This document discusses pulp capping, which involves placing a biocompatible material over exposed dental pulp to avoid pulp tissue exposure and promote healing. It describes indirect pulp capping, which leaves decayed dentin behind to avoid pulp exposure, and direct pulp capping, which dresses small pulp exposures with calcium hydroxide or resin bonding agents. Successful pulp capping requires maintaining pulp vitality without pain or pathology and promoting dentin bridge formation. Calcium hydroxide is commonly used but can degrade over time, while resin bonding agents may provide a better seal but with less evidence of success.
Smear layer is a controversial topic in the field of operative dentistry and endodontics. This presentation includes composition, concepts, structure, advantages, disadvantages, and removal methods of smear layer.
Smear layer is a controversial topic in the field of operative dentistry and endodontics. This presentation includes composition, concepts, structure, advantages, disadvantages, and removal methods of smear layer.
This short presentation discuss very important subject in endodontic field, which is the complications that most commonly occur during root canal treatment, like sodium hypochlorite accident and air emphysema and others. management of these complications is also discussed.
Dental Management of a Medically Compromised Patients - Presented by Dr. Shweta and Parray as a part of Dhaka Dental COllege OMS Department Weekly Presentation Program
Endodontic emergencies include Pre-treatment emergency of which hot tooth is a commonly encountered situation.
This ppt is contains concise pickup notes on Hot tooth.
This short presentation discuss very important subject in endodontic field, which is the complications that most commonly occur during root canal treatment, like sodium hypochlorite accident and air emphysema and others. management of these complications is also discussed.
Dental Management of a Medically Compromised Patients - Presented by Dr. Shweta and Parray as a part of Dhaka Dental COllege OMS Department Weekly Presentation Program
Endodontic emergencies include Pre-treatment emergency of which hot tooth is a commonly encountered situation.
This ppt is contains concise pickup notes on Hot tooth.
it will provide u a detail description about direct pulp capping treatment,its indication ,contraindication,methods and materials used,techniqes,advantage and disadvantage and its limitation on primary teeth
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NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
6. Definition
The procedure involving a
tooth with a deep carious
lesion where carious dentin
removal is left incomplete,
and the decay process is
treated with a biocompatible
material for some time in
order to avoid pulp tissue
exposure is termed as
indirect pulp capping.
INDIRECT PULP CAPPING THERAPY
8. • Any signs of
pulpal or
periapical
pathology
• Soft leathery
dentin covering a
very large area of
the cavity, in a non
restorable tooth
CONTRAINDICATIONS
9. PROCEDURE
The tooth is anesthetized and isolated with rubber dam
All the caries except that immediately over the pulp is
removed (use large round bur at low speed)
A zone of AFFECTED demineralized dentin is left
behind
Not all undermined enamel is removed
A sedative dressing of either zinc oxide eugenol or
calcium hydroxide is placed
10. CONTD..
The tooth may then be restored with ZOE or amalgam
The formation of reparative dentin beneath the caries
(average rate – 1.4 microns per day)
The treated tooth is re entered after 6 to 8 weeks and
the remaining caries is excavated
Pulpal protection with adequate base and permanent
restoration
(If the restoration has a good margin and at the recall
visit a layer of secondary dentin is evident , reentry
is not necessary)
11.
12. PATENT DENTIN MEASURING DEVICE
1. Electronically measures the
thickness of dentin layer above the
pulp chamber during crown
preparation with a simple touch of
probe
2. Color coding:
Green light – safe zone
Orange light - limit of safe zone
Red light – danger of penetrating
through the dentin
3. Allows the safe preparation of
delicate cases (elongated , tilted or
deciduous tooth)
13. Definition:
The procedure in which the small exposure of
the pulp which is encountered
• During cavity preparation or
• Following a traumatic injury or
• Due to caries, with a sound surrounding
dentin, is dressed with an appropriate
biocompatible radio-opaque base in contact
with the exposed pulp tissue prior to placing a
restoration is termed as a direct pulp capping
DIRECT PULP CAPPING
16. INDICATIONS
• Small mechanical exposures less than 1 mm
which is surrounded by sound dentin
• Light red bleeding from the exposure site that
can be controlled by cotton pellet
• Traumatic exposures in a dry, clean field, which
report to the dental office within 24 hours
17. CONTRAINDICATIONS
• Pain at night
• Spontaneous pain
• Tooth mobility
• Thickening of periodontal membrane
• intraradicular radiolucency
• Excess bleeding at the exposure site
• Purulent or serous exudate
21. FEATURES OF SUCCESSFUL PULP CAPPING
• Maintenance of pulp vitality
• Lack of undue sensitivity or pain
• Minimum inflammatory response
• Lack of internal resorption and intraradicular
pathosis
23. CALCIUM HYDROXIDE
• Calcium hydroxide is the
material of choice.
• Herman in 1930 1st
introduced Ca(OH)2 for pulp
capping.
• Ca(OH)2 causes necrosis of
adjacent pulp tissue and
inflammation of contiguous
tissue.
• Dentin bridge formation
occurs at the junction of
necrotic and inflamed tissue
Pure calcium
hydroxide
24. ADVANTAGES AND DISADVANTAGES OF
CALCIUM HYDROXIDE
A D V A N T A G E S
• Initially bactericidal
then bacteriostatic.
• Promotes healing and
repair
• High pH stimulates
fibroblasts
• Neutralization of
acids
• Stops internal
resorption
• Inexpensive and easy
to use
• Particles may
obturate open tubules
D I S A D V A N T A G E S
• Doesn’t exclusively
stimulate
Dentinogenesis
• May dissolve after 1yr
• May degrade during
acid etching and
tooth flexure
• Marginal failure with
amalgam
condensation
• Doesn’t adhere to
dentin or resin
restoration
25. 3 MAIN CALCIUM HYDROXIDE PRODUCTS
• Pulpdent paste:52.5% calcium hydroxide
suspended in aqueous methyl cellulose
sol.
• Hydrex : two paste system - calcium
hydroxide, barium sulfate, titanium
dioxide and a selected resin.
• Dycal.
26. ISOBUTYL CYANOACRYLATE
• Hemostatic and bacteriostatic
properties.
• Less inflammation than calcium
hydroxide
• Doesn’t produce continuous barrier of
reparative dentin.
27. RESIN BONDING AGENTS
• Suggested as means to
achieve a hermetic seal at
the dentin/pulpal interface
by means of resinous
‘’hybrid’’ layer.
• 4-methacryloxyethyl
trimellitate anhydride(4-
META) bond can be used
on exposed pulp.
28. LASER
• Andreas Moritz in
1998 evaluated the
effect of Co2 laser
on direct pulp
capping.
• Success rate-89%
29. PROPOLIS
• Recently used material.
• Equally effective as calcium hydroxide.
• Sabir et al (2005) conducted experiments.
Partial dentinal bridge formation was seen in
rats after application of propolis in their study.
30.
31. CONCLUSION
Pulp capping is a procedure that maintains pulp
vitality and function, promotes healing/repair,
prevents breakdown of peri radicular
supporting tissues, and promotes formation of
secondary dentin
32.
33.
34. BIBLIOGRAPHY
• Textbook of pedodontics - Shobha Tandon 2nd edition
(2009)
• Chawla HS et al. Calcium Hydroxide as a root canal filling
material in primary teeth – A pilot study . J. Indian Soc
Pedo Prev Dent: 16 (3); 90 – 91, 1998
• Suneda YT et al . A histopathological study of direct pulp
capping with adhesive resins. Oper Dent: 20; 223 –
229,1995
• Sabir A, Tabbu CR, Agustiono P, Sosroseno W.
Histological analysis of rat dental pulp tissue capped with
propolis. J Oral Sci. 47(3): 135 – 8, Sep, 2005
• Stewart DJ and Kramer IRH. Effects of calcium hydroxide
on the unexposed pulp, J. Dent. Res: 37;758,1958