BI and PI to zero.
• Referral: Sealants for permanent first molars
17. PROCEDURE
• Preprocedural & postprocedural rinse (non-alcoholic)
• Scaling to remove hard/soft deposits
• Polishing with fine paste to remove brown stain
• Fine paste should also be applied because she is young
• Recommend sealants for first molars
18. APPOINTMENT PLANNING
• Maya needs to be seen every six months.
• Appointment One- Assessment, oral health instructions,
nutritional counseling, panoramic x-ray, and present treatment
plan to patient.
• Appointment Two- Assessment, prophylaxis, fluoride varnish
application, nutritional counseling, and oral health instructions.
• Appointment Three- Assessment, prophylaxis, nutritional
counseling, and oral health instructions, fluoride varnish
application.
• Appointment Four- Assessment, prophylaxis, panoramic x-ray,
nutritional counseling, oral health instructions, and fluoride
19. TREATMENT PLAN
• HOME CARE INSTRUCTIONS
• Brush 2x daily
• Floss at least 1x daily
• Use mouthwash
• Tongue needs to be scraped
with a tongue cleaner
• COST OF PROCEDURES AT
VISIT
• In our clinic $20 per visit &
x-ray cost
• PATIENT EDUCATION FOR
PRODUCTS RECOMMENDED
20. PRODUCT RECOMMENDATION
• Oral-B Pro Health Vitality Power Toothbrush
• Kids Crest Anti-cavity Protection Toothpaste
• Tongue Scraper
• Crest Pro-Health Mouthwash(Alcohol free & contains fluoride)
21. REFERENCES
• Thomson, E. M. (2013). Case studies in dental hygiene. Boston:
Pearson.
• Wilkins, E. M., Wyche, C. J., & Boyd, L. D. (2017). Clinical
practice of the dental hygienist. Philadelphia: Wolters Kluwer.
• Proctor and Gamble. (2018). Retrieved from
https://oralb.com/en-us
