Prosthodontics

Caries Detection Method Comparison Method Sensitivity Specificity Cost Time Best Use Visual-Tactile Low-Moderate High Low Fast Cavitated lesions Bitewing XR High High Moderate Moderate Interproximal caries DIAGNOdent High Moderate High Fast Occlusal surfaces FOTI/DIFOTI Moderate High Moderate Fast Smooth surfaces Quantitative …

Computer-Controlled Anesthesia System: WAND Technology Overview: System name: WAND (Milestone Scientific) Technology: Computer-controlled local anesthetic delivery Mechanism: Pressure and flow rate regulation Technical Features: Controlled delivery: Preset pressure and flow rates Reduced discomfort: Slow, consistent injection Precise volume: Accurate anesthetic dosing Multiple techniques: Various injection approaches Handpiece design: Pen…

Nitrous Oxide Details Concentration: Start: 10-20% N₂O Therapeutic: 30-50% N₂O Maximum: 70% N₂O (rare) Contraindications: Recent eye surgery (gas bubbles) Respiratory infections Pregnancy (first trimester) Severe behavioral disorders Oral Sedatives Chloral Hydrate Dose: 25-75 mg/kg Onset: 30-60 minutes Duration: 2-4 hours Midazolam Dose: 0.25-0.5 mg/kg PO Onset: 15-30 minutes Advant…

Common Decay Sites Primary first molars: Proximal surfaces below contact points Difficult area for cleaning access Food impaction zone Early detection requires clinical examination and radiographs Treatment Selection Criteria Multi-Surface Caries in 5-Year-Olds Treatment of choice: Stainless Steel Crowns (SSC) Provides comprehensive coverage Durable solution for extensive decay Cost-effective long-term restoration SSC Preparation Standa…

Pulp Testing in Primary Teeth Often unreliable due to undeveloped Raschkow plexus, which limits sensory response. Pulpotomy Healing Calcified fibrous tissue formation begins around 14 days post-treatment. New Dentin Formation After Ca(OH)₂ pulp cap, dentin bridge forms in approximately 28 days. Pulpectomy Material ZOE (Zinc Oxide Eugenol Paste) is commonly used. Pulp Capping Materials Calcium Hydroxide (CaOH) Mineral T…