Academy of Dental Knowledge

So, you are ready to start your crown work for the patient who is eagerly waiting to regain the lost functional ability, phonation and aesthetics. The functional ability, aesthetic value, speech enhancement and self-confidence of the patient will enhance when you look for the following anomalies in the oral cavity and rectify them, before the commencement of the crown preparation. You can make your crown & bridge without giving a dam for these factors, and get the quick bucks. But, it would be a good idea to consider them before you jump on for crown preparation part. And believe me, in long run, you will gain the faith of your patient, converting into your most reliable source of referral and image builder. These factors are given below: General overall health of the oral cavity Expectations of the patient Extremely tilted teeth Mobile teeth Type of occlusion The type of crown you want to fabricate for your patient When we start examination, we look for the general health of the o...

NABH Accreditation Standards for Dental Healthcare  Service Providers  have been outlined in two parts: (A) patient centered standards & (B) organisation centered standards. Here we shall discussed the second chapter of patient centered standards. Chapter 2: Care of Patients (COP)

NABH Accreditation Standards for Dental Health Care Providers  have been outlined in two parts: (A) & (B). Each part has been divided into 5 chapters.   (A) Patient Centered Standards Access, Assessment and Continuity of Care (AAC) Care of Patients (COP) Management of Dental Material and Medication (MOM) Patient Rights and Education (PRE) Hospital Infection Control (HIC)

National Accreditation Board for Hospitals and Health Care Providers (NABH) has laid down Accreditation Standards for Dental Healthcare Service Providers (DHSP). The entities that can apply for are dental teaching institutions, dental hospitals and clinics. The NABH dental standards have been laid down keeping the Indian beliefs and working environment in mind. The board has laid down the standards that focus on

The inferior alveolar nerve is also known as inferior dental nerve.  It gives off a motor branch that supplies to mylohyoid muscle and anterior belly of digastric. Then it enters mandibular foramen and travels through the inferior alveolar canal. From inferior dental canal it supplies to mandibular third molar, second molar, first molar, and second premolar.   From the level of the second premolar, it moves forward as mental nerve and exits through mental foramen.  The mental nerve supplies sensory nerve fibres to the chin and lower lip of that side. Within the mandible after mental foramen, it moves forward as incisive nerve and gives sensory supply to mandibular incisors and mandibular canines of that side. 

Resin Sealants   Properties These are light activated unfilled resins. Most are relatively viscous and do not set through loss of solvent. They set either by chemical or light activation.

Maxillary nerve is the second division of the trigeminal nerve. It divides into several branches. You will read here about those that are related to dentistry below.

Effect of Diabetes on Osseointegration and Dental Implants The tenacious hyperglycaemia in diabetic people, hinder osteoblastic activity and modifies the response of parathyroid hormone that adjusts metabolism of Ca and P, decreases collagen synthesis during callus formation, induces apoptosis in lining cells of bone and increases osteoclastic activity due to untiring inflammatory response. It also stimulates deleterious effect on bone matrix and reduces growth and build-up of extracellular matrix. The subsequent result is reduced bone formation during healing. Type -1 diabetes (insulin dependent) causes decreased bone formation, as well as reduced bone mineral density and higher bone resorption while Type -2 diabetes (non-insulin dependent) produces normal or greater bone mineral density in some patients. It has been detected that insulin not only diminishes the harmful effect of hyperglycaemia by controlling it but also stimulates osteoblastic activity.

The pulp of a tooth lies within its mass. It may be insulted due to various types of injuries and may need to be protected during the treatment. There are varieties of materials available for use. They show different properties and can be used in different conditions with their own advantages and disadvantages. These materials are as follows.

Abrasion It is loss of the tooth substance because of the friction with a foreign substance.The area affected by abrasion are smooth and usually in C shape, more wide than deeper. Clinical Features   These are usually facio-cervical concavities that are more broad than deep and can be associated with an abrasive diet. They are usually found on prominent surfaces of the teeth in the dental arch such as canines, premolars, and mesio-buccal aspects of first molars.  They may affect several teeth in a row with a “band” of abrasive damage. Sometime they may cause hypersensitivity which means the tooth or teeth may have pain while drinking hot or cold beverages like hot coffee or a cold drink. Figure 1 . Abrasion: note the concave smooth cavities in the cervical regions of upper and lower teeth. Causes of Abrasion The reason may be one or a combination of following factors. Normally in clinical practice, I see a combination of several factors. Excessive tooth brushing for a longer...

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