Bøger af Ruchi Gupta

Any operative procedure needs adequate space over the operating field. There must be proper control of moisture, good accessibility and visibility as well as spacious for instrumentation around the working area. For easy manipulation this kind of environment is necessary. Isolation of the working area includes isolation from saliva, blood, gingival crevicular fluid and soft tissues like lips, cheeks, gingiva and tongue. Isolation is done for proper control of moisture, good accessibility and visibility, to provide adequate space for instrumentation and operation. Important consideration of isolating the operating field is the use of means to provide safety to the patient during the operation.

Splinting is done to stabilize the teeth and to optimize healing outcomes for the pulp or the periodontal ligament. A splint has been defined as an apparatus used to support, protect or immobilize teeth that have been loosened, replanted, fractured or subjected to certain endodontic surgical procedures. Historically, splinting of teeth utilized the principles of jaw bone fracture with rigid, long-term immobilization for a few months. A flexible splint allows functional movement in contrast to a rigid splint where the injured teeth are immobilized. Splinting is an essential adjunct in addition to cause-related therapy in the treatment of mobile teeth.

Oral fluid offer a broad perspective on biological processes and the state of many organs. The human body is made up of several different fluids, including blood, urine, and saliva, GCF, Dentinal fluid which include a lot of proteins that may be linked to a number of systemic and oral disorders. These liquids had many clinical uses, in order to assess and keep track of human health. The widespread effects of many diseases, including cancer, cardiovascular, metabolic, and neurological conditions presented clinical professionals with a challenge in providing and enhancing the diagnosis processes and clinical evaluation of these patients.

Intracanal medications are required in cases of non-vital teeth, periapical illnesses, periapical abscesses, and traumatized teeth. A positive prognosis results from applying intracanal medication with the intention of cleaning the root canal and reducing the bacteria load. One must evaluate the features, benefits, and drawbacks of the drug before choosing it. The majority of natural products are widely accessible and have good antibacterial qualities, but it is important to assess how effective they are in a clinical context.

Working length determines the extent of canal cleaning and shaping. This limits the penetration depth of subsequent instruments and determines the ultimate form of root canal preparation. Regardless of whether it is in dentin or cementum; the most clinically relevant working length landmark is the apical constricture. There are various methods that can be used for determining the working length of the tooth. Knowledge of apical anatomy, prudent use of radiographs and the correct use of an electronic apex locator will assist practitioners to achieve predictable results.

Special health care need is any physical, developmental, mental, sensory, behavioural, cognitive, or emotional impairment or limiting condition that requires medical management, health care intervention, and use of specialized services or programs. Children cannot independently meet their social and cultural exceptions, because they are emotionally and physically immature. The condition may be congenital, developmental, or acquired through disease, trauma, or environmental cause and may impose limitations in performing daily self-maintenance activities or substantial limitations in a major life activity. Health care for individuals with special needs requires specialized knowledge acquired by additional training, as well as increased awareness, attention, adaptation, and accommodative measures.

Digital dentistry refers to the use of dental technologies or devices that incorporates digital or computer-controlled components to carry out dental procedures rather than using mechanical or electrical tools. The use of digital dentistry can make carrying out dental procedures more efficient than using mechanical tools, both for restorative as well as diagnostic purposes. The age of digitization has ushered digital dentistry which helps in integrating new technologies and maximizing treatment outcomes. Digitization improves efficiency and reduces time. Dentistry has always been digital in the sense that it requires human hands and fingers to skilfully treat patients.

The preservation of healthy tooth structure using non invasive treatment techniques is one of the primary goal of the modern dentistry. Modern dentistry is the physiology and practice of finding and treating dental decay as early as possible, of making the smallest possible restorations and of assuring that those restorations are aesthetically pleasing and long lasting. It is one of the most significant advances in dentistry over the past few years. It involves minimal clinical cavity acesss with the least amount of enamel removal required to enable adequate access for visualization and removal of infected dentine, and is more comfortable quieter and generally more acceptable to patient.

A world-renowned researcher and physician offers the first book to identify the entire spectrum of food-related health conditions, from allergy to sensitivity, and what we can do about it.

Biomimetics provide new strategy that translates our knowledge of biological system and create new synthetic pathways to mimic biological processes. Three approaches are being used for the creation of new tissues by mimicking natural ones which includes the tissue engineering triad; the cells, mediators and a biocompatible matrix. It is a challenge to design and fabricate new biomimetic materials like enamel, dentin, cementum, pulp, bone and periodontal ligament. Focusing on to the future, we should direct our goal to regenerate the diseased and necrotic tissues rather than replacing them with some conventional replacement materials.

Intracanal medicaments are used for root canal disinfection. As a part of controlled asepsis their role is secondary to cleaning and shaping of the root canal. The chemical nature of medicaments employed are varied-; they come from a number of different groups, often different chemicals or drugs are combined in a ¿cock tail¿ in an attempt to elicit a variety of effects with a single application. Due to advance in medical and research fields new approaches like photoactivated disinfection, ultrasonics, endox, ozone, lasers and electrochemically activated water have been introduced for the disinfection of the root canal. Therefore to inactivate this bacterial inflammatory burden, long lasting antibacterial intracanal medication has to be utilized between the endodontic appointments.

Successful treatment is often the outcome of collective interplay of the concerned specialties. The patients are becoming aware and willing to accept different treatment options to achieve esthetic and functional corrections. This changing psychological scenario has made interdisciplinary approach a necessity for any esteem. Teamwork is the mainstay of interdisciplinary dentistry, as it bridges the inevitable gaps that exist between different disciplines of dentistry. Specialists with varied expertise gather at one platform and work as a team, to identify problem and plan treatment .