This document discusses various systemic diseases and their influence on oral health. It covers hematological diseases like iron deficiency anemia, pernicious anemia, aplastic anemia, thalassemia, sickle cell anemia and their oral manifestations. It also discusses endocrine diseases like hyperparathyroidism, hypothyroidism, diabetes mellitus and their effects on oral health. Metabolic disorders like histiocytosis X and nutritional disorders are also summarized along with their clinical features and dental management considerations.
This document provides guidelines for managing patients with medical disorders during orthodontic treatment planning and procedures. It discusses important considerations for various conditions including cardiovascular disease, hematological disorders, respiratory disease, neurological disorders, allergies, and more. Key recommendations include thoroughly reviewing a patient's medical history, maintaining high oral hygiene standards, minimizing stress, consulting physicians as needed, and being aware of potential medication interactions and risks from invasive procedures.
Diabetes and cvs diseases and prosthodontic manifestationsAatif Khan
This document discusses the prosthodontic treatment considerations and modifications for patients with diabetes or cardiovascular diseases. It covers the classification, symptoms, oral manifestations, and investigations of various systemic conditions like diabetes mellitus and cardiovascular diseases. For prosthodontic management, it emphasizes the importance of controlling blood sugar levels, administering antibiotics for infections, and modifying prostheses to reduce trauma and maintain oral hygiene. Broad coverage, reduced tooth width, and smooth surfaces are recommended for complete dentures, while supragingival margins and hygienic pontics are advised for fixed prostheses.
burning mouth syndrome oral medicine
defined as burning, painful or itching sensation located in oral mucosa, the tongue is most affected part, followed by lips and palate.
BMS may be subclassifid into
“primary”
or idiopathic BMS for which a neuropathological cause is likely and cannot be attributed to any systemic or local cause
“secondary Oral and perioral burning sensation as a result of local or systemic factors or diseases is classifid as SBMS
Other names:
glossodynia, glossopyrosis, stomatodynia, stomatopyrosis, sore tongue and oral dysaesthesia
This document summarizes oral complications of diabetes. It defines diabetes and normal glucose levels. Common oral complications of diabetes include oral dysesthesia (burning mouth, altered wound healing, increased infections), xerostomia (decreased saliva), salivary gland issues, dry mouth, dental caries, gingivitis, and periodontitis. Poor glycemic control can exacerbate many of these issues. The dental management of diabetes involves treating underlying causes, controlling glucose levels, and addressing risk factors like other medical problems, diet, oral hygiene, and habits.
This document discusses various syndromes that can affect the periodontium. It begins by defining systemic conditions and syndromes. It then classifies syndromes affecting the periodontium into 10 categories based on their effects such as causing white lesions, red lesions, ulcers/erosions, pigmentation, lumps/swellings, bleeding, periodontal destruction, defects in the gingivolabial fold, and effects on the periodontal ligament. Several specific syndromes are discussed in detail for each category.
Prosthetic considerations in medically compromised patientsDr. KRITI TREHAN
This document discusses prosthetic considerations for medically compromised patients. It covers various medical conditions like arthritis, hypertension, diabetes, cardiovascular diseases, bleeding disorders, bone disorders, and psychiatric/neurological disorders. For each condition, it discusses the characteristics, impact on oral health, and prosthodontic management considerations. Special attention needs to be paid to medications, risk of infection and bleeding, wound healing ability, and stress levels of patients when providing prosthetic treatment for medically compromised individuals.
This document discusses various systemic diseases and their influence on oral health. It covers hematological diseases like iron deficiency anemia, pernicious anemia, aplastic anemia, thalassemia, sickle cell anemia and their oral manifestations. It also discusses endocrine diseases like hyperparathyroidism, hypothyroidism, diabetes mellitus and their effects on oral health. Metabolic disorders like histiocytosis X and nutritional disorders are also summarized along with their clinical features and dental management considerations.
This document provides guidelines for managing patients with medical disorders during orthodontic treatment planning and procedures. It discusses important considerations for various conditions including cardiovascular disease, hematological disorders, respiratory disease, neurological disorders, allergies, and more. Key recommendations include thoroughly reviewing a patient's medical history, maintaining high oral hygiene standards, minimizing stress, consulting physicians as needed, and being aware of potential medication interactions and risks from invasive procedures.
Diabetes and cvs diseases and prosthodontic manifestationsAatif Khan
This document discusses the prosthodontic treatment considerations and modifications for patients with diabetes or cardiovascular diseases. It covers the classification, symptoms, oral manifestations, and investigations of various systemic conditions like diabetes mellitus and cardiovascular diseases. For prosthodontic management, it emphasizes the importance of controlling blood sugar levels, administering antibiotics for infections, and modifying prostheses to reduce trauma and maintain oral hygiene. Broad coverage, reduced tooth width, and smooth surfaces are recommended for complete dentures, while supragingival margins and hygienic pontics are advised for fixed prostheses.
burning mouth syndrome oral medicine
defined as burning, painful or itching sensation located in oral mucosa, the tongue is most affected part, followed by lips and palate.
BMS may be subclassifid into
“primary”
or idiopathic BMS for which a neuropathological cause is likely and cannot be attributed to any systemic or local cause
“secondary Oral and perioral burning sensation as a result of local or systemic factors or diseases is classifid as SBMS
Other names:
glossodynia, glossopyrosis, stomatodynia, stomatopyrosis, sore tongue and oral dysaesthesia
This document summarizes oral complications of diabetes. It defines diabetes and normal glucose levels. Common oral complications of diabetes include oral dysesthesia (burning mouth, altered wound healing, increased infections), xerostomia (decreased saliva), salivary gland issues, dry mouth, dental caries, gingivitis, and periodontitis. Poor glycemic control can exacerbate many of these issues. The dental management of diabetes involves treating underlying causes, controlling glucose levels, and addressing risk factors like other medical problems, diet, oral hygiene, and habits.
This document discusses various syndromes that can affect the periodontium. It begins by defining systemic conditions and syndromes. It then classifies syndromes affecting the periodontium into 10 categories based on their effects such as causing white lesions, red lesions, ulcers/erosions, pigmentation, lumps/swellings, bleeding, periodontal destruction, defects in the gingivolabial fold, and effects on the periodontal ligament. Several specific syndromes are discussed in detail for each category.
Prosthetic considerations in medically compromised patientsDr. KRITI TREHAN
This document discusses prosthetic considerations for medically compromised patients. It covers various medical conditions like arthritis, hypertension, diabetes, cardiovascular diseases, bleeding disorders, bone disorders, and psychiatric/neurological disorders. For each condition, it discusses the characteristics, impact on oral health, and prosthodontic management considerations. Special attention needs to be paid to medications, risk of infection and bleeding, wound healing ability, and stress levels of patients when providing prosthetic treatment for medically compromised individuals.
This document provides information on dental management considerations for patients with various medical conditions, including rheumatic heart disease, bleeding disorders, viral hepatitis, HIV/AIDS, diabetes mellitus, asthma, and epilepsy. Key points discussed include potential oral manifestations of each condition, risks of certain dental procedures, and protocols for prophylactic antibiotics or factor replacement therapy when needed. Emphasis is placed on preventing exacerbation of medical issues, controlling bleeding risks, and maintaining optimal oral health.
MANAGEMENT OF MEDICALLY COMPROMISED PATIENTS IN ORTHODONTICSJasmine Arneja
precise knowledge of management of medically compromised patients in any dental practice is a must, to avoid any unforeseen complication. this presentation deals with the commonly encountered medical situations and their management.
This document provides guidelines for managing patients with medical disorders during orthodontic treatment planning and care. It discusses important considerations for various conditions including cardiovascular diseases like infective endocarditis and hypertension, hematological diseases like bleeding disorders and sickle cell anemia, respiratory diseases like asthma and cystic fibrosis, and other conditions. Key recommendations include thoroughly reviewing medical histories, maintaining good oral hygiene, minimizing risks and stresses, consulting physicians, and tailoring orthodontic forces and procedures to each patient's specific needs and health status.
The document discusses dental management considerations for patients with renal disease or who have undergone kidney transplantation. Key points include more frequent orofacial signs seen in renal osteodystrophy like bone demineralization and complications during extraction. Intraoral findings in patients on hemodialysis or with transplants include uremic breath, xerostomia, oral lesions, and uremic stomatitis. Invasive dental procedures for these patients require antibiotic premedication and hemostatic measures. Dentistry is best scheduled after hemodialysis and conservative treatments are preferred for transplant patients in the initial months post-transplant.
Precautions towards dental patients on medicationVini Mehta
This document discusses precautions that should be taken for dental patients taking medications. It covers several categories of medical conditions and medications that may impact dental treatment, including cardiovascular, respiratory, hematologic, endocrine, neurologic, kidney diseases and infections. For each condition, it outlines common medications used to treat it, potential oral side effects, and precautions dental providers should take when treating patients. The goal is to provide an overview of how medical conditions and medications may influence dental care so that treatments can be modified appropriately for patient safety.
Ortho medical compr /certified fixed orthodontic courses by Indian dental aca...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
Implication of systemic diseases in prosthodontics.pptx1Saumya Singh
This document discusses the implications of various systemic diseases in prosthodontics. It begins by introducing the topic and explaining the importance of oral health and prosthodontic treatment for patients with systemic illnesses. It then covers classifications of physical status and diseases. Specific conditions discussed in detail include cardiovascular diseases like angina and myocardial infarction, hypertension, bleeding disorders, bone diseases like osteoporosis and osteitis deformans, endocrine disorders like diabetes mellitus and thyroid disorders, and neurologic disorders. For each condition, considerations for dental treatment and prosthodontic management are provided.
This document discusses the clinical management of common medical disorders that orthodontists may encounter in patients, including infective endocarditis, hypertension, and diabetes mellitus. It provides guidelines for antibiotic prophylaxis for patients with infective endocarditis undergoing dental procedures to prevent bacterial endocarditis. It notes that patients with well-controlled hypertension can receive orthodontic treatment but special care is needed to avoid gingival irritation due to risk of gingival overgrowth from certain medications. Finally, it states that diabetes increases risk of periodontal disease so maintaining good oral hygiene is important during orthodontic treatment of diabetic patients.
periodontal management of medically compromised patientsVishal Mishra
This document summarizes periodontal management considerations for various medically compromised patients. It covers cardiovascular diseases, renal diseases, pulmonary diseases, immunosuppression/chemotherapy, radiotherapy, endocrine disorders, and hemorrhagic/blood disorders. For each condition, it discusses precautions, management of dental treatment, and management of medical emergencies that could arise during treatment. The goal is to minimize risk and stress for patients with underlying medical conditions.
This document discusses various direct sequelae that can be caused by wearing removable dentures, including mucosal reactions, oral galvanic currents, altered taste perception, burning mouth syndrome, gagging, residual ridge reduction, periodontal disease of abutment teeth, and caries of abutment teeth. It focuses on denture stomatitis, providing classifications, causes, diagnostic methods, and management approaches. Predisposing factors, treatment with antifungals, and preventive measures are described. Other conditions addressed include flabby ridge, denture irritation hyperplasia, fibroepithelial polyp, traumatic ulcers, and burning mouth syndrome. Causes, diagnostic steps, and management of these conditions are
Oral care for cancer patients power pointrenee pryor
This document provides information on oral care for cancer patients undergoing chemotherapy and/or radiation treatments. It recommends conducting a thorough dental exam and any necessary treatment at least one month prior to beginning chemotherapy to eliminate potential sources of infection. During chemotherapy, frequent cleanings may be needed due to reduced saliva and increased plaque. Invasive dental procedures should be scheduled when blood counts permit. Mouthwashes can help prevent infections. Radiation to the head and neck increases risk of oral complications, so extractions should occur before radiation begins to prevent later bone necrosis. Close coordination between dentists and oncologists is important for cancer patients' oral health.
This document discusses periodontal treatment considerations for medically compromised patients. It covers how medical conditions like hemorrhagic disorders, renal disease, liver disease, pulmonary disease, infectious diseases, pregnancy, and prosthetic joint replacements can impact periodontal therapy. For each condition, it provides details on oral manifestations, necessary consultations and lab tests, and modified treatment approaches to minimize health risks. Conservative, non-surgical periodontal treatments are often recommended where possible for medically complex patients.
This document discusses orthodontic considerations for patients with medical disorders. It emphasizes the importance of thoroughly understanding a patient's medical conditions and medications before providing treatment. A comprehensive medical history should be obtained and updated regularly. Conditions discussed in detail include cardiovascular disorders like infective endocarditis, hematological disorders like bleeding disorders and sickle cell anemia, respiratory disorders like asthma and cystic fibrosis, neurological disorders like epilepsy and multiple sclerosis, hepatic disorders like hepatitis, renal disorders, endocrine disorders like diabetes, musculoskeletal disorders, allergies, and side effects of medications. Specific orthodontic precautions are outlined for each condition.
PROSTHODONTIC CONSIDERATIONS OF SYSTEMIC DISEASESSwetha Sampath
This document discusses prosthodontic considerations for patients with systemic diseases. It begins with an introduction on the importance of medical history for prosthodontic treatment planning. It then covers considerations for diseases like diabetes, cardiovascular disorders, respiratory disorders, and others. For each condition, it discusses oral manifestations, relevant dental treatment modifications, and emergency management if needed.
endodontics in medically compromised patients /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
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses guidelines for antibiotic prophylaxis to prevent infective endocarditis from dental procedures. It notes that dental work can cause transient bacteremia in susceptible patients. For those with heart defects, this can lead to endocarditis. The guidelines recommend antibiotics before certain high-risk dental procedures for those with conditions like prosthetic heart valves or congenital heart disease. Amoxicillin is the first-line regimen, with alternatives for penicillin-allergic patients. The goal is to kill bacteria and prevent adherence to the heart to reduce endocarditis risk from dental work.
Radiotherapy can cause both short and long term effects in the oral cavity by damaging rapidly dividing cells. Short term effects include mucositis and pain, while long term effects include fibrosis, trismus, and xerostomia. Management involves preventative dental treatment before radiotherapy when possible, frequent follow up care and cleanings after treatment, and supportive measures to manage complications like dry mouth, infections, and tooth decay. Extraction of teeth in the radiation field requires careful planning to avoid osteoradionecrosis, and reconstructive procedures may be needed for severe late effects.
Dental management of children under chemotherapyRiwa Kobrosli
This document discusses dental management of pediatric patients receiving chemotherapy or radiotherapy. It outlines that cancer therapy can cause oral complications and a preventive regimen is necessary. It recommends completing all dental work before therapy starts. During therapy, it advises oral hygiene, managing infections and mucositis, and avoiding dental procedures. Following therapy, it suggests monitoring patients periodically for risks like caries and osteonecrosis. The goal is to educate patients and minimize oral issues through preventive care before, during, and after cancer treatment.
This document provides tips for creating successful content on TikTok. It discusses that raw, authentic content focused on providing value works best on TikTok rather than overly produced content. It recommends creating video series rather than focusing on trends. It also provides tips for using hashtags, posting regularly, engaging with your audience, and using hooks and titles to capture viewers' attention. The key takeaway is that TikTok rewards content that provides genuine value to viewers.
This document provides information on dental management considerations for patients with various medical conditions, including rheumatic heart disease, bleeding disorders, viral hepatitis, HIV/AIDS, diabetes mellitus, asthma, and epilepsy. Key points discussed include potential oral manifestations of each condition, risks of certain dental procedures, and protocols for prophylactic antibiotics or factor replacement therapy when needed. Emphasis is placed on preventing exacerbation of medical issues, controlling bleeding risks, and maintaining optimal oral health.
MANAGEMENT OF MEDICALLY COMPROMISED PATIENTS IN ORTHODONTICSJasmine Arneja
precise knowledge of management of medically compromised patients in any dental practice is a must, to avoid any unforeseen complication. this presentation deals with the commonly encountered medical situations and their management.
This document provides guidelines for managing patients with medical disorders during orthodontic treatment planning and care. It discusses important considerations for various conditions including cardiovascular diseases like infective endocarditis and hypertension, hematological diseases like bleeding disorders and sickle cell anemia, respiratory diseases like asthma and cystic fibrosis, and other conditions. Key recommendations include thoroughly reviewing medical histories, maintaining good oral hygiene, minimizing risks and stresses, consulting physicians, and tailoring orthodontic forces and procedures to each patient's specific needs and health status.
The document discusses dental management considerations for patients with renal disease or who have undergone kidney transplantation. Key points include more frequent orofacial signs seen in renal osteodystrophy like bone demineralization and complications during extraction. Intraoral findings in patients on hemodialysis or with transplants include uremic breath, xerostomia, oral lesions, and uremic stomatitis. Invasive dental procedures for these patients require antibiotic premedication and hemostatic measures. Dentistry is best scheduled after hemodialysis and conservative treatments are preferred for transplant patients in the initial months post-transplant.
Precautions towards dental patients on medicationVini Mehta
This document discusses precautions that should be taken for dental patients taking medications. It covers several categories of medical conditions and medications that may impact dental treatment, including cardiovascular, respiratory, hematologic, endocrine, neurologic, kidney diseases and infections. For each condition, it outlines common medications used to treat it, potential oral side effects, and precautions dental providers should take when treating patients. The goal is to provide an overview of how medical conditions and medications may influence dental care so that treatments can be modified appropriately for patient safety.
Ortho medical compr /certified fixed orthodontic courses by Indian dental aca...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
Implication of systemic diseases in prosthodontics.pptx1Saumya Singh
This document discusses the implications of various systemic diseases in prosthodontics. It begins by introducing the topic and explaining the importance of oral health and prosthodontic treatment for patients with systemic illnesses. It then covers classifications of physical status and diseases. Specific conditions discussed in detail include cardiovascular diseases like angina and myocardial infarction, hypertension, bleeding disorders, bone diseases like osteoporosis and osteitis deformans, endocrine disorders like diabetes mellitus and thyroid disorders, and neurologic disorders. For each condition, considerations for dental treatment and prosthodontic management are provided.
This document discusses the clinical management of common medical disorders that orthodontists may encounter in patients, including infective endocarditis, hypertension, and diabetes mellitus. It provides guidelines for antibiotic prophylaxis for patients with infective endocarditis undergoing dental procedures to prevent bacterial endocarditis. It notes that patients with well-controlled hypertension can receive orthodontic treatment but special care is needed to avoid gingival irritation due to risk of gingival overgrowth from certain medications. Finally, it states that diabetes increases risk of periodontal disease so maintaining good oral hygiene is important during orthodontic treatment of diabetic patients.
periodontal management of medically compromised patientsVishal Mishra
This document summarizes periodontal management considerations for various medically compromised patients. It covers cardiovascular diseases, renal diseases, pulmonary diseases, immunosuppression/chemotherapy, radiotherapy, endocrine disorders, and hemorrhagic/blood disorders. For each condition, it discusses precautions, management of dental treatment, and management of medical emergencies that could arise during treatment. The goal is to minimize risk and stress for patients with underlying medical conditions.
This document discusses various direct sequelae that can be caused by wearing removable dentures, including mucosal reactions, oral galvanic currents, altered taste perception, burning mouth syndrome, gagging, residual ridge reduction, periodontal disease of abutment teeth, and caries of abutment teeth. It focuses on denture stomatitis, providing classifications, causes, diagnostic methods, and management approaches. Predisposing factors, treatment with antifungals, and preventive measures are described. Other conditions addressed include flabby ridge, denture irritation hyperplasia, fibroepithelial polyp, traumatic ulcers, and burning mouth syndrome. Causes, diagnostic steps, and management of these conditions are
Oral care for cancer patients power pointrenee pryor
This document provides information on oral care for cancer patients undergoing chemotherapy and/or radiation treatments. It recommends conducting a thorough dental exam and any necessary treatment at least one month prior to beginning chemotherapy to eliminate potential sources of infection. During chemotherapy, frequent cleanings may be needed due to reduced saliva and increased plaque. Invasive dental procedures should be scheduled when blood counts permit. Mouthwashes can help prevent infections. Radiation to the head and neck increases risk of oral complications, so extractions should occur before radiation begins to prevent later bone necrosis. Close coordination between dentists and oncologists is important for cancer patients' oral health.
This document discusses periodontal treatment considerations for medically compromised patients. It covers how medical conditions like hemorrhagic disorders, renal disease, liver disease, pulmonary disease, infectious diseases, pregnancy, and prosthetic joint replacements can impact periodontal therapy. For each condition, it provides details on oral manifestations, necessary consultations and lab tests, and modified treatment approaches to minimize health risks. Conservative, non-surgical periodontal treatments are often recommended where possible for medically complex patients.
This document discusses orthodontic considerations for patients with medical disorders. It emphasizes the importance of thoroughly understanding a patient's medical conditions and medications before providing treatment. A comprehensive medical history should be obtained and updated regularly. Conditions discussed in detail include cardiovascular disorders like infective endocarditis, hematological disorders like bleeding disorders and sickle cell anemia, respiratory disorders like asthma and cystic fibrosis, neurological disorders like epilepsy and multiple sclerosis, hepatic disorders like hepatitis, renal disorders, endocrine disorders like diabetes, musculoskeletal disorders, allergies, and side effects of medications. Specific orthodontic precautions are outlined for each condition.
PROSTHODONTIC CONSIDERATIONS OF SYSTEMIC DISEASESSwetha Sampath
This document discusses prosthodontic considerations for patients with systemic diseases. It begins with an introduction on the importance of medical history for prosthodontic treatment planning. It then covers considerations for diseases like diabetes, cardiovascular disorders, respiratory disorders, and others. For each condition, it discusses oral manifestations, relevant dental treatment modifications, and emergency management if needed.
endodontics in medically compromised patients /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
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses guidelines for antibiotic prophylaxis to prevent infective endocarditis from dental procedures. It notes that dental work can cause transient bacteremia in susceptible patients. For those with heart defects, this can lead to endocarditis. The guidelines recommend antibiotics before certain high-risk dental procedures for those with conditions like prosthetic heart valves or congenital heart disease. Amoxicillin is the first-line regimen, with alternatives for penicillin-allergic patients. The goal is to kill bacteria and prevent adherence to the heart to reduce endocarditis risk from dental work.
Radiotherapy can cause both short and long term effects in the oral cavity by damaging rapidly dividing cells. Short term effects include mucositis and pain, while long term effects include fibrosis, trismus, and xerostomia. Management involves preventative dental treatment before radiotherapy when possible, frequent follow up care and cleanings after treatment, and supportive measures to manage complications like dry mouth, infections, and tooth decay. Extraction of teeth in the radiation field requires careful planning to avoid osteoradionecrosis, and reconstructive procedures may be needed for severe late effects.
Dental management of children under chemotherapyRiwa Kobrosli
This document discusses dental management of pediatric patients receiving chemotherapy or radiotherapy. It outlines that cancer therapy can cause oral complications and a preventive regimen is necessary. It recommends completing all dental work before therapy starts. During therapy, it advises oral hygiene, managing infections and mucositis, and avoiding dental procedures. Following therapy, it suggests monitoring patients periodically for risks like caries and osteonecrosis. The goal is to educate patients and minimize oral issues through preventive care before, during, and after cancer treatment.
This document provides tips for creating successful content on TikTok. It discusses that raw, authentic content focused on providing value works best on TikTok rather than overly produced content. It recommends creating video series rather than focusing on trends. It also provides tips for using hashtags, posting regularly, engaging with your audience, and using hooks and titles to capture viewers' attention. The key takeaway is that TikTok rewards content that provides genuine value to viewers.
This document provides guidelines for preparing an investment proposal (PIN) to present to the Management Investment Committee (MIC) for evaluation. The PIN should address: 1) the profitability of the investment based on internal rate of return estimates, 2) available competitive strategies and the recommended strategy, 3) what must be done well to succeed, and 4) risks and opportunities and their potential impacts. If approved, the assumptions in the PIN will become the objectives for the business. Actual performance will later be compared to targets in a post-audit review at exit. Overhead and depreciation estimates are provided to aid financial evaluations.
The document outlines the key elements that make up a good project funding proposal, including an introduction describing the project aim and qualifications, a need statement, measurable objectives and goals, an evaluation plan, a budget summary and detailed budget, and plans for follow-up funding. A good proposal provides all necessary information on these elements to convince the funding agency to support the project.
The document discusses principles of oral surgery including access, visibility, and flap design. It states that adequate access requires wide mouth opening and retraction of tissues away from the surgical field. Improved access can be gained by creating surgical flaps using incisions. Key principles of incisions and flap design are outlined such as using a sharp blade, firm strokes, avoiding vital structures, and designing flaps to ensure adequate blood supply and healing. Common flap types including triangular, trapezoidal, envelope, and semilunar flaps are described. Careful handling of tissues is also emphasized to minimize damage.
Lecture 3 Facial cosmetic surgery
Maxillofacial Surgery
Dental Students Fifth Year second semester
Al Azhar University Gaza Palestine
Dr. Lama El Banna
https://twitter.com/lama_k_banna
Lecture 1 Facial cosmetic surgery
Maxillofacial Surgery
Dental Students Fifth Year second semester
Al Azhar University Gaza Palestine
Dr. Lama El Banna
https://twitter.com/lama_k_banna
Facial neuropathology Maxillofacial SurgeryLama K Banna
Lecture 4 facial neuropathology
Maxillofacial Surgery
Dental Students Fifth Year second semester
Al Azhar University Gaza Palestine
Dr. Lama El Banna
https://twitter.com/lama_k_banna
Lecture 2 Facial cosmetic surgery
Maxillofacial Surgery
Dental Students Fifth Year second semester
Al Azhar University Gaza Palestine
Dr. Lama El Banna
https://twitter.com/lama_k_banna
Lecture 12 general considerations in treatment of tmdLama K Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name 12 general considerations in the treatment of TMJ
Al Azhar University Gaza Palestine
Dr. Lama El Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name TMJ temporomandibular joint
Lecture 10
Al Azhar University Gaza Palestine
Dr. Lama El Banna
https://twitter.com/lama_k_banna
Lecture 11 temporomandibular joint Part 3Lama K Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name TMJ temporomandibular joint Part 3
Lecture 11
Al Azhar University Gaza Palestine
Dr. Lama El Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name TMJ anatomy examination 2
Lecture 9
Al Azhar University Gaza Palestine
Dr. Lama El Banna
Lecture 7 correction of dentofacial deformities Part 2Lama K Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name Correction of dentofacial deformities Part 2
Lecture 7
Al Azhar University Gaza Palestine
Dr. Lama El Banna
Lecture 8 management of patients with orofacial cleftsLama K Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name management of patients with orofacial clefts
Lecture 8
Al Azhar University Gaza Palestine
Dr. Lama El Banna
Lecture 5 Diagnosis and management of salivary gland disorders Part 2Lama K Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name Salivary gland 2
Diagnosis and management of salivary gland disorders Part 2
Al Azhar University Gaza Palestine
Dr. Lama El Banna
Lecture 6 correction of dentofacial deformitiesLama K Banna
The document discusses epidemiological studies that estimate the prevalence of malocclusion and dentofacial deformities in the United States population. The National Health and Nutrition Examination Survey found that approximately 2% of the US population has severe mandibular deficiency or vertical maxillary excess, while other abnormalities such as mandibular excess or open bite affect about 0.3-0.1% of the population. Overall, about 2.7% of Americans may have dentofacial deformities severe enough to require surgical treatment along with orthodontics.
lecture 4 Diagnosis and management of salivary gland disordersLama K Banna
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name Salivary gland
Diagnosis and management of salivary gland disorders
Al Azhar University Gaza Palestine
Dr. Lama El Banna
This document discusses principles of managing panfacial fractures, including anatomic considerations of the craniofacial skeleton and buttresses. It describes two main theories for management: bottom up/inside out and top down/outside in. Reduction, fixation, immobilization and early return of function are discussed. Closed reduction uses manipulation without visualization, while open reduction allows visualization but requires surgery. Various fixation methods are outlined, including arch bars, wiring techniques, and maxillomandibular fixation.
Maxillofacial Surgery
Dental Students Fifth Year First semester
Lecture Name maxillofacial trauma part 2
Al Azhar University Gaza Palestine
Dr. Lama El Banna
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Dr. Tan's Balance Method.pdf (From Academy of Oriental Medicine at Austin)GeorgeKieling1
Home
Organization
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
Academy of Oriental Medicine at Austin
About AOMA: The Academy of Oriental Medicine at Austin offers a masters-level graduate program in acupuncture and Oriental medicine, preparing its students for careers as skilled, professional practitioners. AOMA is known for its internationally recognized faculty, award-winning student clinical internship program, and herbal medicine program. Since its founding in 1993, AOMA has grown rapidly in size and reputation, drawing students from around the nation and faculty from around the world. AOMA also conducts more than 20,000 patient visits annually in its student and professional clinics. AOMA collaborates with Western healthcare institutions including the Seton Family of Hospitals, and gives back to the community through partnerships with nonprofit organizations and by providing free and reduced price treatments to people who cannot afford them. The Academy of Oriental Medicine at Austin is located at 2700 West Anderson Lane. AOMA also serves patients and retail customers at its south Austin location, 4701 West Gate Blvd. For more information see www.aoma.edu or call 512-492-303434.
Gene therapy can be broadly defined as the transfer of genetic material to cure a disease or at least to improve the clinical status of a patient.
One of the basic concepts of gene therapy is to transform viruses into genetic shuttles, which will deliver the gene of interest into the target cells.
Safe methods have been devised to do this, using several viral and non-viral vectors.
In the future, this technique may allow doctors to treat a disorder by inserting a gene into a patient's cells instead of using drugs or surgery.
The biggest hurdle faced by medical research in gene therapy is the availability of effective gene-carrying vectors that meet all of the following criteria:
Protection of transgene or genetic cargo from degradative action of systemic and endonucleases,
Delivery of genetic material to the target site, i.e., either cell cytoplasm or nucleus,
Low potential of triggering unwanted immune responses or genotoxicity,
Economical and feasible availability for patients .
Viruses are naturally evolved vehicles that efficiently transfer their genes into host cells.
Choice of viral vector is dependent on gene transfer efficiency, capacity to carry foreign genes, toxicity, stability, immune responses towards viral antigens and potential viral recombination.
There are a wide variety of vectors used to deliver DNA or oligo nucleotides into mammalian cells, either in vitro or in vivo.
The most common vector system based on retroviruses, adenoviruses, herpes simplex viruses, adeno associated viruses.
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14...Donc Test
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
TEST BANK For Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 14th Edition (Hinkle, 2017) Verified Chapter's 1 - 73 Complete.pdf
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Spontaneous Bacterial Peritonitis - Pathogenesis , Clinical Features & Manage...Jim Jacob Roy
In this presentation , SBP ( spontaneous bacterial peritonitis ) , which is a common complication in patients with cirrhosis and ascites is described in detail.
The reference for this presentation is Sleisenger and Fordtran's Gastrointestinal and Liver Disease Textbook ( 11th edition ).
3. Specific Management of CSHCN
1. Endocrine disorders
Diabetes Mellitus (DM)
Definition:
DM is a complex multi-factorial, genetically
derived endocrine disease. It represents an
abnormality in glucose, protein and fat
metabolism due to insulin deficiency or
impaired insulin utilization.
3
4. Classification:
Type I:
Insulin Dependent DM (IDDM).
Manifested in children and adolescence.
Type II:
Non Insulin Dependent DM (NIDDM).
Manifested in adult obese female.
4
5. Other types of DM occurring secondary to
specific conditions as:
Gestational diabetes (during pregnancy).
Malnutrition related diabetes.
Impaired glucose tolerance.
5
6. General signs and symptoms:
Polyurea (Frequent urination).
Polydipsia (Increased thirst).
Polyphagia (Increased hunger).
Loss of weight.
Ketoacidosis.
Chronic skin infection.
Blurred vision.
Numbness in extremities.
Delayed wound healing.6
7. Oral manifestations:
1. Decreased salivary flow rate and in severe
cases xerostomia (due to impaired function
of salivary glands) with the result:
A. Dry mucosa that will be easily damaged
and more susceptible to opportunistic
infection as oral candidosis.
B. Plaque accumulation and increased
incidence of dental caries and periodontal
diseases.
7
8. 2. Burning tongue : may result from xerostomia
and diabetic neuropathy.
3. Increased glucose content in saliva,
consequently plaque microflora is altered
with increasing the risk of dental caries and
periodontal disease.
4. Impaired taste sensation.
8
9. Dental management of DM:
Dental management of well controlled and
uncontrolled diabetic patient:
Before dental visit the patient should be
instructed to:
1) Take his medication either insulin or oral
hypoglycemic drugs.
2) Eat his breakfast to prevent hypoglycemia.
Early morning appointments are preferred.
9
10. Don't keep the patient waiting.
Short and stress free dental visit with
atraumatic dental procedures.
Antibiotic prescription is very important
especially in patients with severe oral
infections or following dental surgeries as the
patient usually shows low body resistance,
recurrent infection, multiple abscesses and
delayed wound healing.
10
11. 2. Cardiac diseases:
Cardiac diseases are classified into two
main categories:
A. Congenital heart disease.
B. Acquired heart disease.
11
12. A. Congenital heart diseases:
Cyanotic or Acyanotic.
Oral manifestations:
Cyanotic gingiva.
Cyanotic tongue.
Delayed eruption of primary and permanent
dentition.
Increased risk of dental caries and periodontal
diseases.
Bluish white appearance of the teeth.
Sometimes enamel hypoplasia could be found
in those patients.
12
13. Dental management of patients with congenital
heart diseases:
1) Any dental procedure that may interfere with the
integrity of oral mucosa or exposed pulp tissue
may lead to bacteremia, so antibiotic
prophylaxis is highly recommended.
2) Preoperative oral antiseptic mouth rinse such as
0.2% chlorohexidine gluconate is also
recommended.
3) Conscious sedation or general anesthesia are
preferable for those patients to minimize fear
and stress which may lead to change in blood
pressure. (Consultation with the physician is a
must).13
14. B. Acquired heart disease:
I. Rheumatic fever.
II. Infective bacterial endocarditis.
14
15. I. Rheumatic fever:
It is a very serious inflammatory disease that
occurs as a delayed sequela to pharyngitis or
tonsillitis by group A Beta hemolytic
streptococci. The heart valves, joints, skin
and central nervous systems are the mostly
affected by that type of infection.
Cardiac involvement is the most significant
pathologic sequela of rheumatic fever, which
could be fatal in some cases or may lead to
chronic rheumatic heart disease as a result of
scarring and deformity of the heart valves.
15
16. II. Infective Bacterial Endocarditis:
It is a microbial infection of heart valves
or endocardium as a result of bacteremia. It
may be acute or subacute.
16
17. Dental management of patients with
acquired heart disease:
Prophylactic antibiotic regimen is
highly recommended for those patients.
According to the American Heart
Association:
1. Amoxicillin (Unasyn or Augmentin) → for
children 50 mg/kg given orally one hour
before dental treatment. e.g.: a child weight
20 kg x 50 mg =1000 mg (i.e. one gm).
17
18. 2. In patients who is unable to take oral
medication: Ampicillin 50 mg/kg IM
injection 30 minutes before treatment.
3. In patients allergic to penicillin: Clindamycin
e.g.: Dalacin-C. Or Erythromycin orally one
hour before treatment.
18
19. Dental procedures requiring prophylactic
antibiotic:
Any dental procedure could induce bleeding
as:
Extraction of a tooth.
Scaling and root planning.
Endodontic treatment and instrumentation
beyond the apex.
Placement of orthodontic band.
Intraligamentary local anesthesia.
Dental implants.
19
20. Dental procedures not requiring prophylactic
antibiotic:
Filling and restoration.
Local anesthesia injection.
Placement of rubber dam.
Oral impression.
Removal of sutures.
Shedding of primary teeth.
Placement of orthodontic brackets.
Taking radiographs.
20
21. General consideration for cardiac patients:
1) Prevention is always preferable than
treatment.
2) In primary teeth extraction is preferred than
pulp therapy.
3) In permanent teeth with poor prognosis
should be removed.
4) If major cardiac surgery is planned, dental
treatment should be completed 3 - 4 weeks
before surgery to allow for healing and return
of normal flora.
21
22. 3. Bleeding disorders:
• Hemophilia:
Patients with bleeding disorder present a
great challenge to the dentist due to the
presence of hemostatic problems.
Hemophilia A is the most obvious bleeding
disorder and results from deficiency in factor
VIII (known as antihemophilic factor).
Deficient factor VIII is an x-linked recessive
trait and transmitted from the mother
(carrier) to her sons.
22
23. Oral manifestations:
1) Spontaneous bleeding from oral mucosa,
gingiva, lips, palate and tongue.
2) Poor oral hygiene due to irregular tooth
brushing (fear of patient from excessive
bleeding from his gingiva).
3) High dental caries incidence as the patient
cannot eat hard or fibrous food and usually
eats soft carbohydrates.
23
24. Dental management for hemophilic patient:
1. Analgesics as aspirin and anti-inflammatory
drugs should not be used as it may alter
platelets function and increase the risk of
bleeding.
2. Local anesthesia: Nerve block is
contraindicated as it may lead to hematoma
in the lateral laryngeal wall that may block
the airway and may be fatal. Therefore,
infiltration anesthesia is recommended for
those patients and should contain
vasoconstrictor.24
25. 3. Periodontal therapy:
Gingivitis can predispose to spontaneous
gingival bleeding so instructions for
brushing cannot be over looked.
Supragingival calculus can be removed
atraumatically with ultrasonic scaler or
hand instrument.
Subgingival scaling and root planning could
be performed but with replacement therapy
with the factor deficiency.
25
26. 4. Restorative treatment:
Rubber dam should be used to isolate the
operating field and to protect the cheeks,
lips and tongue.
Precautions should be taken during
preparation of the teeth for crowns.
For taking an impression the periphery of
the tray should be lined with wax to prevent
injury of soft tissue.
26
27. 5. Pulp therapy:
Pulpotomy and pulpectomy are preferred
than extraction and indirect pulp procedure
is preferred than Pulpotomy.
If vital pulp is exposed an intrapulpal
injection should be given to control pain.
Bleeding from the pulp chamber doesn't
present a significant problem and could be
controlled by pressure with a cotton
pellets.
27
28. 6. Oral surgery:
For patient undergoing dental surgeries or
even extractions, consultation with the
hematologist for preoperative evaluation
and postoperative management.
Before oral surgery the patient should
receive blood transfusion.
Simple extraction of permanent or primary
teeth can be done by 40 % factor
replacement one hour before dental
procedure.
28
29. Direct topical application of hemostatic agents
such as bovine thrombin or surgicel may be
used after extraction.
The use of suture should be avoided unless it
enhances healing.
The patient should take liquid diet for 72 hours
and soft diet for 10 days this to prevent chewing
of any hard food to avoid disturbance of the soft
tissue or the formed blood clot.
Normal exfoliation of primary teeth does not
require factor replacement and bleeding could
be controlled by direct finger pressure and
gauze with topical application of local
hemostatic agent.29
30. 4. Neuromuscular disorders
A. Epilepsy
B. Cerebral palsy
A. Epilepsy:
Definition:
Epilepsy is an abnormal electrical activity
in the cerebral neurons that results in certain
changes in the normal balance between the
excitatory and inhibitory influences on the
activity of the nerve cell.
30
31. Etiology:
Idiopathic: Genetic or acquired.
Post traumatic - post infectious.
Post toxic (lead or arsenic poisoning).
Or secondary to brain injury.
31
32. Clinical manifestations:
Grand Mal Seizures:
Preceded by momentary aura (smell, taste
and vision).
Twitching of muscles.
Followed by generalized convulsion with
tonic and clonic phases of muscular spasm.
32
33. • Tonic phase: Lasts for 30 seconds and
characterized by:
Dilated pupil.
Head thrown back.
Abdomen and limbs contracted.
Contraction of the jaw's muscle.
Tongue may be severely bitten.
33
34. • Clonic phase: Spasm in which rigidity and
relaxation is alternate in rapid succession.
After this phase, the body returns back to
normal within 15 minutes to 8 hours.
34
35. Petit Mal Seizures:
Characterized by no aura.
The attack lasts for few seconds.
The patient lose his consciousness for few
seconds with or without spasm.
This patient represents a little difficulty for the
dentist to manage him.
35
36. Drug therapy of epileptic patient:
Dilantin (Phenytoin): is the widely used
drug to suppress the seizures.
Recent studies have shown that gingival
hyperplasia is the most common side effect
of dilantin and occurs in about 32- 84 % of
patients using the drug. The reason behind
this is still not clear.
36
37. Dental management of the epileptic patient:
Management of the gingival hyperplasia.
Management of epileptic patients in the
dental clinic.
37
38. Management of the gingival hyperplasia:
1) Preventive and oral hygiene measures,
instructions and gingival curettage.
2) Gingivectomy to return the gingiva to its
normal anatomy.
3) After surgery: follow up by the dentist to
prevent gingival hyperplasia again.
Chlorohexidine may be beneficial in
prevention of recurrence of the condition.
38
39. Dentist should avoid the precipitating
factors that may lead to convulsions as:
I. Operating light (should not be focused on
the patient's eyes).
II. Loud noise and high music.
III. Insufficient sleeping hours before dental
appointments.
39
40. Management of patient having seizure in the dental
office:
1. All appliances such as matrix bands, rubber dam
clamp ... etc should be removed quickly.
2. Put the patient in a supine position with his head
tilted to the side that saliva or any vomits can exit
and possibility of aspiration is reduced.
3. Dentist should try to maintain patent airway by
suctioning of any secretions to prevent aspiration.
4. Patient's extremities should be gently restrained to
uncontrolled movements.
5. Wooden tongue blades or rubber mouth props
should be tied to string for easy removal and to
prevent injury of the tongue.40
41. B. Cerebral palsy: (Muscular impairment with
mental retardation).
Definition:
Cerebral palsy in not a single disease entity
but rather a collection of disabling conditions
caused by permanent damage to the brain in
the prenatal and perinatal period.
41
42. Etiology:
Decreased oxygenation to the brain.
Traumatic injury during labor and its
complications.
Infection such as meningitis.
Congenital defects in the brain.
Accident or trauma to the brain.
Premature births.
42
43. General manifestations:
Mental retardation in 60 % of the cases.
Seizures disorders and hyperirritability.
Sometimes sensory disorders are present as
hearing or visual impairments.
Speech disorders as the patient cannot
articulate because of lack of control of
speech muscles.
Abnormal limb position and limited control
of the neck muscles.
43
44. Oral signs and symptoms:
1. Periodontal diseases due to:
A. Eating soft diet as the patient cannot chew
food as a result of poor muscular
coordination.
B. Neglecting of the oral hygiene and tooth
brushing due to lack of manual dexterity.
C. Patients taking anticonvulsants (dilantin)
show a degree of gingival hyperplasia.
44
45. 2. Dental caries due to:
A. Poor oral hygiene.
B. Impaired chewing and swallowing will lead
to poor eating habits as soft diet.
C. Patients show higher incidence of enamel
hypoplasia.
3. Malocclusion:
A. Protrusion of maxillary anterior teeth.
B. Excessive overbite and overjet.
C. Open bite.
D. Unilateral crossbite.45
46. • The most important causative factor of
malocclusion may be:
A. Disharmony between intraoral and perioral
muscles.
B. Uncoordinated and uncontrolled movement
of the jaws, lips and tongue.
4. Bruxism:
Severe attrition of primary and permanent
teeth.
Loss of the vertical dimension.
TMJ disorders.
46
47. 5. Trauma of maxillary anterior teeth due to:
Repeated fall accidents.
Protrusion of maxillary teeth.
6. Tongue thrust and mouth breathing.
47
48. Dental management:
1. It is preferable to treat the patient while he
is sitting in his wheel chair.
2. It is advisable not to treat the patient in a
supine position as the patient shows
difficulty in swallowing.
3. Impaired cough reflex of those patients
make the use of rubber dam is so important
to prevent aspiration of any foreign body.
48
49. 4. Use mouth prop to protect the tongue from
involuntary movement of the jaws.
5. Avoid abrupt movement of the instrument
intra-orally.
6. Stabilization of the head is important to
avoid.
7. General anesthesia is preferred for those
patients.
49