Dental Pulse Vol 2 Book Free Download
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The Arthur A. Dugoni School of Dentistry offers students many opportunities to enhance the dental school experience. We present our students with numerous experiences outside the rigors of the classroom and clinic.
The latest issue of Contact Point is out now! Meet some fascinating members of the dental school family, read about an exciting new healthcare collaborative, explore the Dugoni School's humanistic leadership and much more.
Introduction: Pulpal status is best determined by assessing the pulp vitality, which proves to be important yet sceptical with the use of conventional thermal and electrical testing methods. The use of pulse oximetry helps to arrive at a definitive diagnosis by detecting the pulpal oxygen saturation.
Conclusion: The obtained results showed that the caries-free group exhibited higher saturation compared to the carious group. 3D designed customized pulse oximeter can be used as an adjunct to assess the pulp vitality in primary teeth.
As Francis Bacon can be quoted, "If we are to achieve results never before accomplished, we must employ methods never before attempted." As a veteran of dental hygiene for more than three decades, I remember being teased in my hygiene class as being the only student to wear the "recommended" latex gloves. After all, we didn't have to wear them. My thought was get used to them when everything already feels strange rather than adding the routine later.
Another concept from way-back-when was the idea of a dental hygienist being able to administer nitrous oxide sedation and local anesthesia. Really? To think of using a needle in someone's mouth without being a licensed dentist seemed absurd back in the early 1980s.
As progressive dental hygienists, we are a population of health-care providers that directly serve patients' dental needs. But how is it that we really fit into the bigger picture of collaborative patient care at a global level?
As dental professionals, we need to respect that worldwide telemedicine is in full swing within our global borders. As interactive health-care professionals, we need to be aware of the changes that are upon us. As practicing clinical dental hygienists, we need to understand how we directly, and indirectly, play a part in this bigger, global, patient care picture.
One company was MouthWatch, an intraoral camera company based in New York City. Co-owners Brant Herman and Bob Bellhouse stated that their product is an intraoral camera at a "disruptively low cost with superior image quality." This is an amazingly lightweight and portable tool for dental hygienists, dentists, and all health-care personnel.
This intraoral camera would be great for working in settings such as public health programs, clinics, managed care settings, nursing home/assisted living facilities, school screening programs, employers, hospitals, and traditional dental practices, depending on scope of practice within a state. Through this intraoral imaging device, registered dental hygienists, along with all health-care providers, are able to go out into the field to do screening examinations, take intraoral images, and then store-and-forward those images along with all of the collected data to a supervising dentist for a consult.
Another option with this camera is that it has its own TeleDent software program available. This software is able to upload and store tons of additional patient information, including such things as health history forms, parent/patient consent forms, and pertinent patient information and comments. Through the camera and available software program, it enables clinicians and supervising dentists/physicians to have a live stream consultation-between, for example, a school parent, a dental hygienist, and a clinical dentist. Or, the consultation could be conducted between a nursing home attendant, a dental hygienist, a patient family member, and a supervising dentist, all in the comfort of their own homes and comfortable surroundings at a time that fits into everyone's busy schedules. It should be noted here that this software system can even upload and incorporate digital diagnostic radiographic images to be included for use during the consultation. Of course, a portable x-ray unit would be required.
The only other dental exhibitor representation during the ATA meeting was The Dentist Is In. Dr. Maria Kunstadter of Kansas City, Mo., stated, "This is a kiosk-based dental consultation and referral system which will provide a virtual dentist where one has always been needed. Our system allows emergency departments, urgent care centers, and retail-based clinics to have a dentist available 24/7/365 from our online professionals. For a growing number of Americans, the emergency room is the first line of treatment for dental care."
Dr. Kunstadter added, "According to the American Dental Association, between $1.7 to $2.2 billion dollars was spent in the ER in one year for dental complaints. That's because emergency rooms are not generally staffed by a dentist. It's the wrong service in the wrong place at the wrong time."
Another company at the ATA conference that is easily recognized by dental hygienists was Philips. The makers of the Sonicare toothbrush has recently launched a few new products, including a bath scale, pulse rate monitor, and blood pressure cuff. All of these are able to contribute to the global telemedicine sector of care. From the comfort of a patient's home, a remote health-care provider can closely monitor such things as patient weight, pulse, and blood pressure on a daily basis. Watching for elevations, declines, or any changes of these vital signs could alert an attending physician that the patient may need to be seen again or readmitted into a hospital setting.
So how does all of this connect with our daily roles and clinical dental hygienists? As practicing dental clinicians, it is imperative that we stay updated with all upcoming and evolving practices within the dental profession. It is of utmost importance that we practice accurate charting measures and make extensively detailed chart notes. If we as a profession are to remain competitive within the world of telemedicine, we must act now in educating ourselves in all aspects of the new global way of interactively practicing teledentistry and telemedicine. RDH
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This is a problem that will not resolve or go away without some intervention. An oral antibiotic is never a satisfactory long term solution either, because the source of infection has not been removed. Apicoectomy surgery is an in-office procedure performed with either local anesthesia, i.v. sedation, or general anesthesia. While many patients prefer to have only a local anesthetic (the administration of numbing medicine to the area being worked on) more often patients/dental tourists choose to be asleep or sedated. That is a decision best left up to the doctor and patient and can be explored more fully during your dental treatment consultation visit to specialist of India Dental Clinic.
The guiding principle of endodontic treatment is to preserve teeth while maintaining its aesthetic and functional roles. To accomplish this goal the assessment of teeth pulp vitality is very important since it will determine the procedures that should be adopted and define the therapy strategy. Currently, the most commonly tests for determining dental pulp state are the thermal and the electrical tests, which are based on nerve response and, because of that, have a relatively high rate of false positives and false negatives cases. In this work we present a simple test to be used in the clinical setting for evaluating noninvasively the existence of blood perfusion in dental pulp. This test is based on pulse oximetry principle that was devised to indirectly measure the amount of oxygen in blood. Although pulse oximetry has already demonstrated its usefulness in clinical environment its usage for the determination of dental pulp vitality has been frustrated by several factors, notably the absence of a suitable sensor to the complex shape of the various coronary teeth. We developed a suitable sensor and present the first trials with promising results, regarding the ability for distinguish teeth with and without blood perfusion.
Erbium lasers are by now an accepted tool for performing ablative medical procedures, especially when minimal invasiveness is desired. Ideally, a minimally invasive laser cutting procedure should be fast and precise, and with minimal pain and thermal side effects. All these characteristics are significantly influenced by laser pulse duration, albeit not in the same manner. For example, high cutting efficacy and low heat deposition are characteristics of short pulses, while vibrations and ejected debris screening are less pronounced at longer pulse durations. We report on a study of ablation characteristics on dental enamel and cementum, of a chopped-pulse Er:YAG [quantum square pulse (QSP)] mode, which was designed to reduce debris screening during an ablation process. It is shown that in comparison to other studied standard Er:YAG and Er,Cr:YSGG laser pulse duration modes, the QSP mode exhibits the highest ablation drilling efficacy with lowest heat deposition and reduced vibrations, demonstrating that debris screening has a considerable influence on the ablation process. By measuring single-pulse ablation depths, we also show that tissue desiccation during the consecutive delivery of laser pulses leads to a significant reduction of the intrinsic ablation efficacy that cannot be fully restored under clinical settings by rehydrating the tooth using an external water spray.
Abstract: Pulse methodology is a lean deviation management methodology that helps to visualise the deviations using visualisation artefacts (e.g., white boards and TVs) and frequent meetings for internal synchronisations within a company. The purpose of this study is to fill the gap within the lean literature about teaching and introducing pulse methodology. It presents a case study where digital pulse methodology was introduced to a customer-order-driven product development and production company within the dental device industry to help the company efficiently manage the deviations arising from daily operations so that it becomes more lean by visualising important data and capturing and reusing knowledge. The presented case study and the conclusions will be useful for researchers, companies, and consultants who want to try out pulse methodology or understand the implementation process.
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