Academy of Dental Knowledge

This case presentation is about the emergency management of a traumatized patient. The questions related with this type of accidental cases may be asked in part one examination. I can guarantee you that at least once, you will be asked about the management of an accident case in viva voce session of ADC part 2 practical examination. You are supposed to prepare a treatment plan for this patient.  If you wish, you can submit your treatment plan in the comment box. If need arises, you will get a positive response.   Case Description: This male patient, in mid 40s was brought to the emergency room with the condition shown in the picture. He was unconscious with a GCS score of three and without any history. He was intubated to maintain airway in the emergency room. As a member of the emergency management team, you were called upon to perform your role. You were the first person to reach the emergency room. While other members are on their way, what will you do to manage this case?    Ex...

The oral manifestation of leukaemia can be summarized as follows. In acute leukaemia- localized or generalized gingival hyperplasia is generally observed.   It mainly affects the interdental papillae and the marginal gingiva.  

Can clothe masks be a substitute for N95 masks?      The researchers at the University of Chicago performed a study to check the  purification  ability of the cloth masks. They made masks by joining one layer of tightly woven cotton sheet 1  and two layers of polyester-spandex chiffon 2 , which is a fabric commonly used in evening gowns. These masks filtered out 80% to 90%  spray  particles ranging from 10 nanometres to 6 micrometres in diameter at normal human respiratory flow rate and volume.     

Article written by  Dr. Neha Rai  MBBS, MD SR AIIMS Patna Diabetes Mellitus refers to a group of common metabolic disorders that share the phenotype of hyperglycaemia and are caused by a complex interaction of genetics and environmental factors. It is very different from Diabetes Insipidus. Diabetes Insipidus is a syndrome characterised by the production of abnormally large volumes of dilute urine due to decreased secretion or action of Vasopressin, a hormone secreted by the posterior pituitary gland.   The pathogenic process leading to hyperglycaemia is the basis for classification of diabetes mellitus into several types. Age or insulin dependence are no longer the criteria for differentiation. Type I and Type II are the two broad categories. In Type I DM there is destruction of pancreatic β cells and insulin deficiency resulting from autoimmune β cell destruction. Type II DM is characterised  by variable degree of insulin resistance, impaired insulin secretion, exc...

The biomedical waste management in India should be the burning and worrisome topic for the public as well as hospitals and health care service providers. Bio-Medical Waste (Management and Handling) Rules 2016 and further amendments in 2018 and 2019 have made enough provisions to handle all the biomedical wastes by any entity involved in anything related with health care provision. This includes, hospitals with only OPD facilities, hospitals with indoor facilities, blood donation camps, free health camps, medical services being provided in the field excluding the active war zones as well as the ships in the international water with Indian registration.   The categorization of all biomedical wastes into four color categories namely yellow, red, white, and blue made the segregation easy and practical. It does not specifically say anything about the rules and regulations to be followed  in reference to  COVID-19. But when, the proper biomedical waste management protocols, standard precauti...

Role of Zinc in Silver Amalgam  Zinc as such does not participate in the amalgamation process or in the setting reaction of silver amalgam alloy with mercury during and after the completion of the restoration process.  

The Central Bureau of Investigation (CBI) has filed an FIR against former Head of the Dental Department of All India Institute of Medical Sciences (AIIMS)-Patna, Dr. Shailesh Kumar Mukul. He is accused of resorting to “unlawful means in conspiracy with others” during the 2013 and 2019 period.  

Coronavirus Disease-COVID-19: Seven Essential Norms You Should Follow to Help Yourself during Quarantine Period The following category of people should stay at home under home quarantine status. This category includes a person with suspected coronavirus infection, those under investigation but not needing hospitalization. Also, the one who had had confirmed coronavirus infection was hospitalized earlier but now has been discharged and medically stable. These people should stay at home under quarantine conditions.

Dental Amalgam  In this section, we shall discuss the composition, type and properties of the dental amalgams alloys used for restoration purpose in posterior teeth as per following format. The source of these notes, MCQs and explanation is Phillips’ Science of Dental Materials, 12th Ed and Sturtevant’s Art and Science of Operative Dentistry.

Why is Zinc Not Added to Dental Amalgam? Zinc as such does not participate in the amalgamation process or in the setting reaction of silver amalgam alloy with mercury during and after the completion of the restoration process.

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Indian Prosthodontic Society (IPS) holds its 46th conference in Mangalore on 15th November 18.

The 19th National PG Student Convention of Indian Prosthodontic Society is scheduled to be held from 5-7 April 2019 at Gandhinagar, jointly by Gujarat IPS State branch and Narsinhbhai Patel Dental College & Hospital, Sankalchand Patel University, Visnagar, Gujarat.  

Local anaesthesia means a no pain sensation in a particular area supplied by a specific nerve. The correct term is local analgesia but commonly not used? It is given with the help of 2 ml or 5 ml single use disposable syringes.  The anaesthesia is an inseparable part of surgery. It provides maximum patient comfort and cooperation. Without anaesthesia, the advancement in surgeries could not have been achieved. In 3rd molar surgery a patient may opt for general anaesthesia or local anaesthesia. The local anaesthesia may be supplemented with sedation for increased comfort.    Advantages of Local Anaesthesia    Local anaesthesia has the following advantages over general anaesthesia.  It is safe, efficient and predictably effective in almost all patients.  It is inexpensive.  It is easy to administer.  For healthy patient, no monitoring is needed by equipment  The patient does not lose consciousness with an intact gag reflex during anaesthesi...

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.