post insertion proplem in complete denture 2016Ali Al-karawey
This document discusses various post-insertion problems with dentures including sore spots, burning sensations, redness, pain in the jaw, gagging, fatigue of jaw muscles, swallowing issues, clicking sounds, denture dislodgement, speech problems, and dentures making sounds. For each problem, the potential causes are described and treatments are provided such as adjusting denture borders and occlusion, relieving pressure areas, remaking the denture, adjusting the vertical dimension, and correcting the tooth arrangement.
Post insertion complaints in complete denture patients
(Prosthodontics- Branch of Dental science)
The complaints presented by patients after complete denture (artificial tooth set) insertion.
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
This document discusses common complaints patients have with complete dentures and how to address them. It classifies complaints into categories like discomfort, looseness, inability to eat, and more. Discomfort can be caused by issues with the denture's impression surface like sharp ridges, lack of relief for tissues, or occlusal problems. Looseness may result from inadequate border extension, reduced retention forces, or ridge resorption. Other complaints include difficulties with speech, eating, or appearance. The document provides guidance on evaluating the cause of complaints and making adjustments or remakes to resolve issues. It stresses the importance of informing patients and addressing problems promptly.
This document discusses various topics related to pediatric oral surgery including:
1. Extraction techniques for both primary and permanent teeth in children. It describes the appropriate forceps and methods for extracting different types of teeth.
2. Management of impacted and supernumerary teeth including indications for removal and surgical techniques.
3. Treatment of common odontogenic infections in children such as apical abscesses.
4. Pre-operative preparation and obtaining consent when performing procedures on children.
This document discusses four main factors that can cause post-insertion problems with dentures: 1) adverse intra-oral anatomical factors such as sharp ridges on the denture surface or over-extended flanges, 2) clinical factors like poor denture stability from decreased retention or increased displacing forces, 3) technical factors related to the denture fabrication process, and 4) patient adaptation factors involving issues with wearing or adjusting to the new dentures. Specific examples are provided for each category along with potential treatments.
This document discusses dentoalveolar injuries, which are injuries limited to the teeth and supporting structures of the alveolus. It defines various types of dentoalveolar injuries including concussions, subluxations, luxations, and avulsions. For each type of injury, it describes the diagnosis, classification, and treatment recommendations. Treatment depends on factors like the stage of root development, presence of fractures, and degree of tooth displacement. In general, immediate repositioning and splinting is recommended for displaced teeth, while avulsed teeth should be cleaned and stored in milk before replantation with splinting and antibiotics.
This document summarizes a case where a 54-year-old male presented with a failing long-span fixed partial denture after a history of a mandible fracture from a motor vehicle accident. A cone beam scan and treatment planning software was used to place three implants to support a new fixed-hybrid prosthesis without the need for extensive bone grafts or soft tissue augmentation, achieving an excellent functional and cosmetic result for the patient.
crossbite management in restorative dentistryms khatib
This document discusses the management of anterior and posterior crossbites. It emphasizes the importance of a thorough analysis prior to any treatment, including evaluating the tooth-to-tooth relationships in centric relation and the impact of changing vertical dimension. For anterior crossbites, conservative approaches like occlusal equilibration, orthodontics, and restorations are preferred but orthognathic surgery may be needed for skeletal discrepancies. Posterior crossbites should also be thoroughly analyzed before correction, ensuring the teeth can disclude properly and are harmonious with surrounding structures. The goal of any treatment is to establish a stable, functional and comfortable occlusion.
post insertion proplem in complete denture 2016Ali Al-karawey
This document discusses various post-insertion problems with dentures including sore spots, burning sensations, redness, pain in the jaw, gagging, fatigue of jaw muscles, swallowing issues, clicking sounds, denture dislodgement, speech problems, and dentures making sounds. For each problem, the potential causes are described and treatments are provided such as adjusting denture borders and occlusion, relieving pressure areas, remaking the denture, adjusting the vertical dimension, and correcting the tooth arrangement.
Post insertion complaints in complete denture patients
(Prosthodontics- Branch of Dental science)
The complaints presented by patients after complete denture (artificial tooth set) insertion.
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
This document discusses common complaints patients have with complete dentures and how to address them. It classifies complaints into categories like discomfort, looseness, inability to eat, and more. Discomfort can be caused by issues with the denture's impression surface like sharp ridges, lack of relief for tissues, or occlusal problems. Looseness may result from inadequate border extension, reduced retention forces, or ridge resorption. Other complaints include difficulties with speech, eating, or appearance. The document provides guidance on evaluating the cause of complaints and making adjustments or remakes to resolve issues. It stresses the importance of informing patients and addressing problems promptly.
This document discusses various topics related to pediatric oral surgery including:
1. Extraction techniques for both primary and permanent teeth in children. It describes the appropriate forceps and methods for extracting different types of teeth.
2. Management of impacted and supernumerary teeth including indications for removal and surgical techniques.
3. Treatment of common odontogenic infections in children such as apical abscesses.
4. Pre-operative preparation and obtaining consent when performing procedures on children.
This document discusses four main factors that can cause post-insertion problems with dentures: 1) adverse intra-oral anatomical factors such as sharp ridges on the denture surface or over-extended flanges, 2) clinical factors like poor denture stability from decreased retention or increased displacing forces, 3) technical factors related to the denture fabrication process, and 4) patient adaptation factors involving issues with wearing or adjusting to the new dentures. Specific examples are provided for each category along with potential treatments.
This document discusses dentoalveolar injuries, which are injuries limited to the teeth and supporting structures of the alveolus. It defines various types of dentoalveolar injuries including concussions, subluxations, luxations, and avulsions. For each type of injury, it describes the diagnosis, classification, and treatment recommendations. Treatment depends on factors like the stage of root development, presence of fractures, and degree of tooth displacement. In general, immediate repositioning and splinting is recommended for displaced teeth, while avulsed teeth should be cleaned and stored in milk before replantation with splinting and antibiotics.
This document summarizes a case where a 54-year-old male presented with a failing long-span fixed partial denture after a history of a mandible fracture from a motor vehicle accident. A cone beam scan and treatment planning software was used to place three implants to support a new fixed-hybrid prosthesis without the need for extensive bone grafts or soft tissue augmentation, achieving an excellent functional and cosmetic result for the patient.
crossbite management in restorative dentistryms khatib
This document discusses the management of anterior and posterior crossbites. It emphasizes the importance of a thorough analysis prior to any treatment, including evaluating the tooth-to-tooth relationships in centric relation and the impact of changing vertical dimension. For anterior crossbites, conservative approaches like occlusal equilibration, orthodontics, and restorations are preferred but orthognathic surgery may be needed for skeletal discrepancies. Posterior crossbites should also be thoroughly analyzed before correction, ensuring the teeth can disclude properly and are harmonious with surrounding structures. The goal of any treatment is to establish a stable, functional and comfortable occlusion.
Post insertion instructions /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.for more details please visit
www.indiandentalacademy.com
Post insertion complaints in cd patients/ orthodontic continuing educationIndian dental academy
This document discusses common post-insertion complaints reported by patients with complete dentures and their treatments. Some common complaints include pain, poor fit, occlusal issues. Causes of pain include over-extended denture borders, poor fit, insufficient relief over bony areas, uneven bite, excessively high or low bite. Treatments involve adjusting denture borders, adding soft liners, correcting bite issues by grinding or remaking dentures. Addressing the specific cause of the complaint is important to resolve the patient's issues.
Post insertion complaints /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.for more details please visit
www.indiandentalacademy.com
Implant treatment planning: Model base planning for implant fixed treatmentStomatotech Inc.
The document discusses the process of creating a diagnostic wax up for dental implant planning. It explains that the wax up helps determine the optimal placement of implants by dividing the edentulous space and establishing the center of future teeth. Based on the amount of bone loss, the wax up can indicate whether straight, angled, or grafted implants are needed to properly restore esthetics. The division of space and diagnostic wax up guide implant placement and restoration.
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.
1 special considerations for oral surgey in pediatric patientsStephanie Chesire
- Special considerations are needed for oral surgery in pediatric patients due to differences in growth, development, and conditions compared to adults. Common conditions include infections, impacted teeth, supernumerary teeth, and oral pathologies. Infections vary by age and can be non-odontogenic or odontogenic in origin. Impacted teeth like canines may require extraction and orthodontic treatment. Supernumerary teeth like mesiodens are most common and their treatment depends on factors like eruption. Benign oral pathologies seen in pediatrics include Epstein's pearls, dental lamina cysts, and eruption cysts which typically resolve on their own with time and tooth eruption.
My special thanks to Dr. Stephen Francis of Martinez, CA for his help with this Case of the Month. The clinician faces many challenges when treating cases where there are two adjacent implants, in the esthetic zone. This patient also has a very high smile line and demanding esthetic requirements. Implant placement was was via computer guided techniques to facilitate the most accurate surgical placement. Dr. Francis was meticulous with his prosthetic techniques and obtained an outstanding result with this patient.
Denta scans in endodontics /certified fixed orthodontic courses by Indian de...Indian dental academy
This document discusses the use of dentascan imaging in endodontics. It provides an overview of the limitations of conventional 2D imaging techniques for assessing root canal morphology and the extent of periapical infections. Dentascans provide 3D imaging which allows evaluation of anatomy in all three dimensions through various reformatted views. A case report demonstrates how dentascans identified extra canals and the full extent of periapical infection and bone loss not visible on 2D imaging. While effective, dentascans have limitations including cost and radiation dose. The document concludes dentascans can improve endodontic treatment outcomes by providing a more accurate assessment of root canal anatomy and periapical pathology.
This document discusses various methods for diagnosing dental caries, including visual-tactile examination, radiography, and other tools. Visual-tactile examination involves inspecting teeth for signs of decay such as white spots, discoloration, or cavitations using magnification devices if needed. Radiography provides valuable information about proximal caries not visible during clinical exams, though lesions must reach a certain stage of demineralization before appearing radiographically. Other assessment methods mentioned include caries-detecting dyes, fiberoptic transillumination, and digital imaging techniques like subtraction radiography and computerized image analysis.
10- Post Insertion Problems and Complaints -.pptxAmalKaddah1
1. Incorrect occlusion and tooth positioning are common causes of pain for patients with new dentures. Errors include teeth set too high or low, contacts on the ridge inclines, and heavy anterior interferences.
2. Identification of occlusal errors can be done using methods like the chew test and articulating paper to locate tipping or heavy contacts. Areas of pressure can be marked with pressure indicating paste for adjustment.
3. Common occlusal errors include incorrect vertical dimension, teeth positioned off the ridge, and discrepancies in centric occlusion or disclusion during excursions that cause uneven pressure or cuspal interference. Careful impression, jaw registration, and processing techniques are needed to avoid introducing oc
Caries diagnosis involves assessing factors like patient history, clinical examination, radiographs, and risk factors to determine if a lesion is active, progressing slowly, or arrested. Diagnosis tools include visual/tactile examination, fiber optic transillumination, and electronic caries monitors. High risk factors include poor oral hygiene, low fluoride exposure, and xerostomia while low risk factors include good oral hygiene, fluoridated water, and fluoride supplements.
This document discusses various types of tooth cracks and fractures, including craze lines, fractured cusps, cracked tooth syndrome, and split teeth. It begins with an introduction to how common cracks and fractures are for dentists to encounter. It then provides background on the history and classification of different crack types. The majority of the document discusses each specific crack type in detail, covering definitions, etiology, clinical features, diagnosis, and treatment options. It aims to provide an overview and review of longitudinal tooth cracks and fractures.
This document discusses extraction in orthodontic treatment. It provides a history of extraction, noting that while Angle originally favored non-extraction, Tweed found better results with extracting premolars. Factors in deciding whether to extract include dental crowding, facial aesthetics, and skeletal patterns. Different extraction procedures and which teeth to extract are outlined based on the malocclusion. Indications for extracting premolars, molars, or incisors are explained. Both advantages and disadvantages of extraction are weighed. The debate on extraction versus non-extraction continues, suggesting more objective data is still needed.
Radiographs play an important role in the diagnosis and treatment of periodontal diseases. They provide important information regarding the anatomical structures and periodontal bone loss.
A 14-year-old female presented with the extraoral inverted eruption of her left mandibular permanent molars 18 and 19 through the inferior border of her mandible. The teeth started erupting 1 year after an extraoral surgical intervention for a discharging sinus 6 years prior. The subsequent extraoral eruption of the permanent molars may have resulted from the previous surgical procedure or abnormal positioning of the teeth. Extraction of the extraorally erupted teeth was performed, leaving clean sockets. Histopathological examination of the surrounding soft tissue found hyperkeratosis and fibrosis.
Atypical ext /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
DIAGNOSTIC AIDS IN ENDODONTICS ppt.pptxharshil4576
This document discusses various diagnostic aids used in endodontics to accurately diagnose dental issues. It emphasizes that correct diagnosis begins with obtaining a thorough case history including medical and dental histories from the patient. A clinical examination involving extraoral and intraoral soft and hard tissue examination helps identify symptoms. Additional diagnostic tests discussed include percussion, palpation, mobility testing, bite tests, staining, radiographs, pulp vitality tests and newer options like cone-beam computed tomography which provide 3D imaging. Taking all available subjective and objective findings into account helps formulate an accurate differential diagnosis and definitive treatment plan for the patient's problem.
Endodontic Management of Unusual Case of Type II Dens Invaginatus – A Case Re...QUESTJOURNAL
This document describes a case report of endodontic treatment of an unusual type II dens invaginatus in a maxillary lateral incisor. CBCT imaging revealed an invagination extending into the root but confined as a blind sac. During root canal treatment, an operating microscope and ultrasonic instrumentation were used to remove the invaginated tissue and completely debride the complex anatomy. The canals were shaped, filled with gutta-percha and sealer, and the tooth was temporarily restored. The successful treatment required detailed diagnosis using CBCT along with specialized instrumentation and microscopy to navigate the unusual anatomy.
The document summarizes the anatomy, development, and relationships between the maxillary sinus and dental structures. It discusses how dental procedures can affect the sinus, such as occasionally perforating the sinus membrane during tooth extraction. It also covers maxillary sinus infections of dental origin, implants in the maxilla, cysts and tumors that can involve the sinus, and radiographs used to image the sinus and related structures.
This document describes the radiographic diagnosis of dental caries. It discusses how caries is caused by acid-producing bacteria and can be diagnosed clinically and through radiographs. Bitewing and periapical films are used to identify caries at different angles. Caries appears at different stages from incipient to severe on radiographs. Factors like tooth thickness and x-ray angle affect detectability. Recurrent, root, and radiation-induced caries are also addressed.
Post insertion instructions /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.for more details please visit
www.indiandentalacademy.com
Post insertion complaints in cd patients/ orthodontic continuing educationIndian dental academy
This document discusses common post-insertion complaints reported by patients with complete dentures and their treatments. Some common complaints include pain, poor fit, occlusal issues. Causes of pain include over-extended denture borders, poor fit, insufficient relief over bony areas, uneven bite, excessively high or low bite. Treatments involve adjusting denture borders, adding soft liners, correcting bite issues by grinding or remaking dentures. Addressing the specific cause of the complaint is important to resolve the patient's issues.
Post insertion complaints /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.for more details please visit
www.indiandentalacademy.com
Implant treatment planning: Model base planning for implant fixed treatmentStomatotech Inc.
The document discusses the process of creating a diagnostic wax up for dental implant planning. It explains that the wax up helps determine the optimal placement of implants by dividing the edentulous space and establishing the center of future teeth. Based on the amount of bone loss, the wax up can indicate whether straight, angled, or grafted implants are needed to properly restore esthetics. The division of space and diagnostic wax up guide implant placement and restoration.
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.
1 special considerations for oral surgey in pediatric patientsStephanie Chesire
- Special considerations are needed for oral surgery in pediatric patients due to differences in growth, development, and conditions compared to adults. Common conditions include infections, impacted teeth, supernumerary teeth, and oral pathologies. Infections vary by age and can be non-odontogenic or odontogenic in origin. Impacted teeth like canines may require extraction and orthodontic treatment. Supernumerary teeth like mesiodens are most common and their treatment depends on factors like eruption. Benign oral pathologies seen in pediatrics include Epstein's pearls, dental lamina cysts, and eruption cysts which typically resolve on their own with time and tooth eruption.
My special thanks to Dr. Stephen Francis of Martinez, CA for his help with this Case of the Month. The clinician faces many challenges when treating cases where there are two adjacent implants, in the esthetic zone. This patient also has a very high smile line and demanding esthetic requirements. Implant placement was was via computer guided techniques to facilitate the most accurate surgical placement. Dr. Francis was meticulous with his prosthetic techniques and obtained an outstanding result with this patient.
Denta scans in endodontics /certified fixed orthodontic courses by Indian de...Indian dental academy
This document discusses the use of dentascan imaging in endodontics. It provides an overview of the limitations of conventional 2D imaging techniques for assessing root canal morphology and the extent of periapical infections. Dentascans provide 3D imaging which allows evaluation of anatomy in all three dimensions through various reformatted views. A case report demonstrates how dentascans identified extra canals and the full extent of periapical infection and bone loss not visible on 2D imaging. While effective, dentascans have limitations including cost and radiation dose. The document concludes dentascans can improve endodontic treatment outcomes by providing a more accurate assessment of root canal anatomy and periapical pathology.
This document discusses various methods for diagnosing dental caries, including visual-tactile examination, radiography, and other tools. Visual-tactile examination involves inspecting teeth for signs of decay such as white spots, discoloration, or cavitations using magnification devices if needed. Radiography provides valuable information about proximal caries not visible during clinical exams, though lesions must reach a certain stage of demineralization before appearing radiographically. Other assessment methods mentioned include caries-detecting dyes, fiberoptic transillumination, and digital imaging techniques like subtraction radiography and computerized image analysis.
10- Post Insertion Problems and Complaints -.pptxAmalKaddah1
1. Incorrect occlusion and tooth positioning are common causes of pain for patients with new dentures. Errors include teeth set too high or low, contacts on the ridge inclines, and heavy anterior interferences.
2. Identification of occlusal errors can be done using methods like the chew test and articulating paper to locate tipping or heavy contacts. Areas of pressure can be marked with pressure indicating paste for adjustment.
3. Common occlusal errors include incorrect vertical dimension, teeth positioned off the ridge, and discrepancies in centric occlusion or disclusion during excursions that cause uneven pressure or cuspal interference. Careful impression, jaw registration, and processing techniques are needed to avoid introducing oc
Caries diagnosis involves assessing factors like patient history, clinical examination, radiographs, and risk factors to determine if a lesion is active, progressing slowly, or arrested. Diagnosis tools include visual/tactile examination, fiber optic transillumination, and electronic caries monitors. High risk factors include poor oral hygiene, low fluoride exposure, and xerostomia while low risk factors include good oral hygiene, fluoridated water, and fluoride supplements.
This document discusses various types of tooth cracks and fractures, including craze lines, fractured cusps, cracked tooth syndrome, and split teeth. It begins with an introduction to how common cracks and fractures are for dentists to encounter. It then provides background on the history and classification of different crack types. The majority of the document discusses each specific crack type in detail, covering definitions, etiology, clinical features, diagnosis, and treatment options. It aims to provide an overview and review of longitudinal tooth cracks and fractures.
This document discusses extraction in orthodontic treatment. It provides a history of extraction, noting that while Angle originally favored non-extraction, Tweed found better results with extracting premolars. Factors in deciding whether to extract include dental crowding, facial aesthetics, and skeletal patterns. Different extraction procedures and which teeth to extract are outlined based on the malocclusion. Indications for extracting premolars, molars, or incisors are explained. Both advantages and disadvantages of extraction are weighed. The debate on extraction versus non-extraction continues, suggesting more objective data is still needed.
Radiographs play an important role in the diagnosis and treatment of periodontal diseases. They provide important information regarding the anatomical structures and periodontal bone loss.
A 14-year-old female presented with the extraoral inverted eruption of her left mandibular permanent molars 18 and 19 through the inferior border of her mandible. The teeth started erupting 1 year after an extraoral surgical intervention for a discharging sinus 6 years prior. The subsequent extraoral eruption of the permanent molars may have resulted from the previous surgical procedure or abnormal positioning of the teeth. Extraction of the extraorally erupted teeth was performed, leaving clean sockets. Histopathological examination of the surrounding soft tissue found hyperkeratosis and fibrosis.
Atypical ext /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
DIAGNOSTIC AIDS IN ENDODONTICS ppt.pptxharshil4576
This document discusses various diagnostic aids used in endodontics to accurately diagnose dental issues. It emphasizes that correct diagnosis begins with obtaining a thorough case history including medical and dental histories from the patient. A clinical examination involving extraoral and intraoral soft and hard tissue examination helps identify symptoms. Additional diagnostic tests discussed include percussion, palpation, mobility testing, bite tests, staining, radiographs, pulp vitality tests and newer options like cone-beam computed tomography which provide 3D imaging. Taking all available subjective and objective findings into account helps formulate an accurate differential diagnosis and definitive treatment plan for the patient's problem.
Endodontic Management of Unusual Case of Type II Dens Invaginatus – A Case Re...QUESTJOURNAL
This document describes a case report of endodontic treatment of an unusual type II dens invaginatus in a maxillary lateral incisor. CBCT imaging revealed an invagination extending into the root but confined as a blind sac. During root canal treatment, an operating microscope and ultrasonic instrumentation were used to remove the invaginated tissue and completely debride the complex anatomy. The canals were shaped, filled with gutta-percha and sealer, and the tooth was temporarily restored. The successful treatment required detailed diagnosis using CBCT along with specialized instrumentation and microscopy to navigate the unusual anatomy.
The document summarizes the anatomy, development, and relationships between the maxillary sinus and dental structures. It discusses how dental procedures can affect the sinus, such as occasionally perforating the sinus membrane during tooth extraction. It also covers maxillary sinus infections of dental origin, implants in the maxilla, cysts and tumors that can involve the sinus, and radiographs used to image the sinus and related structures.
This document describes the radiographic diagnosis of dental caries. It discusses how caries is caused by acid-producing bacteria and can be diagnosed clinically and through radiographs. Bitewing and periapical films are used to identify caries at different angles. Caries appears at different stages from incipient to severe on radiographs. Factors like tooth thickness and x-ray angle affect detectability. Recurrent, root, and radiation-induced caries are also addressed.
orthodontic correction of canted occlusal plane part 2Maher Fouda
This document describes the diagnosis and treatment of occlusal plane canting, which is a vertical asymmetry between the left and right sides of the dental arches. It discusses how occlusal canting can be caused by skeletal asymmetry or asymmetric tooth positions. Diagnosis involves evaluating photographs, models, and radiographs to measure the degree of cant. Treatment options discussed include using skeletal anchorage like mini-implants to intrude teeth on one side and correct the cant. Close monitoring is needed to prevent unwanted tooth movements and open bites during treatment.
This document discusses different types of crowding in the mixed dentition, including simple crowding caused by tooth size-arch length discrepancies and complex crowding caused by additional skeletal or functional factors. It describes methods for measuring arch length and predicting sizes of unerupted teeth to diagnose crowding. Treatment options are provided for different severities of crowding, including space maintenance appliances and orthodontic intervention.
This document discusses the use of dental implants for growing patients. It outlines concerns about implant placement interfering with jaw growth and tooth eruption. Case reports show implants becoming submerged or misaligned due to residual growth. The youngest child reported with implants was 1.5 years old. Recommendations include not placing implants before age 6, and waiting until growth is nearly complete, usually around 17 years old. Exceptions may be made for patients with complete anodontia. Regular prosthesis adjustments are needed to account for jaw growth.
vertical root fracture and it's management .....ms khatib
Impossible is just a word used by people who are unwilling to change things. Impossible is an opinion, not a fact, and is a challenge rather than a declaration. Impossible is only temporary and represents potential and opportunity. Impossible means nothing.
"IOS 18 CONTROL CENTRE REVAMP STREAMLINED IPHONE SHUTDOWN MADE EASIER"Emmanuel Onwumere
In iOS 18, Apple has introduced a significant revamp to the Control Centre, making it more intuitive and user-friendly. One of the standout features is a quicker and more accessible way to shut down your iPhone. This enhancement aims to streamline the user experience, allowing for faster access to essential functions. Discover how iOS 18's redesigned Control Centre can simplify your daily interactions with your iPhone, bringing convenience right at your fingertips.
Building a Raspberry Pi Robot with Dot NET 8, Blazor and SignalRPeter Gallagher
In this session delivered at NDC Oslo 2024, I talk about how you can control a 3D printed Robot Arm with a Raspberry Pi, .NET 8, Blazor and SignalR.
I also show how you can use a Unity app on an Meta Quest 3 to control the arm VR too.
You can find the GitHub repo and workshop instructions here;
https://bit.ly/dotnetrobotgithub
2. Shortcomings of conventional bitewings
• Overlapped contacts
• Poor contrast
• Movement artifact
• Diagnosis of Incipient enamel carious lesions
Challenge with conventional bitewings
3. PaX – i Insight Bitewing Projection
Overlapped Contact Between #18 and #19Non-Overlapped # 18Non-Overlapped # 19
Overlapped contact between # 18 and #19
Advantage:
Layered Images of Insight Can
Unmask Overlapping
4. PaX – i Insight Bitewing Projection:
Healthy Asymptomatic Individual
Incipient Enamel Lesion
Advantage:
Improved Diagnosis of Interproximal caries
5. PaX – i Insight Bite wing Projection
Wear facets on occlusal surface from
bruxing/clenching
Advantage:
Sharp Image with Improved
Contrast Shows Minor Tooth
Changes
6. PaX – i Insight Bite wing Projection
Traditional Panoramic Positioning
Minimal to no-interproximal overlapping
Flat Plane Panoramic Positioning
Interproximal overlapping
Advantage:
Reduced Interproximal
Overlapping
8. Insight1
Patient has high caries index evidenced by multiple fillings and crowns
Overlapped contact between teeth # 6 and #7. Similar issue of overlapped
contacts is common on Periapical and Bite Wing radiographs
Q. Caries on mesial of tooth # 6 Or, distal of tooth # 7?
Panoramic slice # 19 clearly shows non-overlapped Mesial surface of #6
Panoramic slice # 14 clearly shows non-overlapped Distal surface of #7
Thus, providing non-overlapped superior images possibly assisting
in superior interproximal caries identification and diagnosis
9. Insight1
Radiolucency distal to tooth # 30
Q. Is this radiolucency a cyst? Is this radiolucency communicating with distal root?
In addition, lets evaluate Mesial root
Slice # 23 shows lamina dura, suggesting that radiolucency
is not a cyst and not originating from tooth
Slice # 26 shows possible perforation/stripping of mesial root
and short fill on mesial root
10. Insight1
Evaluation of existing restorations on right maxillary posterior teeth
Slice # 26 shows marginal discrepancy on distal surface of
tooth # 3
11. Insight1
Right Sinus Floor vs. Left sinus floor
Left Floor is clear with no sign of pathology
Right Floor exhibits soft tissue density, labelled by red oval
Q. Is Right floor intact? Or, if pathology is destroying right maxillary sinus floor
Slice # 22 clearly shows normal root architecture and intact floor of
maxillary sinus.
Thus, requiring no further imaging or treatment of right maxillary sinus
12. Insight1
Endodontically treated tooth # 20
Q. Interpretation of apical end of tooth # 20
Slice # 23 clearly shows missing lamina dura in apical third
Suggestive of persistent/ resolving apical periodontitis
15. Q. Tooth # 3 – PARL?
Slice # 18 shows widening of periodontal ligament space
around Non – Superimposed MB root
16. Anterior teeth are difficult to image on traditional panoramics
Q. Extent of root resorption on mandibular anterior teeth
Slice # 25 clearly shows extent of root resorption on anterior teeth
17. Q. Any significant finding associated with mandibular molars?
Slice # 22 shows radiolucency in Mesial cervical portion of tooth # 30
Normal Surface
Possible Caries/
Root Resorption