Endodontic emergencies include pain and swelling that can occur before, during, or after root canal treatment. Common causes are pulpal and periapical pathosis or traumatic injury. A flare-up during root canal therapy results from irritants left in the root canal system and causes pain, swelling, or both. Management depends on the specific clinical condition but generally involves re-establishing drainage, debriding and irrigating the root canal, and prescribing medications.
One of the most dreaded nightmares of any clinician is broken instruments in the midst of an endodontic treatment. NiTi rotary instruments show a high incidence of instrument fracture despite their favourable qualities.
Endodontic diagnosis could be a difficult task in most occasions, but with clinical assessment and careful history taking this task would be easier and clearer.
This lecture assembled by Osama Asadi, B.D.S, concentrating at the basic science of diagnosing pulpal and periapical diseases and their differential diagnosis and treatment plan. also endodontic case sheet and review-cases attached to the lecture at the end to help proper understanding of the subject.
An overview of the diagnostic process in endodontics, including information about the pain system, referred pain, non-odontogenic pain, the diagnostic process, tests and treatment planning in endodontics.
Flare ups described as occurrence of pain, swelling or combination of both during the course of root canal therapy which result in unscheduled visit by the patient
A detailed description about endo perio interrelationship, including introduction, development and etiology, historical aspects, definition, classification, diagnosis, differential diagnosis, management, special consideration in management,controversies prognosis, conclusion.
One of the most dreaded nightmares of any clinician is broken instruments in the midst of an endodontic treatment. NiTi rotary instruments show a high incidence of instrument fracture despite their favourable qualities.
Endodontic diagnosis could be a difficult task in most occasions, but with clinical assessment and careful history taking this task would be easier and clearer.
This lecture assembled by Osama Asadi, B.D.S, concentrating at the basic science of diagnosing pulpal and periapical diseases and their differential diagnosis and treatment plan. also endodontic case sheet and review-cases attached to the lecture at the end to help proper understanding of the subject.
An overview of the diagnostic process in endodontics, including information about the pain system, referred pain, non-odontogenic pain, the diagnostic process, tests and treatment planning in endodontics.
Flare ups described as occurrence of pain, swelling or combination of both during the course of root canal therapy which result in unscheduled visit by the patient
A detailed description about endo perio interrelationship, including introduction, development and etiology, historical aspects, definition, classification, diagnosis, differential diagnosis, management, special consideration in management,controversies prognosis, conclusion.
In this brief lecture I will discuss most common endodontic emergencies that occur while practicing endodontics. The lecture is directed to the mind of undergraduate level.
I hope you enjoy it.
Si pma strategie innovative Presentazione Convegno Expomarketing Milanopillonfe
La sola notorietà di Brand non è più così significativa per gli stakeholder dell'impresa, e in più è costoso mantenerla nel tempo. Oggi è iniziata l'era nella quale i Brand devono dimostrare e affermare nel tempo la CREDIBILITA', ovvero ogni impresa deve affermare nei fatti quotidiani di ogni sua persona, quell'identità che il marchio, come una bandiera assume in sé e porta nel mercato. Un'identità che deve essere univoca e distintiva. The Stakeholder Brand Coaching Model (tm) è un processo in 10 moduli (testato con successo in molte industry) che garantisce la migliore assistenza per trasformare il vostro marchio di impresa in un solido e vincente COMPANY BRAND.
this seminar is talking about one of the most important topics for any dentist in the world (pulp and periapical diseases)
i hope it will be helpful for you
Everything a dentist needs to know about a periodontal abscess is here.
Along with all the relevant facts, references, definitions, classifications, and each and every statement is given with proper detail
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
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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.
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.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
2. ENDODONTIC EMERGENCIES
Endodontic emergencies occurs with varying
frequencies of pain and swelling in patients before,
during and after root canal treatment.
The pain in endodontic emergencies is related to two
factors .
The most common causes are:
- pulpal and periapical pathosis.
- traumatic injury.
3. Diagnosis and management of
endodontic emergencies:
the basic steps for successful management are:
Complete clinical
history examination
Follow a systematic approach.
No treatment is indicated without clear diagnosis
7. Mid - treatment flare - up in
endodontic
Flare up is described as the occurrence of pain,
swelling or the combination
of these during the course of
root canal therapy, which
result in unscheduled visits by
the patient.
8. Etiology: (multifactorial)
Usually due to irritants left within root canal
system.
Iatrogenic factors.
Host factors.
Vital pulp less likely to demonstrate symptoms.
Tooth with acute apical abscess + pain shows sever
emergency treatment in flare-ups.
9. Microbiology and immunology of
flare-ups
1) Alteration of local adaptation syndrome.
2) Changes in periapical tissue pressure.
3) Microbial factors.
4) Effect of chemical mediators.
5) Changes in cyclic nucleotides.
6) Immunological response.
7) Psychological factors.
10. 1-Alteration of local adaptation syndrome.
New irritant ch.inflammed tissue
Violent reaction may occur due to disturbance
in local tissue adaptation to the applied
irritants.
11. 2-Changes in periapical tissue pressure.
Teeth with increased periapical pressure
Excessive exudates pressure on nerve
ending pain
Teeth with less periapical pressure
Microorganisms + other irritants get aspirated
into periapical area pain
13. 4-Effect of chemical mediators.
• cell mediators
• Plasma mediators.
• Neotrophils products
14. 5-Changes in cyclic nucleotides.
In flare up level of c GMP over
c AMP concentration.
15. Clinical conditions of flare-up:
1. Apical periodontitis secondary to
teatment:
Tooth become sensitive to percussion.
Throbbing or gnawing pain.
Causes:
Over instrumentation.
Over medication.
Forcing debris into periapical tissue.
16. Confirmatory test:
Use paper point
Mark W/L.
Place the paper point in the canal.
Over-instrumentation the paper point
tip will disclosed a reddish or brownish
color
17. Clinical conditions of flare-up:
2. Incomplete removal of pulp tissue:
Sensitivity to hot and cold or pain on
percussion is usually seen.
Confirmatory test:
Sterile paper point short of W/L display
brownish discoloration.
18. Clinical conditions of flare-up:
3. Recrudescence of chronic apical periodontitis:
(phoenix abscess).
alteration of internal environment of root canal
space during instrumentation activates
bacterial flora.
Signs and symptoms:
- mobility, tenderness and swelling.
20. Diagnosis and management:
Establishing the cause is an important step
towards the management.
Inter-appointment emergencies is divided into:
- Previously vital pulp with complete
debridement.
- Previously vital pulp with incomplete
debridement.
- Previously necrotic pulp without swelling.
- Previously necrotic pulp with swelling.
21. Previously vital pulp with complete
debridement:
Here chance of flare-up is less.
Only patient reassurance and prescription of
mild to moderate analgesic.
There is no need to re-opening the canal and
place corticosteroid.
22. Previously vital pulp with incomplete
debridement.
Here pulp remnants considered to be a major
irritant, causing sever pain.
W/L should be rechecked.
Canal cleaned with copious irrigation of NaHCl
Dry cotton pellet is placed + T.F
Mild analgesic is prescribed.
Relieve tooth from occlusion.
23. Previously necrotic pulp without swelling.
Establish accurate W/L.
Complete instrumentation.
Irrigation with copious amount of NaHCl.
If there is drainage from the canal, after drying the canal
place Ca(OH)2 dressing and access is sealed.
Analgesic and antibiotic.
24. Previously necrotic pulp with swelling.
• These cases are best managed by incision and
drainage.
• Canal should be opened debrided and gently
irrigated with NaHCl.
• Ca(OH)2 should be placed and closed.
25. General management of flare ups
1. Reassurance to the patient.
2. Complete debridment of root canal
system.
3. Establishment of drainage.
4. Relief of occlussion.
5. Ca(OH)2 therapy.
6. Intracanal medicament.
7. Medications.
8. Placebo.