Wednesday, May 27, 2009

Who is Holding the Broken Side of My Bridge?

Sometimes it so hard to remember this phrase especially if things are going on a rough track. The phrase goes if God is pressing you against rocks He just wants to bring out the diamond in you which will shine through. For the last two weeks thing are going pretty crazy at the hospital, at the clinical side, not to forget the thesis work. The burden is getting piled up day by day, the hospital routine is getting tougher, and the work has increased tremendously. Still the worst part is that you are not being paid according to the work you have done, infact the safarish mafia has fully taken over at every place and this adds to your frustation... Oh my Lord. It’s hard to believe in good things once you feel fog all around. Well still as a human we should believe in God and strongly believe that whatever is happening He will never leave us alone, even if we are standing on the bridge that is about to fall and we are calling Him. We should not loose hope' He may be standing on the other side to hold the edge of the broken bridge for us. So let’s pray that He should give all of us the strength to cross the bridge with faith and hope. Amen

Human Touch

While interacting with patients in the clinics as if following the usual robotic routine which you are bound to as a practioner, sometimes it happens that a small gesture from your patients add such a thing which I would like to call as a human touch in your usual routine. This human touch came from my patient last week when me and a number of doctors were performing a minor oral surgery on that particular patient. After we were done with it we told the patient that everything went well and he will be fine in a week. The patient was very happy and obliged as if we had done something divine for him. The next day he came along with three iron packed in a paper for the three doctors who had performed surgery. I was astonished as when I got the message that the patient had left gift for me in the DP, as I was away, not to mention that I was only assisting the senior colleagues. Throughout the procedure I was holding the suction machine even then my patient though that I had done something extraordinary for him. And he had to express his gratitude through this way. What I thought afterwards was, "we never have the time even to notice major favors, sacrifices as people around us are actually doing for us and if we noticed we didn’t have the time to look back at them to say thanks or dropping some gifts wrapped in even newspaper we are loosing the human touch in our lives.

Unite Please...

Its shocking to know what happened today at the mall; a blast that took so many lives.
I have noticed that over a period of time we forget about the blast. This attitude change or in otherwords habituation to such bad and unfortunate incidents will be very harmful to the nation as a whole. Now it is the time to think not only of individual loss but loss as in general terms. It is not possible to stay in peace if you know that your neighbours are passing through tough times. Let's in the name of brotherhood be united for our survival.

Thank You God

I was searching the net to find out the latest update about fashion. Accidently I came across a poem that made me freeze at my place. I totally forgot why I was using the net. The only thing in my mind was how difficult it is to survive if u are... The poem goes...

Bread
'What is it
Some color, a bird or n animal'
Asks me a petite lil angel
I say
'Its food !
U eat it when ur hungry
Hungry ??
What is that ?
Huh? I'm confused.
I say
Ur hungry when u want to eat
I see a thousand queries bogglin his head
I never want to eat .. He utters
I'm never hungry !
A deep sigh.
A long silence ..
My dad gets hurt if I want to eat
He has no food for us to feed !!

Fine Art


Neanderthal Man Cleaned His Teeth

Experts find, Two molar teeth of around 63,400 years old show that Neanderthal predecessors of humans may have been dental hygiene fans, the Web site of newspaper El Pais reported on Tuesday.

The teeth have "grooves formed by the passage of a pointed object, which confirms the use of a small stick for cleaning the mouth," Palaeontology Professor Juan Luis Asuarga told reporters, presenting an archaeological find in Madrid.
The fossils, unearthed in Pinilla del Valle, are the first human examples found in the Madrid region in 25 years, the regional government's culture department said.
Neanderthals were predecessors of modern humans who inhabited much of Europe, North Africa and parts of Asia from about 125,000 to 30,000 years ago.
"There are two (teeth), perfectly preserved, in which the wear and tear of a human of about 30 years old is perceptible," a government statement said.

Via Thomson Reuters 2009

Oral Health, Mouthwashes and Cancer – What is the Story?

David Conway

Question: What are the lifestyle, occupational and genetic risk factors for head and neck and oesophageal cancers?

Risk factors for head and neck cancer, independent of tobacco use and alcohol consumption, were as follows:

poor condition of the mouth, 2.89
lack of toothbrush use 2.36
and daily mouthwash use, 3.40
Missing six to 15 teeth was an independent risk factor for oesophageal cancer, 2.84

These results indicate that periodontal disease (as indicated by poor condition of the mouth and missing teeth) and daily mouthwash use may be independent causes of cancers of the head, neck and oesophagus.

Evidence-Based Dentistry (2009)

Oral Health Needs of the Homeless

S. Williams

This is the first assessment of the oral health needs of single homeless adults in North and West Belfast.

The study population had greater experience of dental caries and periodontal disease compared with adults in Northern Ireland (NI) who took part in the 1998 Adult Dental Health Survey.
The widespread use of smoking and use and abuse of alcohol marked the study population as a high-risk group for oral cancer, with the increased risk calculated as 95 times greater than the NI population as a whole.
Homeless people are not a homogeneous population, therefore social exclusion and psycho-social functioning should be considered when planning appropriate oral healthcare services for this diverse client group.

British Dental Journal 202, 742 - 743 (2007)

Improving Oral Health for the Elderly

R. J. McGeoch

The authors remind the reader that older adults are at increased risk of poor oral health because of access to care including physical and cognitive impairments, accessibility for wheelchairs and dental staff not prepared to treat them. The text is peppered with references that support the opinions of the writers and give weight to the statements that indicate that older people are living longer and are forming a greater proportion of the population. The authors also state that they disproportionately suffer from oral disease but access dentistry less than their needs specify.

Improving oral health for the elderly: an interdisciplinary approach I. B. Lamster, & M. E. Northridge
Occupational health:
Mercury vapour exposure a study of dental student

An attempt was done by Eoin R Smart to find out how dental students are affected by mercury vapour during their education. Teaching staff of the department of restorative dentistry of the faculty were exposed to amalgam more than the other departments and the teaching staff of the department of periodontology (who never have to work with amalgam) were compared.
The increase of mercury concentration in plasma and whole blood in all groups emphasised that mercury vapour can affect all the people in the school environment.
Mercury concentration in plasma is high in the students using amalgam for the first time in clinical skills at the beginning of the academic year.
The mercury concentration in whole blood is high for dentists working in the department of restorative dentistry – long-term exposure to mercury vapour is more dangerous because of its collection in target organs.
Close attention should be given to mercury hygiene in laboratories and clinics ie ventilation controls, waste mercury disposal.

British Dental Journal 191, 445 (2001
News
Asbestos related disease investigated
Mr Chris Fry discussesthe dangers of the asbestos-based disease mesothelioma and the possible origins of this form of cancer in dental professionals. He says he first became interested in asbestos related disease in dentistry after reading an obituary published in the BDJ.He says that most of the cases of asbestos related illnesses he has seen at his firm of solicitors have been for people who worked as commercial plumbers, pipe fitters or foundry men.He said 'The thought of an asbestos risk in the dental profession was new to me, and I wanted to know the extent of the danger to my friends and family. My research shows that there is a significant risk to a small but probably identifiable proportion of dentists, technicians and nurses who trained with and used various periodontal powders in the 1960s and 1970s.
Mr Fry added that there are different forms of asbestos related disease and not all are deadly, so his paper should be regarded as an 'early warning' notice that if any readers remember being engaged in similar working practices and begin to develop shortness of breath for no obvious reason, they should seek immediate advice

British Dental Journal 206, 512 (2009
RELIABLE PAIN RELIEF

Anti-inflammatory and antibiotic, Ledermix provides reliable pain relief in the emergency management of patients with irreversible pulpitis. It can alsobe used as an effective sublining or
pulp capping agent, and in endodontictherapy after pulp extirpation to decrease discomfort prior to obturation for the patient
Containing one third more steroid than the cement, Ledermix dental paste is usually preferred in cases of pulp exposure, and is water-soluble so that it can easily be removed for definitive rootcanal treatment to take place.
The easily mixed dental cement is excellent for forming sublinings intemporary or more permanent restorations,and is effective in deep cavities, in cases of hypersensitive dentine. It is
presented in a combination kit containing four units.
News
Mouth cancer treatment breakthrough

A potential development in mouth cancer treatment has been discovered by researchers from the Albert Einstein College of Medicine of Yeshiva University, New York, USA.
Research has suggested an anti-cancer compound could help treat mouth cancer, and studies showed that the compound killed mouth cancer cells removed from head and neck cancer patients.
Currently just half of those diagnosed with mouth cancer survive beyond five years. Nearly 5,000 are diagnosed in the UK each year.

British Dental Journal 206, 513 (2009)
COMPUTER CONTROLLED ANAESTHETIC

General Medical are UK Distributors for Quicksleeper, the computer controlled
local anaesthetic system .Quicksleeper enables dentists to perform osteocentral anaesthesia whereby a small amount of conventional local anaesthetic is placed in the spongy bone
in between teeth. Eliminating the need for painful infi ltration, block and palatal injections, it
delivers a profound anaesthesia almost instantaneously, which can be helpful especially when treating children and other potentially nervous patients Completely pain-free, osteocentralanaesthesia is effective even in the presenceof pulpitis and can be employed for
all forms of treatment including extractions and implantology.


BRITISH DENTAL JOURNAL VOLUME 206 NO. 10 MAY 23 2009
Book Review
Dental materials in operative dentistry
Dental materials science has traditionally been a challenging subject to present to both undergraduates and postgraduate dental practitioners Any dentist is able to recognise that if they are to place a material in a patient's mouth during operative dentistry, then it is entirely reasonable to know what is in it. This new addition to the Quintessentials series embraces the task and succeeds in being an easily read and informative text.This book gives an excellent overview in this respect, addressing the clinical relevance of a wide range of materials and the underpinning science that gives the rationale for their use To this end, there are many photographs of 'clinical' procedures, and perhaps the only criticism of the book is that more of this type of illustration could have been included to support the underlying science.

Dental materials in operative dentistry
A. J. Crothers
Pickard's Manual of Operative Dentistry

The new edition( 8th) of this best selling dental textbook keeps readers abreast of current knowledge of the disease processes and the role of operative dentistry in their management. The new co-author, Tim Watson, is well known as an expert in adhesive dentistry.Reveals

Discover detailed procedures and techniques, with accompanying full-color illustrations
Get step-by-step instructions on certain operative procedures
Learn the indications and methods for many common operative and conservative procedures
in dental practice
Uncover the latest information on adhesion and adhesive restorations - including how to diagnosis failed restorations - as well as new bonding techniques

Edwina A M Kidd, Bernard G N Smith, and Timothy F Watson
D. L. Gambon, H. S. Brand A. V. Nieuw Amerongen Highlights a recently introduced type of candy, so-called candy sprays. They find out that Candy sprays have an extremely low pH (1.9–2.3) and a neutralisable acidity varying between 0.8–1.6 ml . In vivo, candy sprays induced a short-term 3.0 to 5.8-fold increase in salivary flow rate with a concomitant drop in salivary pH to values between 4.4 and 5.8 causing severe form of dental erosion. This information is of use for clinicians counselling juvenile patients with dental erosion and to the general public who is addicted to such form of sweets available in spray form

British Dental Journal 206, E20 (2009)

Monday, May 25, 2009

Operative Dentistry: A Practical Guide to Recent Innovations by Hugh Devlin

By Hugh Devlin

This book describes the most recent developments in the field of operative dentistry. It is aimed at senior students and general dental practitioners and describes techniques and methods in a step-by-step manner that is directly applicable to everyday practice. It is a short, readable textbook with plenty of high-quality color clinical figures used throughout. This book describes contemporary developments in operative dentistry. It covers recent developments in caries detection techniques and treatment, as well as the use of the latest composite and porcelain restorative materials, bleaching and crown provision techniques. There is a chapter on non-carious tooth tissue loss, which is an increasingly common problem through the widespread consumption of carbonated beverages. This book provides enough practical detail for the dentist to feel confident in expanding old skills and trying new ones. The plethora of new dental materials and techniques can prove daunting, but guidance is given as to which material or technique will prove most useful in particular circumstances.

About the Author Hugh Devlin

Hugh Devlin is a senior lecturer in restorative Dentistry at the University o Manchester, UK. He has published numerous articles in prestigious journals and contributed to a number of textbooks. With Springer he published "Complete Dentures" in 2001. He is the President-elect of the International Association for Dentail Research & American Association for Dental Research and serves on the board of the International Journal of Prosthodontics.

About

In addition to literature review for my post graduation research work, this blog is going to be my knowledge resource as a student of dentistry and repository of my experiences as a practicing dentist. I will also track modern trends and advancement in the science of dentistry. Also this will serve as discussion point for issues and problems in the field and much more.

Operative Dentistry

Operative dentistry is the area of dental practice concerned with the prevention and treatment of defects in tooth enamel and dentin. Since many patients need treatment that is provided in operative dentistry, this is where most of the dental assistants are assigned. Operative dentistry includes the treatment and restoration of carious teeth with metallic and nonmetallic dental materials. These materials are usually amalgam, composite resins, and glass ionomer restorations
Read here

Saturday, May 23, 2009

Timeline 1500 - 2009

Google Timeline Results

Evolution of Dentistry

Dentistry is the known evaluation, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, maxillofacial area and the adjacent and associated structures and their impact on the human body.[1] Dentistry is widely considered necessary for complete overall health. Those in the practice of dentistry are known as dentists. Other people aiding in oral health service include dental assistants, dental hygienists, dental technicians, and dental therapists.

Dentistry is that branch of medicine which deals with the study and practice of diagnosis, prevention, and treatment of diseases of the mouth, the maxilla, and the face.
Read at Wikipedia