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Dental Radiography: Maxillary and Mandibular Anatomical Landmarks

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Maxillary Radiolucent Landmarks

  • Intermaxillary Suture (Incisor Region)

    Appears radiolucent (RL) with a radiopaque (RO) border. Often misinterpreted as a fracture; however, true fractures are irregular and lack a radiopaque border. Located at the midline between the two premaxillae.

  • Nasal Fossa (Incisor & Canine Region)

    A pear-shaped radiolucency. Visible in the canine, incisor, and posterior regions.

  • Incisive Foramen (Incisor Region)

    A radiolucency located at the midline of the palate, behind the central incisors. Differential Diagnosis: Consider an incisive canal cyst if its size exceeds 1 cm.

  • Lateral Fossa (Canine Region)

    A depression appearing as a radiolucency near the canine and lateral incisor.

  • Nasolacrimal Canal

    Appears radiolucent, located

... Continue reading "Dental Radiography: Maxillary and Mandibular Anatomical Landmarks" »

Orthodontic Treatment Principles: Forces, Extractions, and Appliance Mechanics

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Response to Orthodontic Pressure

Light Pressure (<1 second to Hours)

  • Less than 1 second: PDL fluid is incompressible; alveolar bone bends, and a piezoelectric signal is generated.
  • 1-2 seconds: PDL fluid is expressed; the tooth moves within the PDL space.
  • 3-5 seconds: Blood flow within the PDL is partially compressed on the pressure side and dilated on the tension side.
  • Minutes: Blood flow is altered, and oxygen tension begins to change.
  • Hours: Metabolic changes and chemical messengers affect cellular activity.
  • Less than 4 hours: Cellular differentiation begins within the PDL.
  • 2 days: Tooth movement occurs as osteoclasts and osteoblasts remodel bone.

Heavy Pressure (<1 second to 7-14 days)

  • Less than 1 second: PDL fluid is incompressible; alveolar
... Continue reading "Orthodontic Treatment Principles: Forces, Extractions, and Appliance Mechanics" »

Understanding Periodontal Diseases: Types, Features, and Risk Factors

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Aggressive Periodontitis: Localized vs. Generalized

This section outlines the key similarities and differences between Localized Aggressive Periodontitis (LAP) and Generalized Aggressive Periodontitis (GAP).

Localized Aggressive Periodontitis (LAP)

  • Circumpubertal onset.
  • Robust serum antibody response to infecting agents.
  • Localized first molar/incisor presentation with interproximal attachment loss on at least two permanent teeth, one of which is a first molar.
  • Lack of clinical inflammation.
  • Presence of deep periodontal pockets.
  • Amount of plaque inconsistent with the amount of periodontal destruction.
  • Plaque forms a thin biofilm, rarely mineralizing into calculus.
  • Distolabial migration and diastema formation.
  • Increasing mobility of first molars.
  • Sensitivity
... Continue reading "Understanding Periodontal Diseases: Types, Features, and Risk Factors" »

Mineral Trioxide Aggregate (MTA) Applications & Luxation Injuries

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Mineral Trioxide Aggregate (MTA) Applications

Pulp Therapy

  • Pulp capping
  • Furcation repair
  • Strip perforation repair
  • Root resorption repair
  • Immature teeth
  • Root end filling material

Elements of Pulp Regeneration

Therapy for exposed dental pulps using stem cells and a biofunctional scaffold, inhibiting or eliminating infection to facilitate pulp generation.

Nickel-Titanium (NiTi) Rotary Instruments

Advantages of NiTi Reciprocation

  • Mimics manual movement
  • Reduces risks associated with continuous rotation in curved canals

Types of Posts

  1. Carbon fiber epoxy resin posts
  2. Zirconia posts
  3. Glass fiber reinforced posts
  4. Ultra-high strength polyethylene fiber reinforced posts

Advantages of NiTi Rotary

  • Gradual, evenly tapered radicular preparation
  • Fewer instruments required
  • Reduced
... Continue reading "Mineral Trioxide Aggregate (MTA) Applications & Luxation Injuries" »

Metabolic Pathways and Liposome Drug Delivery

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Metabolic and Biochemical Processes

BMI Calculation: BMI = Kg/M2. Interpretation: <25 = Normal, 25-30 = Overweight, >30 = Obese. Ethanolamine (Ethan-NH3), Choline = N(CH3)3

Leptin and Adipose Tissue

Leptin is released from adipose tissue when mass is high. It travels through the blood to the arcuate nucleus, binds to neuronal cells, and activates the JAK-STAT pathway. This increases gene expression of POMC, which produces alpha-MSH (a neurotransmitter). Alpha-MSH reaches neurons connected to adipose tissue, releasing norepinephrine. Norepinephrine binds to beta-adrenergic receptors on adipose tissue, promoting an increase (via the G-protein coupled receptor pathway and activation of PKA). This leads to upregulation of UCP1 expression and... Continue reading "Metabolic Pathways and Liposome Drug Delivery" »

Essential Pathology Topics: Systemic Diseases & Neoplasms

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Atherosclerosis: Pathogenesis & Complications

A chronic inflammatory disease of medium and large arteries, caused by endothelial injury and lipid accumulation.

Key Risk Factors:

  • Hypertension
  • Hyperlipidemia
  • Smoking
  • Diabetes

Lesions evolve from fatty streaks → fibrous plaques → complicated plaques.

Common Complications:

  • Myocardial Infarction (MI)
  • Stroke
  • Aneurysm
  • Peripheral Artery Disease

Histologically, it shows lipid cores, calcification, and fibrous caps.

Hypertensive Disease: Organ Damage & Malignant Forms

Chronic blood pressure (BP) elevation causes vascular and organ damage.

Consequences Include:

  • Arteriolosclerosis
  • Left Ventricular (LV) hypertrophy
  • Stroke
  • Chronic Kidney Disease

Malignant hypertension (diastolic BP >120 mmHg) causes fibrinoid necrosis... Continue reading "Essential Pathology Topics: Systemic Diseases & Neoplasms" »

Zoologist

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To sort the diversity of life using a rating system. Kingdom, phylum. sub class, super, order, sub groups, sub, genus, species, sub. Hierarchical binomial nomenclature, the greater the taxa categories. To reconstruct the phylogeny of a group uses a character that varies among members (ancestral character.) Is also used to compare outgroup (outgroup ) This is phylogenetically close, but not part of the study group. For any phylogenetic reconstruction we need to consider the characters that we use in our analysis and determine which is the primitive condition that presents the common ancestor of several. In this sense, we use the apomorphies that
refer to a derived or specialized character. In contrast, plesiomorphic, is a primitive character.

... Continue reading "Zoologist" »

Common Benign Oral Pathologies and Their Features

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Common Oral Benign Lesions and Tumors

6. Peripheral Giant Cell Granuloma (PGCG)

Reactive lesion.

Key Features:

  • Prevalence: More common in females and older individuals.
  • Site: Exclusively on the gingiva or alveolar mucosa.
  • Etiology: Local irritation or trauma.

Clinical Characteristics:

  • Color: Dark red.
  • Surface: Often hemorrhagic and may be ulcerated.
  • Appearance: Sessile or pedunculated mass.

Radiographic Features (X-ray):

  • May show superficial bone resorption, sometimes described as "saucerization" or a "cupping effect".
  • Can appear as an ill-defined radiolucent (RL) area if bone is involved.

Histopathology:

Characterized by three zones:

  1. Zone of Hyperplastic Stratified Squamous Epithelium: Often shows acanthosis and hyperkeratosis.
  2. Giant Cell-Free Zone: A band
... Continue reading "Common Benign Oral Pathologies and Their Features" »

Dental Crown and Restoration Types: Benefits and Limitations

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Full Crown Veneer

Indications:

  • Extensive destruction from caries or trauma
  • Endodontically treated teeth
  • Existing restorations
  • Correction for occlusal plane

Contraindications:

  • Less than maximum retention
  • Esthetics

Advantages:

  • Strong
  • High retentive quality
  • Easy to obtain
  • Adequate resistance form

Disadvantages:

  • Removal of large amount of tooth structure
  • Adverse effect on tissues
  • Vitality testing not readily feasible
  • Display of metal

Porcelain-Fused-to-Metal (PFM) Crown

Indications:

  • Esthetics if all-ceramic is contraindicated
  • Gingival involvement

Contraindications:

  • Large pulp chamber
  • Intact buccal wall

Advantages:

  • Superior esthetics compared to complete cast crown

Disadvantages:

  • Removal of substantial tooth structure
  • Subject to fracture
  • Difficult to obtain accurate occlusion
  • Shade
... Continue reading "Dental Crown and Restoration Types: Benefits and Limitations" »

The Science of Evolution: From Origins to Humanity

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Biodiversity Origins: Early Theories

Fixist Theory: Species Immutability

Proposes that species are immutable and have remained unchanged throughout time. Variations include:

  • Creationism

    The belief that living things were created by a divine entity. This idea is largely rejected by the scientific community.

  • Intelligent Design

    A creationism movement asserting that a creative intelligence is responsible for the complexity of the universe and life. Proponents argue that some biological characteristics are too intricate to have arisen from natural processes, a claim widely considered pseudoscience.

  • Catastrophism

    Proposed by Georges Cuvier, this theory suggests that Earth has experienced several catastrophic events, leading to the extinction of species and

... Continue reading "The Science of Evolution: From Origins to Humanity" »