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Danda shah bilawel, Punjab, Pakistan
Dr Raana Anjum

Wednesday, January 13, 2021

Covid-19 pandemic and dentistry

 Corona virus has transmitted  throughout the world.It is quickly spreading virus affecting large population  of world. In most cases disease is mild to moderate but in severe cases it becomes  deadly. 

As a very famous idiom 

"PREVENTION IS BETTER THAN CURE "

Is hundred percent true in this pandemic of covid.

This disease spread through air borne droplets and sticking  it to hands and surfaces of different object, social distancing, gloves masks and washing hands are basic protocols for protection. 

Dental surgery

Dental surgeon  and staff are at greater risk as procedures have to perform in oral cavity  of patient, the major source of virus spread.
Dental offices and surgeries are needed proper  protocols to follow.  

Protocols  in dental surgery 

Dentist  and all staff should be educated and well trained about protocols and preventive measures against coronavirus. 

Teledentistry

Treatment of patient through telefonic contact.in case where minor symptoms can be managed with medicines and home remedies, reassurance of patient and lateron appointment should be recommended. 

      If physical checkups and procedures are necessary these protocols are followed 

1-before arrival of patient 

 : Appointment of patient on call should be made  with exact timings. 
: Ask patient to wait in car instead of waiting room.
:Educate regarding of visit rules and etiquette
 : Recommendation of  mask(not for those having breathing difficulty or unconscious)
:  limits entry points of clinic. 
:  space appointments to minimize  number of persons in clinic at any time
: hand washing and gloves wearing instructions 

 2 On arrival 

Written instructions on panaflex  and chats should be on prominent view.
Make sure of washing and sanitizing of hands before entering reception. 

screening for coronavirus
: by taking temperature with infrared or noncontact thermometer .
: take history travelling of risk areas 
: any complaint of coughing and sneezing. 
: history of to come in contact with coronavirus patient. 
    If suspected for this viral infection send to infection control department. 

3 -When with doctor 

: 1 patient at a time with no attendant.
: doctor /dentist  and assistan should  wear 
     PPE.
: treatment should be restricted to necessary    procedure .
: try to avoid  aerosol producing procedure       like scaling  and cavity preparation with.       handpiece etc.
: heavy suction,rubber dam isolation must         be used.
: disposable items should be used whenever     possible and appropriately discarded.
: advice patient to wash hand and wear   mask again before leaving clinic. 

4 - after leaving patient 

 : Dental unit will be clear and clean               properly
: disinfect  dental chair and all equipments      used .
: operatry room should be disinfected with       spray.
: gloves removed  and handwash with soap       for atleast 30 second .

 Dental emergencies 

Dental emergencies may be life threatening and need immediate treatment to stop ongoing tissue bleeding, to alliviate pain and control infection .
 These include
 :  Uncontrolled  bleeding
  : Cellulitis or soft tissue infection with intra      oral or extra oral  swelling  that                        potentially  compromise the patient                  airway. 
 : trauma to facial bones compromising       airway. 

 Urgent dental care 

Focuses on the management of conditions that require immidiate attention to relieve severe pain and controll  infection.these should be treated as minimally invasive as possible .
 : Severe dental pain by pulpitis
 : Pericoronitis and impaction 
 : abscess  or sinus fromation due to dental        and gingival  infection.
 : biopsy of abnormal tissue 
 : tooth fracture causing pain 
 : broken restorations  are causing gingival       irritation 
 : snipping or piercing orthodontic wires     causing ulceration of soft tissue. 
  : denture adjustment on radiology/     onchology patient.
 : suture removal. 


Saturday, November 14, 2020

Complete Morphology Of Permanent Maxillary lateral incisors

Permanent lateral incisor
Lateral Incisor

 Maxillary lateral inisors are two in numbers and next to central incisors,these are smaller than central incisors. Maxillary lateral incisor shows greater variations  in morhpology

Labial view

It looks like trapezoid in shape labially


Lingual view

Trapezoid in appearance 

Mesial Aspect 

Proximal aspect of permanant maxillary lateral incisor is triangular or wedge shaped.
        Labial out line is less convex than that of  central incisor.
        Lingual out line is like central incisor convex  gingivally with crest of curvature at cingulum,concave in middle (lingual fossa) slightly convex at incisal edge.

Distal Aspect


Incisal aspect 


Root 

A: labial view
B: linguL view
C: mesial view
D: distal view































Friday, November 13, 2020

Tooth morphology of maxillary central incisor

Morphology describes the shape and form of teeth.
There are two sets of teeth in human beings
1: deciduous teeth(milk teeth)
2:permanent (adualt teeth)
 According to shape and functions 4 types of teeth present in mouth
1:incisors 
2:canines 
3:premolars
4:molars 
Teeth are arranged in two arches,upper and lower.
Upper arch named Maxillary arch 
Lower arch  named mandibular  arch 
Each  arch holds 16 teeth out of 32 teeth 
Each arch  is divided into two  Quardrants by midline plan

 Incisors  

      Morphology  of central incisors




          These are towards midline and only teeth having mesial to mesial contact of two central incisors, all other teeth have contact points with mesial of one tooth and distal side of adjascent tooth .

From facial /lingual view crown  is trapazoid and from proximal view it lookslike a Wedge.mosioincisol angle is more square and disto incisol angle is round

Monday, January 6, 2020

Anatomical terminology

Terminology
              Is a general word for group of spacilized words relating to a particular field. Or
        It is a system of terms relating to a particular subject.
 Anatomical terminology
               It is form of a scientific terminology used by anatomist,doctors and zoologist.
It is related to anatomical structures of human and animal bodies.

  •      Terms usually used are


  1:Anatomical position
          - body erect
           - head,eyes,toes directed forward
            - limbs at side of body
             - palms directed
               forward
2:prone position
                When the body is lying in anatomical position with face downward
3:supine position
                  When body lying with face up in anatomical position
4: Median plan
                    Vertical plane passing through center of body dividing it into 2 equal halves right and left
5: sagittal plane
                       Vertical plane a parallel to median plane also called paramedian plane
6: coronal plane
                          vertical plane seperates the body into anterior and posterior parts
7: horizontal plane
                         Parallel to floor,perpendicular to coronal and median plane ,separate the body into superior and inferior parts
8: anterior/ventral
                           closer to anterior surface of body
9: posterior/dorsal
                             closer to posterior surface of  body
10: superior/ cranial
               Closer to head
11: inferior/ caudal
                Closer to feet
12:superficial
                  Closer to surface of body
13: deep
             Away from surface
14: proximal
               Closer to root of limbs
15: distal
               Furaway from root of limbs
16: external
                Out side of a hollow structure
17: internal
                 Inside of a hollow structure
18: medial
                   Close to midline
19: lateral
                  Away from midline


OPEN APEX ROOTS OF A TRAUMATIZED TOOTH

     TEETH WITH AN OPEN APEX When a tooth does not close at the end of root  it is called an 'open apex', in other words, absence of...