1. Mouth preparation for removable partial dentures involves several steps including surgical procedures, periodontal therapy, conditioning abused oral tissues, conservative restorative treatment, and prosthetic therapy.
2. Prosthetic therapy includes preparing guide surfaces, lowering survey lines, widening embrasures, creating retentive undercuts, and preparing rest seats. Rest seats are prepared on posterior and anterior teeth to act as stops and indirect retainers.
3. Preparing rest seats involves reducing marginal ridges, deepening adjacent fossas, and blending them together into a triangular shape for posterior teeth and U-shaped notches for anterior teeth.
The presentation depicts in a very simplified manner the steps of cavity preparation and restoration of class 3 and class 5 composite restoration. It is well supported with illustrations that further provide a better understanding of the topic.
Retentive features of a cavity
Indications and contraindication
Advantages and disadvantages
Types of pins
Cemented pins
Friction locked pins
Self threaded pins –(TMS)
Thread mate system
Regular , minim, manikin, minuta
Standard, self shearing, two in one, link series, link plus
Factors involved
Mechanical aspect
Anatomical aspect
Mechano-anatomical principles
Mechanical aspects of Pin-Retained restoration
Pins and tooth structure
Stressing capabilities of pins
Retention of pins in dentin
Microcracking and crazing
Pins and restorative materials
Effect of pins on strength of restorative materials
Retention of pins to restorative material
A single complete denture is a complete denture that occludes against some or all of the natural teeth, a fixed restoration, or a previously constructed removable partial denture or a complete denture.
Opposing natural teeth that are sufficient in number and do not necessitate a fixed or removable partial denture.
Opposing a partially edentulous arch in which the missing teeth have been or will be replaced by a fixed partial denture.
Opposing arch with an existing complete denture.
The presentation depicts in a very simplified manner the steps of cavity preparation and restoration of class 3 and class 5 composite restoration. It is well supported with illustrations that further provide a better understanding of the topic.
Retentive features of a cavity
Indications and contraindication
Advantages and disadvantages
Types of pins
Cemented pins
Friction locked pins
Self threaded pins –(TMS)
Thread mate system
Regular , minim, manikin, minuta
Standard, self shearing, two in one, link series, link plus
Factors involved
Mechanical aspect
Anatomical aspect
Mechano-anatomical principles
Mechanical aspects of Pin-Retained restoration
Pins and tooth structure
Stressing capabilities of pins
Retention of pins in dentin
Microcracking and crazing
Pins and restorative materials
Effect of pins on strength of restorative materials
Retention of pins to restorative material
A single complete denture is a complete denture that occludes against some or all of the natural teeth, a fixed restoration, or a previously constructed removable partial denture or a complete denture.
Opposing natural teeth that are sufficient in number and do not necessitate a fixed or removable partial denture.
Opposing a partially edentulous arch in which the missing teeth have been or will be replaced by a fixed partial denture.
Opposing arch with an existing complete denture.
Design of a fixed Partial Denture (with Abutment Tooth Preparation)Taseef Hasan Farook
A simplified take on the steps to designing a Fixed partial denture. This presentation also includes an overview of abutment preparation, associated finishes and methods of impression taking prior to the designing of the prosthesis itself
The patient who requires a single denture opposing a natural or restored dentition challenges the clinician even more than the completely edentulous patient does. This is due to the biomechanical differences in the supporting tissues of the opposing arches. So a proper evaluation, correction of the existing factors and proper sequence of denture construction is necessary to give a more stable prosthesis.
Metal ceramic and partial veneer crown/certified fixed orthodontic courses by...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
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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
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
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
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.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
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.
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.
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
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
1. STEPS OF MOUTH PREPERATION
1- Completion of required surgical procedures:
-
Conditions requiring surgery include:
-
Extraction of unrestorable teeth , teeth with insufficient periodontal support
- Elimination of tori or prominent exostosis.
- Removal of hyperplastic tissue
- Ridge augmentation, vestibular extension and implant placement should be performed early.
- Surgical reduction of maxillary tuberosities to provide adequate restorative space
2- Periodontal Therapy
- Should be done early in treatment plan
- Periodontal scaling and root planning to eliminate local factor.
- Elimination of pockets and periodontal flap when necessary .
-
Gingivoplasty and gingivectomy
-
Remaining natural teeth with dead periodontal support and stabilization for RPD and
resistance of abutment to applied force
This includes:
Fixed Splinting
- include completion of partial coverage restoration.
-
Fixed splinting of posterior teeth
a- teeth distal to canine anteroposterior resistance
b- teeth mesial to canine mediolatral resistance
Disadvantages of fixed splinting:
-Inability to adequately clean splinted unit (inability to floss)
leading to inadequate oral hygiene
-High cost
Splinting with removable partial denture
2. Designed so that its components join the teeth as functional units .
- This include:
1- multiple buccally positioned clasp arm
2- lingual plating
3) Conditioning of abused oral tissues:
May develop due to ill-fitting or poorly occluding old RPD so tissue must get rest and treatment in the
following sequence:
1.Patient education and oral hygiene instruction
2.Removal of the dentures from the oral cavity
3.Oral hygiene measures
4.Use of tissue conditioners
5.Modifications to existing prosthesis
6.Provisional prosthesis or Interim prosthesis
4) Conservative treatment :
Include -Restorative fillings
- Crowning
Endodontic treatment
5) Prosthetic Therapy
a) Occlusal equilibration analysis.
1- Correction of irregular occlusal plane.
2- Correction of malaligned occlusal plane.
3- Verifying the occlusion
4- Treatment of traumatic vertical overlap
b) Teeth reshaping
1- Development of guiding planes
2- Change the height of contour
3. 3- Enhance retentive undercuts
c) Rest Seat preparation
1- For posterior teeth
2- For anterior teeth
d) Precision attachment
OCCLUSSAL EQUILIBRATION ANALYSIS:
1-correction of irregular occlusal plane (occlusal plane discrepancies) , this includes:
*supra eruption (over eruption)
*infra eruption
*tipping
Phases of mouth preparation for removable partial dentures
I- Phase
. Periodontal
. Operative
. Endodontic
. Orthodontic
. Surgical
II-Phase
. Involves the alteration of tooth
contours to allow the proper fit
and functioning of the proposed
removable partial denture.
Suggested clinical sequence for tooth preparations
4. 1- Prepare guide surfaces
2- Lower survey lines to improve clasp location
3- Carry out embrasure widening
4- Create retentive undercut.
5- Prepare rest seats
1- Guide surfaces
. Are prepared on proximal surfaces of abutments adjacent to edentulous spaces.
. Proximal guide surfaces should be about as wide the distance between tips of buccal & lingual
cusps.
Guide Surfaces
A guide surface should
be prepared by even
reduction of the tooth
surface
maintaining
its contour and not as
flat surface.
Guide Surfaces
A proximal guide
surface should be
2-3mm high and
about as wide the
distance between
the buccal and
lingual cusps.
5. Guide Surfaces
Checking orientation
of the bur to the path
of insertion on the
surveyed cast.
Guide Surfaces
Cylindrical diamond bur is moved back and
forth around involved tooth surface
Lowering Survey Lines
Lowering survey lines by reduction of tooth bulbosity will improve clasp placement by allowing :1. The origin of clasp arm to be placed well below the
occlusal surface.
Restoring abutments with cast restorations (surveyed crowns)
Indications
. Large carious tooth
. Weak tooth because of large restorations
. Recurrent caries
. Abutment with inadequate contours or
required contouring will expose the
dentine.
Lowering Survey Lines
Using Cylindrical bur.
The bur is placed
against the involved
6. surface, the head of
hand piece is tipped
slightly towards the
centre of the tooth
and moving the bur
back and forth.
Embrasure widening
Achieved by enlarging
the lingual embrasure
with a narrow tapered
diamond bur.
Rest seat preparation
Functions of Rests
. Acts as a stop to prevent injury to
and overdisplacement of soft tissues
under partial denture bases.
. Maintains the attached clasp assembly
its proper surveyed position.
. Acts as an indirect retainer.
Rest seats in Posterior teeth
. The outline form is basically triangular
with the base of the triangle at the
marginal ridge and apex extending
toward the center of the tooth.
. The apex of the triangle should be
7. rounded.
Rests in posterior teeth
. This shape follows the outline of the
mesial or distal fossa of the occlusal
surface of the tooth.
. The length varies from one third to
one half the mesiodistal length of
the tooth (3-4mm).
Rests in Posterior teeth
. The bucco-lingual width should be at
least one half the distance between
the cusp tips( one third the bucco-lingual
width of the tooth).
. The floor of the occlusal rest should be
inclined slightly toward the center of the
tooth ( concave or spoon shape).
Rests in Posterior teeth
. The angle formed by the inclination
of the floor of the rest preparation
and the vertical projection of the
greatest contour of the proximal
surface of the tooth should be less
than 90 degrees.
Rests in Posterior teeth
8. . The deepest part of the occlusal rest
preparation should be in the center
of the fossa of the tooth.
Rests in posterior teeth, clinical treatment options
1- The preparation is started by first
reducing and rounding the middle
third of the marginal ridge using a
round bur of an appropriate size
( no.6 for molars, no.4 for premolars).
Clinical Treatment Options
2- This is followed by deepening the
of the adjacent fossa which is then
blended into the reduced marginal
ridge.
Clinical Treatment Options
3- Verify the depth of the preparation
by having the patient close on a
small piece of red utility wax placed
over the preparation.
Clinical Treatment Options
4- Once complete, the preparation
should be examined to ensure that
no interferences to the path of
insertion have been created and
any small enamel “lips” should be
9. smoothed.
Rests
Cingulum Rest seat
in
. Is usually prepared on the cingulum of a maxillary canine.
. The rest seat is an inverted U shape.
. The lingual surface of the tooth makes
up the inner wall, while the outer wall
of the U-shaped notch starts at the apex
of the cingulum and inclines gingivally
toward the center of the tooth to meet the
inner wall of the preparation.
Cingulum Rest Seat
. The outline form should be in the
shape of crescent and for a smooth
curve from one marginal ridge to the
other.
. The deepest portion should be in the
center of the tooth over the cingulum.
Cingulum rest in anterior teeth, clinical treatment options
. An inverted cone carbide bur,
round high speed diamond bur (no.2).
. Start the preparation incisal to the
cingulum. The flat side of the cutting
instrument should follow the incline of
the lingual surface of the tooth cutting
towards the apex of the tooth.
Anterior
teeth
10. Cingulum rest in anterior teeth, clinical treatment options
. Continue cutting gingivally by moving
the tool mesially and distally in an arc
to form the notch.
. Care should be used not to create an
undercut.
Incisal Rests
. Usually used on mandibular canines,
the rest seat consists of a small inverted
U-shaped notch on the incisal surface
just inside the proximal corner of the
tooth with the deepest part of the
preparation toward the center of the
tooth mesio-distally.
Incisal Rests
. The notch should be rounded and
carried slightly over the labial surface
to provide positive seating.
. The enamel, lingual to the notch, may
be prepared to accommodate some of
the bulk of the minor connector.
Incisal Rests in anterior teeth, clinical treatment options
. Use a small knife-edged diamond
11. wheel or green stone to prepare a
a U-shaped notch 1.5 to 2 mm inside
the proximal corner.
Incisal rests in anterior teeth, clinical treatment options
. Move the cutting instrument in an
inverted U-shaped motion and
extend the cut to the labial and
lingual surfaces of the tooth.
. Use it to partially prepare the lingual
surface to accommodate the minor
connector.