This analytical review summarizes clinical outcomes of rigid and non-rigid telescopic double-crown retained removable dental prostheses based on 25 studies meeting the inclusion criteria. The review found that the cumulative survival rates of abutment teeth tended to decrease over time, regardless of the rigid or non-rigid type of prosthesis. Additionally, studies with fewer remaining abutment teeth reported lower cumulative survival rates of abutments. The review concluded that strategic implant placement could help increase the survival rates of abutments and prostheses when using double-crown retained removable dental prostheses.
This document discusses root canal curvatures and methods for determining their degree. It begins with an introduction on the importance of understanding root canal anatomy for successful endodontic treatment. It then covers causes of canal curvatures, various classification systems, and techniques for assessing curvature using periapical radiographs, cone-beam computed tomography, and angular measurement methods. The relationship between curvature degree and ledge formation risk is also addressed, as are canal characteristics often invisible on routine radiographs. The document concludes by emphasizing the challenges of treating severely curved canals and the need for accurate preoperative assessment and proper instrumentation.
Rotary endodontic instruments are used within root canals and follow rotational motion dynamics. They are replacing conventional hand files to improve canal shaping ability and reduce clinical errors. Nickel-titanium alloys are commonly used due to their ability to flexibly conform to canal curvatures without plastic deformation. Modern rotary instrument systems incorporate torque-controlled motors that can reverse rotation to prevent instrument separation if excessive torque is applied. Continued research aims to further optimize flexibility, strength and cutting ability of these instruments.
Obturation is the process of filling and sealing the root canal system. It involves placing a root canal sealer and core filling material into the cleaned and shaped root canal. The goals of obturation are to achieve a fluid-tight seal of the root canal to prevent reinfection. Common materials used for obturation include paper points, gutta percha, and sealers. Techniques for obturation include cold lateral condensation, warm condensation (vertical or lateral), and thermoplasticized gutta percha.
Management of fractured endodontic instruments in root canalMohammed Sa'ad
1) The document discusses management of fractured endodontic instruments in root canals. It notes that instrument fracture can occur due to factors like canal curvature, anatomical variations, practitioner experience, and torque/speed of rotation.
2) The presence of a separated instrument alone may not compromise prognosis unless it prevents adequate disinfection and obturation. Successful retrieval depends on factors like tooth anatomy, instrument shape/size, equipment used, and clinician skill.
3) Guidelines are suggested for managing separated instruments, including attempting retrieval, bypassing, or referring for surgery. The ethical responsibilities of practitioners are also discussed.
The document discusses root canal preparation techniques using rotary nickel titanium (NiTi) instruments. It introduces the concepts of "cleaning and shaping" root canals put forth by Schilder in 1974. It then discusses the design objectives and characteristics of different generations of NiTi rotary instruments, including taper, rake angle, radial land, helical angle, and pitch number. The document also covers the functions of NiTi instruments regarding torsional stress, bending fatigue, speed and torque. Finally, it compares root canal preparation techniques like crown-down versus step-back approaches and addresses advances in NiTi metallurgy.
This document summarizes research on the success rates and complications of resin bonded prostheses (RBPs). It finds that on average, 26% of RBPs experience complications within 4 years, increasing to 28% after 5 years, with debonding being the most common at 21%. Debonding rates are higher for posterior teeth, longer spans, and cantilever designs. Tooth preparation techniques like covering lingual and proximal surfaces, adding proximal grooves or pinholes, and occlusal rests can reduce debonding. Maintaining a minimum of 0.5mm occlusal clearance and 1mm metal thickness also impacts success. Proper diagnosis, treatment planning and cementation techniques are keys to optimizing longevity
A detailed presentation on Endodontic failures starting from the basics in case selection to final prosthesis. Good for Post Graduates and Under Graduates.
This analytical review summarizes clinical outcomes of rigid and non-rigid telescopic double-crown retained removable dental prostheses based on 25 studies meeting the inclusion criteria. The review found that the cumulative survival rates of abutment teeth tended to decrease over time, regardless of the rigid or non-rigid type of prosthesis. Additionally, studies with fewer remaining abutment teeth reported lower cumulative survival rates of abutments. The review concluded that strategic implant placement could help increase the survival rates of abutments and prostheses when using double-crown retained removable dental prostheses.
This document discusses root canal curvatures and methods for determining their degree. It begins with an introduction on the importance of understanding root canal anatomy for successful endodontic treatment. It then covers causes of canal curvatures, various classification systems, and techniques for assessing curvature using periapical radiographs, cone-beam computed tomography, and angular measurement methods. The relationship between curvature degree and ledge formation risk is also addressed, as are canal characteristics often invisible on routine radiographs. The document concludes by emphasizing the challenges of treating severely curved canals and the need for accurate preoperative assessment and proper instrumentation.
Rotary endodontic instruments are used within root canals and follow rotational motion dynamics. They are replacing conventional hand files to improve canal shaping ability and reduce clinical errors. Nickel-titanium alloys are commonly used due to their ability to flexibly conform to canal curvatures without plastic deformation. Modern rotary instrument systems incorporate torque-controlled motors that can reverse rotation to prevent instrument separation if excessive torque is applied. Continued research aims to further optimize flexibility, strength and cutting ability of these instruments.
Obturation is the process of filling and sealing the root canal system. It involves placing a root canal sealer and core filling material into the cleaned and shaped root canal. The goals of obturation are to achieve a fluid-tight seal of the root canal to prevent reinfection. Common materials used for obturation include paper points, gutta percha, and sealers. Techniques for obturation include cold lateral condensation, warm condensation (vertical or lateral), and thermoplasticized gutta percha.
Management of fractured endodontic instruments in root canalMohammed Sa'ad
1) The document discusses management of fractured endodontic instruments in root canals. It notes that instrument fracture can occur due to factors like canal curvature, anatomical variations, practitioner experience, and torque/speed of rotation.
2) The presence of a separated instrument alone may not compromise prognosis unless it prevents adequate disinfection and obturation. Successful retrieval depends on factors like tooth anatomy, instrument shape/size, equipment used, and clinician skill.
3) Guidelines are suggested for managing separated instruments, including attempting retrieval, bypassing, or referring for surgery. The ethical responsibilities of practitioners are also discussed.
The document discusses root canal preparation techniques using rotary nickel titanium (NiTi) instruments. It introduces the concepts of "cleaning and shaping" root canals put forth by Schilder in 1974. It then discusses the design objectives and characteristics of different generations of NiTi rotary instruments, including taper, rake angle, radial land, helical angle, and pitch number. The document also covers the functions of NiTi instruments regarding torsional stress, bending fatigue, speed and torque. Finally, it compares root canal preparation techniques like crown-down versus step-back approaches and addresses advances in NiTi metallurgy.
This document summarizes research on the success rates and complications of resin bonded prostheses (RBPs). It finds that on average, 26% of RBPs experience complications within 4 years, increasing to 28% after 5 years, with debonding being the most common at 21%. Debonding rates are higher for posterior teeth, longer spans, and cantilever designs. Tooth preparation techniques like covering lingual and proximal surfaces, adding proximal grooves or pinholes, and occlusal rests can reduce debonding. Maintaining a minimum of 0.5mm occlusal clearance and 1mm metal thickness also impacts success. Proper diagnosis, treatment planning and cementation techniques are keys to optimizing longevity
A detailed presentation on Endodontic failures starting from the basics in case selection to final prosthesis. Good for Post Graduates and Under Graduates.
1. The document discusses various aspects of root canal instrumentation including the goals, hand vs rotary instrumentation, nickel-titanium files, file design features, and advances in endodontic motors.
2. Key aspects of file design discussed include taper, cross-section, lands, flutes, helical angles, pitch, and tip design. Qualities of different file types like ProTaper, K3, and GT files are compared.
3. The document also covers generations of endodontic motors from first to fourth generation and features like torque control, auto-reverse, and apex locators that improve safety and outcomes.
This document discusses calcific metamorphosis (CM), which is hard tissue deposition within the root canal space after traumatic dental injuries. CM is commonly seen in anterior teeth and can partially or fully obliterate the root canal space on radiographs. The document covers the definition, causes, incidence, radiographic appearance, histology, and proposed mechanisms of hard tissue formation in CM. It also discusses the controversy around treating teeth with CM, with most literature recommending observation unless symptoms appear. The document provides tips for locating and negotiating canals when CM is present, including using anatomical knowledge and correlating radiographs with tooth morphology.
Endodontic instruments /certified fixed orthodontic courses by Indian dental...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.
CLEANING AND SHAPING USING ROTARY ENDODONTIC INSTRUMENTS /certified fixed or...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 is a presentation that describes the laboratory procedure in RPD framework fabrication
also has a flow chart in the beginning explaining steps to be done by dentist and steps to be taken by laboratory technician
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
The document discusses the design features of rotary root canal instruments made from nickel-titanium (NiTi) alloy. It describes how early instruments were made from carbon steel and stainless steel, but NiTi became prevalent starting in 1988 due to its flexibility and ability to flex more than other materials before exceeding the elastic limit. The document outlines key design features like the tip design (active vs. passive), taper (fixed vs. variable), flute design including helical angle, pitch, rake angle, and the presence or absence of a radial land. It also discusses newer NiTi alloys like M-wire that have improved flexibility and resistance to fatigue.
Sterilization of endodontic instruments /certified fixed orthodontic courses ...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.
The document discusses the advancements in root canal instrumentation techniques and devices. It provides an overview of the timeline of rotary endodontics, from the first descriptions in the late 1800s to modern developments. It describes the advantages of nickel-titanium rotary instruments over traditional stainless steel hand files, as well as improvements in nickel-titanium metallurgy. The document also discusses the components, dynamics, and generations of rotary endodontic instruments and the role of motors, handpieces, speed, and torque in rotary instrumentation.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document discusses various obturation techniques for filling root canals including:
1. Cold lateral compaction, the most widely used technique, involves inserting a master cone coated with sealer followed by lateral compaction of accessory cones.
2. Warm vertical compaction uses heated pluggers to vertically compact gutta percha that has been softened with heat.
3. Carrier-based techniques like Thermafil involve heating and inserting a gutta percha coated metal core carrier into the canal.
The document provides details on how to perform each technique and their advantages and disadvantages. A variety of materials can be used for obturation including gutta percha, resins, and single cone techniques.
The document discusses various obturation materials and techniques for their removal during root canal retreatment. It describes the different types of gutta percha obturations including single cone, condensed, and overextended, and techniques for removing each using hand files, ultrasonic files, heat, and solvents. For other materials like solid core obturators, paste, Resilon, and silver points, it outlines techniques using rotary files, ultrasonics, solvents, and specialized removal kits. References are provided supporting the various methods described.
This document discusses techniques for endodontic access that minimize damage to tooth structure. It emphasizes maintaining a 360 degree "soffit" or roof around the pulp chamber to strengthen the tooth. Traditional access using round burs is described as damaging, while a new tapered bur technique called "Ninja preparation" aims to create smoother walls and minimize gouges. References are provided on topics like moisture loss in root canal treated teeth, their increased brittleness, and concepts of minimally invasive endodontics.
The document discusses irrigation in endodontics. It states that the goals of irrigation include rinsing debris, penetrating areas inaccessible to instruments to aid cleaning, lubricating the canal to facilitate instrumentation, dissolving remaining organic matter, providing antibacterial properties, and softening/removing the smear layer. No single irrigant can fulfill all these goals. Common irrigants discussed include sodium hypochlorite, chlorhexidine, EDTA, and iodine. Factors that affect irrigation include the concentration, volume, temperature, and method of delivery of the irrigating solutions.
Nickel Titanium Instruments in Endodontics: Part 2Ashok Ayer
The document discusses various endodontic rotary instrument designs, including their components, modifications, and features. It describes K-files, reamers, Hedstrom files, and Gates-Glidden drills. It then covers several modern nickel-titanium rotary instrument systems and their characteristics, such as ProFile, LightSpeed, ProTaper, Hero, K3, FlexMaster, RaCe, and Mtwo. The document emphasizes the importance of instrument design characteristics like tip design, taper, cross-section, helical angles, and pitch in determining their performance and reducing risks of errors during canal preparation.
This document provides an overview of overdentures, including definitions, indications, classifications, attachments, and the construction process. An overdenture is a removable partial or complete denture that is supported by retained roots, implants, or a combination. Key points include:
- Overdentures are indicated when a few teeth remain that are not suitable for a fixed bridge but can help support a denture.
- Classification includes tooth-supported, implant-supported, and combinations. Attachments can improve retention.
- Construction involves preparing and reducing abutment teeth, taking impressions, and inserting a denture that is relieved over the abutments. Excellent oral hygiene is important for maintenance.
introduction, history of rotary instruments in endodontics, classification, properties of NiTi, generations and design features, rotary file systems available
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
Removal of root filling materials techniques, outcomes and risksibrahimaziz15
Techniques, Outcomes and Risks for removal of root filling materials.
Retreatment in endodontics starts with the removal of the root filling material, this seminar covers different technique in the removal of root filling materials "mainly GP" but other materials are also covered.
Guidelines for management of sodium hypochlorite extrusion injuries Riad Mahmud
This document provides guidelines for managing injuries caused by sodium hypochlorite (NaOCl), a common root canal irrigant, extruding into tissues. It assesses factors like swelling, bruising, ulceration during examination. Injury severity is graded as mild, moderate, or severe based on pain level, swelling extent, and tissue damage. Mild injuries are managed by general dentists, while moderate or severe injuries require specialist referral. Treatment includes irrigation, analgesia, antibiotics, debridement, and management of complications. The guidelines aim to standardize NaOCl injury response and treatment.
This document discusses root canal sealers and their use in endodontic treatment. It provides information on the rationale and timing of obturation after root canal treatment. The key purposes of root canal sealers are to seal the root canal system, fill any irregularities or voids, and entomb any remaining bacteria. Common types of sealers discussed include zinc oxide-eugenol based, calcium hydroxide, and resin-based sealers. Properties of an ideal sealer and factors influencing the selection and performance of different sealer materials are also outlined.
The document discusses isolation in endodontics, focusing on the use of rubber dams. It defines a rubber dam as a thin latex sheet held by a clamp and frame, with teeth protruding through perforations. The main advantages of rubber dams are moisture control, maximum accessibility and visibility, and protection of tissues. Potential disadvantages include time to apply and possible damage to tissues. Contraindications may include latex allergy or asthma. The document outlines the components of a rubber dam kit and provides step-by-step instructions for applying and removing a rubber dam.
The document discusses isolation of the operative field during dental procedures. Several components must be controlled, including saliva, tongue, and soft tissues. Rubber dam provides the best isolation, allowing a dry, clean field and protecting tissues. Other isolation techniques and materials include cotton rolls, high-volume evacuators, cheek retractors, and air-water syringes. Proper isolation improves visibility, infection control, and material properties during restorative dental work.
1. The document discusses various aspects of root canal instrumentation including the goals, hand vs rotary instrumentation, nickel-titanium files, file design features, and advances in endodontic motors.
2. Key aspects of file design discussed include taper, cross-section, lands, flutes, helical angles, pitch, and tip design. Qualities of different file types like ProTaper, K3, and GT files are compared.
3. The document also covers generations of endodontic motors from first to fourth generation and features like torque control, auto-reverse, and apex locators that improve safety and outcomes.
This document discusses calcific metamorphosis (CM), which is hard tissue deposition within the root canal space after traumatic dental injuries. CM is commonly seen in anterior teeth and can partially or fully obliterate the root canal space on radiographs. The document covers the definition, causes, incidence, radiographic appearance, histology, and proposed mechanisms of hard tissue formation in CM. It also discusses the controversy around treating teeth with CM, with most literature recommending observation unless symptoms appear. The document provides tips for locating and negotiating canals when CM is present, including using anatomical knowledge and correlating radiographs with tooth morphology.
Endodontic instruments /certified fixed orthodontic courses by Indian dental...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.
CLEANING AND SHAPING USING ROTARY ENDODONTIC INSTRUMENTS /certified fixed or...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 is a presentation that describes the laboratory procedure in RPD framework fabrication
also has a flow chart in the beginning explaining steps to be done by dentist and steps to be taken by laboratory technician
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
The document discusses the design features of rotary root canal instruments made from nickel-titanium (NiTi) alloy. It describes how early instruments were made from carbon steel and stainless steel, but NiTi became prevalent starting in 1988 due to its flexibility and ability to flex more than other materials before exceeding the elastic limit. The document outlines key design features like the tip design (active vs. passive), taper (fixed vs. variable), flute design including helical angle, pitch, rake angle, and the presence or absence of a radial land. It also discusses newer NiTi alloys like M-wire that have improved flexibility and resistance to fatigue.
Sterilization of endodontic instruments /certified fixed orthodontic courses ...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.
The document discusses the advancements in root canal instrumentation techniques and devices. It provides an overview of the timeline of rotary endodontics, from the first descriptions in the late 1800s to modern developments. It describes the advantages of nickel-titanium rotary instruments over traditional stainless steel hand files, as well as improvements in nickel-titanium metallurgy. The document also discusses the components, dynamics, and generations of rotary endodontic instruments and the role of motors, handpieces, speed, and torque in rotary instrumentation.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document discusses various obturation techniques for filling root canals including:
1. Cold lateral compaction, the most widely used technique, involves inserting a master cone coated with sealer followed by lateral compaction of accessory cones.
2. Warm vertical compaction uses heated pluggers to vertically compact gutta percha that has been softened with heat.
3. Carrier-based techniques like Thermafil involve heating and inserting a gutta percha coated metal core carrier into the canal.
The document provides details on how to perform each technique and their advantages and disadvantages. A variety of materials can be used for obturation including gutta percha, resins, and single cone techniques.
The document discusses various obturation materials and techniques for their removal during root canal retreatment. It describes the different types of gutta percha obturations including single cone, condensed, and overextended, and techniques for removing each using hand files, ultrasonic files, heat, and solvents. For other materials like solid core obturators, paste, Resilon, and silver points, it outlines techniques using rotary files, ultrasonics, solvents, and specialized removal kits. References are provided supporting the various methods described.
This document discusses techniques for endodontic access that minimize damage to tooth structure. It emphasizes maintaining a 360 degree "soffit" or roof around the pulp chamber to strengthen the tooth. Traditional access using round burs is described as damaging, while a new tapered bur technique called "Ninja preparation" aims to create smoother walls and minimize gouges. References are provided on topics like moisture loss in root canal treated teeth, their increased brittleness, and concepts of minimally invasive endodontics.
The document discusses irrigation in endodontics. It states that the goals of irrigation include rinsing debris, penetrating areas inaccessible to instruments to aid cleaning, lubricating the canal to facilitate instrumentation, dissolving remaining organic matter, providing antibacterial properties, and softening/removing the smear layer. No single irrigant can fulfill all these goals. Common irrigants discussed include sodium hypochlorite, chlorhexidine, EDTA, and iodine. Factors that affect irrigation include the concentration, volume, temperature, and method of delivery of the irrigating solutions.
Nickel Titanium Instruments in Endodontics: Part 2Ashok Ayer
The document discusses various endodontic rotary instrument designs, including their components, modifications, and features. It describes K-files, reamers, Hedstrom files, and Gates-Glidden drills. It then covers several modern nickel-titanium rotary instrument systems and their characteristics, such as ProFile, LightSpeed, ProTaper, Hero, K3, FlexMaster, RaCe, and Mtwo. The document emphasizes the importance of instrument design characteristics like tip design, taper, cross-section, helical angles, and pitch in determining their performance and reducing risks of errors during canal preparation.
This document provides an overview of overdentures, including definitions, indications, classifications, attachments, and the construction process. An overdenture is a removable partial or complete denture that is supported by retained roots, implants, or a combination. Key points include:
- Overdentures are indicated when a few teeth remain that are not suitable for a fixed bridge but can help support a denture.
- Classification includes tooth-supported, implant-supported, and combinations. Attachments can improve retention.
- Construction involves preparing and reducing abutment teeth, taking impressions, and inserting a denture that is relieved over the abutments. Excellent oral hygiene is important for maintenance.
introduction, history of rotary instruments in endodontics, classification, properties of NiTi, generations and design features, rotary file systems available
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
Removal of root filling materials techniques, outcomes and risksibrahimaziz15
Techniques, Outcomes and Risks for removal of root filling materials.
Retreatment in endodontics starts with the removal of the root filling material, this seminar covers different technique in the removal of root filling materials "mainly GP" but other materials are also covered.
Guidelines for management of sodium hypochlorite extrusion injuries Riad Mahmud
This document provides guidelines for managing injuries caused by sodium hypochlorite (NaOCl), a common root canal irrigant, extruding into tissues. It assesses factors like swelling, bruising, ulceration during examination. Injury severity is graded as mild, moderate, or severe based on pain level, swelling extent, and tissue damage. Mild injuries are managed by general dentists, while moderate or severe injuries require specialist referral. Treatment includes irrigation, analgesia, antibiotics, debridement, and management of complications. The guidelines aim to standardize NaOCl injury response and treatment.
This document discusses root canal sealers and their use in endodontic treatment. It provides information on the rationale and timing of obturation after root canal treatment. The key purposes of root canal sealers are to seal the root canal system, fill any irregularities or voids, and entomb any remaining bacteria. Common types of sealers discussed include zinc oxide-eugenol based, calcium hydroxide, and resin-based sealers. Properties of an ideal sealer and factors influencing the selection and performance of different sealer materials are also outlined.
The document discusses isolation in endodontics, focusing on the use of rubber dams. It defines a rubber dam as a thin latex sheet held by a clamp and frame, with teeth protruding through perforations. The main advantages of rubber dams are moisture control, maximum accessibility and visibility, and protection of tissues. Potential disadvantages include time to apply and possible damage to tissues. Contraindications may include latex allergy or asthma. The document outlines the components of a rubber dam kit and provides step-by-step instructions for applying and removing a rubber dam.
The document discusses isolation of the operative field during dental procedures. Several components must be controlled, including saliva, tongue, and soft tissues. Rubber dam provides the best isolation, allowing a dry, clean field and protecting tissues. Other isolation techniques and materials include cotton rolls, high-volume evacuators, cheek retractors, and air-water syringes. Proper isolation improves visibility, infection control, and material properties during restorative dental work.
The document discusses isolation techniques in operative dentistry. It describes the goals of isolation as moisture control, retraction and access, and harm prevention. Direct isolation methods include the rubber dam, cotton rolls, suction devices, and gingival retraction cord. Indirect methods involve patient positioning, local anesthesia, and anti-sialogogue drugs. The rubber dam provides a dry field, protects the patient and operator, and improves material properties. Materials and techniques for proper rubber dam application are outlined.
1) Rubber dam is a thin latex or non-latex sheet held by a clamp and frame that isolates teeth during dental procedures by covering all teeth except the one being worked on, providing a dry, clean field.
2) Advantages of rubber dam include improved visibility and access, infection control, and protection of the patient's airway.
3) Placement of rubber dam involves selecting an appropriate clamp, punching a hole in the rubber sheet, and stretching the sheet over the tooth and clamp.
This document discusses isolation of the operative field in dentistry. Maintaining a dry field is important for operative procedures. Several techniques and materials can be used for isolation, including rubber dams, cotton rolls, high-volume evacuators, and throat shields. Rubber dams provide the best isolation but also have some disadvantages like taking time to apply. The goals of isolation are moisture control, retraction of soft tissues, and prevention of contamination. Proper isolation improves visibility, protects patients, and allows dental materials to perform as intended.
Restorative procedures require adequate isolation of the operating field for best results.
A clean and dry field is comfortable both for the patient and the operator.
It provides better access and visibility, improving the efficiency of the operator.
The properties of many dental materials are improved in the absence of moisture.
Isolation collects the materials from operating site and also prevents their aspiration.
Isolation also often permits the dentist to carry out extended operations if desired.
Goals of isolation:
Moisture control
Retraction and access
Harm prevention . Safe and aseptic operating field
Prevent accidental swallowing of restorative materials and instruments
This document discusses methods for isolating the operating field in dental procedures. It begins with a brief history of rubber dam isolation, introduced in 1864. It then categorizes isolation methods as direct, including rubber dam, cotton rolls and gingival retraction cord, or indirect like local anesthesia. Various rubber dam application steps and armamentarium are outlined. Alternative isolation techniques like cotton rolls, throat shields and suction devices are also examined. The document concludes with recent advances in isolation products.
Isolation of the operative & endodontic fieldKallol Pramanik
The document discusses isolation of the operative field in dentistry. Proper isolation through moisture control is important for operative procedures. Several components need to be controlled, including saliva, tongue and surrounding tissues. Rubber dam provides complete isolation and advantages for both patient and operator, such as a dry field. Other isolation materials include cotton rolls, throat shields and evacuators. Correct application and removal of the rubber dam is described. The goals of isolation are moisture control, retraction and prevention of harm during dental procedures.
This seminar includes various isolation methods which are direct and indirect with eloboration about rubber dam usage and application along with the advantages along with soft tissue isolation methods
Isolation techniques in pediatric dentistryAnuRaaga
This document discusses various isolation techniques used in pediatric dentistry. It describes the goals of isolation as moisture control, retraction, prevention of harm, and creating a safe operating field. Direct isolation methods mentioned include rubber dams, cotton rolls, evacuators, retraction cords, and mouth props. Indirect methods include patient positioning, local anesthesia, and anti-anxiety medications. The document provides details on the history and advantages of rubber dams, important components like sheets, clamps, and frames, as well as recent advances in isolation products.
Fluid control and Soft tissue managementHarisankar KS
This document discusses fluid control and soft tissue management techniques used in dentistry. It describes various mechanical methods of fluid control like rubber dams, high volume suction, and cotton rolls. It also discusses chemical methods using anti-sialagogues and local anesthetics to control saliva. The document focuses on gingival retraction techniques, including non-surgical methods using retraction crowns, cords, and pastes as well as surgical methods. It provides details on different retraction cords and medicaments used to aid in gingival displacement and outlines common techniques for cord placement.
This document discusses methods of isolating the operating field during dental procedures. Isolation is important for maintaining a dry, protected working area. The main isolation method discussed is use of a rubber dam, which provides absolute moisture control and protects soft tissues. Other isolation methods include use of cotton rolls, saliva ejectors, and mouth props. Placement of a rubber dam involves selecting an appropriate clamp, punching holes in the dam, and stretching the dam over the clamped tooth. Proper isolation techniques help ensure a safe, aseptic environment for dental treatments.
This document discusses isolation techniques in dentistry. It begins by outlining the goals of isolation, which include moisture control, retraction and access, harm prevention, and maintaining an aseptic operating field. It then describes the advantages of isolation for both patients and operators. The main methods of isolation discussed are direct methods using materials like rubber dams, cotton rolls, and suction devices, and indirect methods. Rubber dams are described as one of the most effective isolation techniques, and the document outlines the components, application process, advantages, and errors to avoid when using rubber dams.
The document discusses the use of rubber dams in dentistry. It describes how rubber dams isolate the operating field, improve visibility and access, and prevent contamination. Key methods include using a rubber dam sheet held in place by a clamp on the tooth with a hole for access. Advantages include isolation, improved properties of materials, and protection of the patient. Placement involves several steps and materials like clamps, frames, and punches.
Fluid control and Soft tissue management in ProsthodonticsVinay Kadavakolanu
Fluid control and soft tissue management are important for maintaining a dry operating field during dental procedures. Moisture can be generated from saliva, blood, water, and gingival crevicular fluid. Both mechanical and chemical methods are used to control fluids. Mechanical methods include rubber dams, high volume suction, saliva ejectors, cotton rolls, and retraction cords. Chemical methods use anti-sialagogues or local anesthetics administered systemically, or vasoconstrictors and astringents applied topically via retraction cords. Recent advances allow for improved visibility, access, and infection control during procedures through advances in fluid control techniques.
Isolation of operating field/ orthodontic course by indian dental academyIndian dental academy
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Rubber dam isolation provides the optimal isolation for restorative procedures by controlling moisture and retracting soft tissues. It creates a dry, clean operating field and improves visibility and access. While rubber dam is preferred, other isolation techniques like cotton rolls and high-volume suction can be used when rubber dam is not possible. Recent advances aim to improve patient comfort during isolation.
The document discusses various techniques for gingival tissue displacement when making dental impressions or preparing teeth for restorations. It describes mechanical techniques using copper bands or tubes to displace tissue away from the finish line. It also discusses the use of retraction cords, which are placed in the gingival sulcus to both physically displace tissue and chemically induce hemostasis through incorporated epinephrine or other agents. Other non-surgical methods mentioned include air polishing and laser ablation. The document provides details on common materials and procedures for gingival displacement to ensure accurate impressions.
This document provides an overview of the basic steps for bracket bonding in orthodontic treatment. It describes the key steps as:
1) Cleaning the tooth surfaces with pumice prior to bonding to remove plaque and prepare the enamel.
2) Isolating the teeth using cheek retractors to prevent contamination from saliva.
3) Etching the enamel with acid to promote bonding of the resin to the tooth.
4) Precisely positioning and centering the bracket on the tooth before curing the resin to secure it.
The document discusses the use of rubber dams in dentistry. Rubber dams isolate teeth from saliva during procedures to provide a dry, clean operating field. They were introduced in 1864 and advantages include improved visibility, access, and material properties. Placement involves punching holes in the dam, selecting a retainer clamp, and securing the dam over teeth. Proper isolation is important for preventing contamination and protecting patients and dentists.
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
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
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
One health condition that is becoming more common day by day is diabetes.
According to research conducted by the National Family Health Survey of India, diabetic cases show a projection which might increase to 10.4% by 2030.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
1. Rubber Dam
• Dam is Not Religion.
• RD is a Mean and Not a Value ,
isolation can be achieved without RD,
hence RD is just one type of isolation.
• RD it is Just a Tool that help us to get a
Moisture Free environment.
• RD it is Not a Goal in itself ,
Dry environment is The Goal.
2.
3. separation of a tooth or group of teeth from
oral tissues and saliva,
by use of a dental dam, cotton rolls, or any
other means of isolation ,
to improve access, visibility, and control moi
sture contamination while restorative
or operative dental procedures are
performed.
4. Goals of isolation
• Moisture control
• Retraction , Accessibility and Visibility
• Harm prevention
• Safe and Aseptic field
• Prevent accidental swallowing of instrument and
restorative materials
5. Types of isolation
• Direct (Physical)(Complete vs Partial)
• Indirect (Chemical)
6.
7. ABCDE’s of RD
• Adequate access and visibility in operating field
• Better Pt protection and management
• Complete moisture control in operating field
• Decrease operating time
• Enhancement of safety and aseptic operating field
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32. Advantages
Pt Operator
Provide comfort to pt
Protection from swallowing or
aspirating foreign bodies
Protect soft tissue by retracting them
Dry & clean operating field (long term)
Infection control (protection)
Accessibility & Visibility (Max.)
(effciency))
Improved dental material properties
Prevent contamination of tooth
preparation
Less fogging of mirror
Pt comfort Operator efficiency
(Access , Visibility , Illumination, less fogging)
Pt protection Operator Protection
Prevent soft tissue injury Prevent contamination
by retract them by dry & clean operating field
Improve dental material properties
33. Disadvantages
• Time consuming
• Pt communication
• Pt objection
• Incorrect use may damage gingival tissue or porcelain
crown
• Insecure clamp may be swallowed or aspirated