This presentation describes about evolution of nitinol (NiTi), its properties, manufacturing, metallurgy and various rotary systems in the field of endodontics.
Biomechanical preparation is the crucial step in endodontic procedure. Biological principles can only be preserved if the mechanical shaping of the perticular canal is completed with the cordial following of the endodontic priciples. This presentation is aimed to simplify the various endodontic techniques for root canal shaping in as conservative as possible manner.
This presentation describes about evolution of nitinol (NiTi), its properties, manufacturing, metallurgy and various rotary systems in the field of endodontics.
Biomechanical preparation is the crucial step in endodontic procedure. Biological principles can only be preserved if the mechanical shaping of the perticular canal is completed with the cordial following of the endodontic priciples. This presentation is aimed to simplify the various endodontic techniques for root canal shaping in as conservative as possible manner.
EVIDENCE-BASED APPROACH TO ROOT CANAL CLEANING AND SHAPING / /certified fixed...Indian dental academy
Welcome to 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 has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Understanding the basic metallurgy, commonly used instruments and newly available rotary systems in the market enable us to better disinfect the root canal.
selection of preformed arch wires during the alignment stage of preadjusted o...MaherFouda1
This slideshow helps clinicians in the orthodontic field to select the proper arch wire for their patients to achieve proper and efficient treatment and outcomes.
Comparison of Apical Transportation And Centering Ability of Protaper Next, H...QUESTJOURNAL
Introduction: The ability of an endodontic instrument to remain centered in the root canal system is one of the most desirable characteristic and it also influences the clinical performance of any particular file system. Thus, it is essential to assess the apical transportation and canal centering ability of newer rotary NiTi file systems for successful cleaning and shaping of root canals. Aims and objectives: The aim of this study was to compare the apical transportation and centering ability of three recently introduced NiTi file systems–1.Protaper Next (PTN) 2. Hyflex CM (HCM) 3. Twisted file (TF). Material and method: Total of 24 extracted maxillary first molars with mesiobuccal root having curvatures between 15-30 degrees were collected and randomly and equally divided into the three following groups- Gr A, Gr B, Gr C (n=8). Every tooth was embedded into the wax block maintaining the groups and pre instrumentation CBCT was done. After that the MB canals were instrumented and prepared by Protaper-Next in Gr A, Hyflex CM in Gr B and Twisted file in Gr C respectively. All the canals while instrumenting were irrigated by 2.5%NaOCl and 17%EDTA. Then teeth were subsequently re-embedded into the wax block maintaining the groups and post instrumentation CBCT was done. The pre and the post procedural scan images were analyzed and compared for the changes. Result: Mean apical transportation of PTN was highest of all followed by HCM and TF and Mean centering ability of TF was highest followed by HCM and PTN. Conclusion: Twisted file system showed least apical transportation and highest centering ability followed by Hyflex CM and Protaper next file system respectively
Objective: The aims of this study isto evaluate the inter-premolar width changes in the mandible using three different commercial orthodontic arch wires. Subjects and methods: Thirty patients including both males and females have been allocated in this study. Three orthodontic wires including NiTi, copper NiTi, and Beta-Titanium wires had been used. A special observational technique including cbct had been used to make an evaluation for the inter-premolar width before and after the aligning stage. Results: The results showed a highly significant increase in post-treatment inter premolar width in CNA and NITI groups; compared to Cu NITI group; with highly significant statistical difference (p < 0.01 respectively). Conclusion: The present study showed that there is a high significant increase in the inter-premolar width in the mandible, when comparing the wires in the groups (NiTi, CNA, and copper niti). Also, the gender of the patient does not seem to have an impact of the gender on post-treatment efficacy of each wire.
explained with Limited matter moreover I have included all the images. if you go through a standard textbook and referred to this PPT it will help you so much I hope It helps you
EVIDENCE-BASED APPROACH TO ROOT CANAL CLEANING AND SHAPING / /certified fixed...Indian dental academy
Welcome to 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 has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
Understanding the basic metallurgy, commonly used instruments and newly available rotary systems in the market enable us to better disinfect the root canal.
selection of preformed arch wires during the alignment stage of preadjusted o...MaherFouda1
This slideshow helps clinicians in the orthodontic field to select the proper arch wire for their patients to achieve proper and efficient treatment and outcomes.
Comparison of Apical Transportation And Centering Ability of Protaper Next, H...QUESTJOURNAL
Introduction: The ability of an endodontic instrument to remain centered in the root canal system is one of the most desirable characteristic and it also influences the clinical performance of any particular file system. Thus, it is essential to assess the apical transportation and canal centering ability of newer rotary NiTi file systems for successful cleaning and shaping of root canals. Aims and objectives: The aim of this study was to compare the apical transportation and centering ability of three recently introduced NiTi file systems–1.Protaper Next (PTN) 2. Hyflex CM (HCM) 3. Twisted file (TF). Material and method: Total of 24 extracted maxillary first molars with mesiobuccal root having curvatures between 15-30 degrees were collected and randomly and equally divided into the three following groups- Gr A, Gr B, Gr C (n=8). Every tooth was embedded into the wax block maintaining the groups and pre instrumentation CBCT was done. After that the MB canals were instrumented and prepared by Protaper-Next in Gr A, Hyflex CM in Gr B and Twisted file in Gr C respectively. All the canals while instrumenting were irrigated by 2.5%NaOCl and 17%EDTA. Then teeth were subsequently re-embedded into the wax block maintaining the groups and post instrumentation CBCT was done. The pre and the post procedural scan images were analyzed and compared for the changes. Result: Mean apical transportation of PTN was highest of all followed by HCM and TF and Mean centering ability of TF was highest followed by HCM and PTN. Conclusion: Twisted file system showed least apical transportation and highest centering ability followed by Hyflex CM and Protaper next file system respectively
Objective: The aims of this study isto evaluate the inter-premolar width changes in the mandible using three different commercial orthodontic arch wires. Subjects and methods: Thirty patients including both males and females have been allocated in this study. Three orthodontic wires including NiTi, copper NiTi, and Beta-Titanium wires had been used. A special observational technique including cbct had been used to make an evaluation for the inter-premolar width before and after the aligning stage. Results: The results showed a highly significant increase in post-treatment inter premolar width in CNA and NITI groups; compared to Cu NITI group; with highly significant statistical difference (p < 0.01 respectively). Conclusion: The present study showed that there is a high significant increase in the inter-premolar width in the mandible, when comparing the wires in the groups (NiTi, CNA, and copper niti). Also, the gender of the patient does not seem to have an impact of the gender on post-treatment efficacy of each wire.
explained with Limited matter moreover I have included all the images. if you go through a standard textbook and referred to this PPT it will help you so much I hope It helps you
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
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.
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.
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.
- 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
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
1. Introduction to NiTi
The navy worked with NiTi alloy in the
1950’s and 1960’s
They were looking for a non-magnetic,
waterproof, and salt resistant material
Initial tests found NiTi to be superelastic
2. NiTi particularly exhibits superelastic
behavior between 10oC – 125oC
Other alloys with superelastic properties are
the alloys of copper-zinc, copper-aluminum,
or titanium-niobium
Ideal temperature range in endodontics is
23oC to 36oC, the temperatures found in the
composition of 50% Ni and 50% Ti
3. Orthodontics began using NiTi in the late
1970’s
NiTi was also useful in wiring fractures in
orthopedics and oral surgery
Initial work proved NiTi resisted corrosion
in the body and was extremely
biocompatible
4. The First Use of NiTi in
Endodontic Hand Files
Walia, Brantley, and Gerstein conducted the
first reported investigation of the NiTi alloy
in endodontics in 1988
Testing concluded that the NiTi had two to
three times the elastic flexibility and greater
resistance to torsion fractures
5. By 1991 Quality Dental (Johnson City, TN),
developed a process for grinding NiTi alloy
files for NiTi Co. (Chattanooga, TN)
It was reported to be 500% more flexible
than conventional stainless steel and said to
be capable of withstanding 1000% more
stress than conventional stainless steel
6. University of South Carolina conducted a
study in 1992 with their pre-doctoral
students
Fewer cases of broken instruments,
perforations, and ledges occurred in the
group using NiTi hand files
7. University of Tennessee conducted a similar
study in 1993 with their pre-doctoral
students
Students using NiTi hand files had
significantly higher grades, instrumented
the canals significantly faster, and had
overall superior results
NiTi files seemed to work more efficiently
in a reaming motion rather than a filing
motion
8. Table 1: This table illustrates the procedural errors
made by the students during their proficiency exam
with the two sets of files. (* Statistically significant)
9. The First Use of NiTi in
Endodontic Rotary Files
1991 NiTi Co. had two rotary file designs to
make up their file line
These two file designs were developed
uniquely for continuous 360o rotation
10. The first file design, U-File design, which
continues to be offered today as the Profile,
GT and LightSpeed, for sizes #15 through
#35
The second file design, the Sensor File, was
used in sizes #40-#60 and incorporated two
sets of flutes having different helical angles
11. Oregon Health Sciences University
compared four instrumentation techniques
1) Step-back preparation with K-files
2) Crown-down preparation with K-files
3) Sonic instrumentation with Shaper-
Sonic files
4) NiTiMatic preparation system with NiTi
rotary files
12. Incidence of zipping, ledging, and elbow
formation was found to be the lowest with
the use of the NiTiMatic preparation system
with NiTi rotary files
13. In 1993 the University of Tennessee
conducted a study comparing hand stainless
steel, hand NiTi files, and the NiTiMatic
preparation system with NiTi rotary files
They found the rotary files to have achieved
the same shaping goals in about half the
time of the other two groups:
Rotary 173 s
Hand stainless 328 s
Hand NiTi 351 s
14. The NiTi rotary was found to have maintained
the apical shape better, indicating fewer zip
type procedural errors
Amount of material removed at the working
length:
Rotary 0.017 mm
Hand NiTi 0.023 mm
Hand stainless steel 0.139 mm
They also found the canal width of the inner
wall to be closer to the original width and
more centered with the rotary group
15. This illustrates the increase in canal width on the
inside of the curve at the point of curvature.