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Showing posts from June, 2012

Fundamentals of Operative Denistry: A Contemporary Approach [3rd Ed]

Auther:  James B. Summitt Publisher:  Quintessence Publishing (IL); 3 edition (January 2006) ISBN-10:  0867154527     Download from BDS Insights  

DentalVibe - insights to a painless procedure

      The greatest majority of the patients have a huge fear of the shot given by the dentist before an extraction, or before a dental filling is performed. No more fears from now on, because good news is on the way. The DentalVibe is an innovative dentistry instrument patented in the US, which is meant to alleviate the pain felt from intra-oral injections. Sometimes, the dentist needs to make even tw o or three such shots to numb a greater area within the mouth, and now thanks to this advanced technology, the fear of injections should be gone forever. This is a rechargeable and cordless instrument, which actually delivers some micro-oscillations, or vibrations as commonly known, right to the site where the shot needs to be administered. The instrument is designed based on the Vibra Pulse technology, which basically helps blocking the neural pain gate while the shot is administered, thus eliminating completely the feeling of pain. Instead of the dreadful pain, th

Ranula

A ranula is a type of mucocele found on the floor of the mouth . Ranulas present as a swelling of connective tissue consisting of collected mucin from a ruptured salivary gland duct , which is usually caused by local trauma. The Latin rana means frog , and a ranula is so named because its appearance is sometimes compared to a frog's underbelly.  ETIOLOGY : Ranulas Congenital ranulas can arise secondary to an imperforate salivary duct or ostial adhesion. These are very rare and have been known to spontaneously resolve. Posttraumatic ranulas arise from trauma to the sublingual gland, leading to mucus extravasation and formation of a pseudocyst. The more appropriate term for this may be mucus escape reaction (MER). Pathophysiology Ranulas are formed from 1 of 2 processes: Partial obstruction of a sublingual duct can lead to formation of an epithelial-lined retention cyst. This is unusual, occurring in less than 10% of all ranulas. Trauma can lead to fo

Chennai to host global clinical trials

A Chennai dental hospital has been chosen as one of the nine sites for an international clinical trial on zygoma tooth implants. Zygoma teeth are the new-age permanent implants used instead of dentures by people who have lost their teeth because of various diseases or genetic disorders. Zygoma prosthetics shorten the time taken for a tooth implant procedure from one year to 72 hours. “Many young people lose their teeth to aggressive peritonitis, or gum disease. We do not know what causes the disease, but the sufferer’s teeth become loose and fall off and even his jaw bone is destroyed,” explains Dr R. Gunaseelan, oral and maxillofacial surgeon at Rajan Dental Institute, which will be Asia’s second trial centre after a hospital in Hong Kong. “Surprisingly, 90 per cent of my patients who lose all their teeth are below 40 years of age. It is inconvenient and a social embarrassment for young people, especially those of marriageable age, to wear a set of dentures,” he adds Z

Gray baby syndrome

Chloramphenicol ! Yes , thats the drug which comes to your mind .. 1st ( Or rather should come , if pharmacology was nice with you :P )  !! When you read these Letters - GRAY BABY SYDROME                                                  So what is Gray baby sydrome ?! Gray baby syndrome is a rare but a serious side effect that occurs in newborn infants (especially premature babies) following the intravenous administration of the antimicrobial chloramphenicol .                                                    How does it happen !? Two pathophysiologic mechanisms are thought to play a role in the development of gray baby syndrome after exposure to the anti-microbial drug chloramphenicol. This condition is due to a lack of glucoronidation reactions occurring in the baby, thus leading to an accumulation of toxic chloramphenicol metabolites. The UDP-glucuronyl transferase enzyme system of infants, especially premature infants, is immature and incapable of metabolizin

The circle of 99

The circle of 99 To reflect: There once was a very sad King, who had a page, which as every page of a king sad, she was very happy ... Every morning, the page came to the breakfast of your love, always laughing and singing happy songs ... The smile on your face always drawn, and attitude towards life always serene and cheerful ... One day the King sent for him: - PAGE - said the King - what's your secret? - What secret, Highness? - What is the secret of your joy? - There is no secret, ... Majesty - Do not lie page ... you know that I have sent many heads cut for minor offenses than their lie! - But I'm not lying! I do not keep any secrets. - And you're always cheerful and happy? - Majesty, I have no reason to be sad: I am very honored to serve your Highness, I have my wife and children, and live in the house in which the Court granted ; are clothed and fed, and always get a few silver coins to satisfy some tastes .... as not being happy? - If you d

Complete dentures - a clinical manual for the general dental practitioner

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KAWASAKI DISEASE - acute febrile mucocutaneous syndrome

                          Dr Tomisaku Kawasaki published a case series of 50 children in 1967, who were febrile and all had a rash, non-exudative conjunctivitis, erythema of the palms and soles of the feet, and cervical lymphadenopathy. This constellation of signs Dr Kawasaki termed “acute febrile mucocutaneous syndrome”; however the eponym Kawasaki disease has been accepted worldwide.  Symptoms Kawasaki disease often begins with a high and persistent fever greater than 102 °F, often as high as 104 °F. A persistent fever lasting at least 5 days is considered a classic sign. The fever may last for up to 2 weeks and does not usually go away with normal doses of acetaminophen (Tylenol) or ibuprofen . Other symptoms often include: Extremely bloodshot or red eyes (without pus or drainage) Bright red, chapped, or cracked lips Red mucous membranes in the mouth Strawberry tongue, white coating on the tongue, or promin

Club feet : congenital talipes equinovarus (CTEV)

A club foot , or congenital talipes equinovarus ( CTEV ), is a congenital deformity involving one foot or both. The affected foot appears rotated internally at the ankle. TEV is classified into 2 groups: Postural TEV or Structural TEV.  . Etiology The true etiology of congenital clubfoot is unknown. Most infants who have clubfoot have no identifiable genetic, syndromal, or extrinsic cause. Extrinsic associations include teratogenic agents (eg, sodium aminopterin), oligohydramnios , and congenital constriction rings. Genetic associations include mendelian inheritance (eg, diastrophic dwarfism; autosomal recessive pattern of clubfoot inheritance). Cytogenetic abnormalities (eg, congenital talipes equinovarus [CTEV]) can be seen in syndromes involving chromosomal deletion. It has been proposed that idiopathic CTEV in otherwise healthy infants is the result of a multifactorial system of inheritance. Evidence for this is as follows: Incidence in the general population i

Question of the day

A 36-year-old man with HIV/AIDS (CD4+ lymphocyte count = 112/ìL) develops a scaly, waxy, yellowish, patchy, crusty, pruritic rash on and around his nose. The rest of his skin examination is normal. Which of the following is the most likely diagnosis? A. Molluscum contagiosum B. Psoriasis C. Reactivation herpes zoster D. Seborrheic dermatitis

Langerhans cell histiocytosis

Langerhans cell Histiocytosis ( LCH ) is a rare disease involving clonal proliferation of Langerhans cells , abnormal cells deriving from bone marrow and capable of migrating from skin to lymph nodes . Clinically, its manifestations range from isolated bone lesions to multisystem disease . LCH is part of a group of clinical syndromes called histiocytoses , which are characterized by an abnormal proliferation of histiocytes (an archaic term for activated dendritic cells and macrophages ). These diseases are related to other forms of abnormal proliferation of white blood cells , such as leukemias and lymphomas . The disease has gone by several names, including Hand-Schüller-Christian disease , Abt-Letterer-Siwe disease , and histiocytosis X , until it was renamed in 1985 by the Histiocyte Society. Causes, incidence, and risk factors Histiocytosis X has typically been thought of as a cancer-like condition. More recently researchers have begun to suspect that it is actua

The Diagnosis

A 57-year-old male with liver carcinoma. No chest symptoms. What are the densities in the upper lung and mediastinum? 1. Veins 2. Arteries 3. Lymph nodes 4. Esophagus                          57-year-old male, AP supine chest                  57-year-old male, erect lateral chest

An introduction to orthodontics

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