🇾🇪Dentist Channel||قناة طبيب الأسنان


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34 year old woman is refferred to our clinic. There is no evidence of systmic disease, she has no history of trauma to mandible. Periodontal tissue is normal. All of the teeth is asymptomatic with no pain or tenderness on percussion or palpation. The teeth are vital. Based on this clinical information presented, what would be your most likely clinical diagnosis?


Common periodontal instruments.pdf.pdf
939.7Kb
🔺Common Periodontal Instruments

‎📖 Reference: Newman and Carranza’s Clinical Periodontology; Ch,50




Atrophic glossitis

in a patient with pernicious anemia. Mucosal atrophy appears as smooth, bald areas devoid of lingual papillae on the dorsal tongue.

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Composite veneers step by step- part2

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Forward from: Dental Videos
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Composite veneers step by step- part1

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Guide line for surgical endodontics
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Tne correct answer is:-👇👇

Hypoglycemia may lead to insulin shock. It is the most common adverse reaction for type 1 diabetics. Symptoms occur suddenly and include confusion, anxiety, headache, increased heart rate, sweating, shakiness, blurred vision, and moist and clammy skin.

Hyperglycemia can lead to a diabetic coma. Symptoms occur more slowly and include drowsiness, confusion, deep rapid breathing, polydipsia, polyuria, polyphagia, dehydration, fever, dry flushed skin, and sweet or fruity breath odor.


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As you treat this patient, he suddenly complains of a headache. His pulse races, his skin is clammy, and he begins to sweat across his forehead. Which of the following is the patient most likely experiencing?
Poll
  •   Asthma
  •   Hypertension
  •   Hypoglycemia
  •   Hyperglycemia
  •   Hungry
110 votes


The correct answer is:-
Necrotizing ulcerative gingivitis

Explanation:-

Necrotizing ulcerative gingivitis and periodontitis usually occur because of the predominance of the anaerobic fusobacteria and spirochetes within the oral cavity, specifically underneath the gingiva.

This is a case of necrotizing ulcerative gingivitis (NUG), not necrotizing ulcerative periodontitis (NUP), because the patient is not experiencing bone loss.

Debridement of the affected gingiva with an adjunctive prescription of chlorhexidine 0.12% rinse will help stop the progression of necrotizing ulcerative disease.

Acute necrotizing gingivitis signs and symptoms include the following:

• Pain
• Interproximal necrosis of the papilla (blunting of the papilla)
• Bleeding gingiva
• Fetid odor
• Low-grade fever
• Pseudomembrane

Acute necrotizing gingivitis risk factors include the following:

•Poor oral hygiene
•Smoking
•Malnutrition
•Fatigue
•Stress
•Immunocompromised patients

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A 19-year old patient presents with oral pain erythematous gingival tissues blunted papillae, spontaneous gingival bleeding and no attachment lossThere is also a pseudomembrane covering the gingiva Which of the following is the diagnosis for this patient?
Poll
  •   Necrotizing ulcerative periodontitis
  •   Necrotizing ulcerative gingivitis
  •   Plaque-associated gingivitis
  •   Aggressive periodontitis
  •   Chronic periodontitis
83 votes


#Dental_Tips
Mouth Breathing & gingival inflammation


The correct answer is:-


Necrotizing ulcerative gingivo-periodontitis associated with HIV+ patients should be handled with most care especially because of the immunosuppressed condition of the patient.

Necrotizing ulcerative gingivitis and periodontitis usually occurs because of the predominance of the anaerobic fusobacteria and spirochetes within the oral cavity, specifically underneath the gingiva.

Debridement of the affected gingiva with an adjuctive prescription of chlorhexidine 0.12% rinse will help stop the progression of necrotizing ulcerative disease.

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The first line of treatment for human immunodeficiency virus (HIV)-associated acute necrotizing ulcerative gingivitis is
Poll
  •   debridement with prescription of chlorhexidine 0.12%.
  •   gingivectomy.
  •   debridement.
  •   scaling and root planing with curettage.
64 votes


Q: What laboratory tests should be ordered if a bleeding problem is suspected?

• Platelet count: normal values = 150,000-400,000/μL

• Prothrombin time (PT): normal value = 10-13.5 seconds

• International normalized ratio (INR): normal value = 1-2 (only useful for those patients on known anticoagulant medications)

• Partial thromboplastin time (PTT): normal value = 25-36 seconds

• Thrombin time (TT): normal value = 9-13 seconds

• Bleeding time: normal value ≤ 9 minutes (bleeding time is a nonspecific predictor of platelet function)Normal values may vary from one laboratory to another. It is important to check the normalvalues for the laboratory that you use. If any of the tests are abnormal, the patient should be referred to a hematologist for evaluation before treatment is performed.

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L.Nibali_Diagnosis and Management of Furcation involvement.pdf
6.6Mb
Diagnosis and Treatment of Furcation‐Involved Teeth
2018


Dear doctors,
I would like to share this case with you and the importance of extracting temporary teeth when needed. Patient, 8y old, came to our clinic in april 2017. After seeing the X-ray, I suggested the exo of 85 as soon as possible. Patient made a couple of appointments after, but either cancelled them or did not show up. She came last month (april 2019) because 85 was very mobile and bothered her while eating. No anesthesia was required, just a little lidocaine spray. The tooth was extremely mobile. I sent her to do another X-ray. After 1week she took the X-ray. This is what it looked like. I sent her urgently to the dental hospital. Hopefully they can save 46,44,43 because they asked about the vitality of these three teeth, which was positive. L.E. i forgot to mention that in 2017, after seeing the xray, I explained to the patient the importance of FULL treatment.


ITI_Treatment_Guide,_Vol_1_Implant.pdf
18.2Mb
ITI Treatment Guide, Vol 1 - Implant Therapy in the Esthetic Zone for Single-Tooth Replacements

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#Q&A

1. What is the difference between natal and neonatal teeth?


🇾🇪Natal teeth are present at birth


🇾🇪Neonatal teeth emerge through the gingiva during the first month of life.

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The correct answer 👇

Turner's tooth is an enamel hypoplasia of a permanent tooth resulting from an infection of a deciduous tooth. The periapical involvement can disturb the ameloblasts of the underlying permanent tooth, creating the anomaly.

❌Dens in dente (dens invaginatus) is a developmental anomaly that results when the enamel organ invaginates into the crown of a tooth before mineralization occurs.

❌Enamel pearl (enameloma) is a small spherical enamel projection located on a root surface. It is thought to occur as a result of the abnormal displacement of ameloblasts during tooth formation.

❌Hutchinson’s incisor is a result of congenital syphilis transmitted from an infected mother to her fetus. The affected incisors are shaped like screwdrivers with a notched incisal edge.

❌Ankylosis describes when the periodontal ligament is obliterated and replaced by bone, fusing the tooth root to the alveolar bone.

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