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| Traumatic ulcers in healing stage caused by sharp teeth |
An ulcer is a tissue defect which has penetrated the epithelial-connective tissue border, with its base at a deep level in the submucosa, or even within muscle or periosteum. An ulcer is a deeper breach of the epithelium than an erosion or an excoriation, and involves damage to both epithelium and lamina propria.
General Dentistry
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| Schematic diagram showing implant components and how a crown is placed on implant which in turn placed in a bony socket in the jaw bone |
People often ask me; can I get a fixed artificial teeth? While most of the time, they can get it, but in few unfortunate one, it remained impossible to provide a fixed partial denture due to their unfavourable oral conditions. In those cases, we suggest them, “you should take an implant supported prosthesis”.
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| Schematic diagram showing implant components and how a crown is placed on implant which in turn placed in a bony socket in the jaw bone |
Implant supported prostheses that include over-dentures, crowns and bridges are the treatment of choice in modern dentistry. They are very predictable in nature and have a track record of very successful life span serving their purpose. But, there are certain conditions where the dental implants cannot be provided due to the inherent nature of the disease. The implant supported prostheses are contraindicated in the following conditions:
To read about new blueprint of ADC exam click HERE.
Domain 6. Patient Care
6.1 Clinical Information Gathering
It covers the collection and recording of information that is necessary and relevant.
As an Australian dentist you must be able to:
1. obtain and record a relevant history of the patient’s medical, social and oral health status
2. perform an examination for health, disease and abnormalities of the dentition, mouth and associated structures
3. select necessary clinical, pathology and other diagnostic procedures and interpret results
4. take radiographs relevant to dental practice
5. evaluate individual patient risk factors for oral disease
6. maintain accurate, consistent, legible and contemporaneous records of patient management and protect patient privacy
6.2 Diagnosis and Management Planning
It covers the identification of disease or abnormalities that require treatment or investigation As an Australian dentist you must be able to:
1. recognise health as it relates to the individual
2. diagnose disease or abnormalities of the dentition, mouth and associated structures and identify conditions which require management
3. determine the impact of risk factors, systemic disease and medications on oral health and treatment planning
4. formulate and record a comprehensive, patient-centred, evidence-based oral health treatment plan
5. determine when and how to refer patients to the appropriate health professional
6. obtain and record patient informed consent and financial consent for treatment
6.3 Clinical Treatment and Evaluation
It covers the provision of evidence-based patient-centred care.
As an Australian dentist you must be able to:
1. apply the principles of disease and trauma prevention and early intervention in the management of the dentition, mouth and associated structures
2. apply the principles of behaviour management
3. manage a patient’s anxiety and pain related to the dentition, mouth and associated structures
4. manage surgical and non-surgical treatment of diseases and conditions of the periodontium and supporting tissues of the teeth or their replacements
5. manage surgical and non-surgical treatment of pulp and periapical diseases and conditions with endodontic treatment
6. manage the loss of tooth structure by restoring the dentition with direct and indirect restorations
7. utilise patient removable prostheses to rehabilitate, restore appearance and function, prevent injury and stabilise the occlusion
8. utilise fixed prostheses to rehabilitate, restore appearance and function and stabilise the occlusion
9. manage oral conditions, pathology and medically related disorders and diseases associated with the dentition, mouth and associated structures
10. manage skeletal and dental occlusal discrepancies
11. manage the removal of teeth and oral surgical procedures
12. administer, apply and/or prescribe pharmaceutical agents
13. evaluate and monitor the progress of treatment and oral health outcomes
14. manage dental emergencies.
15. manage medical emergencies.
Dentists often encounter cancer patients, who are to undergo radiotherapy or have received it in the recent past. Besides cancer therapy, these patients need dental treatment for different ailments. Therefore, it becomes paramount important for a dentist to know the effects of large doses of ionizing radiation on oral mucosa.
In this section, we shall talk about the effects of radiation on oral tissues.
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| Saudi Arabia Riyadh landscape at Morning – Riyadh Tower Kingdom Centre, Kingdom Tower, Riyadh Skyline – Burj Al-Mamlaka, AlMamlakah – Riyadh at Daylight – Tower View-Getty Images |
Click to read part 1 of the story at the link given below
....... Continues
With the passage of time, Ganesh became aware of the situation of his family. He started to understand the pain of his wife and the thought process of his father. He, who always cared for him, was worried about his future; the future ahead of his family life as well as financials, as it has to have a long-lasting effect on his Son too.
Both Ganesh and his wife dropped the idea of ADC as it was clear, no matter how hard they try it, it was not meant for them. Moreover, they were out of funds, rather, better word was, in negative funds. So, to regain their lost finances, they modified their plan.
The plan was to try for a gulf job and regain the lost finance. They consulted with their friend who had experience of the gulf job. Ganesh and his wife got a decent job in Saudi Arabia. It was a job in a remote area of the Kingdom, but since they had their own circumstances, they adjusted themselves in a few months.
In this world there is no end to issues, no matter where a person lives. This soon started being applied to them too. A recently came new dentist in their workplace had Arab origin and the staff started giving him preferential treatment. The distribution of work started skewing, putting Ganesh in a difficult situation. His wife was cool as being a female, she was spared, or the person involved had no guts to disturb her and be caught in a situation that might have backfired.
Ganesh contacted his friend for solace. He understood his situation and the options available. He decided, as long as I am getting my salary, I have to stay here and refill my coffer. There was no second choice.
His wife and he stayed for five years in Saudi Arabia and then started thinking of coming back to India. They have earned sufficient, filled their coffer and most importantly regained lost self-esteem and self-worth. Their family life has again come back on a smooth track.
Before coming back to India, Ganesh refurbished his old clinic when he had visited India last time. It was ready to start the work. Ganesh started working in his own clinical practice the next day of arrival to India. His wife got her old tutoring job back in the same college she was teaching in. Within a year, they decided to open a second clinic. Soon it was booming by the hard-working ethics of his wife, who decided to go take the clinical practice as full-time work.
The couple decided to buy a house near their old home and were happy ever after. Ganesh remained obliged to his friends who supported him during his bad time.