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Dental clinical case presentation
This document presents two clinical case presentations. Case 1 involves a 65-year-old man with a chief complaint of difficulty eating due to missing posterior teeth. Examination found plaque-induced gingivitis, secondary caries, and loss of teeth. Treatment included scaling, root planing, restorations, and fixed bridges to replace missing teeth. Case 2 involves a 46-year-old man unhappy with his smile due to a visible metal screw. Examination found periodontitis, missing teeth, and a diastema. Treatment included veneers, crowns, a removable partial denture, and future bridges and implants to improve esthetics and function. Both cases provide diagnoses, treatment plans and options, and
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Teeth discoloration
This document discusses tooth discoloration including classification, etiology, and management. It describes intrinsic discoloration which occurs inside tooth structure from factors like dental fluorosis, tetracycline, and certain systemic diseases. Extrinsic discoloration is caused by external staining from foods, drinks, smoking. Treatment options depend on the cause and severity but may include bleaching, microabrasion, veneers, or crowns. Bleaching can be performed internally for non-vital teeth or externally with trays containing a bleaching agent. Factors like concentration, time, and protection of pulpal health affect bleaching outcomes.
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This document provides an overview of the process of taking a history and conducting a clinical examination for fixed prosthodontic treatment planning. It discusses collecting a patient's chief complaint, personal details, medical history, and dental history. The examination involves general, extraoral, and intraoral assessments including the teeth, periodontium, TMJs, and radiographs. The diagnosis and prognosis consider differential diagnoses, general factors like age and local factors. It introduces the Prosthodontic Diagnostic Index which classifies cases from Class I to IV based on the location of edentulous areas, abutment conditions, occlusion, and residual ridge.
Dental Clinical Comprehensive Case (CCC)
Nadine Hassan, a 46-year-old Lebanese housewife, presented with pain and a bad smell when chewing on her old bridge. She wanted to fix her teeth and have a beautiful smile. Her medical history included an allergy to penicillin. Her dental history showed multiple extractions due to decay and pain, root canals, and a bridge. Her oral exam found poor hygiene, decay, failed restorations, and mild to moderate periodontitis. Her treatment plan involved emergency extractions, nonsurgical treatments like cleanings and restorations, surgical treatments like extractions and a sinus lift, and restorative treatments like crowns, bridges, and implants.
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dental history taking
A case history provides essential clinical information to arrive at an accurate diagnosis and treatment plan. It involves gathering details from the chief complaint, medical history, dental history, and diagnostic tests. A thorough case history examination covers vital statistics, medical/dental histories, a review of symptoms, and physical and dental examinations. This information is analyzed to form provisional and differential diagnoses before confirming the final diagnosis and developing an appropriate treatment plan. A case history is a critical part of the clinical decision making process.
Comprehensive case , dental treatment.
1. This document presents a comprehensive dental case of a 21-year-old female patient seeking treatment for plaque, caries, and repair of bad teeth prior to braces installation.
2. The clinical findings include multiple carious and restored teeth, missing teeth, and a short root canal treated tooth requiring a crown.
3. The proposed treatment plan involves oral hygiene instruction, nonsurgical treatments like fillings and root canal retreatment, surgical extraction, and restorative treatments including crowns and bridges to address the patient's complaints and dental needs.
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Dental clinical case presentation
This document presents two clinical case presentations. Case 1 involves a 65-year-old man with a chief complaint of difficulty eating due to missing posterior teeth. Examination found plaque-induced gingivitis, secondary caries, and loss of teeth. Treatment included scaling, root planing, restorations, and fixed bridges to replace missing teeth. Case 2 involves a 46-year-old man unhappy with his smile due to a visible metal screw. Examination found periodontitis, missing teeth, and a diastema. Treatment included veneers, crowns, a removable partial denture, and future bridges and implants to improve esthetics and function. Both cases provide diagnoses, treatment plans and options, and
Radio pulp diseases
The document discusses various conditions that can affect the tooth pulp and surrounding structures. It describes the normal anatomy of the pulp and defines different types of pulpitis. It then outlines several pathological conditions such as pulp necrosis, pulp polyps, periapical abscess, granuloma, and cysts. For each condition, it provides details on clinical features and radiographic appearances seen on dental imaging.
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This document discusses tooth discoloration including classification, etiology, and management. It describes intrinsic discoloration which occurs inside tooth structure from factors like dental fluorosis, tetracycline, and certain systemic diseases. Extrinsic discoloration is caused by external staining from foods, drinks, smoking. Treatment options depend on the cause and severity but may include bleaching, microabrasion, veneers, or crowns. Bleaching can be performed internally for non-vital teeth or externally with trays containing a bleaching agent. Factors like concentration, time, and protection of pulpal health affect bleaching outcomes.
History taking and clinical examination in dentistry
This document provides an overview of the process of taking a history and conducting a clinical examination for fixed prosthodontic treatment planning. It discusses collecting a patient's chief complaint, personal details, medical history, and dental history. The examination involves general, extraoral, and intraoral assessments including the teeth, periodontium, TMJs, and radiographs. The diagnosis and prognosis consider differential diagnoses, general factors like age and local factors. It introduces the Prosthodontic Diagnostic Index which classifies cases from Class I to IV based on the location of edentulous areas, abutment conditions, occlusion, and residual ridge.
Dental Clinical Comprehensive Case (CCC)
Nadine Hassan, a 46-year-old Lebanese housewife, presented with pain and a bad smell when chewing on her old bridge. She wanted to fix her teeth and have a beautiful smile. Her medical history included an allergy to penicillin. Her dental history showed multiple extractions due to decay and pain, root canals, and a bridge. Her oral exam found poor hygiene, decay, failed restorations, and mild to moderate periodontitis. Her treatment plan involved emergency extractions, nonsurgical treatments like cleanings and restorations, surgical treatments like extractions and a sinus lift, and restorative treatments like crowns, bridges, and implants.
Stainless steel crowns in pediatric dentistry
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Presented by : Payal Bhoir
Guided by : Dr. Rehan Khan
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dental history taking
A case history provides essential clinical information to arrive at an accurate diagnosis and treatment plan. It involves gathering details from the chief complaint, medical history, dental history, and diagnostic tests. A thorough case history examination covers vital statistics, medical/dental histories, a review of symptoms, and physical and dental examinations. This information is analyzed to form provisional and differential diagnoses before confirming the final diagnosis and developing an appropriate treatment plan. A case history is a critical part of the clinical decision making process.
Comprehensive case , dental treatment.
1. This document presents a comprehensive dental case of a 21-year-old female patient seeking treatment for plaque, caries, and repair of bad teeth prior to braces installation.
2. The clinical findings include multiple carious and restored teeth, missing teeth, and a short root canal treated tooth requiring a crown.
3. The proposed treatment plan involves oral hygiene instruction, nonsurgical treatments like fillings and root canal retreatment, surgical extraction, and restorative treatments including crowns and bridges to address the patient's complaints and dental needs.
Principles of management and prevention of Odontogenic Infections
This document discusses principles of managing and preventing odontogenic infections. It covers the microbiology of these infections, how they progress in stages from inoculation to resolution, and their predictable spread patterns in the jaws. Key principles discussed include determining infection severity, evaluating a patient's immune status, criteria for general dentist vs surgeon treatment, performing surgical drainage and source control, supporting the patient medically, choosing appropriate antibiotics, and using narrow-spectrum bactericidal drugs when possible. Penicillin is highlighted as the drug of choice for most odontogenic infections.
Root fractures and its management
This document provides an overview of root fractures, including their definition, classification, causes, diagnosis and management. It discusses the different types of root fractures - horizontal/transverse and vertical. For horizontal fractures, it describes their sub-classification based on location and extent. Diagnosis involves dental and medical history, clinical examination including mobility and radiographs. Management depends on the location of the fracture and includes repositioning and splinting, disinfection and obturation, or surgical removal of the apical fragment. Prognosis depends on maintaining the fragments in proper alignment during healing.
Diagnosis and treatment planning for removable partial dentures- Kelly
The document discusses the process of diagnosis and treatment planning for removable partial dentures. It involves:
1. Taking a thorough patient history and medical/dental examination to understand the patient's needs and concerns.
2. Performing a clinical examination including diagnostic casts, radiographs, and assessment of teeth and ridges.
3. Developing a treatment plan that addresses the patient's desires and oral health needs in the most appropriate manner.
Crown and bridge impression slides
An impression is taken of prepared teeth using light body impression material to capture detail, followed by heavy body material placed in a tray and seated over the light body to provide stability. A cord may be used to displace soft tissue for better impression material flow. The impression captures the prepared tooth shape and margins and is sent to the lab to construct a temporary bridge until the permanent one is ready. Some practices now use digital impressions to replace traditional impression materials.
Obturation
This document provides information on root canal obturation including the purpose, materials, techniques, and potential causes of failure. It discusses criteria for obturation such as absence of symptoms. Common obturation materials include gutta-percha, resins, and silver points used with sealers like zinc oxide-eugenol, calcium hydroxide, and epoxy resin. Techniques covered are cold lateral condensation, warm lateral/vertical condensation, thermocompaction, and others. Potential causes of failure include inadequate apical, coronal, or lateral seals and over/under filling.
Non vital pulp therapy
This document provides an overview of non-vital pulp therapy (also known as pulpectomy or pulp canal treatment) in primary teeth. It defines the procedure, discusses indications and contraindications, and outlines the clinical diagnosis and treatment process. Key points include: the goal of non-vital pulp therapy is to eliminate infection and retain the tooth until exfoliation; an accurate preoperative assessment of pulp status is important for determining the appropriate treatment; and clinical diagnosis involves examining for signs of pain, swelling, mobility, and sensitivity to percussion or thermal tests. The document also reviews the history of moving from extraction of infected primary teeth to more conservative pulp therapies.
Pedia exodontia
This document discusses extraction techniques for primary and permanent teeth in children. It notes key differences in primary versus permanent teeth that impact extraction, such as root shape and size. Techniques are described for different types of teeth, including use of smaller forceps designed for primary teeth and expanding the socket more due to widely-splayed primary molar roots. Management of buried teeth and potential post-operative complications are also outlined. The importance of pre-operative preparation and instructions for the child and parent are emphasized.
Composite preparation
The document discusses the clinical technique for composite restoration. It covers initial procedures like local anesthesia and shade selection. It then discusses tooth preparation, including cavity designs like conventional, beveled conventional, modified box shape, and facial/lingual slot. Matrix placement and isolation of the operating site are also covered. Pulp protection and restorative techniques are briefly mentioned.
038. endo perio lesions
The document discusses periodontal-endodontic lesions, which occur when inflammation spreads between the pulp and periodontium. It identifies three categories of pathways for communication: developmental, pathologic, and iatrogenic. Microorganisms like Porphyromonas gingivalis and Treponema denticola have been found in endo-perio lesions. Diagnosis involves tests like radiographs, probing, and pulp vitality tests. Treatment aims to address both the pulpal and periodontal involvement through approaches like root canal therapy, scaling and root planing, and sometimes extraction.
Interceptive orthodontics
Interceptive orthodontics refers to procedures that eliminate or reduce malocclusion in the developing dentition. Local factors that can cause malocclusion include delayed eruption, retained primary teeth, infraocclusion, ectopic eruption, hypodontia, diastema, crowding, and thumb sucking. Treatment for these local factors may include extractions, space maintenance, serial extraction, or appliances to redirect eruption. The timing of interceptive treatment is important to address developing issues before malocclusion worsens.
Gingivectomy and Gingivoplasty
This document discusses gingivectomy and gingivoplasty periodontal procedures. Gingivectomy involves excising soft tissue from periodontal pockets to eliminate them, while gingivoplasty reshapes gingiva that has lost its normal contours without removing pockets. Surgical gingivectomy involves making incisions and removing pocket walls with knives and nippers. Laser and electrosurgery are alternative techniques. Gingivoplasty reshapes gingiva through thinning, tapering, and sculpting to create a scalloped margin. Both procedures aim to develop healthy tissue and contours, though gingivectomy is rarely used now due to inability to visualize bone and greater post-op discomfort compared to flap surgery.
Iatrogenic Perforation- A guide to fixing the hole in your patient's tooth
An overview of the possible types of perforation that may occur during endodontic treatment with their management. This slide presentation covers multiple management possibilities of said perforation proposed by various clinicians from around the world which can aid the readers in their treatment plan for the repair of a tooth perforation
Endodontic surgery
Endodontic surgery is performed to address issues like failed root canal treatments, procedural errors, anatomical variations, and biopsies. It involves raising a surgical flap, resecting the root tip, preparing and filling the root end cavity. Potential complications include swelling, pain, nerve damage and infection. A variety of materials can be used for the root end filling including zinc oxide eugenol cements, MTA, composites and glass ionomer cements. The goal is to provide an apical seal to prevent reinfection from microbes remaining in the root canal system.
diagnosis and treatment planning
The document provides information on the diagnosis and treatment planning process for endodontic cases. It details collecting a medical history, subjective symptoms, objective testing including visual examination, radiographs, percussion, and thermal tests to arrive at a pulpal and periapical diagnosis. Possible diagnoses include normal pulp, reversible/irreversible pulpitis, necrosis, and periapical diagnoses like acute/chronic apical periodontitis or abscess. Treatment is based on the diagnoses, restorability, and difficulty factors, with the decisions being whether root canal therapy is needed or a referral is required.
Introduction to endodontics2009(new)
Endodontics, also known as root canal treatment, treats the inside of teeth. It involves diagnosing, treating, and preventing diseases of the dental pulp and surrounding tissues. The key phases of root canal treatment are diagnosis to determine the treatment plan, cleaning and shaping the root canals, and obturation where the canals are filled with inert gutta percha and sealer to seal the canals. Root canal treatment aims to relieve pain and retain a tooth that may otherwise need extraction by removing the infected or inflamed pulp and disinfecting the root canal system.
Pulpotomy
This document provides an overview of pulpotomy procedures for primary teeth. It begins with definitions of pulpotomy and discusses the rationale, objectives, indications, contraindications and classification of different pulpotomy techniques. It then describes various medicaments that can be used, including formocresol, glutaraldehyde, calcium hydroxide, and ferric sulfate. The document outlines techniques for formocresol pulpotomy, electrosurgical pulpotomy, and laser pulpotomy. It also discusses recent concepts in pulpotomy including the use of bone morphogenetic protein and enamel matrix derivatives. The document concludes by examining reasons for failure of pulpotomy therapy.
CVEK,S PULPOTOMY
The document discusses Cvek's pulpotomy procedure, which involves removing the inflamed pulp tissue beneath an exposure in a young permanent tooth up to 1-3mm deep. This preserves the vitality of the remaining healthy pulp tissue and allows for normal root development. The procedure involves removing carious material, performing the pulpotomy, applying calcium hydroxide to arrest bleeding and provide a bacterial seal, and restoring the tooth permanently. The tooth is then reviewed after 1 month and every 6 months for up to 4 years to check pulp vitality and sensitivity.
Anticipatory guidance
This document discusses infant oral health and anticipatory guidance. It provides definitions of terms like risk assessment and anticipatory guidance. It outlines the goals and steps of early infant oral health care visits, including examination, counseling, risk assessment, and establishing anticipatory guidance. The document discusses counseling topics at different developmental stages from infancy to adolescence. It emphasizes the importance of early intervention, prevention of oral diseases, and establishing good oral hygiene habits from an early age through anticipatory guidance.
Dental home Pediatrics
Early childhood dental caries occurs in all racial and socioeconomic groups; however, it tends to be more prevalent in children in families belonging to the low-income group, where it is seen in epidemic proportions. Dental caries results from an overgrowth of specific organisms that are a part of normally occurring human flora. Human dental flora is site specific, and an infant is not colonized until the eruption of the primary dentition at approximately 6 to 30 months of age. The most likely source of inoculation of an infant's dental flora is the mother, or another intimate care provider, shared utensils, etc. Decreasing the level of cariogenic organisms in the mother's dental flora at the time of colonization can significantly impact the child's redisposition to caries. To prevent caries in children, high-risk individuals must be identified at an early age (preferably high-risk mothers during prenatal care), and aggressive strategies should be adopted, including anticipatory guidance, behavior modifications (oral hygiene and feeding practices), and establishment of a dental home by 1 year of age for children deemed at risk.
Diagnosis_and_tt_planning_in_FDP_15.ppt
This document discusses diagnosis and treatment planning for fixed prosthodontics. It outlines the objectives of prosthodontic treatment as eliminating disease, preserving health, and restoring lost teeth and oral function esthetically. Fixed prosthodontics replaces missing teeth with artificial substitutes that are not removable. Key components include pontics, retainers, connectors, and abutments. Diagnosis involves determining the nature of disease through chief complaints, history, examinations, tests, and diagnostic casts to develop a treatment plan and prognosis.
Treatment planning
This document discusses treatment planning in dentistry. It explains that treatment planning involves developing both short and long-term strategies to address a patient's dental needs holistically, while also gaining their cooperation. Treatment plans should be separated into phases including systemic care, acute issues, disease control, definitive treatment, and maintenance. When presenting plans, dentists should ensure patients understand all diagnosis, alternatives, risks, costs and provide opportunities for questions. Informed consent must be obtained that documents all discussed aspects of the proposed treatment plan.
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Principles of management and prevention of Odontogenic Infections
This document discusses principles of managing and preventing odontogenic infections. It covers the microbiology of these infections, how they progress in stages from inoculation to resolution, and their predictable spread patterns in the jaws. Key principles discussed include determining infection severity, evaluating a patient's immune status, criteria for general dentist vs surgeon treatment, performing surgical drainage and source control, supporting the patient medically, choosing appropriate antibiotics, and using narrow-spectrum bactericidal drugs when possible. Penicillin is highlighted as the drug of choice for most odontogenic infections.
Root fractures and its management
This document provides an overview of root fractures, including their definition, classification, causes, diagnosis and management. It discusses the different types of root fractures - horizontal/transverse and vertical. For horizontal fractures, it describes their sub-classification based on location and extent. Diagnosis involves dental and medical history, clinical examination including mobility and radiographs. Management depends on the location of the fracture and includes repositioning and splinting, disinfection and obturation, or surgical removal of the apical fragment. Prognosis depends on maintaining the fragments in proper alignment during healing.
Diagnosis and treatment planning for removable partial dentures- Kelly
The document discusses the process of diagnosis and treatment planning for removable partial dentures. It involves:
1. Taking a thorough patient history and medical/dental examination to understand the patient's needs and concerns.
2. Performing a clinical examination including diagnostic casts, radiographs, and assessment of teeth and ridges.
3. Developing a treatment plan that addresses the patient's desires and oral health needs in the most appropriate manner.
Crown and bridge impression slides
An impression is taken of prepared teeth using light body impression material to capture detail, followed by heavy body material placed in a tray and seated over the light body to provide stability. A cord may be used to displace soft tissue for better impression material flow. The impression captures the prepared tooth shape and margins and is sent to the lab to construct a temporary bridge until the permanent one is ready. Some practices now use digital impressions to replace traditional impression materials.
Obturation
This document provides information on root canal obturation including the purpose, materials, techniques, and potential causes of failure. It discusses criteria for obturation such as absence of symptoms. Common obturation materials include gutta-percha, resins, and silver points used with sealers like zinc oxide-eugenol, calcium hydroxide, and epoxy resin. Techniques covered are cold lateral condensation, warm lateral/vertical condensation, thermocompaction, and others. Potential causes of failure include inadequate apical, coronal, or lateral seals and over/under filling.
Non vital pulp therapy
This document provides an overview of non-vital pulp therapy (also known as pulpectomy or pulp canal treatment) in primary teeth. It defines the procedure, discusses indications and contraindications, and outlines the clinical diagnosis and treatment process. Key points include: the goal of non-vital pulp therapy is to eliminate infection and retain the tooth until exfoliation; an accurate preoperative assessment of pulp status is important for determining the appropriate treatment; and clinical diagnosis involves examining for signs of pain, swelling, mobility, and sensitivity to percussion or thermal tests. The document also reviews the history of moving from extraction of infected primary teeth to more conservative pulp therapies.
Pedia exodontia
This document discusses extraction techniques for primary and permanent teeth in children. It notes key differences in primary versus permanent teeth that impact extraction, such as root shape and size. Techniques are described for different types of teeth, including use of smaller forceps designed for primary teeth and expanding the socket more due to widely-splayed primary molar roots. Management of buried teeth and potential post-operative complications are also outlined. The importance of pre-operative preparation and instructions for the child and parent are emphasized.
Composite preparation
The document discusses the clinical technique for composite restoration. It covers initial procedures like local anesthesia and shade selection. It then discusses tooth preparation, including cavity designs like conventional, beveled conventional, modified box shape, and facial/lingual slot. Matrix placement and isolation of the operating site are also covered. Pulp protection and restorative techniques are briefly mentioned.
038. endo perio lesions
The document discusses periodontal-endodontic lesions, which occur when inflammation spreads between the pulp and periodontium. It identifies three categories of pathways for communication: developmental, pathologic, and iatrogenic. Microorganisms like Porphyromonas gingivalis and Treponema denticola have been found in endo-perio lesions. Diagnosis involves tests like radiographs, probing, and pulp vitality tests. Treatment aims to address both the pulpal and periodontal involvement through approaches like root canal therapy, scaling and root planing, and sometimes extraction.
Interceptive orthodontics
Interceptive orthodontics refers to procedures that eliminate or reduce malocclusion in the developing dentition. Local factors that can cause malocclusion include delayed eruption, retained primary teeth, infraocclusion, ectopic eruption, hypodontia, diastema, crowding, and thumb sucking. Treatment for these local factors may include extractions, space maintenance, serial extraction, or appliances to redirect eruption. The timing of interceptive treatment is important to address developing issues before malocclusion worsens.
Gingivectomy and Gingivoplasty
This document discusses gingivectomy and gingivoplasty periodontal procedures. Gingivectomy involves excising soft tissue from periodontal pockets to eliminate them, while gingivoplasty reshapes gingiva that has lost its normal contours without removing pockets. Surgical gingivectomy involves making incisions and removing pocket walls with knives and nippers. Laser and electrosurgery are alternative techniques. Gingivoplasty reshapes gingiva through thinning, tapering, and sculpting to create a scalloped margin. Both procedures aim to develop healthy tissue and contours, though gingivectomy is rarely used now due to inability to visualize bone and greater post-op discomfort compared to flap surgery.
Iatrogenic Perforation- A guide to fixing the hole in your patient's tooth
An overview of the possible types of perforation that may occur during endodontic treatment with their management. This slide presentation covers multiple management possibilities of said perforation proposed by various clinicians from around the world which can aid the readers in their treatment plan for the repair of a tooth perforation
Endodontic surgery
Endodontic surgery is performed to address issues like failed root canal treatments, procedural errors, anatomical variations, and biopsies. It involves raising a surgical flap, resecting the root tip, preparing and filling the root end cavity. Potential complications include swelling, pain, nerve damage and infection. A variety of materials can be used for the root end filling including zinc oxide eugenol cements, MTA, composites and glass ionomer cements. The goal is to provide an apical seal to prevent reinfection from microbes remaining in the root canal system.
diagnosis and treatment planning
The document provides information on the diagnosis and treatment planning process for endodontic cases. It details collecting a medical history, subjective symptoms, objective testing including visual examination, radiographs, percussion, and thermal tests to arrive at a pulpal and periapical diagnosis. Possible diagnoses include normal pulp, reversible/irreversible pulpitis, necrosis, and periapical diagnoses like acute/chronic apical periodontitis or abscess. Treatment is based on the diagnoses, restorability, and difficulty factors, with the decisions being whether root canal therapy is needed or a referral is required.
Introduction to endodontics2009(new)
Endodontics, also known as root canal treatment, treats the inside of teeth. It involves diagnosing, treating, and preventing diseases of the dental pulp and surrounding tissues. The key phases of root canal treatment are diagnosis to determine the treatment plan, cleaning and shaping the root canals, and obturation where the canals are filled with inert gutta percha and sealer to seal the canals. Root canal treatment aims to relieve pain and retain a tooth that may otherwise need extraction by removing the infected or inflamed pulp and disinfecting the root canal system.
Pulpotomy
This document provides an overview of pulpotomy procedures for primary teeth. It begins with definitions of pulpotomy and discusses the rationale, objectives, indications, contraindications and classification of different pulpotomy techniques. It then describes various medicaments that can be used, including formocresol, glutaraldehyde, calcium hydroxide, and ferric sulfate. The document outlines techniques for formocresol pulpotomy, electrosurgical pulpotomy, and laser pulpotomy. It also discusses recent concepts in pulpotomy including the use of bone morphogenetic protein and enamel matrix derivatives. The document concludes by examining reasons for failure of pulpotomy therapy.
CVEK,S PULPOTOMY
The document discusses Cvek's pulpotomy procedure, which involves removing the inflamed pulp tissue beneath an exposure in a young permanent tooth up to 1-3mm deep. This preserves the vitality of the remaining healthy pulp tissue and allows for normal root development. The procedure involves removing carious material, performing the pulpotomy, applying calcium hydroxide to arrest bleeding and provide a bacterial seal, and restoring the tooth permanently. The tooth is then reviewed after 1 month and every 6 months for up to 4 years to check pulp vitality and sensitivity.
Anticipatory guidance
This document discusses infant oral health and anticipatory guidance. It provides definitions of terms like risk assessment and anticipatory guidance. It outlines the goals and steps of early infant oral health care visits, including examination, counseling, risk assessment, and establishing anticipatory guidance. The document discusses counseling topics at different developmental stages from infancy to adolescence. It emphasizes the importance of early intervention, prevention of oral diseases, and establishing good oral hygiene habits from an early age through anticipatory guidance.
Dental home Pediatrics
Early childhood dental caries occurs in all racial and socioeconomic groups; however, it tends to be more prevalent in children in families belonging to the low-income group, where it is seen in epidemic proportions. Dental caries results from an overgrowth of specific organisms that are a part of normally occurring human flora. Human dental flora is site specific, and an infant is not colonized until the eruption of the primary dentition at approximately 6 to 30 months of age. The most likely source of inoculation of an infant's dental flora is the mother, or another intimate care provider, shared utensils, etc. Decreasing the level of cariogenic organisms in the mother's dental flora at the time of colonization can significantly impact the child's redisposition to caries. To prevent caries in children, high-risk individuals must be identified at an early age (preferably high-risk mothers during prenatal care), and aggressive strategies should be adopted, including anticipatory guidance, behavior modifications (oral hygiene and feeding practices), and establishment of a dental home by 1 year of age for children deemed at risk.
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This document discusses diagnosis and treatment planning for fixed prosthodontics. It outlines the objectives of prosthodontic treatment as eliminating disease, preserving health, and restoring lost teeth and oral function esthetically. Fixed prosthodontics replaces missing teeth with artificial substitutes that are not removable. Key components include pontics, retainers, connectors, and abutments. Diagnosis involves determining the nature of disease through chief complaints, history, examinations, tests, and diagnostic casts to develop a treatment plan and prognosis.
Treatment planning
This document discusses treatment planning in dentistry. It explains that treatment planning involves developing both short and long-term strategies to address a patient's dental needs holistically, while also gaining their cooperation. Treatment plans should be separated into phases including systemic care, acute issues, disease control, definitive treatment, and maintenance. When presenting plans, dentists should ensure patients understand all diagnosis, alternatives, risks, costs and provide opportunities for questions. Informed consent must be obtained that documents all discussed aspects of the proposed treatment plan.
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This case presentation describes a 34-year-old Asian female patient who presented for a recall dental visit concerned about her gum pockets. She has a history of hypertension, takes medication that causes dry mouth, and is concerned about developing diabetes. Clinical findings include generalized gingival enlargement, bleeding, probing depths of 2-4mm with some 5-6mm pockets, and heavy calculus. Her treatment plan involved scaling to remove calculus over two visits, applying antimicrobial treatment to deep pockets, and recommending improved home care and treatment for caries. Her prognosis is good if she follows home care instructions and seeks treatment for remaining caries.
Patient Assessment,patient evaluation, diagnosis and treatment planning
This document discusses patient assessment, examination, diagnosis, and treatment planning in dentistry. It covers taking a patient's medical and dental history, conducting clinical examinations including checking for caries, periodontal disease and evaluating existing restorations, developing a diagnosis and prognosis, and creating a treatment plan. A treatment plan may involve multiple phases from urgent treatment to definitive procedures to long-term re-evaluations. The goal is to identify issues, stabilize the patient's oral health, and create a comprehensive long-term plan to address their needs.
Treatment plan
The treatment plan is a blueprint that outlines the procedures needed to establish and maintain oral health. It includes decisions about emergency treatment, extractions, periodontal therapy, endodontic treatment, restorations, and the sequence of therapy. The plan has immediate goals like eliminating infections, intermediate goals like reconstructing a healthy dentition, and long-term goals like maintaining health through prevention. Therapy follows phases including emergency treatment, non-surgical treatment, surgical treatment, restorative treatment, and maintenance. The ultimate goal is bringing the mouth to a state of health and maintaining it long term.
Treatment plan
The treatment plan involves 5 phases: 1) stabilizing any medical conditions, 2) assessing caries risk and providing preventive measures, 3) behavior management, oral prophylaxis, caries control, orthodontic/oral surgery, and endodontic treatment as needed, 4) placing permanent fillings, stainless steel crowns, prosthetics, and early orthodontics, 5) establishing 3-6 month recall visits depending on caries risk and oral hygiene.
مدسن محاضرة 2
This document provides an overview of oral diagnosis and laboratory investigation processes. It discusses obtaining a thorough medical history from patients, conducting comprehensive oral examinations, establishing differential diagnoses, and ordering appropriate laboratory tests and diagnostic imaging to reach final diagnoses. Key steps in the diagnostic process include gathering patient histories, examining patients, developing differential diagnoses, acquiring additional test results, and formulating treatment plans. The document also covers specific examination techniques, types of biopsy and imaging procedures, interpreting laboratory results, and documenting findings in SOAP notes.
040.maintenance phase (Supportive Periodontal Therapy)
Maintenance therapy after active periodontal treatment involves regular recall visits and re-evaluations by the dental team to prevent recurrence of periodontal disease. The goals are to maintain healthy teeth and gums for life through controlling factors like plaque, treating new issues early, and reinforcing proper home care. Regular recall visits every 3 months initially, extending longer as periodontal health improves, allow monitoring and early treatment if disease recurs due to causes like incomplete plaque removal or failure to follow the recall schedule.
Gastrointestinal disorders
The document discusses gastrointestinal disorders, beginning with an overview of the anatomy and physiology of the gastrointestinal system. It then covers disorders of the mouth and esophagus, including stomatitis, gingivitis, periodontitis, periapical abscess, parotitis, oral cavity cancer, and achalasia. Nursing assessments and interventions are provided for various disorders. The document also discusses disorders of the stomach, small intestine, large intestine, and hepatobiliary system.
diagnosis and treatment planning in complete dennture
This document provides guidelines for conducting a thorough diagnosis and treatment planning for complete dentures. It outlines the importance of evaluating a patient's medical history, dental history, facial form, oral tissues, existing dentures if any, and classifying key features. A classification system is presented to characterize factors like ridge form, palate shape, muscle tone, border heights, and more. The goal is to understand the patient's needs and deliver a functional and satisfying set of complete dentures.
Logbook GNT 408 2021-2022.pdf
The document provides guidelines for students in the oral surgery clinics at a university. It outlines that students will be evaluated on their clinical skills, professionalism, cleanliness and adherence to infection control protocols. All patient information, diagnoses and treatment plans must be documented in the patient's file. The course aims to teach students knowledge and skills in oral and maxillofacial surgery, including history taking, examinations, diagnoses and basic surgical procedures. Assessment will cover students' knowledge, skills, professionalism and communication abilities.
Phase-I therapy
Phase I, or the nonsurgical phase, of periodontal therapy is directed at eliminating the etiological factors of periodontal disease. The goals are to minimize the bacterial challenge, eliminate local contributing factors, and stabilize attachment levels. The key procedures involve patient education and motivation for plaque control, scaling and root planing to remove calculus and bacteria, and managing factors like restorations and carious lesions. Patient education focuses on the causes of periodontal disease and instruction in proper techniques for daily plaque removal, like toothbrushing.
Enhanced recovery care pathways
This document summarizes an enhanced recovery care pathway for patients undergoing surgery. It discusses:
- The key components of enhanced recovery pathways for thoracic surgery, maternity care, and medicine based on experiences at various hospitals.
- How enhanced recovery aims to get patients recovering sooner by preparing them before surgery and providing standardized post-operative care and early mobilization.
- Evidence that enhanced recovery pathways improve patient experience and outcomes like reduced length of hospital stay while increasing day-of-surgery admissions without increasing readmissions.
- Future goals of expanding enhanced recovery principles to non-elective care and developing systems to better risk-stratify patients and optimize their fitness before surgery.
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Operative " case presentation "
- 2. SCOPE OF OPERATIVE DENTISTRY: 1. Diagnosis & clinical assessment of the patient. 2. Treatment plan. 3. Operative procedures (cavity preparation) (tooth preparation). 4. Restorative phase (construction of the restoration & application of cavity liners/bases). 5. Regular follow up & maintenance of existing restorations & the general health of the dentition. - Preventive treatment should be done & home care encouraged.
- 3. PATIENT EVALUATION: • A 45 years old female patient came to the clinic with pain on the upper left area. • Upon examination, we found caries on the proximal and occlusal surfaces of the upper left first molar (6). • She’s medically free. • She’s a bad oral hygiene. • She’s a high caries index.
- 5. TREATMENT PLAN: Stage 1: Cleaning and Oral Health Education. Stage 2: Stabilization and Referral Stage. Stage 3: Restorative Work. Stage 4: Post-Operative information & Recall. The best treatment plan for a dental patient is one that is directed to enhancing oral health, the prevention of disease and freedom from pain and discomfort. It should also fit the dental patient's needs and prove to be cost-effective. It should not be confused with an idealistic treatment plan which uses the most clinically advanced and expensive procedures.
- 6. CLASS II CAVITY PREPARATION “UNIFORM CURVE “: 1. Outline form. 2. Resistance and retention forms. 3. Convenience form. 4. Removal of the remaining carious dentin. 5. Finishing of the cavity walls and margins. 6. Toilet of the cavity.
- 8. INTRA-OPERATIVE IMAGE “TOOTH PREPARATION AND ISOLATION”:
- 9. CONSTRUCTION OF THE RESTORATION: Amalgam was the restorative material of choice due to: 1- Extensive cavity preparation. 2- Bad oral hygiene of the patient. 3- It has a high compressive strength which is highly recommended. 4- Superior adaptation to cavity walls. 5- Low cost.