This document provides an overview of orthognathic surgery. It discusses the goals of orthognathic surgery which include obtaining normal function and facial harmony. It outlines the process of patient evaluation including history, examinations, investigations and treatment planning. Key parts of clinical evaluation such as frontal, vertical, transverse and profile assessments are described. The benefits of cephalometric analysis and dental model analysis are also summarized. Finally, it reviews various surgical techniques for treating mandibular and maxillary deficiencies and excesses, including osteotomies and distraction osteogenesis.
orthognathic surgery is very intresting and well knowing branch in oral surgery ....this presentation is dealing with jaw correction surgery in upper jaw.
COGS analysis (Cephelometrics for orthognathic surgery) / fixed orthodontics ...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
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Arthrocentesis of the temporomandibular jointAhmed Adawy
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine, Al-Azhar University. Arthrocentesis of the temporomandibular joint refers to lavage of the upper joint space, hydraulic pressure and manipulation to release adhesions of the “anchored disc phenomenon” and improve motion. The technique of arthrocentesis is discussed together with the indications and contraindications of the procedure. Further, the presentation includes modifications of the standard technique.
orthognathic surgery is very intresting and well knowing branch in oral surgery ....this presentation is dealing with jaw correction surgery in upper jaw.
COGS analysis (Cephelometrics for orthognathic surgery) / fixed orthodontics ...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
Arthrocentesis of the temporomandibular jointAhmed Adawy
Dr. Ahmed M. Adawy, Professor Emeritus, Dep. Oral & Maxillofacial Surgery. Former Dean, Faculty of Dental Medicine, Al-Azhar University. Arthrocentesis of the temporomandibular joint refers to lavage of the upper joint space, hydraulic pressure and manipulation to release adhesions of the “anchored disc phenomenon” and improve motion. The technique of arthrocentesis is discussed together with the indications and contraindications of the procedure. Further, the presentation includes modifications of the standard technique.
HI THIS IS A NICE SEMINAR DESCRIBING ABOUT THE ORTHOGNATHIC SURGERY MAINLY RELATED TO ORTHODONTICS VIEWPOINT AND CEPH TRACING ITS INDICATION AND DIFFERENT TYPES OF SURGERIES. JUST HAVE A LOOK TO IT
Management of Deepbite /certified fixed orthodontic courses by Indian dental ...Indian dental academy
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.
Appliances in presurgical orthognathic surgery /certified fixed orthodontic ...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
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ceph & model Mock surgery /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,
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FDI Poznan Congress, summary classe about Esthetics, Cosmetics in Dentistry, based on Visagism, archetypes, symbols, Carl Jung, Philip Hallawell,Hippocrates temperaments,Christian Coachman, Rodrigo Venticinque, Courses informations in Implant and Esthetics Dental.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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All you need to know about the gummy smile its causes and examination are included in the powerpoint, how to diagnose gummy smile, its treatment options and cases are presented in the powerpoint.
transverse dentoskeletal features of anterior open bite in the mixed dentitio...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
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A lecture for 5th stage dental students.
any questions or notes please contact me on theses links :
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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
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.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
2. Orthognathic surgery
is the art and science of diagnosis, and
treatment of facial disproportion.
These disproportion may be congenital or
aquired
3. Basic Therapeutic Goals for
Orthognathic Surgery
• Function: obtain normal mastication, speech, ocular
function and respiratory function.
• Aesthetic: facial harmony and balance.
• Other possible benefit :
• TMJ dysfunction
• Sleep apnoea
• Traumatic occlusion and dental health
5. Chief Complaints
• Understanding what patient concern, motivation,
expectation. That provide insight to psychological health of
the patient
• Patient who maintain unrealistic expectations are best not
treated
History
The purpose of history is to identify the patient’s orofacial
problems and their causes.
• Congenital deformity
• Trauma
9. Facial proportion
The full face is divided into
three equal parts
Upper part from hair line to
the glabella (or eyebrow)
Middle part from glabella to
the base of the nose
The lower part from the base
of the nose to the chin which
is subdivided into two parts,
the upper lip forms one-third
of it and the lower lip and the
chin two-thirds of it
10. Incisal lengths (incisal edge positions
Is the most important
determinant in smile
creation because it serves
as a reference point to
decide the proper tooth
proportion and gingival
levels.
Degree of tooth display:
a. 2 mm of incisor edge
show at rest
b. about 2 mm of gingival
show When smiling
11. vertical evaluation
• Symmetry :
1. Bizygomatic: between zygion
points the most lateral point of the
zygomatic arch.
2 . Bigonial : width of lower third
High to width proportion are 1,3 : 1 for
female and 1,35 : 1 for males
Bigonial width should be 30% less
than bizygomatic width
15. Upper third evaluation
• Shape and symmetry: the temporal areas, frontal areas,
eyebrows, and supraorbital rims
• abnormality in this area often associated with craniofacial
syndromes, these areas usually with normal limits in
individuals with dentofacial deformaties.
16. Middle third evaluation
. Eyes and orbits: intercathal and
inertpupillary distance.
• The vertical symmetry of inner
and outer canthi of both eyes,(a
true horizontal line will bisect the
inner and outer canthi).
• The eyelids examination
( ptosis, entropion , ectropion)
17. Nose:
the symmetry of the nose,
Glabella, dorsum, tip, alar
base.
Proportion of alar base width
to the nasal length ( N-Prn)
(0.60).
18. Lower third evaluation
.Balance: the upper lip 1/3 of lower
lip.
.Lips:
symmetry of the lips at rest and
at smiling asymmetry exists
in
1. Intrinsic lip deformity
(patients with cleft) .
2. Facial nerve dysfunction.
3. An underlying dental-
skeletal asymmetry.
20. Profil view
Nasolabial angle
should be 90 -+ 10 degree
It guid the upper lip
support by the maxillary incisors
Influenced by decrease in
vertical maxillary dimention
Increased in C II
Decreased in CIII
21. Submental and neck examination
In esthetic examination can be
divided to
1. Mandibular angle
definition.
2. Neck-chin angle(110).
3. Neck-chin length. The
distance from pogonion to
the neck- chin angle (42 ±
6mm)
• Identify The posterior and
inferior border of mandible.
• The parotid hypertrophy.
• Skin laxity, lipomatosis.
22. Upper lip length
Measured from
subnasale to lower lip
22 -+2 mm for male and
20 -+2 for female
It increase with age
23. Ricketts line
• Line drawen from nasal tip
to soft tissue pogonion
• Upper lip are 4mm and
lower lip 2 mm behind it
• Allow assessment of
anteroposterior
relationships of the lips
24.
25. Labiomental angle
• 120 -+ 10 degree
• more Acute in class II
occlusion
• More obtuse in class III
occlusion
26.
27. Lower Lip-Chin -Throat Angle
• between line drown from
lower lip to Pog and submental
line Normally 110o±8.
• Acute angle in CIII.
• Increase in CII.
• Distance from neck throat
angle to Menton 42±6mm.
29. Benefit of cephalograph in orthognathic surgery
Cephalometric analysis helpful
in establishing the relation
of:
• The maxilla and mandible to
the base of skull.
• The maxilla to mandible.
• The maxillary teeth to
maxilla.
• The mandibular teeth to
mandible.
• The upper incisors to lower
incisors.
31. • S sella. G glabella
• N nasion .
• ANS.
• PNS.
• Point A.
• Point B.
• Me menton.
• Pg pogonion.
• Go gonion.
• Ar articulare.
• Co condylion.
• Or orbitale.
• Po porion.
40. model surgery technique:
• Impressions
• Occlusal record
• Face bow registration.
• Face bow transfer to the articulator
and mounting of maxillary cast.
• Mounting of mandibular cast
41. • Maxillary model surgery.
• Intermediate occlusal wafer.
• Mandible model surgery.
• Final occlusal wafer
fabrication
68. definition
Distraction osteogenesis is the creation of neoformed
bone and soft tissue by gradual and controlled
displacement of a bone fragment using ridged
stretching device delivers tensile force to the
developing callus at the site of the bone cut
Treating craniofacial deformities ( HFMS, Crouzon, post
trauma ,post resection, cleft palate…ect)
76. Alveolar distraction
indication
i.Sever atrophied edentulous ridge
ii.Segmental deficiencies for implant placement or functionally &
esthetically for crown bridge placement
iii.Narrow alveolar ridge (horz. Distraction)
iv.Gradual vertical movement of ankylosed tooth or
osteointegrated implant with surrounding bone
Advantages
I.No bone graft needed with hard & soft tissue obtained
II.Less possiblities of bone exposure & graft resorption
III.More esthetic
IV.Allows the use of complementary regeneration techniques
when outcome not satisfactory