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Crown fracture > pulp capping

Painless tooth


Exposure less than 1mm(pointed)


Young teeth


Or mature painless teeth seen less than 1 hour


Partial pulpotomy

Young tooth


Exposure larger than 1mm


Less than 24 houre


Vital

Concussion

Teeth experience tenderness to touch/percussion


But no displacement in the alvéoles


And no mobility


....


No immediate treatment

Subluxation

Tender to touch /percussion


Slightly mobile


No displacement


>stabilized with flexible splint >2w


Prognosis 👍🏼

Extrusive luxation

Displaced outwardly or incisal


. Mobility


Radio>rule out>alveolar fracture


Treatment


. Clean with saline


. Reposition tooth


Split 2w

Lateral luxation

Displacement


Fracture facial cortical bone


Split 4w

Intrusive luxation (intruded)

Palpable (واضح) fracture


Intruded nasal or sinuses


Treatment Depent on


. Complet/incomplete root formation


. Intrusion less/more than 7mm


-reposition /surgery

Avulsion

(complet separation)


Antibiotics


>12Y=AMOXICILLin


<12y=doxycycline


-tooth contact with soil=tetanus booster(كزاز)


-spilt2-4w


And- soft diet 2w


- chlorhex 0.12% 2w


Follow - up 4w/3m/1y/5y

Pdl

Periodontal ligament

Truma longtemps conséquences

External resorption


Inflammatory


Replacement(ankylosis) - no pdl-


Internal resorption


Clacified


بشكل عام تحدث سواء اللب حي او ميت

Neuro vascular damage in luxation

27%

Pulp necrosis in instrusion luxation

96%


Especially in close apics

Spontaneous pain

ألم عفوي

Partial(shallow) pulpotomy

Pulpal inflammation greater than 2mm

Apexogensis

Vital pulp in immature teeth


>root formation complet

Apexification

Mta/calcium hydroxide


Thick plaste placed within the canal


Replaced every 3 month


The root may take up to a year to complete


!!!! We can fill apical third root with MTA and obturat with gutta in same day

Internal bleaching

Sodium perborat and hydrogen peroxide



Or


Sodium perborat and saline


* leave these agents a few days to 1 week

Odontogenic teeth pain generally

Long an lingering


C-fibres

Factor to making dental diagnosis

Chief complaint


Intensity and duration symptom


Locations quality and duration of pain


History of pain

Periapical diagnosis

Symptomatic apical periodontits

SLOB role refers to

Buccal object rule


(same ligual, opposite buccal)

Wich elicts positive response to percussion

Symptomatic irreversible pulpitis

Referrd tooth pain may radiate(يشع)

Adjacent teethمجاورت


Down neck


Around ear


Temple

Zinc oxide in gutta

59_75%

Pulpal debridement

Cleaning and shaping


تنظير يعني


Unnecessary

Concussion injury

May require no treatment

Etiology

مسببات مرضيه

Pathogenesis

الآلية الحيوية لتطور المرض

Speed caries in enamel to progress into dentin

Proximal 4y. ملاصق


Enamel fissure lesion شقوق وميازيب


2-4y


Infants do not harbor mutans streptococci until teeth emerge

الاطفال ليس لديهم جراثيم ستريبتو كوكاي فعالة حتى بزوغ الأسنان

Major source of strep mantus in children

Their mothers

Most predominate bacteria

Streptococcus mantus

Most commonly affected tooth with carries

Upper first molar

Most commonly surfaces

Occlusal

Least commonly surfaces

Lingual

Pits and fissures

حفر و شقوق


وهاد وميازيب

Deep groove

ثلم عميق


ميزاب


شق

Decayed tooth

سن متآكل

Lesion

افة

تركيب الفلور

Ca Po4, Fl

Oral rinses

غسول فم

Calcium phosphates

Increase bioavaibility of calcium and phosphorus ions and aid remineralization when oral ph is maintained

Chlorhexidine to prevention

Used in patients with high strep mutans count

Excessive plaque

لويحة مفرطة كثيرة

When we see white spot lesion

When the caries is less than halfway in enamel

Tactile method to detect caries

With dental explorer used with caution حذر


Fluorescence

ضوئي

Caries indicator dys

الصبغة الكاشفة للنخور


Used during process of cavity preparation


For..


Less mineralized dentin


Not for infected dentin


Use with caution to avoid pulp exposure

Remineralization


When ?

Ph>5.5


Sufficient caPo4 and/or fluoride

Ph

Critical 4.5


5.2----5.5

Fluoride application

NaF varnish 5% for 2-4m


Fluoride gel 5000 ppm1-2daily for, 2/4m


Maximum dose fluoride for adults

5 mg/kg/d

Fluorosis dose in children

0.7 mg/kg/day

Amalgame failures

Use a degradable material (قابلة للتحليل)


Such as ZOE


Marginal leakage تسرب حفافي

Indication of indirect restorations

1 or mor cusps must be reduced


Alot of gold and porcelaine


Splinting


Abutment for bridge


Restoration of endo treatment

Hypersensitivity factors or reasons

Thermal ♨ evaporative بخار


Tactile لمس


Osmotic تناضحي/ ضغط حلولي


Chemical stimuli applied

Chipped tooth

Fractured tooth

Dh


Dental hypersensitivity


Most common cause

Gingival recession


30-40 years


Women more


90% cervical surfaces

Another causes of DH

Toothbrush trauma


Endogenous acid ( gastric reflux), fruits


Tooth whitening


Occlusal problems

Tooth whitening

35%carbamid peroxide =


12% hydrogen peroxide

Rotary cutting instruments

12,000-200,000

Amalgame required depth in dentin

0,5mm

Obtain resistance an retention forms

تحقيق المقاومة والثبات


Resistance >no fracture


Amalgame class 1 cavity


How walls be 🤔

Buccal lingual >converge occlusally تتلاقى اطباقيا


Mesial distal > diverge slightly


تتباعد قليلاً


Converge & diverge

Use rubber dams when feasible

استخدامه عند وجود قابلية استخدام

Rubber dam

Retract soft tissue


Difficulties rubber damd

Third molar


Severely tiltedمائلة teeth


Incomplete erupted


Respiratory problems


Root caries

Thikness bond/ liners/bases

Bind 2-5 micro


Liners less0,5


Base 1-2 mm

Stimulate formation

يحفز تشكيل..

Prevent thermal shock at adequate strength to be used

يمنع حصول صدمة حرارية بقوة كافية لتجعله جيد للاستخدام

Amalgame with mimal depth of preparation, which liner?

Varnish


Or nothing 😄

Amalgame with deep preparation, wich liner?

Calcium hydroxide followed by GIS

Composite, liners?

No varnish


No ZOE

Temporary restoration

ZOE


May be used GIC in big restorations

Why pulp capping is especially successful in immature teeth?

Due to increased blood supply

Amalgame alloy

Silver 50-72%


Tin 25-30% قصدير


Copper 8-30% (13%in gamma 2)


Zinc 0-2%

Amalgame

Is brittle هش


The most consideration in strength 💪 is above 55% mercury

Compressive strength of amalgam

45,000-65,000 lb

Amalgame strength factors

45-53% mercury


Higher condensation pressure قوة تكثيف


Smaller particles


Long trituration time 40 seconds


Fewer voids فراغات


Spherical particles جزيئات كروية


Nooo contamination تلوث with moisture رطوبة

Class1


Mesial and distal wall

Converge occlusally


To avoid undermining اضعاف


Mesial and distal Marginal ridges

Proximal section

الجانب الملاصق


الحفرة العلبية الملاصقة

Embrasures allow

تحتضن الحشوة

Axiopulpal line should be

Rounded


Or beveled


مشطوب

Why we should bevel

To reduse concentration تركيز stress

Axiale wall

0,5mm in dentin approximately


Slightly convex محدب


Mimicking يساير/يحاكي external contour of tooth. محيط السن

Undermine enamel

ميناء غير مدعوم بالعاج

Why not use amalgam in class3

Because of a esthetic جماليا




But


May be used diatal canines

Amalgame in class 5

Seldomly. = rare


Because aesthetic and retention

Flair

مائل

Class 5

Outline form is kidney or trapezoidal شبه منحرف


0,5mm in dentin


Undercuts placed gingival occlusally


Not to dith لا تعمل خنادق cementum when finishing

Pin amalgame

1mm from dentino enamel junction


Should not bent لا ينحني


No strength to amalgam but only retention


2 mm in dentin

Polishing amalgam

24-48 h after insertion


Reduce Marginal break down


Mor hygienic


Prevent tarnish تشويه restoration

Adequate bulk

الحجم الكافي

Smear layer

طبقة اللطاخة

Dentin etching

After 15 seconds


Rinse with water and leave surface slightly moist to


Prevent collapse انهيار dentin fibils

Depth of composite preparation

2mm

Bevel in composite

1mm width


Improve aesthetic

Gouging restorative

نحت الترميم

Light curing

400mW/cm2

Composite resin

More filler content better mechanical properties

Self curing

ذاتي التصلب

GIs

Powder :calcium stronium Fluor glass


Liquide :40-55% 2/1 acrylic itaconic acid polymer in water

Only water base restorative material

GIs

Tooth surface prior GIs

Remove smear layer with


10% polyacrylic acid


25% tannic acid

GIs and phosphoric acid

Nooo


Reduce potential احتمالية ion exchange

Polishing GIs

Should cover with varnish and coat of resin bonding immediately following polishing


To..


Prevent water loss from material for the first 2week

Weakest points in cast gold restorations


Inlays/onlays

Retention relies on cement that is slightly soluble in oral fluid

Gold cast restorations bevel

Cavosurface margins 30-45 °


Gingival 0,5-1mm in width

Pulpal hyperemia

احتقان لبي

Most desirable مرغوبة way to detect occlusal and eccenssible smooth surface caries

Visually

Glucosytransferases synthesize

Give plaque stickiness >adhere to tooth

Why visually first

White spot lesions >explorer >damaged >faster lesion

Bisophosphonates

Treat cancer


Hypercalcemia فرط كالسيوم الدم


Malignancy خباثة


Orale bis phosphates

Treat osteoporosis


Used for paget's disease

Bis phosphates inhibiting

Osteoclasts >decrease bone resorption

Bronj cause

Bis phosphates >inhibit Osteoclasts >osteonecrosis تنخر عظمي>


Bisphosphonate related osteonecrosis of the jaw (BRONJ)

BRONJ characteristics

Treatment with Bisphosphonate


Exposed bone in maxillofacicial for more 8 weeks


No history of radiation therapy

Palatial value

قبة الحنك

Tuberosity

الحدبة الفكية

Vestibules

دهليز

Palpate bimanually

جس بشكل ثنائي

Salivary ducts

قنوات لعابية

Milk ducts

حلب الاقنية اللعابية

Retrograde

بشكل عكسي


بشكل متراجع

Auscultate

فحص بالسمع

Hemophilia

ناعور

Extra oral hospitalization

Extraoral incision and drainage شق وتصريف is contemplated تم اتخاذ القرار under general anesthesia

Dense cranium

العظم القحفي الكثيف

Presence of suture lines

وجود الدروز


It is important in the interpretation قراءة الصور/تأويل of the facia bone films

Suture lines look like?

Fractures lines

Cervical spine

العمود الفقري الرقبي

Bulky

ضخم

Waters views radiograph

Anterior view of paranasal sinuses الجيوب الأنفية


And bone of the mid face and orbits محجر العين/ الحجاج

How take water view

Patient face against the film


X-ray source behind him

Why this name ( water view)

Because the upright العمودي water view allows the dentist to see:


Air fluide level


Such as blood/ pus قيح in the sinus

Anesthesia

All aspects of pain and anxiety control

Syncope

إغماء

Hemorrhage

Bleeding

General dentists should be able to cooperate with oral surgeons

يجب أن يكونو قادرين على التعاون مع الجراحين

Wound healing depends on

Adequate nutrition


التغذيه او التروية الكافية

Major factor to form collagen

Ascorbic acid


Vitamin C

Common bacterial causes of intraoral infections :









75% anaérobies لا هوائياتBacreroidStreptoPepto streptoFusu25%aerobesAlpha- hemo strepto

Ability to coagulation

قابلية التخثر

Aseptic

معقم

Types of incisions

Liner> envelope flap ظرفية


Releasing incision شق محرر >pedicle flap


Semilunar هلالية

Incision should be

Clean


Sharp


Perpendicular عمودي

Releasing incision should end in...

Interproximal areas


Not over the buccal surface of the tooth

How to remove bone

Burs


Chisels ازاميل


Rongeur مقراض العظم

Periosteal bone proliferation

تكاثر عظم سمحاقي

Bone healing

Primary > endosteal, periosteal


Secondary >mostly endosteal into void. فراغ/تجويف

Why bone necrosis

Because


Devitalization


Infection

Periosteal and endosteal blood supply

Not both at once

Exodontia

Dental extraction

Pulpal pathology reason for exodontia

Teeth beyond repair أسنان لا تعالج


Endodontic not feasible المعالجه اللبية غير ممكنة

Acute pericorontitis

التواج الحاد

Un control hypertension

ارتفاع ضغط غير مسيطر

Anticoagulants

مضادات تخثر


Hypercementosis

فرط تمعدن


احد صعوبات الجراحة

Extraction forceps

Fulcrum نقطة ارتكاز


Grio قبضة


Beaks مناقير /اسنان الكلابة


Concave مقعر

محدب

Convexe x 🐢 x

مقعر

Concave

Extraction maxillairy molar


What is direction of luxation?

Primary direction


Palatal...


Because :


Molar is more palatally positioned


Palatal root strong and less prone ضعيف to fracture


Then...


Buccal

Tooth buds

براعم أسنان

Wich tooth we extract with lingual luxation

Mandibular cuspid

How remove periapical cysts and granulomas after extraction

With curette مجرفة


نفسها بينعمل فيها كورتاج 😄

Suture after extraction??

Most single extraction socket no need

When we suture

Gingival cuff الحافة اللثوية is torn تمزقت or loose


Sever bleeding

Most frequently impacted tooth in surgery

Lower third molar


Then upper third molar


Then upper cuspide

Most often damaged nerve in extraction

Inferior alveolar nerve

Nerve injury results in?

Anesthesia


Paresthésia


May last 6w


6m

Fractured tooth tip can occur into..

Maxillairy sinus


Infratemporal fossa


Mandibular canal

Patient with higher risk of fractured root fracture during extraction

Ankylosis تيبس او التصاق المفصل


Flat root


Thin root


Hypercementosis root end


Perio disease


Malaligend teeth اسنان متراكبة or crowded

Fracture less than 0,5-1 mm

Leave it


And monitor راقب the patient

Treat periocorontits

Irrigation saline / chlorhex 0,12%


Curette


Antibiotics

Several pericoronitis

Spread into face and neck


Pain


Elevated temperature


Trismus ضزز


General malaise

Dentigerous cyst

الكيس السني/ الجريبي


Most frequently in third molar

Indiopathic pain

ألم مجهول السبب

Neoplasia

ورم

Idial time to extract third molar

Root formed 2/3 approximately at age 17-20

Time healing after extraction 3rd molar

The patient back to normal life in 5-7 days

Sutures in surgery

From O to 6-0 (the finest)

Kinds of sutures

Nylon > skin


Gut or chromic gut > deep tissue


Silk > many oral surgery procedures

Respiration sutures

Gut. 5-7


Chromic gut. 10-14

Colt

علقة

Local osteitis

التهاب عظم موضعي

Gauze

شاش

Avoid vigorously spitting

تجنب البصق بقوة

After extraction


Hot or cold diet?

During first 48% hours


No hot, no exceptionally (very) cold

Outpatient basis

عيادات خارجية

Reason of sinusitis

10% is of odontogenic origin

Nasal discharge

سيلان انفي

Persistent nasal stuffiness

انسداد أنف مستمر

Chronic sore throat

التهاب حلق مزمن

Treatment sinusitis

Sympathomimetic spray :


i.e neosynephrine >decongestant مزيل احتقان


-If it is secondary to allergic rhinitis التهاب أنف تحسسي > Antihistamines



-If due to URI (upper respiratory track infections) > ampicilln



-If due to odontogenic foci بؤرة > penicillin

Nasal antrostomy when?

Normal drainage تصريف disrupted متوقف

Nasal antrostomy how?

Drainage from sinus to nasal cavity


Opening from


Inferior medial aspect of sinus> inferior nasal meatus صماخ انفي سفلي

Lesions should biopsied

Brownish / black pigmented مصطبغة

When biopsy bony lesions

Compressible قابلة للانضغاط


Pulsatile نابضة


Blu


Heard bruit صوت غير طبيعي

Encapsulated lesion biopsy

Shelled out whole شيل كامل

Biopsy >...

Specimen عينة

TMJ

Two separate compartment


Lined with synovial membrane مبطنة بغشاء زليلي

Condyle

اللقمة

Glenoid fossa

التجويف الحقاني


او التجويف اللقمي


او البطيخي


😄

Articular eminence

الناتئ المفصلي


= articular tubercle

Meniscus

Articular disc

Most functional ligament in TMJ

Tempomandibular ligament

Innervation of TMJ

Is via :


Auriculotempolar اذني صدغي


Masseteric branches فروغ مضغية of the trigeminal nerv مثلث التوائم

TMJ anatomy

Myofascial Pain Disorder

متلازمة الألم الليفي العضلي



=Pain Dysfunction Syndrome

Factors of TMJ pain

Traumatic acclusion


Abnormal occlusal habits


Psychological factors

Elucidate

توضيح

Arthritis

التهاب مفاصل

Arthritic changes in TMJ

Erosion of condyle


Sclerotic تصلب subcondylar bone


Diminution نقص of space between condyle and glenoid fossa

Treatment TMJ pain

Treatment of fibrosis

Exercises


Forcible opening under general anesthesia

Treatment ankylosis

Condylectomy


Coronoidectomy بتر الناتئ الابري


Arthoplasty رأب المفصل

Blunt trauma

صدمة حادة

Projectile injuries

Result in fractures along the track اتجاه of missile المقذوف

Jaws is in crucial relationships with...

علاقة وطيدة قوية حاسمة مع


Upper airway

Cerebral

دماغي

Laceration

تمزق

Bone fragments

فتات عظمي

Fracture segments

قطع الكسر

Types of fractures

Simple : no external communication


Compound : with external communication


Comminuted : many fractures in one bone


Pathologic:


Greenstick: closed incomplete

Common signs and symptoms with maxillofacicial fractures?

Malocclusion


Mobility of mandibular segment اطراف الشرائح المكسورة


Mucosal lacerations. تمزقات


Paresthésia تنميل


Area of contact of blow

منطقة الضربة

Deformity after fracture

التشوه بعد الكسر


Extent of fracture


Influence تاثير of muscle

Periosteum

سمحاق

Deformity

Form and deform


شكل


ولا شكل


تشوه يعني

Deformity signes

Ecchymoses كدمات بالوان متعددة


Can be from clavicular area منطقة الترقوة. To orbital rims الحافات الحجاجية

Orbite 💫

بتجي بمعنى مدار


صح


متل ما انت متذكر

Time of ecchymoses

Although swelling may immediately


But


Ecchymoses can until the following 24 h

Crepirus


What and how and when

-Abnormal popping or crackling sounds


-in subcutaneous tissue تحت الجلد


-Fracture maxillairy / sinus

Fracture reduces

Manual manipulation معالجة بارعه


Or by gradual manipulation through elastic traction جر مرن



مرت معنا


Elasticity مرونة


Track مسار

Impaction of the fragments

حشر القطع المكسورة

Close réduction

When both fractured segments contain teeth

When teeth is missed in one or more fracture sege

Open reduction

Forms of immobilization

Barton bandage


Wire fixation


External pin fixation


Transosseous wiring

Bartin bandage 🤕

Simplest


Primarily


Not definitive


Effectiveness after 24 h

Wire fixation

In classic closed reduction


Wire can be individual buttons عراوي


Or in several teeth ( IVY loops)


Most common is arch bars

Disadvantages of external pin fixation

Cumbersome مزعج


Aesthetically displeasing

Transosseous wiring

التثبيت عبر العظمي


It is open reduction


Wire, clamps, bone plates


Compression or screws

Muscles elevares mandible during mastication?

Masseter


Medial pterygoid


Temporalis

Muscles distal inferior or posterior

Disgastric ذات البطنين


Mylohyoid ضرسية لامية


Geniohyoid. ذقنية لامية

العظم اللامي

Hyoid bone

ذقن

Chin


Standard prefix is " genio"

الفك السفلي

Mandible


Perfix is " mylo"

Muscles displace the condyle anteriorly and medially?

Lateral pterygoid

Maxillairy fractures

5 types (la fort 1>5)

La fort 1

Horizontal


Simplest


Closed reduction


5-7 weeks immobilization

La fort fracture 2

Pyramidal

Signs of la fort fracture 2

Periorbital edema


Ecchymoses


Subconjunctival hemorrhage تحت الملتحمة


Nose bleeding

La fort fracture 3

Sphenoid bone

العظم الوتدي


" الاسفيني" 😄

Cleft lip and palate

شق الشفة والحنك

Etiology and possible risky factors of cleft lip and palate :

Heredity وراثة


Rubella حصبة ألمانية


Measles حصبة


X-ray


Oxygen deficiency نقص


Dietary disturbance غذاء سيء


Drug and chemical


Increased maternal age عمر الامومة متقدم

Embryology

علم الاجنة


Embryonic life


الحياة الجنينية


Embeyo = fetus

Cheilorraphy

Lip surgery

Goal of cheilorraphy:

Ré-establishment إعادة تأهيل


Orbicularis Oris muscle الدويرية الفموية


And function upper lip and aesthetic

Etiology if dry socket :

Loss of blood clot


Smoking


Increased fibrinolytic activity انحلال الفبرين

Dry socket

Don't curette


Saline


Iodine


24-48 h > 1w

Hypoglycemia signs

Weak


Trembling رجفة


Hungrey

Hypoglycemia leads to

Insuline shock

Diabetics are highly prone to..

Infection

Anxiety can cause...

Syncope إغماء


Crying


Hesteria


Epileptic seizure precipitation نوبة صرع متسارعة


Angina ذبحة


Myocardial infraction احتشاء عضلة القلب

Drugs if anxiety?

Tranquilizers مهدئات


Sadatives


Analgesics


Parasympatholytics


Antiemetics = anti vomit 🤮

Sadatives and tranquilizing drug


.. Most prescribed?

Valium


Librium

Valium

No hangover


Muscles relax


Anti convulsant effect مضاد تشنج


Anti seizure


Skeletal muscles relaxant

Valium and librium disadvantages

Not analgesics


Little depression of respiratory centers


Cardio-vasculaire system

Valium librium IV

Only Valium

Sedative action of Valium

1 hour

Valium produces

Amnesia


The patient does not remember details or procedures

Valium and alcohol

Depression effects


اكتئاب

Barbiturates

Relief 😌 anxiety


Not analgesics except high dose

Barbiturates disadvantages

Low pain threshold عتبة الألم


Depress respiratory center


Diminish يقلل respiratory mechanism

Barbiturates contraindication patients

Respiratory disease


Livre disease


Because it metabolized in liver


Appears in mother milk


And pass through placenta مشيمة

Narcotics

مخدرات

Nausea

🤢 غثيان

Dizziness

دوخة

Narcotics >

Hypotension


Atropinelike effect >saliva control


Cross placenta, appear in breast milk


Metabolized in liver


Drowsiness نعاس

Hepatic

Livery كبدي

Narcotic antagonist

مركب مقاوم للمخدرات


Naloxone

Most dangerous N2O2 problem

Insufficient O2 supply

Dégradation

Metabolism


انحلال

IV Sedation

1- sedation and amnesia


2-"excitement and ultralight


3- surgical anesthesia


4- Medullary paralysis


Tingling

تنميل

Venipuncture

بزل وريدي

Where we do venipucture?

Dorsum ظهر hand


Antecubital fossa


Forearm الساعد


Wrist

Coplication of IV

Hématome


Infiltration تسرب


Venospan تشنج وريدي وفقد الوريد


Phlebothrombosis تخثر بالوريد

Constant or intermittent

ثابت او متقطع

Bizarre

Odd


Strange

Crawl

يزحف

Somatic pain

ألم جسدي

Somatic pain is based on...

Peripheral stimuli منبه محيطي being interpreted يفسر in subcortical and cortical area

Proprioception

الحس العميق

Peripheral impluses

نبضات محيطية

Posterior superior alveolar nerve?

-Distobuccal and Palatal root of 1st


-second


-third)molars

Middle superior alveolar nerve?

-mesiobuccal root of 1st


- premolars

Anterior posterior alveolar nerve?

Cuspide and incisors

Anesthesia of Palatal area?

Nasopalatine nerve


Greater palatine ( anterior palatin) nerve

Nasopalatine nerve come out from..

Incisive formen

Nasopalatine nerve innervation what?

Until cuspid area


Soft tissue and hard palate

Greater palatine nerve what

Distal to cuspide area

Inferior alveolar nerve

Pulpe of all teeth


Buccal gingiva and priosteum

Long buccal nerve

Molars area

Ligual nerve

Ligual side of mandibular

Mental nerve

Buccal soft tissue of premolar and anterior area

Excretion and absorption of local anesthesia

Esters> esreranase>urine


Amides >liver

Xylocaine??

Lidocaine

Maximale dosage of lidocaine ?


Child


And elder

Child : 2mg/kg


Man : 4.2 mg/kg

Maximal dosage of male for 140 kg

600 mg >30 ml >16 amp




1 ml of lidocaine 2% = 20 mg

Vasopressors

مقبض اوعية

Action of vasopressors in local anesthesia?

Retain (keep) anesthesia solutions inthe area injected


Reduce bleeding


Reduce toxicity

تركيز المخدر

gm/100 mL


For example


1%


1gm/100mL= 1000gm/100mL



>Every 1mL contain 10 mg

Content of crapule


2% xylocaine


1:100.000 epinephrine

36 mg lidocaine


0.018 epinephrine

Abbreviations

AC : before meal


PC after meal


HS. at bedtime


PRN. as necessary


QD. daily


BID. 2 times daily


TID. 3 times daily


QID four times daily


QH every hour


Petuz-jeghers syndrome

Melanin pigmentation of lips and oral mucosa

Fordyce diseases

Sebaceous glands غدد دهنية in oral cavity

Fordyce diseases clinically..

Yellow spots


Raised


Bilaterally on mucousa and lips

Median rhomboid glossitis

Congenital abnormality of the tongue

Median rhomboid glossitis

Congenital abnormality of the tongue

Rhomboid glossitis clinically

Ovoid-rhomboid shaped شكلها بيضوي معيني


Reddish patch بقعة حمراء


Anterior to the circumvallate papilla حليمات كأسية

Microdontia

Small teeth


Lateral upper third molar

Macrodontia ( Megalodontia)

Large teeth


Germination

التضاعف


The tooth bud برعم attempt حاول divide


Mostly in incisor area


Two crowns


One root

Fusion teeth

Union of dentin or enamel of 2+

Concerscence

Roots of 2 connected by cementum only

Dilaceration

Angulation or sharp curve in root

Dens in dent ( dens invaginatus)

Invagination غزو / نمو of enamel before classification

Taurodontism

الأسنان الثورية


Effect in single tooth


Supernumerary teeth

Arise تنشأ from an additional tooth bud in the dental lamina

Anodontia

1 or more teeth are missing


Hereditary or from X-ray at early age


Malignancy خباثة


Inherited diseases أمراض وراثية

Most common andontia

3rd molars


Premolars


Maxillary lateral incisors

Amelogenesis imperfecta

Hypoplastic


Hypomineralized

Amelogenesis imperfecta hypoplastic...

Reduce matrix, hard enamel

Amelogenesis imperfecta Hypomineralized...

Defective mineralized تمعدن معيب, enamel is chalk, soft, stains easily سعل التصبغ, and fractures if dentin easily

Clinical amelogenesis imperfecta

Yellowish brown crown

Reson of turner tooth

Periapical inflammation of primary tooth


Or truma to the developing bud

What is turner tooth

Type of enamel hypoplastic


Or Hypomineralized

Most common turner tooth

Lower Premolars

Hutchinson incisors

Associated with congenital syphilis زهري خلقي


Notched edge حافة مسننة

Mulberry tooth

Syphilis


Multiple mulberry-like cusps

Dentinogenesis imperfecta clinical

Teeth : translucent شفافة


Or opalescent متوهجة in hueفي اللون


Gray - violet بنفسجي enamel


Fractured off early due to defective dentoenamel junction

Dentinogenesis imperfecta radiographic

Obliteration طمس


Partial or total of pulp chamber and root canal


By : continued dentin formation


The roots may be short

Dentinal dysplasia

(rootless teeth)


Clinical


Normal shape


Normal colors


But


Radiographic extremely short tooth, obliteration pulp

Gardner syndrome

Hereditary disorder


Characterized by colorectal polyps


بوليبات القولون او أورام القولون الحميدة


Osteomas أورام عظمية in face


Like (cotton - wool)


Supernumerary, impacted teeth

Pigmentation

التصبغ

Bile pigment

Green color

Erythroblastosis feralis

Brown or blue hue

Tetracycline

Yellow


Or


Brownish-gray

What is Erythroblastosis fetalis

داء الكريات الحمراء الجنيني


It is congenital hemolytic anemia


فقر دم انحلالي خلقي


Characterized by déposition ترسب of blood pigment

Fluorosis

Type of enamel hypoplastia due to excess فائض fluoride intake ترسب


Chlaky white or brown spotted stain تلطخ in enamel


Is extrinsic staining تصبغ خارجي


May it appear as mottled enamel منقط


But it very resistant to carious attack

Fissural cysts

Nonodontogenic cysts

Fissural cysts reason?

Entrapment انحصار epithelium at the site of fusion of embryologic جنينية structures

Fissural cysts in the midline of the mandible

Extremely rare

Most common nonodontogenic cysts?

Incisive canal cyst


Or median anterior maxillairy, nasopalatine cysts

Incisive canal cyst symptoms

May be asymptomatic


Or have a draining جاف fistula ناسور

Incisive canal cysts radiographic

Heart shaped


Or round

Median Palatal cysts

In the line of fusion of palate


It may produce large swelling


Median Palatal cyst radiographic

Radiolucent area opposite premolar

Globulomaxillary cysts clinical

Asymptomatic


Between maxillairy lateral and cuspide


Push teeth

Globulomaxillary cysts radiographic

Teardrop-shaped radiolucency

Nasoalveolar cysts (nasolabial cysts) clinically

Rarely found in bone


Rarely in floor of the mouth


Swelling mucolabial fold

Nasoalveolar (nasolabial) cysts


Radiographic

None


Unless bone secondary affected

Nasoalveolar (nasolabial) cysts


Radiographic

None


Unless bone secondary affected

Most common benign neoplasm of oral cavity it is from surface epithelium

Papilloma

Papilloma clinically

Small rough


Cauliflower-like

Stalk

ساق

Leukoplakia

الطلاوة


Any white black on oral mucosa


Keratotic patch بقعة


Due to chronic irritation

Leukoedema

Variant condition of the buccal mucosa


Increase in thikness of the epithelium and intracellular edema


Of the stratum spinosum or stratum germinativum

Stratum spinosum

طبقة الخلايا الشائكة

Stratum germinativum

Or stratum basal


طبقة الخلايا القاعدية

Leukoedema

الوذمة البيضاء

Carcinoma in situ clinical

سرطانة لابدة


Resemble leukoplakia شبيه بالصداف


And keratinization


Red


Ulcerated

Most common form of skin cancer?

Basal cell carcinoma

Metastasizes

ينتشر

Does basal cell carcinoma metastasize to other parts?

Rarely

Basal cell carcinoma clinically

Elevated papule حطاطة مرتفعة


Or ulceration


With rolled border


Occurring on the skin

Does basal cell carcinoma occur in oral cavity

Never


Unless by invasion غزو form skin

Basal cell nervous syndrome clinical

Basal cell carcinoma dermal جلدي cyst


Multiple odontogenic keratocysts


Bifid ribs


Abnormalities or eyes, nerves, gonads غدد تناسلية

Most common Malignancy of the oral cavity

Squamous cell carcinoma


السرطان حرشفي الخلايا

Wher we see squamous cell carcinoma?

Most often : lareral tongue 😝


Less : flour


Rere : posterior hard palate

Epidermoid clinical

= squamous cell carcinoma


Clinical : ulcerated growth,


Indurated base قاعدة متصلبة

Adenocarcinoma

سرطان الخلايا الغدية

Mostt deadly of all Malignancies

Malignant melanoma


But rare in oral cavity

Malignant melanoma clinically?

Enlarging pigmented area


Surrounding erythema احمرار جلد


Widespread metastases نقاءل to regional nodes عقد لمفية then lungs

Metastatic carcinoma clinically

Swelling of the jaw and mandible


Paresthésia or Anesthesia of lip and gingival hemorrhage

Regressive alteration of teeth

التعديلات التراجعية للأسنان

Attrition

صرير الأسنان

Cause of dental attrition

Due to tooth-to-tooth contact

Attrition

Physiologica wearing

Abrasion

سحل ميكانيكي


Pathologic


Due to Abnormal mechanical process


Such as an abrasive dentifrice معجون سحل


Erosion

Loos tooth substance by a chemical process


e. g., lemon 🍋, stomach acid

Sclerotic dentin

العاج المتصلب


Injury or slowly process>increase mineralization >reduce odontoblastic conductivity تنقص الناقلية العاجية

Dead tracts

High degree of irritation>death of odontoblasts


Sealed off from pulp by an atubular Clacified material


Increases with age

What is denticles

Pulp stones

Where we see denticles

Most common in pulp chamber

Internal resorption clinical

Pink tooth

Hypercementosis

فرط تكون الملاط


Larg amounts if secondary cementum

Gonorrhea

السيلان

Stomatitis

التهاب الفم

Furunculosis

داء الغدد

Pyogenic granuloma

الورم الحبيبي القيحي

Proliferative tissue

نسيج تكاثري

Pyogenic granuloma clinical

On gingiva or lips tongue and Buccal


Elevated sessile لاطئة mass


Ulcerated


Hemorrhage


Low virulence خباثة

Endocrine

غدد صماء

Giant cell granuloma

Foreign body granuloma

Benign migratory glossitis

Géographic tongue


التهاب اللسان المهاجر الحميد

Géographique tongue Clinical


Multiple areas of desquamation تقشر of filiforme papillae حليمات خيطية


Central inflamed lesion


Thin border yellow or white band


Asymptomatic

Vesicle formation

تشكل حويصلة

Rupture

تمزق

Aphthous

قلاع

Proliferation

تكاثر

Ectodermal

الأديم الظاهر

Dental lamina and bud stage when

Sixth week of embryonic life

Éruption and shedding of teeth

Primary teeth development time

Begins at 6 week


Clacified 14 week (4-6 month)

When apices of primary teeth complet

3 years

Slender

نحيل

Cleidocranial dysostosis

Clavicle ترقوة


Carnim قحف


Dys-ostosis خلل تعظم

Treatment of cleidocranial dysostosis

Only


Remove all teeth and ful dentures

Dilaceration

Ectodermal dyplasia, Characterized by..

Abnormalities of the ectodermal structure ( hair, nail, teeth)

Ectodermal dyplasia teeth?

Congenitally absent teeth


Microdontial


Abnormally shaped teeth such as :


Peg-shaped أسنان وتدية


Pointed teeth

With any disease we see macrodontia?

Otodental syndrome


Or Otodental dysplasia

Dens evaginatus

Internal resorption cause?

Abnormal response to a pulpotomy

Color of gingiva

Light pink

Shape of gingiva

Stippled مرقطة

Prophylaxie

الوقاية من المرض

Herpes simplex clinical

White liquid-filled vesicles حويصلات ممتلئة بيضاء


Ruptured in few days تتمزق


Ulcer with whitish Grey membrane and have a circumscribed area منطقة محددة بوضوح of information

Cold sore

قرحة الزكام

Fetor Oris

رائحة فم كريحة

Time healing herpes simplex

7-10

Treatment of candidiasis

Topically : nystatin


Systemically : ketoconazole

Pharyngeal candidiasis combiened with...

Hiv positive antibody test > AIDS

Herpangina ( coxacki A virus)

In young children


Mouth ulcer


Sore throat


Hight fever


Headache


... Self-limiting, heal in 1 week

Strawberry tongue in...

Scarlet fever

How many classes in Ellis's classification?

4


This for crown fracture

Most reliable test after teeth traumatized?

Thermal ♨

Tome fo Resting of tooth after trauma

10-14 day

Splinting of tooth fracture

3-4 week

Avulsed teeth

أسنان مخلوعة

Teeth interdigitation

تشابك الأسنان

Protruding / protrude

بارزه

Primare space in primary dentition

When period of adolescence

Girl 11-14


Boys 13-16

High of face


And when

120mm


70% during first growth spurt


15-20% during plateu period


10% adolescent period

Cephalometric analysis

Torque movement

حركة دورانية

Ramus

Space maintenance : missing first primary molar

Band and loop

Drifting

انسلال

Impaction bicuspid

انحشار الضاحك

Space maintener : untimely loss of second primary molar

Distal shoe

Space maintener : bilateral loss of mor than 1 tooth, or loss many anteriors?

Kiddy partial


Mean Acrylic denture

Distal shoe depth

1mm in alveolar bone

Bionator

Passive


Mandibular


Reposition and change eruption

Frankel

Correction class 1 and class 2

Jackscrew

Open middle Palatal suture >correction of posterior crossbites

Nance (transpalatal)

No Mesial movement of maxillary molars

Tooth alignment

ارتصاف الأسنان

Prerequisite

متطلب أساسي

Behavior attribuable to training

التصرف. متعلق/ مرتبط. بالتديب

Reprimanding

توبيخ / تأنيب

Rescheduling

إعادة الجدولة

Obtain parental consent

الحصول على موافقة الأهل

Concentration of nitrous oxide

50%

Most common effects of N2O2

Nausea 🤢غثيان


Vomiting 🤮

Patients must be under observation

تحت الملاحظة

Pneumothorax

استرواح الصدر

Contraindication drugs with N2O2

Bleomycin


Methyl....... Folat 😁

Hemophilia

ناعور

Local anesthesia in children

2% lido, with epinephrine


3% mepivacaine without


4%prilocain with epinephrine 1/200,000


Maximum dosages of all anesthetic

4.4 mg/kg

Splenectomy

استئصال الطحال

Prosthetic heart valves

صمام قلب اصطناعي

Prophy angle

قبضة ميكروتور

Dilantin or phenyton cause...

Painless hyperplasia of gingiva

Extinction

اخماد ،انقراض


انك تخفي شغلة من الشغلات المخفية

Long term treatment of anxiety

SSRIs


Selecriv Sérotonine Reuptake Inhibitors

Short term anxiety attacks treatment

Diazepam (Valium)


Titration

المعايرة

DMFT.... Whaaat?

Tooth loss indices


Decayed, Missing, Filled Tooth


Is 1-28

What type of fluoride cause mottling?

Only systemic

In wich fluoride concentration we see mottling?

2-3 ppm

Toxic fluoride dose

5mg/kg

Lethal dose of fluoride?

الجرعة المميتة


20-50 mg/kg

Weight of Fluor in fluoride products?

43%

Dental Literature

أدبيات طب الأسنان

Anecdotal evidence

أدلة قولية

Clinical outcome

نتائج سريرية

Probability and certainty

محتمل و قناعة

Assertion

تأكيد

Rational belief


Superstition

اعتقاد عقلاني


خرافة

Occupational safety

سلامة مهنية

Standard Precaution

الاحتياطات المعيارية

Disinfectant should kill...

Mycobacterium tuberculosis

Protozoa

كائن وحيد الخلية

Spores

ابواغ

Autoclave

121° c, for 20-30 minutes, at 15 psi pressure

Dry-clave

160° c, for 1-2 hours

Only sterilized chemical?

Ethlen Oxid


8-12 hours

Evaporate

يتبخر

Chemiclave

Alcohol / formaldyhyde


132° c, 20-40 psi


20-30 minutes

Hazardous wast

نفايات خطيرة

Vaccination

💉 تلقيح

Ethics

اخلاق

Loan

قرض

Placebo

علاج وهمي

SORT highest level of evidence

High quality randomized control trial of treatment

Competence

مهارة

Non-disclosure

عدم الافشاء

Authorization

اذن

Gingiva is resilient

مرنة

Bundles

حزم

Cushion hammock ligament

Horizontal fibers

Oblique fibers

ألياف مائلة

Probing

سبر

Probe of furcations

مسبر مفترقات الجذور


Nabes probe

Moderate clinical attachment loss

3-4 mm CAL

Gingival indices

0 normal


1 no bleeding


2 redness, edema, bleeding probing


3...

Plaque index

0 no


1 plaque film


2 moderate accumulation تراكم معتدل


3 abundance accumulation تراكم غزير

Mobility miller's index

0


1


2 up to 1 mm movement


3 greater than 1

It enhance plaque

يزيد اللويحة

Grinding or clenching of teeth (bruxism)

صرير او حصر الأسنان ( صرير الأسنان)

Fluctuating hormones

تقلبات الهرمونات

Menopause

سن اليأس

Puberty

سن البلوغ

Xerostomia

جفاف الفم

Gums hypertrophy

تضخم اللثة

Medication cause gums hypertrophy?

Phenytoin ( Dilantin)


Cyclosporin ( Neoral, Sandimmun)


Nifedipine ( Adalt, Cardizem,)

Vitamin C deficiency cause

Scurvy الاسقربوط

Localized juvenile periodontists

Age < 25

Protrude


Retrude


Extrude

بروز


تراجع


منبثق

Anti-epilepsy medication

أدوية مضادة للصرع

Medication cause Gingivaaaaaal hyperplasia

Anti epilepsy ( Dilantin)


Beta-blockers

What is Gingivosis?

Chronic desquamative gingivitis


التهاب اللثة التوسفي

Malnourishment

سوء تغذية

Gingivosis cause

Malnourishment

Atrophy

تلاشي

Hyperparathyroidism cause

فرط نشاط جارات الدرق يسبب


Increase in serum calcium > loss bony support > loss teeth and drift انسلال


Herpetic gingivostomatits

التهاب اللثة والفم الهربسي

Herpetic gingivostomatitis signs

Bleeding


Fever


Malaise توعك


Lymphadenopathy اعتلال عقد لمفية


Fetor Oris بخر الفم


Atherosclerosis

التهاب الشرايين

Storke

سكتة دماغية

Premature berths

ولادة مبكرة

Tetracycline advantages

Concentration in gingival crevice 2-10 times than serum


Tetracycline dosage

250 mg, 4 times daily

Minocycline

5 time in gingival fluid


Dosage 2 times daily

Doxycycline dosage

100 mg bid first day


Then 100 mg o.d


Then 50 mg bid

Metronidazol dosage

205mg tid for week

Penicillin dosage

500mg tid for 8 days

Azithromycin dosage

500 mg od for 3 days


Then


Single dose of 250 mg for 5 days

Oseeous dehiscence

طحن العظم

Osseuse fenestration

ثبات العظم

Split

شق

Conventional flap

شريحة تقليدية

Modified Widman flap, what is it?

Flap with internal bevel incision


1-2 mm from the free gingiva margin

Most common flap design

Modified Widman flap

Ostectomy

Remove tooth-suppirting bone

Osteoplasty

Remove non support bone

Bone sharp peaks

قمم عظمية حادة


نواتئ

Edentulous ridge

من الحافة السنخية

Exostoses

عرن عظمي

Iliac autograft

طعم ذاتي

Allograft

طعم من شخص آخر

Xenografts

Such as calf bone.


عظم الساق

Nonbone graft materials :

Hydroxyapatite


Ceramic

Biologically compatible materials

مواد ملائمة حيويا

Osseointegration

التعشيق العظمي

How long between extraction and Implant typically?

8 weeks

How long recommended healing time after Implant

3 months

Idial bone consideration for Implant


10 بالطول


6 بالعرض


3 بعيد عن الزرعة المجاورة


1 عن السن المجاور

Implant and mental foramen

Up 3 mm, 5 mm

Implant posterior mandible and inferior alveolar nerve canal

2 mm above

Anterior maxilla Implant and nasal vestibule?

1 mm

Posterior maxilla Implant and floor of sinus?

1 mm

How long maxilla osseointegration

Minimum 6 months

Sinus Augmentation

رفع قاع الجيب الفكي

Sinus Augmentation healing time?

6-9 months

Toothbrush bristles

شعيرات فرشاة الأسنان

Best toothbrushe technique for subgingival plaque?

Bass technique ( sulcular)


45° angle pointed apically


enter the gingival sulcus الثلم اللثوي

Charters technique ?

45° angle occlusally and vibrated slowly

Best technique for interproximal area?

Charters

Stillman technique ?

On gingiva and tooth


Aimed apically


And forced laterally


And slight rotating movement

Rolling technique?

On mucosa


And rolling motion

Powered toothbrush?

Limited dexterity محدودي القدرات


Children


Caregivers

Disclosing tanlets?

الحبوب الكاشفة

Stimudent

نكاشة الأسنان

Teeth compromised beyond restoration

اعتبر السن لا يمكن ترميمه

Fine


finance

غرامة ، وتأتي بمعنى ( جيد)


مالي

Exophytic lesions

آفات خارجية


يعني ظاهرة بالفم

Hypertrophic lesions

آفات ضخمة

Epuli

آفة ضخمة بالفم

Epulis fissuratum

ورم لثوي تشققي ناتج عن طقم الأسنان

Tuberosity Reduction

تخفيف الحدبة جراحيا

Recontouring the bone

تجديد شكل العظم


يعني هندمة 😄

Exostosis

Or tori


عرن عظمي

Bony prominence

Exostosis


Tori


بروز او عرن


نفس الشي

Denture-bearing area

منطقة تحمل طقم الأسنان

Vestibuloplasty

Reposition the vestibular fold


إعادة توضع الطية أو التجويف الدهليزي

Ferrule

طويق معدني


معناها


المنطقة من التاج التي تأتي تحت اللثة

Orthodontic Extrusion ¿¿

التبزيغ التقويمي

Length of ferrule

1.5-2 mm

Properties of the material

خصائص


بتجي بمعنى ملكية


These are my properties

Preliminary impression

طبعة أولية

Impression compound

مركب الطبع


No undercut


No teeth


Must be poured up immediately


يجب ان يسكب فوراً، يعني لازم تنصب الطبعة بسرعة


It will distort يتخرب as it stressed over time

Substance give more working time to alginate

Potassium or sodium ions

Increase temperature water in alginate


Means...

Increase rate of setting


( short time of setting)

Rim-lock tray

طابع بحواف مغلقة

Hysteresis

التباطؤ

Relatively accurate

دقيق نسبياً

Thickness of polysulfide

2-4 mm

Time of polysulfied is decreased by high ambient temperature and


high humidity

وقت عمل البولي سولفيت يقل بزيادة الحرارة المحيطة


والرطوبة

Polysulfied poured time

Few minutes


بس البقية ساعة


Polyrthers


يوم وأكتر

Children fluoride

Oldest impression material

Dental plaster

Upper rim of wax in rest lipe

1 mm

Vertical dimensions of occlusion

2-5 mm

Important muscles to retention complete denture?

Buccinator


Orbicularis Oris


Intrinsic and extrinsic muscles of tongue

Posterior Palatal seal

Aids in retention


Compensates يعوض shrinkage نقص او تقلص او تراجع of Acrylic during processing of denture

Reason of cheek-biting

Lake of horizontal overlap تداخل of the posterior teeth


Posterior teeth set to far facial of edge-to-edge

Reason of sore throat and difficulty swallowing

Maxillairy : overextended posterior border


Mandibular : overextended distolingual flange


Excessive vertical dimension occlusion

Reason of clicking

Excessive VOD


Lack of retention


Overextended mandibular denture

Reason Soreness in vestibular region?

Overextended border


Impingement of the frena الاصطدام باللجام

Cause of burning sensation?

Maxillary : pressure on anterior papilla


Mandibular : pressure on the mental nerve

Time between immediate denture and the new one

8-10 week

Flask

بوتقة

Intimate contact

اتصال صميمي

Shallow Palatal vault

قبة حنك ضحلة

Denture dislodgment

وقعت البدلة

Occlusal interfaces

تدخلات اطباقية

Denture flanges

حواف البدلة

Maintenance

صيانة

Sips

رشفات

Candida albicans may appear as :

Angular chelitits


Thrush


Erythematous or papillomatous candidiasis

Thrush

White patches on Buccal mucosa or Palate

Papillomatous candidiasis?

Red patches or bumps on palate

Extension

درد


وتأتي بمعنى امتداد وتوسع

Edentulous

درد


اكيد هالمرة 😄

Tooth contours

المحيط الاعظمي للسن

Retentive portion of the clasp arm, where?

In the gingival third of the tooth

Reciprocal arm

الذراع المكافئ

How is reciprocal arm

Shorter and more rigid اكثر صلابة

Major connector shaped

Bars


Plates


Straps. أشرطة

Major connector shaped

Bars


Plates


Straps. أشرطة

Fulcrum line

متل محور الدوران

Embrasures

فرجة بين الأسنان

Common place for indirect retention?

Lingual surface of the canines


And Mesial surface of the premolar

Rest seat

Should be Perpendicular to long axis of the tooth


عمودي على المحور الطولي

Types of rest seat?

Occlusal


Incisal


Cingulum الناتئ العنقي للسن

Elastic material

مادة مرنة

Examples of elastic materials

Polysulfied


Polyvinylsiloxane

Framework

القالب المعدني الأساسي للجهاز

Gypsum

جبس

Distortion

تشوه

Porcelaine fused to metal crown, facial surface?

1.5 - 1.75 mm

Non-porous

غير مسامي

Reversible hydrocolloid impression poured?

First of all


2% putassium sulfate solution for 5 minutes > increase hardness

Reversible hydrocolloid impression poured?

First of all


2% putassium sulfate solution for 5 minutes > increase hardness

PH os Zinc phosphates ?

3.5

Glass slab

بلاطة زجاجية


لوح المزج 😄

Highest compressiv strength cement?

Zinc Phosphates

ZOE Compatible with pulpal tissue

متوافق

Selective grinding

طحن انتقائي


على ورق العض يعني

Évaluation of systemic diseases

تقييم الأمراض الجهازية

Healing period of implants?

4-6 أشهر

Perpendicular of parallel

عمودية او موازية

Feasibility

قابلية التنفيذ

Controversial

مثير للجدل

Délicat tissue

انسجة حساسة

Précise impression

طبعة دقيقة

Implant diameter

قطر الزرعة

Provisionalization

Temporary 😒

Tuberosity Reduction may be required to...

Increase inter-arch space to make room for the denture

Common cause for severe cheek-biting...

Lack of Buccal overjet

Saturation


Densness


Or strength of a given color is called...

Chroma

Most common failure in a porcelaine-fused-to-metal crown occurs within...

The porcelain itself

Enaleml deficiency and veneer

Contrat indication

Time to healing of surgical site


And osseointegration is

6-8 weeks

The advantages of screw prostheses in implant

Pulse

نبض

Normal diastolic blood pressure?

80


90 يعتبر عالي

Respiratory rates


And blood pressure


In children

20s


100s

Angina

ذبحة صدرية

Anticoagulants

مضادات تخثر

Indicate potential bleeding problems

تشير إلى مشاكل نزف محتملة

Angina medicine

Nitroglycerin

MAO inhibitors and epinephrine

مثبطات الاوكسيد احادي الامين


علاج للاكتئاب


مثل:


Phenelzine, and, isocarboxazid


Are incompatible > sever acut hypertension can results

Emphysema

انتفاخ الرئة

Synergistically

تآزريا

Controversial

مثيل للجدل

Extraction for hepatic patients


Using standard precautions


احتياطات

Premedication antibiotic, not amoxicillin..

600 mg clindamycin PO 1 hour before treating





Or


Azithromycin 500 po ( by mouth)

Sweet sensitivity?

Early carious lesions

Anticonvulsant and hypnotic

مضاد اختلاج و منوم

Bullae

فقاعات

A patient has allergic response to procaine(Novocaine)


The substance can't substitute with him also..


Benzocaine


Because these two are esters

Amount of carbocaine in 3 carpules 3% is

162mg


54mg in every one

Dentist accidentally injects lidocaine with epinephrine intravascularly, wich symptoms is connected only with local anesthetic?

CNS depression can occur with a local anesthetic overdose > Drowsiness

Wich material is added to local anesthetic and why?

HCl>increase tissue ph>aids in absorption

Most recommended suture with skin

6-0 nylon

Patient extraction first 24 hours


Don't do...

Keep socket well rinsed

Whe anesthetic entre infected tissu


What happened?

Infected tissu >acid ph>preponderance of ionic form >less profound anesthesia

Extraction tooth #30 anesthesia nerve...

Inferior alveolar nerve


Ligual


Long buccal

Bisphosphonates and dentoalveolar surgery are at least ______ times mor likely to develop BRONJ than patient who are not having dentoalveolar surgery

7 times

New American Heart Association guidelines emphasize...

Compressions first


Then airway and breathing

Phlébites

التهاب الوريد