NABH Standards for Dental Healthcare Service Providers: Access Assessment and Continuity of care

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

  1. Access, Assessment and Continuity of Care (AAC)
  2. Care of Patients (COP)
  3. Management of Dental Material and Medication (MOM)
  4. Patient Rights and Education (PRE)
  5. Hospital Infection Control (HIC)

Accreditation Standards for Dental Healthcare Service Providers by NABH

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

All About Inferior Alveolar Nerve Block

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. 

Dental Materials Used In Pulp Protection: Resin Sealants

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

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.

Effects of Diabetes Mellitus on Osseointegration and Dental Implants

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.

Dental Materials Used In Pulp Protection: Varnishes

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 Of Teeth and its Consequesces



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 period
  • Use of hard tooth brush
  • Use of tooth paste containing highly abrasive material
  • Use of locally prepared tooth cleaning powder or paste like Gul, Gulak or Lal Manjan (red tooth powder)
  • Repeatedly putting foreign objects in the mouth like pipe smoking, pen, bobby pins or any other occupational material


 

Prevention of Abrasion


Use of common sense is the best way for the prevention of the abrasion. If the cause is a hard tooth brush or brushing the teeth for a longer duration or use of an excessively abrasive tooth paste. Then correcting the hardness of the tooth brush which means suggesting a patient to use soft brush, limiting the tooth brushing time for two minutes, and changing the tooth paste manufactured by a reputed company will be sufficient. If the cause is abrasive food or any occupational factor, this may be a bit difficult to arrest the lesion but not impossible.

Treatment of Abrasive Lesions

 The treatment of the cavities created by abrasion is the restoration of teeth by Glass Ionomer or tooth coloured composite filling material. These types of fillings or restoration fall under the category of 'Cosmetic' or 'Aesthetic' 'Restorations'. 
Some times, the depth of the abrasive lesion is so deep that it affects the pulp in an adverse way. In this stage, it is better to get the 'Root Canal Treatment' before going for aesthetic restoration. But, if the lesion had been there since long, the involved tooth may need extraction. 

Tooth abrasion का अर्थ "दांत का घर्षण"  होता है | मै इस लेख को हिंदी में लिखने की पूरी कोशिश करूंगा |


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