When treating a patient with a removable partial denture, the natural and artificial teeth, both functionally and esthetically, must co-exist in a harmonious relationship.
Occlusal harmony between a removable partial denture and the remaining natural teeth is a major factor in preservation of the surrounding structures.
In removable partial dentures, because of the attachment of the denture to abutment teeth, occlusal stresses can be transmitted directly to the abutment teeth and other supporting structures, which results in sustained stresses that may be more damaging than those transient stresses found in complete dentures.
Muscle function in orthodontics /certified fixed orthodontic courses by Indi...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
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
Anoverview of TMD'S categories and main types of interocclusal appliances( occlusal splints ) used during the management of these musculoskeletal disorders .
The seminar includes- Introduction, definitions, history, Fundamentals of esthetics, Incorporation of Esthetics at different stages of complete denture construction, Dentogenic concept, Dynesthetic interpretation of dentogenic concept, Denture characterization and newer studies
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
When treating a patient with a removable partial denture, the natural and artificial teeth, both functionally and esthetically, must co-exist in a harmonious relationship.
Occlusal harmony between a removable partial denture and the remaining natural teeth is a major factor in preservation of the surrounding structures.
In removable partial dentures, because of the attachment of the denture to abutment teeth, occlusal stresses can be transmitted directly to the abutment teeth and other supporting structures, which results in sustained stresses that may be more damaging than those transient stresses found in complete dentures.
Muscle function in orthodontics /certified fixed orthodontic courses by Indi...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
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
Anoverview of TMD'S categories and main types of interocclusal appliances( occlusal splints ) used during the management of these musculoskeletal disorders .
The seminar includes- Introduction, definitions, history, Fundamentals of esthetics, Incorporation of Esthetics at different stages of complete denture construction, Dentogenic concept, Dynesthetic interpretation of dentogenic concept, Denture characterization and newer studies
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
One of the best seminar of the author. Covered in detail regarding the increasing vertical dimension, centric relation, methods to record centric relation, philosophies of occlusion and in detail everything about full mouth rehabilitation.
Occlusion concepts in fixed partial dentures / dental implant courses by Ind...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.for more details please visit
www.indiandentalacademy.com
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.
Concepts of occlusion /certified fixed orthodontic courses by Indian dental a...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
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.
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 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
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
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.
Occlusion part ii /certified fixed orthodontic courses by Indian dental academy 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
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
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
Functional malocclusion /certified fixed orthodontic courses by Indian dent...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
00919248678078
Description :
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
Recording the rcp a review of clinical techniques /orthodontic therapist coursesIndian dental academy
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.
18.recording the rcp a review of clinical techniques/ dental coursesIndian dental academy
Description :
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
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Occlusion in complete denture. all the occlusal concepts clearly explained with schematic diagrams and illustrations by dr anil goud director of asian dental academy.
Occlusion in cd /certified fixed orthodontic courses by Indian dental academy 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
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 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
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
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
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
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
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.
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.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
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
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
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...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.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian 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
Properties of Denture base materials /rotary endodontic coursesIndian 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
Use of modified tooth forms in complete denture occlusion / dental implant...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.for more details please visit
www.indiandentalacademy.com
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
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
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
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
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
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
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
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
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/
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
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
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
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.
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.
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
3. CONTENTS
1.Concepts of occlusion
2.Optimum orthopaedically stable joint
position
3.Optimum functional tooth contacts
4.Normal versus ideal occlusion
www.indiandentalacademy.com
4. 5.Criteria for Optimum functional
occlusion
6.Occlusal contact patterns
a) Canine guided occlusion
b) Group function occlusion
7.Summary
8.References
www.indiandentalacademy.com
5. “What is the best functional
relationship or occlusion of the
teeth” ?
www.indiandentalacademy.com
6. Concepts of occlusion
Three occlusal concepts:
The Gnathological
The Freedom-in-centric
European conceptual model
www.indiandentalacademy.com
7. THE GNATHOLOGICAL
CONCEPT
•Mid 1920’s McCollum.
Gnathology: exact science of
mandibular movement and resultant
occlusal contacts.
Instruments:
• Kinematic face bow, Gnathoscope
and Gnathograph
www.indiandentalacademy.com
8. Balanced occlusion:(complete
dentures)
“During functional excursions there
is multiple simultaneous contacts
present both on the working side
and on the balancing side”
Stallard and Stuart: organic or
organised occlusion.
-neglected that mastication is more
vertical than lateral.www.indiandentalacademy.com
9. ARNE G. LAURITZEN
Direction of occlusal stresses-long axis of
teeth.
Centric relation=centric occlusion
(condyles in uppermost and rearmost
position)
Simultaneous occlusal loads fall on as
great number of teeth.
Lateral excursion may be free.
Canine guided occlusion.
Group contact between upper and lower
anterior teeth during protrusive movement.www.indiandentalacademy.com
11. NILES GUICHET AND GNATHOLOGY
Optimal occlusion (1966)
Canine guided occlusion- biomechanics
Occlusion must be in harmony with the
mandibular movements of each patient.
Ganathograph and Pantograph.
Denar articulator.
www.indiandentalacademy.com
12. There is horizontal movement of the
mandible from the maximal
intercuspal position and teeth are
capable of standing that horizontal
stress in function .
(D’ Amicos)-canines - eight times
stress than on the 2nd premolars.
www.indiandentalacademy.com
13. VISION OF TRANSOGRAPHIC CONCEPT
Page’s
Four principles:
1.Opening axis
2.Cranial plane
3.Bennett movement
4.Envelope of motion
1. Opening axis:12º to 15º of rotation.
Transverse hinge axis –reproducible.
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14. 2.Cranial planes:No translatory condyles,
so no practical support for horizontal
plane.
3.Bennett movement: such a movement is
because of mouth opening to 2
noncolinear axes, Page did not concede
to the existence of the Bennett side shift.
4. In the discussions conceding the
envelope of motion, when one takes the
motions to a narrow functional terminal
orbit, raised a great number of questions
in the oral rehabilitation.
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15. FREEDOM IN CENTRIC
Posselt was first
Functional occlusion- Ramfjord and Ash-
1970’s
Criteria are to attempt to eliminate the
need for neuromuscular adaptation.
According to this concept,
Maximum intercuspation and centric
relation are coincident but flat areas on the
depth of the fossae, on which opposing
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16. cusps occlude, will allow for a certain
degree of freedom in both centric and
eccentric movements without the guiding
influences of occlusal inclines.
Vertical dimension of occlusion in
maximum intercuspation and centric
relation might be the same when all the
interferences for closing in centric relation
are eliminated.
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19. OCCLUSAL CONCEPTS OF SCHUYLER
Correction of occlusal disharmonies in the
natural dentition and to the concepts of
freedom in centric and incisal guidance.
According to Schuyler,
Freedom in centric is a maxillomandibular
position where maximum intercuspation
and centric relation coincide to a certain
degree of freedom for eccentric excursions
without the influence of occlusal inclines.www.indiandentalacademy.com
20. Anteroposterior difference – 0.5 to 1
mm
Variation in centric relation recording –
not a point – area in relation to
horizontal plane.
Anterior guidance – Purpose: permit a
condylar motion without restrictions
along with the prevention of posterior
contacts, during lateral excursions
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22. BEYRON’S OCCLUSAL CONCEPTS
Based on functional convenience and
avoidance of discomfort
Most physiological inter-relationship
between morphology and function might
be the most natural one.
Neuromuscular mechanism- protects
teeth – excessive loads – protective
reflex- important role in mandibular
movement patterns.www.indiandentalacademy.com
23. PANKEY MANN PHILOSOPHY
Monson’s sphere (occlusal line and
plane) + Meyer’s concepts of a
functionally generated path
Pankey Mann Philosophy – oral
rehabilitation
Objectives:- optimal health, masticatory
efficiency, comfort and esthetics
Recently, Pankey Mann Schuyler concept
(based on group function)www.indiandentalacademy.com
24. Stable and Static contacts - greatest
number of teeth
Long centric – Occlusal harmony with an
anterior slide between centric relation and
maximum intercuspation (1mm) and a
small amount of lateral freedom for
accommodation of the Bennett movement
on the horizontal plane.
Group function during lateral excursion
(working side)
Balancing side - No contacts
Protrusion – Immediate disocclusionwww.indiandentalacademy.com
26. DAWSON’S CONCEPT
Peter Dawson
Manipulation of the jaw in centric
relation (Bimanual technique)
Recording the border movements
(Modification of functionally
generated path technique)
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27. Anterior guidance:
Anterior teeth are more capable of
supporting stress than posteriors:
(a)Position of anteriors
(b)Higher density of bone
(c)Longer roots, better crown : root
ratio.
Theory of “Nutcracker”
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28. GERBER’S CONDYLAR
DISPLACEMENT THEORY
European concept
“ The normal or ideal occlusion was one in
which the teeth would be in maximum
intercuspation, with the condyles
centered in the articular surfaces in the
median and uppermost position. Any
deviation related to this mandibular
centralization constitutes a condylar
displacement.”
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30. RAMFJORD AND ASH CONCEPTS OF
OCCLUSION
Equilibrium between the different
components of masticatory system.
Freedom for condyle movement
The occlusal concept applied should
promote occlusal stability, does not
exceed the needs and finances of most
persons, is controlled by general clinician
and does not need a specialized
laboratory technician.
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33. Optimum orthopaedically stable
joint position
Centric relation, is the position
of the mandible when the
condyles are in an
orthopaedically stable position.
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34. Centric relation
1:The maxllomandibular relationship in
which the condyles articulate with the
thinnest avascular portion of their
respective disks with the complex in the
anterior–superior position against the
shapes of the articular eminences.This
position is independent of tooth contact.
This position is clinically discernible when
the mandible is directed superiorly and
anteriorly.
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35. It is restricted to a purely rotary
movement about the horizontal axis(GPT-
5).
2:The most retruded physiologic relation
of the mandible to the maxillae to and
from which the individual can make lateral
movements.It is a condition that can exist
at various degrees of jaw separation.It
occurs around the terminal hinge
axis(GPT-3).
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36. 3:The most retruded relation of he
mandible to the maxillae when the
condyles are in the most posterior
unstrained position in the glenoid fossae
from which lateral movement can be made
, at any given degree of jaw
separation(GPT-1).
4:The most posterior relation of the lower
to the upper jaw from which lateral
movement can be made at a given vertical
dimension(Boucher).
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37. 5:A maxilla to the mandible relationship in
which the condyles and the disks are
thought to be in the midmost,uppermost
position.The position has been difficult to
define anatomically but is determined
clinically by assessing when the jaw can
hinge on a fixed terminal axis (upto
25mm).It is clinically determined
relationship of the mandible to the maxilla
when the condyle–disk assemblies are
positioned in their most superior position in
the mandibular fossae and against the
distal slope of the articular eminence(ash).www.indiandentalacademy.com
38. 6:The relation of the mandible to the
maxillae when the condyles are in the
uppermost and the rearmost position in
the glenoid fossae.This position may not
be able to be recorded in the presence of
dysfunction of the masticatory system.
7: A clinically determined position of the
mandible placing both the condyles into
their anterior uppermost position.This can
be determined in patients without pain or
derangement in the TMJ (Ramfjord)
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40. Centric relation has been described in
three different ways: anatomically,
conceptually, and geometrically.
Anatomical:
It is the position of the mandible to the
maxilla, with the intra-articular disc in
place when the head of the condyle is
against the most superior part of the
distal facing incline of the glenoid
fossa.This can be paraphrased uppermost
and foremost. www.indiandentalacademy.com
41. Conceptual:
It is that position of the mandible relative
to the maxilla, with the articular disc in
place, when the muscles that support the
mandible are in their most relaxed and
least strained position.
Geometrical:
It is the position of the mandible relative
to the maxilla,with the intra- articular disc
in place, when the head of the condyle is
in terminal hinge axis.www.indiandentalacademy.com
43. Optimum functional tooth contacts
Closure in CR
Creates an unstable occlusion
Neuromuscular system
Feed back muscles
Mandibular position
More stable occlusionwww.indiandentalacademy.com
48. Criteria for optimum functional
occlusion
Even and simultaneous contact of
all possible teeth when the
mandibular condyles are in their
most superoanterior position,
resting against the posterior slopes
of the articular eminences, with the
discs properly interposed.
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52. Criteria for optimum functional
occlusion
First - Even and simultaneous
contact of all possible teeth +
centric relation
Second – each tooth should
contact in such a manner that the
forces of closure are directed
through the long axis of the teeth.www.indiandentalacademy.com
58. Postural considerations and
functional tooth contacts
Depends on head position
In the alert feeding position, as well as
in the normal upright position, the
posterior teeth should contact more
heavily than the anterior teeth
(mutually protected occlusion).
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59. Summary
1.When the mouth closes, the condyles are
in their most superoanterior
(Musculoskeletal stable) position, resting
on the posterior slopes of the articular
eminences with the discs properly
interposed. In this position there is even
and simultaneous contact of all posterior
teeth. The anterior teeth also contact but
more lightly than the posterior teeth.
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60. 2. All tooth contacts provide axial loading
of occlusal forces.
3. When the mandible moves into a
laterotrusive position, there are
adequate tooth-guided contacts on the
laterotrusive (working) side to
disocclude the mediotrusive
(nonworking) side immediately. The
most desirable guidance is provided by
the canines (canine guidance).
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61. 4. When the mandible moves into a
protrusive position, there are adequate
tooth-guided contacts on the anterior
teeth to disocclude all posterior teeth
immediately.
5. In the alert feeding position, posterior
tooth contacts are heavier than
anterior tooth contacts.
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62. REFERENCES
Occlusion series in BDJ, 2001;191:6-7
Okeson JP. Management of
Temporomandibular Disorders and
Occlusion, ed. 4th, 1998; Mosby
Ash MM and Ramfjord S. Occlusion, ed.
4th, 1966; WB Saunders Company,
Michigan
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63. Santos JD. Occlusion Principles and
Concepts, ed. 2nd, 1999; Ishiyaku
EuroAmerica, Inc. U.S.A.
Shillingburg HT. Fundamentals of
Fixed Prosthodontics, ed.3rd,
1997;Quintessence
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