This document discusses non-carious lesions of the teeth. It describes various types of tooth wear including erosion, attrition, abrasion, and abfraction. Erosion can be caused by regurgitation of gastric acids, dietary acids from foods and drinks, or industrial acids. Attrition results from tooth-to-tooth contact during grinding or bruxism. Abrasion is caused by external abrasive agents like toothbrushes or pipes. Abfraction involves microstructural loss of tooth structure in areas of stress concentration. The document outlines factors that contribute to each type of wear and their presentations in the oral cavity. It emphasizes that tooth wear often results from combinations of these mechanisms.
An inlay may cap none, or may cap all but one cusp.
Sturdevant’s 4th ed. page579
Inlays may be used as single-tooth restorations for proximo-occlusal or gingival lesions with minimal to moderate extensions
Shillingburg page 1
An inlay may be defined as a restoration which has been constructed out of mouth from gold, porcelain, or other material & then cemented into the prepared cavity of a tooth.
William McGehee pg410
This lecture, which oriented to the level of mind of undergraduate students, discuss the topic of pulpectomy, its indications, contraindications, and procedural steps.
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An inlay may cap none, or may cap all but one cusp.
Sturdevant’s 4th ed. page579
Inlays may be used as single-tooth restorations for proximo-occlusal or gingival lesions with minimal to moderate extensions
Shillingburg page 1
An inlay may be defined as a restoration which has been constructed out of mouth from gold, porcelain, or other material & then cemented into the prepared cavity of a tooth.
William McGehee pg410
This lecture, which oriented to the level of mind of undergraduate students, discuss the topic of pulpectomy, its indications, contraindications, and procedural steps.
Visit us on Facebook:
https://www.facebook.com/iraqi.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.for more details please visit
www.indiandentalacademy.com
Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging.
Dental erosion is the loss of tooth enamel caused by acid attack. When the enamel has worn away, it can lead to pain and sensitivity.
For more information contact :-
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
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All about Dental Erosion | causes and prevention about dental erosionDr. Rajat Sachdeva
Erosion is the loss or wear of dental hard tissue by acids not caused by bacteria.
Erosion may be caused by intrinsicfactors (e.g., excessive vomiting or acid reflux in case of G.E.R.D) and/or extrinsicv factors (e.g., diet) .
Soft drinks, particularly carbonated sodas ( eg. coca cola,pepsi ) and sports drinks (e.g gatorade), appear to be the most significant extrinsic cause of erosion.
Drinks containing high concentrations of calcium, like milk, may reduce risk of erosion.
For more information contact :-
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The wasting diseases of teeth, namely attrition, abrasion and dental erosion have taken their toll in the population around the world due to the changing lifestyles, increase in the stress levels and many others factors that were persistent earlier but have suddenly increased drastically. This presentation brings to light the new factors that have attributed to this condition as well as discusses the previous ones.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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.
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
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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.
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
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
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
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
2. Wear: Damage to a solid surface,
generally involving progressive loss of
material, due to relative motion
between the surface and a contacting
substance or substances.
Tooth wear: Surface loss of dental hard
tissue other then by caries or trauma
and is a natural consequences of
ageing.
4. EROSION.
Definition: It is defined as the loss of dental
hard tissue as a result of chemical process
not involving bacteria.
Types of tooth erosion:
1- Regurgitation erosion.
2- Dietary erosion.
3- Industrial erosion.
5. REGURGITATION EROSION.
Definition:
The erosive distruction of teeth caused by
frequent exposure of gastric acid to teeth.
Sites:
Palatal surface of maxillary anterior teeth.
Occlusal and buccal surfaces of mandibular
teeth.
6. REGURGITATION EROSION.
Etiology:
1- Digestive disorders including hiatus
hernia and chronic indigestion.
2- Anorexia and bulimia nervosa (Perimolysis,
evident on maxillary palatal surfaces).
3- Morning sickness associated with
pregnancy.
4- Voluntary regurgitation.
7. ORAL MANIFESTATIONS.ORAL MANIFESTATIONS.
Tooth enamel erosion: teeth are bathed in gastric acid duringTooth enamel erosion: teeth are bathed in gastric acid during
vomiting leading to decalcificationvomiting leading to decalcification
Tooth sensitivity to temperaturesTooth sensitivity to temperatures
Parotid gland (sialadenosis) or submandibular glandParotid gland (sialadenosis) or submandibular gland
enlargement: can be disfiguringenlargement: can be disfiguring
Erythema of the oral mucosaErythema of the oral mucosa
Soreness in mouthSoreness in mouth
CheilosisCheilosis
8.
9.
10. DIETARY EROSION.
Definition:
“It is the loss of dental hard tissue by
intake of acidic foods and drinks.”
Site:
Labial surface of maxillary teeth.
16. HOW DOES SALIVA HELP IN
PROTECTING AGAINST
EROSION?
Dilutes and clears potentially erosive
agents from the mouth.
Buffers dietary acids.
Formation of Pellicle which protects the
enamel from demineralization by dietary
acids.
Provide calcium and phosphate which
is necessary for remineralization.
17. WHAT ADVICE SHOULD WE
GIVE TO THE PATIENTS ?
Diminish consumption of acid foods and
beverages.
Finish meal using neutral food rather
then acid foods.
Drink acid beverages quickly or through
a straw do not swish around.
Rinse using water after acid
consumtion.
18. HOW CAN DENTAL
EROSION BE PREVENTED ?
Use soft or medium type of tooth brush.
Low abrasive fluoride containing
toothpaste.
No tooth brushing immediately before
and after taking acidic food.
Regular visits to dentist.
19. INDUSTRIAL EROSION.
Definition:
“ It is the dissolution of dental hard tissue due to
industrial processes which produces acid fumes and
droplets.”
Sites:
Labial surface of maxillary anterior teeth and may
also cause pitting.
20. INDUSTRIAL EROSION.
Effected indivisuals:
Battery manufacturers.
Wine tasters.
Chemical and pharmaceutical company
workers.
Soft drink manufacturers.
Dyers.
Tin factory workers ( tartaric acid).
22. ATTRITION.
Definition:
It is the physical wear of one tooth
against other or tooth against
restoration or prosthesis.
Sites:
Incisal and occlusal surface of teeth.
23. ETIOLOGY OF ATTRITION.
Bruxism.
Associated with snuff chewing.
Associated with bettel nut and pan
chewing.
Associated with hypertensive patients.
Associated with poor prosthesis and
poor restorations.
26. ABRASION.
Definition:
It is the physical wear of dental hard
tissues from external agents.
Site:
Neck of labial surface of anterior teeth.
Neck of buccal surface of posterior
teeth.
27. ETIOLOGY OF ABRASION.
Hard tooth brushes or excessive use of other
cleaning aids.
Abrasive tooth pastes and tooth powders
(smokers tooth powder).
Habits such as thread biting and pipe
smoking (can cause notches in the incisal
edges).
Snuff chewing.
Pan and bettel nut eating.
29. ABFRACTION.
Definition:
It is the microstructural loss of tooth
substance in areas of stress
concentration.
Site:
Cervical region of teeth.
30. ABFRACTION ETIOLOGY.
These lesions appear to result from
occlusal loading forces, frequently have
a crescent form along the cervical line
where the enamel is brittle and fragile.
32. CONSEQUENCES OF
PATHOLOGICAL TOOTH
WEAR.
Exposure of dentine on buccal and
lingual surfaces.
Notched cervical surfaces.
Exposure of dentine on incisal and
occlusal surfaces resulting in loss of
dentine producing a cupped
appearance.
33. Restoration project above the tooth surface
as they do not erode.
Exposure of reparative dentine or pulp.
Causing sensitivity.
Pulpitis and then later on loss of vitality.
Inability to contact between incisal and
occlusal surfaces during mandibular
movements.
Reduction in length of teeth.
34.
35. COMBINED MECHANISM OF
TOOTH WEAR.
1- Attrition- abfraction.
Attrition- abfraction is the joint action of
stress and friction when teeth are in
tooth-to-tooth contact, as in bruxism or
repetitive clenching
36. 2- Abrasion-abfraction.
Abrasion-abfraction is the loss of tooth substance
caused by friction from an external material on an
area in which stress concentration due to loading
forces may cause tooth substance to break away.
Such a synergistic tooth-destructive effect may be
observed cervically when toothbrushing abrasion
exacerbates abfraction to produce wedge-shaped
lesions. The critical roles of both toothbrushing
abrasion and occlusal loading of an anatomically
vulnerable zone may be one reason why such lesions
are limited almost exclusively to the buccal and labial
cervical areas of teeth
37. 3- Erosion-abfraction:
Corrosion-abfraction is the loss of tooth
substance due to the synergistic action of a
chemical corrodent on areas of stress
concentration. This physicochemical
mechanism may occur as a result of either
sustained or cyclic loading and leads to static
stress corrosion or cyclic stress corrosion.
38. Static stress corrosion:
Static stress corrosion is the loss of tooth
structure owing to the action of a corrodent on
an area of sustained stress. This may occur
during clenching. Static stress corrosion may
be observed as demineralization that occurs
around orthodontic appliances in the
presence of a corrodent.
40. Cyclic (fatigue) stress corrosion.
Cyclic stress corrosion is the loss of tooth structure
due to the action of a corrodent in an area of
concentrated stress during cyclic loading. This
combination of mechanisms could occur during
mastication, as seen among patients who engage in
fruit mulling as dentinal invaginations, but is seen
most strikingly among patients who brux in the
presence of endogenous (for example, GERD) or
exogenous (carbonated soft drinks) corrodents. In
such situations, tooth substance may be lost rapidly
and extensively.
41. Attrition-corrosion:
Attrition-corrosion is the loss of tooth
substance due to the action of a corrodent in
areas in which tooth-to-tooth wear occurs.
This process may lead to a loss of vertical
dimension, especially in patients with GERD
or gastric regurgitation. An occlusal or incisal
pattern of wear develops.
42. Abrasion-corrosion.
Abrasion-corrosion is the synergistic activity of
corrosion and friction from an external material. This
could occur from the frictional effects of a toothbrush
on the superficially softened surface of a tooth that
has been demineralized by a corrosive agent. Teeth
that are out of occlusion could be affected by this
mechanism and develop cervical lesions, since they
frequently extrude, thus exposing the vulnerable
dentin. Similarly, gingival recession may expose the
cementum and dentin to this odontolytic process.
43. Biocorrosion (caries)-abfraction:
Biocorrosion (caries)-abfraction is the pathological
loss of tooth structure associated with the caries
process, where an area is micromechanically and
physicochemically breaking away due to stress
concentration. A common site for this synergistic
activity is the cervical area of the tooth, where it may
be manifested as root or radicular caries. The
combined mechanisms of static stress corrosion and
cyclic (fatigue) stress corrosion can account for the
rapid odontolytic progression of these types of
carious lesions.
Erythema: A redness of the skin resulting from inflammation, for example, as caused by sunburn.
Cheilosis: A disorder of the lips often due to riboflavin deficiency and other B-complex vitamin deficiencies and characterized by fissures, especially in the corners of the mouth.