The document discusses factors related to stability and retention in class II division 1 malocclusions. It covers 3 main topics: 1) The relationship between stability and extraction patterns, finding that nonextraction and premolar extraction have similar long-term stability. 2) The relationship between treatment mechanics and stability, finding stability with functional appliances, Herbst, Twin Force Bite Corrector. 3) Surgical vs conventional treatment, finding functional appliances and surgery have similar stable results, though surgery has more vertical relapse. Relapse is multifactorial and can be reduced by ensuring proper occlusion, avoiding overcorrection of lower incisors, and continued retention as needed.
Early vs late orthodontic treatment /certified fixed orthodontic courses by I...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.
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Evolution of orthodontics Brackets/certified fixed orthodontic courses by Ind...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Maxillomandibular elastics (or intermaxillary elastics) are commonly used because of their simplicity; however, a lack of understanding of their force system can lead to many serious problems.
Elastics are usually classified by the direction of the force (eg, Class II or Class III elastics).
Sometimes force magnitude is considered, but point of force application is left out. Therefore, many different types of Class II elastics can be applied. There are short or long elastics.
Often too many elastics are used when a single resultant elastic at the correct location would work better. However, sometimes more than a single elastic is needed when the attachment point is not directly accessible.
All maxillomandibular elastics and their actions should be analyzed in three dimensions.
Frictionless Mechanics in Orthodontics
In frictionless mechanics, teeth are moved without the brackets sliding
over the archwire.
Retraction is accomplished with the help of loops or springs.
Orthodontics has been developing greatly in achieving the desired results both clinically and technically.
Today, it is still very challenging to reduce the duration of orthodontic treatments.
It is one of the common deterents that the orthodontist faces and it causes irritation among adults plus increasing risks of caries, gingival recession, and root resorption.
A number of attempts have been made to create different approaches both preclinically and clinically in order to achieve quicker results, but still there are a lot of uncertainties and unanswered questions towards most of these techniques.
Early vs late orthodontic treatment /certified fixed orthodontic courses by I...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.
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Evolution of orthodontics Brackets/certified fixed orthodontic courses by Ind...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Maxillomandibular elastics (or intermaxillary elastics) are commonly used because of their simplicity; however, a lack of understanding of their force system can lead to many serious problems.
Elastics are usually classified by the direction of the force (eg, Class II or Class III elastics).
Sometimes force magnitude is considered, but point of force application is left out. Therefore, many different types of Class II elastics can be applied. There are short or long elastics.
Often too many elastics are used when a single resultant elastic at the correct location would work better. However, sometimes more than a single elastic is needed when the attachment point is not directly accessible.
All maxillomandibular elastics and their actions should be analyzed in three dimensions.
Frictionless Mechanics in Orthodontics
In frictionless mechanics, teeth are moved without the brackets sliding
over the archwire.
Retraction is accomplished with the help of loops or springs.
Orthodontics has been developing greatly in achieving the desired results both clinically and technically.
Today, it is still very challenging to reduce the duration of orthodontic treatments.
It is one of the common deterents that the orthodontist faces and it causes irritation among adults plus increasing risks of caries, gingival recession, and root resorption.
A number of attempts have been made to create different approaches both preclinically and clinically in order to achieve quicker results, but still there are a lot of uncertainties and unanswered questions towards most of these techniques.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This slide gives you a detailed description of History
,Bone screws,Maxillary infra-zygomatic bone crest anatomy,Dimensions of IZC,Indications of IZC,Sites of placing IZC Screws,Mini-screw insertion in IZ crest of maxilla,Biological limitation for placement of IZC for distalization,General guidelines for placing IZC,Post operative care,Failures of IZC
Pre & post surgical orthodontics /certified fixed orthodontic courses by Indi...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Bioprogressive therapy /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Friction less mechanics in orthodontics /certified fixed orthodontic course...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
this presentation is all about the ethical issues that the orthodontists face, along with the well written informed consent and guidelines that an orthodontist needs to follow.
One of the main goals in orthodontics is to attain excellence in treatment with comfortable and esthetic appliances. From the esthetic perspective, lingual orthodontics provides the best option.
This presentation covers the history and evolution of lingual brackets and the various methods of lingual bonding in orthodontics
Clinical use of the churro jumper /certified fixed orthodontic courses by Ind...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This slide gives an full view of the important bio mechanics of temporary anchorage devices (TADS) this slide includes :
# Bio-mechanical principles of miniscrews in orthodontics
# Force Systems
#Biomechanical Considerations : Miniscrews
#Biomechanics For Anterior Retraction
#Biomechanics For Molar Intrusion
#Biomechanics For Molar Distalization
#Biomechanics For Molar Uprighting
#Biomechanics For Molar Protraction
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all
aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bite registration /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This slide gives you a detailed description of History
,Bone screws,Maxillary infra-zygomatic bone crest anatomy,Dimensions of IZC,Indications of IZC,Sites of placing IZC Screws,Mini-screw insertion in IZ crest of maxilla,Biological limitation for placement of IZC for distalization,General guidelines for placing IZC,Post operative care,Failures of IZC
Pre & post surgical orthodontics /certified fixed orthodontic courses by Indi...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Bioprogressive therapy /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Friction less mechanics in orthodontics /certified fixed orthodontic course...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
this presentation is all about the ethical issues that the orthodontists face, along with the well written informed consent and guidelines that an orthodontist needs to follow.
One of the main goals in orthodontics is to attain excellence in treatment with comfortable and esthetic appliances. From the esthetic perspective, lingual orthodontics provides the best option.
This presentation covers the history and evolution of lingual brackets and the various methods of lingual bonding in orthodontics
Clinical use of the churro jumper /certified fixed orthodontic courses by Ind...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This slide gives an full view of the important bio mechanics of temporary anchorage devices (TADS) this slide includes :
# Bio-mechanical principles of miniscrews in orthodontics
# Force Systems
#Biomechanical Considerations : Miniscrews
#Biomechanics For Anterior Retraction
#Biomechanics For Molar Intrusion
#Biomechanics For Molar Distalization
#Biomechanics For Molar Uprighting
#Biomechanics For Molar Protraction
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all
aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Bite registration /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
ABSTRACT
Objective: To evaluate the role of age as a moderator of bone regeneration patterns and
symphysis remodeling after genioplasty.
Method: Fifty-four patients who underwent genioplasty at the end of their orthodontic treatment
were divided into three age groups: younger than 15 years at the time of surgery (group 1), 15 to
19 years (group 2), and 20 years or older (group 3). Twenty-three patients who did not accept
genioplasty and had a follow-up radiograph 2 years after the end of their orthodontic treatment
were used as a control group. Patients were evaluated at three time points: immediate preoperative
(T1), immediate postoperative (T2,) and 2 years postsurgery (T3).
Results: The mean genial advancement at surgery was similar for the three age groups, but the
extent of remodeling around the repositioned chin was greater in group 1, less in group 2, and still
less in group 3. Symphysis thickness increased significantly during the 2-year postsurgery interval
for the three groups, and this increase was significantly greater in group 1 than in group 3.
Remodeling above and behind the repositioned chin also was greater in the younger patients. This
was related to greater vertical growth of the dentoalveolar process in the younger patients. There
was no evidence of a deleterious effect on mandibular growth.
Conclusion: The outcomes of forward-upward genioplasty include increased symphysis
thickness, bone apposition above B point, and remodeling at the inferior border. When indications
for this type of genioplasty are recognized, early surgical correction (before age 15) produces a
better outcome in terms of bone remodeling. (Angle Orthod. 0000;00:000–000.)
44.Rohini Kanitkar Kamat et al. A Comparative Assessment of the Efficiency of ThreeDimensional plates over single Superior Border Plating in the management of Mandibular Angle Fractures. J Res Adv Dent 2020;10:3s:17-22.
External fixation versus volar locking plate for displaced intra-articular di...Ahmed Azmy
journal club:
External fixation versus volar locking plate for displaced intra-articular distal radius fractures: a prospective randomized comparative study of the functional outcomes
70.Dayalan N, Kumari B, Khanna SS, Ansari FM, Grewal R, Kumar S, Tiwari RVC. Is Open Reduction and Internal Fixation Sacrosanct in the Management of Subcondylar Fractures: A Comparative Study. J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1633-S1636. doi: 10.4103/jpbs.jpbs_352_21. Epub 2021 Nov 10. PubMed PMID: 35018044; PubMed Central PMCID: PMC8686876.
Open debridement and radiocapitellar replacement in primary and post-traumati...Alberto Mantovani
Background: Postmortem and clinical studies have shown an early and prevalent involvement of the radiohumeral
joint in primary and secondary arthritis of the elbow. The lateral resurfacing elbow (LRE) prosthesis
has recently been developed for the treatment of lateral elbow arthritis. However, few data have been
published on LRE results.
Materials and methods: A prospective multicenter study was designed to assess LRE preliminary results.
There were 20 patients (average age, 55 years). Preoperative diagnosis were primary osteoarthritis in 11
and post-traumatic osteoarthritis in 9. All patients underwent open debridement and LRE prosthesis.
Patients were evaluated preoperatively and postoperatively with the Mayo Elbow Performance Score
(MEPS), modified American Shoulder Elbow Surgeons (m-ASES) elbow assessment, and the Quick
Disabilities of the Arm, Shoulder and Hand (Quick-DASH). Mean follow-up was 22.6 months.
Results: At the last follow-up, the mean improvement of MEPS and m-ASES was 35 (P ¼ .001) and 34
(P ¼ .001) respectively; the average Quick DASH decreased by 29 (P ¼ .001). Average range of motion
was improved by 35 (P ¼.001). MEPI results were excellent in 12 patients, good in 2, and fair and poor in
3 each. Mild overstuffing was observed in 5 patients, and an implant malpositioning in 3. The implant
survival rate was 100%.
Conclusion: LRE showed promising results in this prospective investigation. Most patients had an
uneventful postoperative course and have shown a painless elbow joint, with satisfactory functional
recovery at short-term follow-up. Further studies with longer follow-up are warranted.
Treatment of class ii non compliant /certified fixed orthodontic courses b...Indian dental academy
The Indian Dental Academy is the Leader in
continuing dental education , training dentists
in all aspects of dentistry and offering a wide
range of dental certified courses in different
formats.
Indian dental academy provides dental crown &
Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit
www.indiandentalacademy.com ,or call
0091-9248678078
International Journal of Pharmaceutical Science Invention (IJPSI)inventionjournals
International Journal of Pharmaceutical Science Invention (IJPSI) is an international journal intended for professionals and researchers in all fields of Pahrmaceutical Science. IJPSI publishes research articles and reviews within the whole field Pharmacy and Pharmaceutical Science, new teaching methods, assessment, validation and the impact of new technologies and it will continue to provide information on the latest trends and developments in this ever-expanding subject. The publications of papers are selected through double peer reviewed to ensure originality, relevance, and readability. The articles published in our journal can be accessed online.
Similar to The stability of class ii malocclusion for orthodontists by Almuzian (20)
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
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
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
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
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
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The stability of class ii malocclusion for orthodontists by Almuzian
1. Stability and retention in class II
division I malocclusion
Evidence related to stability of class II D1 malocclusion
Relationship between stability and pattern of extraction
Relationship between different treatment mechanics and stability
Surgical versus conventional treatment
1. Relationshipbetweenstability and pattern of extraction
Post-treatmentstability in Class II nonextractionand maxillary premolar
extraction protocols, Guilherme. 2012
Aim: To cephalometrically compare the overjet, overbite, and molar and canine
relationship stability of Class II malocclusion treatment with and without
maxillary premolar extractions.
Method: Two groups of 30 patients each with pre- and posttreatment matching
characteristics and satisfactory finishing were used. Group 1 consisted of 30
patients treated with nonextraction at a mean pretreatment age of 12.14 years,
while group 2 consisted of 30 patients treated with maxillary first premolar
extractions at a mean pretreatment age of 12.87 years. Lateral cephalograms
obtained before and after treatment and at a mean of 8.2 years after the end of
treatment were compared.
Results: longterm stability of the overjet, overbite, and molar and canine
relationships were similar in the groups. There were significant but weak
correlations between treatment changes in overjet, overbite, and canine
relationships with their long-term posttreatment changes.
2. Conclusion: Nonextraction and maxillary premolar extraction treatment of
complete Class II malocclusion have similar long-term posttreatment stability in
terms of overjet, overbite, and canine and molar relationships
Long-term stability of Class II malocclusion treated with 2- and 4-premolar
extraction protocols , Janson , 2009
objective of this study was to cephalometrically compare the stability of
complete Class II malocclusion treatment with 2 or 4 premolar extractions after
a mean period of 9.35 years.
A sample of 57 records from patients with complete Class II malocclusion was
selected and divided into 2 groups. Group 1 consisted of 30 patients with an
initial mean age of 12.87 years treated with extraction of 2 maxillary premolars.
Group 2 consisted of 27 patients with an initial mean age of 13.72 years treated
with extraction of 4 premolars.
group 1 had a statistically greater OJ relapse than group 2. On the other hand,
group 2 had a statistically greater molar-relationship relapse toward Class II.
There were significant positive correlations between the amounts of treatment
and posttreatment dentoalveolar-relationship changes.
Conclusions of complete Class II malocclusions with 2 maxillary premolar
extractions or 4 premolar extractions had similar long-term posttreatment
stability.
2. Relationshipbetweendifferent treatment mechanics and stability
Long-term stability of Class II, Division 1, nonextractioncervicalface-bow
therapy: II. Cephalometric analysis. Elms 1996
The long-term stability of Class II, Division 1 nonextraction therapy, using
cervical face-bows with full fixed orthodontic appliances was evaluated for 42
3. randomly selected patients. Each patient was treated by the same practitioner,
with the same techniques, and the treatment goals had been attained for all
patients. Pretreatment records were taken at a mean age of 11.5 years; the
posttreatment and postretention records were taken 3.0 and 11.6 years later,
respectively. The ratio of treatment proclination of incisors to posttreatment
retroclination is approximately 5:1. Similarly, for every 3 degrees of molar tip
back, there was approximately 1 degree of relapse. It is concluded that
nonextraction therapy for Class II malocclusion can be largely stable when the
orthodontist ensures properpatient selection and compliance and attains
treatment objectives.
Long-Term Stability of Class II Correctionwith the Twin Force Bite
CorrectorChebber 2010
Follow-up studies of Class II patients have shown insignificant tendency to
return to the original malocclusion after treatment with small increases in
overjet and overbite and partial relapse of the molar relationships. Proper
interdigitation of the posterior occlusion after bracket removal appears to be an
important contributor to the stability of the correction.
Occlusalstability of adult Class II Division 1 treatment with the Herbst
appliance, Bock
During recent years, some articles have been published on Herbst appliance
treatment in adult patients, an approachthat has been shown to be most
effective in Class II treatment in both early and late adulthood. However, no
results on stability have yet been published. Our objective was to analyze the
4. short-term occlusal stability of Herbst therapy in adults with Class II Division 1
malocclusions.
Methods:The subjects comprised 26 adults with Class II Division 1
malocclusions exhibiting a Class II molar relationship$0.5 cusp bilaterally or
$1.0 cusp unilaterally and an overjet of $4.0 mm. The average treatment time
was 8.8months (Herbst phase) plus 14.7 months (subsequent multi-bracket
phase). Study casts from before and after treatment and after an average
retention period of 32 months were analyzed.
Results: After retention, molar relationships were stable in 77.6% and canine
relationships in 71.2% of the teeth. True relapses were found in
8.2% (molar relationships) and 1.9% (canine relationships) of the teeth. Overjet
was stable in 92.3% and overbite in 96.0% of the patients; true relapse did not
occur.
Conclusions: Herbst treatment showed good occlusalstability 2.5 years after
treatment in adults with Class II Division 1 malocclusions.
Stability of Class II, Division 1 Treatment with the Headgear-Activator
Combination Followedby the EdgewiseAppliance Janson, 2004
This study assessed the stability of the headgear-activator combination
treatment, followed by edgewise mechanotherapy, 5.75 years after treatment.
The experimental group consisted of 23 patients who were evaluated during
treatment and after treatment. Two compatible control groups consisting of 15
Class II, division 1 patients and 24 normal occlusion individuals were used.
This enabled us to evaluate the changes during treatment and after treatment,
respectively. Results showed that the anteroposterior dentoalveolar changes and
the maxillary and the mandibular positions remained stable in the long term.
5. However, there was a slight relapse of the maxillomandibular relationship
probably because the maxilla resumed its normal development and the
mandibular growth rate was smaller than in the controlgroup.
The overbite demonstrated a statistically significant relapse that was directly
proportional to the amount of its correction. Initial Class II malocclusion
severity (ANB and Wits), and initial molar relationship did not present any
correlation with molar relationship and overjet relapse. However, the initial
overjet presented a low but statistically significant correlation with molar
relationship relapse and overjet relapse.
3. Surgicalversus conventionaltreatment
Long-term comparisonof treatment outcome and stability of Class II
patients treated with functional appliances versus bilateral sagittalsplit
ramus osteotomy.Berger2005
The objective of this study was to compare the treatment outcomes and stability
of patients with Class II malocclusion treated with either functional appliances
or surgical mandibular advancement.
The early-treatment group consisted of 30 patients (15 girls, 15 boys), with a
mean age of 10 years 4 months (range, 7 years 5 months to 12 years 5 months),
who received either Fränkel II (15 patients) or Herbst appliances (15 patients).
The surgical group consisted of 30 patients (23 female, 7 male), with a mean
age of 27 years 2 months (range, 13 years 0 months to 53 years 10 months).
They were treated with bilateral sagittal split ramus osteotomies with rigid
fixation. Lateral cephalograms were taken for the early-treatment group at T1
(initial records), T2 (completion of functional appliance treatment), and Tf
(completion of comprehensive treatment). In the surgical group, lateral
cephalograms were taken at T1 (initial records), T2 (presurgery), T3
6. (postsurgery), and Tf (completion of comprehensive treatment). The average
times from the completion of functional appliance treatment or surgery to the
final cephalograms were 35.8 months and 34.9 months, respectively.
In the functional appliance group, the mandible continued to grow in a
favorable direction even after discontinuation of the functional appliance. Both
groups had stable results over time. Both groups finished treatment with the
same cephalometric measurements. Significant skeletal and softtissue changes
were noted in the treatment groups due to either functional or surgical
advancement of the mandible. More vertical relapse was noted in the surgical
group than in the functional group.
This study suggests that early correction of Class II dentoskeletal malocclusions
with functional appliances yields favorable results without the possible
deleterious effects of surgery.
Long-term follow-up of ClassIIadults treatedwith orthodontic
camouflage:a comparisonwith orthognathic surgeryoutcomes Mihalik
2003
Looking at long-term stability of adult Class II treatment it was found that
overbite was equally stable in both groups, but overjet relapsed twice as often in
surgery patients.
Stability of skeletalClass II correctionwith 2 surgicaltechniques: The
sagittalsplit ramus osteotomyand the total mandibular subapical alveolar
osteotomy, Valmy 2001
Combined orthodontic and surgical treatment of severe Class II dentoskeletal
deformities with the use of the bilateral sagittal split ramus osteotomyis a
7. routine procedurein orthodontic practices. However, an alternative surgical
technique, the total mandibular subapical alveolar osteotomy, could be used for
the same purpose. The aim of this investigation was to compare the stability of
the sagittal split ramus osteotomy with the total mandibular subapical alveolar
osteotomyin the correction of dentoskeletal Class II malocclusions. Forty
patients that exhibited Class II dentoskeletal relationships were included in the
study. Twenty of these patients had mandibular advancement with the sagittal
split ramus osteotomy; the remaining 20 patients had advancement of the whole
lower alveolar segment with the total mandibular subapical alveolar osteotomy.
The cephalograms studied were taken before the surgical procedure (T1 = 4
weeks before operation), immediately after the procedure(T2 = 10 days after
surgery), and 1 year later (T3). The results of this study show that both
procedures are equally stable when correcting Class II malocclusions. This was
proved by the stability of the correction of overjet, B point, and incisor-
mandibular plane angle. There were no statistically significant differences
between or within the groups in the position of these landmarks over time.
There was a statistically significant change in the position of pogonion from T1
to T2 (P < .0028) between the groups, although at T3 this difference was not
significant (P < .05). There were no significant changes in face height either
within or between the groups over time. The hard/soft tissue interactions for the
total mandibular subapical alveolar osteotomywere as follows: The lower lip
advanced 60% to the incisor movement; soft tissue B′ point responded with a
130% advancement in relation to the change in its hard tissue counterpart. Soft
tissue pogonion advanced 90% in relation to the hard tissue landmark. The data
suggest that the total mandibular alveolar osteotomy is the treatment of choice
for the correction of severe dentoalveolar retrusive Class II malocclusion for
which alteration of the mentolabial sulcus is desirable.
8. Cause of relapse aftertreatment of class II D1 malocclusion
1. Local factors causing relapse (forward in the upper arch, backward in the lower
arch, or both) due to PD changes or dental relapse.
2. Differential growth of the maxilla relative to the mandible. Future mandibular
growth is also important for the stability of overjet correction. A significant
backwards (clockwise) mandibular growth rotation can lead to an increase in
overjet as the lower incisors are also rotated downwards and backwards. The
resultant increase in vertical facial dimension with this type of growth rotation
also reduces lip competency, which predisposes to relapse.
3. Continued habits
4. Soft tissue factors
5. Iatrogenic or Delayed treatment failure specially in surgical treatment.
6. Idiopathic causes eg: ICR
7. Combination
Factors that be consideredto control relapse potential
1. Regarding AP changes in the lower incisors: In Class II treatment, it is
important not to move the lower incisors too far forward, if happen should be
permanently retained.
2. Regarding the AP changes in upper incisors: Ensuring that the upper incisors
are retracted sufficiently to be in controlof the lower lip.
3. Regarding the occlusion: Proper interdigitation of the posterior occlusion after
bracket removal appears to be an important contributor to the stability of the
correction. Significant amounts of relapse were observed by Pancherz9 and
Wieslander2002 in cases treated to unstable occlusalrelationships.
9. 4. Regarding anteroposterior change: Overcorrection of the occlusal relationships
as a finishing procedure is an important step in controlling tooth movement that
would lead to Class II relapse. Even with good retention, 1 to 2 mm of
anteroposterior change caused by adjustments in tooth position is likely to occur
after treatment, particularly if Class II elastics were employed. This change
occurs relatively quickly after active treatment stops.
5. Regarding growing patient: who has a class II skeletal at the start and treated by
on camouflaging or comprehensive functional-fixed appliance treatment, further
growth (which depend on age and geneder) almost surely will result in some
loss of the correction as the original growth pattern persists. This relapse
tendency can be controlled in one of two ways.
• Continue headgear to the upper molars on a reduced basis (at night, for
instance) in conjunction with a retainer to hold the teeth in alignment.
• Functional appliance of the activator-bionator type to hold both tooth position
and the occlusal relationship. The construction bite for the functional appliance
is taken without any mandibular advancement—the idea is to prevent a Class II
malocclusion from recurring, not to actively treat one that already exists. The
functional appliance will be worn only part time, typically just at night, and
daytime retainers of conventional design also will be needed to control tooth
position during the first few months.
6. Regarding the treated deep overbite:
A. Good interincisal angle. The interincisal angle must be corrected (average 135°)
in addition to the overbite being reduced in order to prevent re-eruption of the
incisors after treatment.
B. Correct mandibular incisor edge-centroid relationship.
10. Possibly the most important factor in overbite stability in all treated cases is
correction of the relationship between the mandibular incisor edge and the
maxillary incisor rootcentroid
This is measured as the distance between the perpendicular projections of these
two points on the maxillary plane (0–2 mm).
This may be achieved by either retraction of the maxillary incisor root centroid
using fixed appliances with palatal root torque, or proclination of the
mandibular incisors to advance their edges.
The decision depends on a number of factors including the facial profile, PD
supportand growth potential.
If a patient has a retrognathic mandible, it is possible to procline the maxillary
incisors and to either surgically advance the mandible or in a growing patient to
use a functional appliance to help advance the mandibular incisors.
In a patient with good facial profile aesthetics, the treatment may be carried out
with fixed appliances alone, so long as the palatal alveolar process is thick
enough to allow retraction of the maxillary incisor rootcentroid. The crowns of
the incisor teeth should also be maintained within the zone of soft tissue
equilibrium between the musculature of the tongue and the lips. An interesting
proposition is that in Class II division 2 malocclusions it may be possibleto
intrude and torque the maxillary incisor roots palatally, allowing the mandibular
incisor crowns to be proclined and hence occupythe position previously
occupied by the maxillary incisor crowns, thus maintaining the incisor complex
within the zone of soft tissue equilibrium.
C. Proclination of the lower labial segment in Class II cases. This may still be
unstable in the long term due to pressure from the lower lip.(Mills 1979)
11. Therefore, long-term retention may be required in suchcases and must be
discussed with the patient prior to treatment.
D. Avoid change in intermaxillary height in non-growing patients. The extrusion of
molars in non-growing patients is unstable, as the muscular forces from the
pterygo-masseteric sling will re-intrude the molars if the posterior vertical face
height has not accommodated their extrusion.
E. Vertical facial growth. it continues well into the late teenage years. As the
pattern of facial growth does not tend to change following treatment it is
prudent to place a bite-plane on the maxillary removable retainer after the
completion of orthodontic treatment. This may be worn on a part-time basis in
order to maintain the corrected overbite until vertical facial growth has
subsided. using active removable upper retainer made so that the lower incisors
will encounter the baseplate of the retainer if they begin to slip vertically behind
the upper incisors. The procedure, in other words, is to build a potential
biteplate into the retainer, which the lower incisors will contact if the bite begins
to deepen. The retainer does not separate the posterior teeth. Because vertical
growth continues into the late teens, a maxillary removable retainer with a bite
plane often is needed for several years after fixed appliance orthodontics is
completed
7. Regarding the treated anterior open bite:
• Continue stopping the habit with tongue spur which is questionable for its
effectiveness
• a maxillary retainer with bite blocks (or a functional appliance) to impede
eruption
• high-pull headgear.
12. Common Questions related to this topic
Are There Any Circumstances in Which LowerIncisor ProclinationIs
Likely to Be Stable?
1. Pre-existing lip trap
2. Digit habit
3. Incisors held artificially upright by the occlusion (such as a class II division 2)
(Mills, 1973)
4. following orthognathic surgery in class III malocclusion (Artun et al., 1990)
Is Lower IncisorProclination Likely to Exacerbate GingivalRecession?
Uncontrolled incisor proclination is inadvisable and risks further recession.
However, the association between proclination and recession is weak and
13. unpredictable. A retrospective study of 300 adult patients undergoing
orthodontic treatment demonstrated an average increase in lower incisor
recession of just 0.14 mm with incisor proclination (Allais and Melsen, 2003).