The document discusses surveying in removable partial dentures. It provides information on the history and development of dental surveyors. Key aspects covered include:
- The purpose of surveying is to determine the path of insertion, guiding planes, and contours for the design of removable partial dentures.
- Early instruments included paralleling devices and the first dental surveyors developed in the 1910s-1920s.
- Modern surveyors consist of a level platform, vertical arm, and interchangeable surveying tools to assess contours, undercuts, and plan the path of insertion.
- Surveying involves an initial assessment, analysis of retention and interference, and final survey to determine the survey lines and design of clasps
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‘A paralleling instrument used in construction of a prosthesis to locate and delineate the contours and relative position and abutment teeth and associated structures’
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Similar to Surveyor and technique of Surveying in Removable partial denture (20)
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This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
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The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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/lK81BzxMqdo
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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SURVEY
• To examine as to condition,value or situation , to
appraise.
• To determine the form and position of a given
entity by taking linear and angular
measurements
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SURVEYOR
A surveyor is essentially a parallelometer, an
instrument used to determine the relative
parallelism of surfaces of teeth or other areas on
a cast of the jaws.
(Stewart)
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A paralleling instrument used in the construction
of a dental prosthesis to locate and delineate the
contours and relative positions of abutment teeth
and associated structures.
-(GPT-8)
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“Intelligent use of a dental surveyor is the best
way to prevent the occurrence of countless
problems frequently related to oral rehabilitation
with RPDs”
-Dr O C Applegate
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The History and Development of the Dental
Surveyor (Robert L Engelmier)-JOP vol 11(march)
2002
“Reduced to its simplest terms , surveying a tooth
is a mechanical method of obtaining its height of
contour accurately. If a vertical plane is brought
into contact with a curved surface it will touch at
the greatest bulge on the convexity and nowhere
else.”
–Dr A H Schmidt (1953)
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The First Dental Surveyor
• Dr Rudolph Hanau (1917)
• Dr A J Fortunati (1918)
• Dr Edward Kennedy
• The Philadelphia Dental Clinic club
• Noble G Wills
• Weinstein and Roth(1923)
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PARTS OF A SURVEYOR
British dental journal, volume 189, no. 10, november 25 ,2000
1. Level platform
2. Vertical arm
3. Horizontal arm
4. Surveying arm
5. Cast holder
6. Accessory tools
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• moved around the tooth and along the alveolar
ridge
• the tip of the marker should be level with the
gingival margin.
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the shank and head should contact the cast
simultaneously.
• more sophisticated, types of undercut gauge are
available such as dial gauges and electronic
gauges.
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SURVEY LINE
Survey line is a line drawn on a tooth/teeth of a
cast by means of a surveyor for the purpose of
determining the various parts a clasp/clasps.
-GPT 8
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TYPES OF SURVEY LINES
• Blatterfein classified survey lines as:
1. High survey Line
2. Medium Survey Line
3. Low Survey line
4. Diagonal Survey Line
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•Found near the occlusal
surface of a tooth often
parallel to the gingival
margin
• It results from abnormal
inclination of the teeth
• lingual surfaces of the
lower teeth and buccal
surfaces of the upper teeth.
•Wrought wire clasp used
High Survey Line
38
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•It is situated across
the center of the tooth
• Exhibits a slight
occlusogingival incline
from the near zone to
the far zone.
•Aker’s or Roach clasp
Medium Survey Line
39
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•It is situated close to and
parallel to the gingival
margin.
• It frequently occurs as a
result of marked
inclination of the tooth and
may also occur on
conically shaped tooth.
•Modified T clasp
Low Survey Line
40
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It travels diagonally
from near the occlusal
surface in the near
zone to the gingiva in
the far zone.
Diagonal Survey Line
41
Reverse circlet clasp
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Class I:
•Survey line runs diagonally
across the tooth surface.
•The type of clasp indicated
is occlusally approaching
cast clasp with terminal third
engaging the undercut.
Ney’s Classification
42
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Class II: Survey line also runs
diagonally across the tooth
surface but as a mirror
image of Class I line. Here a
gingivally approaching clasp
arm is suggested.
43
.
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Types Of Undercuts
46
Tooth Undercuts (Proximal
undercuts)
Soft Tissues or bony
Undercuts(on lingual side
of ridge)
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• 0.25 mm - 0.01” chrome cobalt
• 0.5 mm – 0.02” cast gold
• 0.75 mm – 0.03” stainless steel
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Guiding Planes
vertically parallel surfaces on abutment teeth
or/and dental implant abutments oriented so as
to contribute to the direction of the path of
placement and removal of a removable dental
prosthesis.
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Two or more parallel axial surfaces on abutment teeth which can
be used to limit the path of insertion and improve the stability of a
removable prosthesis. Guide surfaces may occur naturally on
teeth but more commonly need to be prepared.
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PATH OF INSERTION
Surveying removable partial dentures:the importance of guiding planes
and path of insertion and stability –O L Bezzon et al (JPD October 1997
vol 78 no.4 )
the specific direction in which a prosthesis is
placed on the abutment teeth or dental
implant(s)
• path of withdrawal (reverse of path of insertion)
• path of placement
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The RPD path of insertion and withdrawal is the
direction in which the prosthesis moves in
relation to the support system when it is seated
in or removed from the mouth, guided by the
contact of its rigid parts with the abutments.
(GPT-8)
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Potential Path of Dislodgement
Regardless of the path of insertion the path of
dislodgement results from masticatory function that pulls
the prosthesis in a direction perpendicular to the occlusal
plane.
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USES OF A SURVEYOR
1. Surveying the diagnostic cast
2. Tripoding the cast
3. Transferring tripod marks to another cast
4. Contouring wax patterns
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5. Contouring cast restorations
6. Placing internal attachments and rests
7. Surveying the master cast
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Process Of Surveying
1. Preliminary visual assessment of the study
cast.
2. Initial survey.
3. Analysis.
4. Final survey
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Initial survey
• Cast positioned with
the occlusal plane
horizontal.
• The position of the
survey lines.
• ‘Triangle of light’
between the marker
and the cervical part
of the tooth.
• Undercut gauges
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Appearance:
• Undercuts on the
mesial aspects of the
abutment teeth.
• Unsightly gap
between the denture
saddle and the
abutment teeth
gingival to the contact
point.
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posterior tilt so that the analysing
rod is parallel with the mesiolabial
surfaces of abutment teeth.
contact of abutment tooth over the
whole of the mesiolabial surface
and a much better appearance
results.
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Final Survey
• The aims for optimum
retention should be to
provide:
• Resistance along the
path of displacement.
• Resistance along the
path of withdrawal
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•guide surfaces are used to provide resistance to displacement
•retentive portion of the clasp needs only to resist movement along the path of
withdrawal
• positioned solely with reference to the red survey line.
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Gingivally approaching clasp
positioned at the cross-over point
of the survey lines.
•survey lines converge mesially or
distally
•the tip of an occlusally approaching
clasp can engage the common area of
undercut.
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Other Methods of Tripoding
• Pin cemented in the centre of the cast
• Use of protractor fixed on surveyor
• Use of dental bur in place of pin
• Use of position recorder device on a surveyor
• Use of plastic plate and impression of cusp tip
• Device with adjustable arms
• Use of plastic tray and impression
• Smooth or threaded pin with sleeve
• Use of inclinometer
• Key and keyway system
• Tripoder attachment
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Transferring tripod marks to
another cast
• 3 anatomical points
marked on diagnostic
cast
• Same points marked
on 2nd cast with
analysing rod
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Contouring the wax patterns
• With cast on
surveying table , tilt
adjusted to original
tilt.
• Guiding planes
• Height of contour
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Contouring Crowns & cast
restorations
• Shape of wax pattern altered during
casting & finishing.
• Working cast with restorations placed at
original tilt
• Cylinder stone.
• Guide planes refined.
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OBJECTIVES OF SURVEYING
1. Path Of insertion
2. Guiding planes
3. Height of contour
4. Dental and osseous contours
5. Soft tissue contours
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6. Cast position and relation to path of insertion
7. Transfer of design to master cast
8. Blockout
9. Develop axial contours
10. Machine guiding planes
11. Intracoronal retainers
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Maintenance of Surveyor
• Wipe the base of surveying table and surveying
platform with alcohol or acetone soaked gauge
pad.
• Acrylic resin powder can be sprayed for smooth
gliding.
• Machine oil should be applied to vertical arm
before and after use, each time.
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SUMMARY
Surveying is undertaken to obtain information
that will help us decide:
(1) The optimum path of insertion of the denture
which in turn is influenced by:
• the need to use guiding surfaces to achieve a
pleasing appearance.
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• the need to avoid interference by the teeth or
ridges with correct positioning of denture
components.
• the need to use guide surfaces for retention.
(2) The design, material and position of clasps.
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1. O. L. Bezzon, M. G. C. Mattos, R. F. Ribero,
Surveying removable partial dentures: the importance of guiding
planes and path of insertion for stability.
J Prosthet Dent 1997;78:412-18.
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3. Robert L. Engelmeier
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93. Free Powerpoint Templates
93
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5. Robert L. Engelmeier
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Journal of Prosthodontics,VOL13,No 3,2004: pp 195-202.
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Survey and design
7. McCracken’s Removable Partial Prosthodontics,11th Ed