Question

[Guest guest]

hi , i was also confused for morphine coz it is definately use for long term cancer pain ,but for other reasons long term pain  i m not sure !!On Tue, Jun 21, 2011 at 10:32 PM, Swati Sheokand <swati.sheokand@...> wrote:

 

thanks a lot but cant we use morphine in years long pain?as pink book says its used for chronic pain

From: shilpa shrivastava <shilpa.20shrivastava@...>

Sent: Tuesday, June 21, 2011 3:04 PMSubject: Re: question

 

On Tue, Jun 21, 2011 at 2:10 PM, Swati Sheokand <swati.sheokand@...> wrote:

 

hi analgesic best post operatively morphine

 analgesic given 2 days after extraction paracetamol analgesic for years long pain  

 analgesic for children paracetamol(in moderate dose under 16 years)plz correct if wrong

[Guest guest]

Personally, I disagree with the theory that ALL of your foods should be consumed

raw. Granted, the enzymes are intact, but we don't all NEED that much enzyme

activity going on, and for people like me, it is TOO much when you go all raw.

Although all raw is great for the digestive system, it is hard on the kidneys,

and stones can form as a result of too much of a good thing. I think it is

perfectly healthy and reasonable to freeze fruits and veggies. I grow all of my

own stuff, and if I didn't freeze it, there would be no way for me to preserve

and enjoy it year round. When I first tried a full on, 100 percent raw diet

years ago, I actually got quite sick. Turns out my kidneys couldn't process all

of the purines, salicylates, and other naturally occurring enzymes, so I had to

modify dramatically to suit MY needs. I am not a fan of diets that dictate that

one " must " do this or that. I think we each need to decide what is best for us,

but it rarely gets mentioned in the raw diet community that it can actually be

HARMFUL to go all raw. Just my two cents worth...

>

> Read this on the web about using frozen fruits for smoothies, can anyone

> debate this for me and others?

>

> Can I Put Frozen Fruit Into My Live Green Smoothies?

> When I first started out making Live Green Smoothies, I kept bags of frozen

> fruit in my fridge and used them daily. But then I realized that these foods

> were just as dead as the cooked foods I was moving away from. I consequently

> haven't used frozen fruit in my smoothies for years.

> A living thing is permanently affected by freezing. Freeze your hand solid

> overnight and tell me tomorrow after you've defrosted it if it's anywhere

> near its original state. In fact, it will die and will have to be lopped off

> that's a fact. Similarly, meat that's frozen in a freezer is actually

> tenderized when it's defrosted, because the cells are damaged during the

> freezing process.

> Living tissues are made of cells containing water, which expands when frozen

> ultimately causing the cells to explode.

> Putting frozen bananas and frozen mango into your green smoothie will most

> certainly be delicious… but it will not be a bonafide Live Green Smoothie

> made from living greens and living fruit.

> Because Live Green Smoothies are all about maximum nutrition and vitality

> for your dollar, time, and consumption, I invite you to consider switching

> to only fresh fruits as your primary ingredients. Consider the frozen

> varieties in the same category as dried greens — they are backup for the

> sake of convenience, when the real deal is not on hand.

> And of course, if it comes down to making Live Green Smoothies with frozen

fruit or not making them at all, well…make the dang LGS

>

[Guest guest]

Thank you, right now I'm fighting with ulcerative colitus and can't eat raw anyway. Mostly doing soups and smoothies in the vitamix so I don't have to digest too much. Also just started taking St 's Wort to help with stress, and it seems to have helped 90% today, will see if it continues.

-- Re: question

Personally, I disagree with the theory that ALL of your foods should be consumed raw. Granted, the enzymes are intact, but we don't all NEED that much enzyme activity going on, and for people like me, it is TOO much when you go all raw. Although all raw is great for the digestive system, it is hard on the kidneys, and stones can form as a result of too much of a good thing. I think it is perfectly healthy and reasonable to freeze fruits and veggies. I grow all of my own stuff, and if I didn't freeze it, there would be no way for me to preserve and enjoy it year round. When I first tried a full on, 100 percent raw diet years ago, I actually got quite sick. Turns out my kidneys couldn't process all of the purines, salicylates, and other naturally occurring enzymes, so I had to modify dramatically to suit MY needs. I am not a fan of diets that dictate that one "must" do this or that. I think we each need to decide what is best for us, but it rarely gets mentioned in the raw diet community that it can actually be HARMFUL to go all raw. Just my two cents worth...

>

> Read this on the web about using frozen fruits for smoothies, can anyone

> debate this for me and others?

>

> Can I Put Frozen Fruit Into My Live Green Smoothies?

> When I first started out making Live Green Smoothies, I kept bags of frozen

> fruit in my fridge and used them daily. But then I realized that these foods

> were just as dead as the cooked foods I was moving away from. I consequently

> haven't used frozen fruit in my smoothies for years.

> A living thing is permanently affected by freezing. Freeze your hand solid

> overnight and tell me tomorrow after you've defrosted it if it's anywhere

> near its original state. In fact, it will die and will have to be lopped off

> that's a fact. Similarly, meat that's frozen in a freezer is actually

> tenderized when it's defrosted, because the cells are damaged during the

> freezing process.

> Living tissues are made of cells containing water, which expands when frozen

> ultimately causing the cells to explode.

> Putting frozen bananas and frozen mango into your green smoothie will most

> certainly be delicious… but it will not be a bonafide Live Green Smoothie

> made from living greens and living fruit.

> Because Live Green Smoothies are all about maximum nutrition and vitality

> for your dollar, time, and consumption, I invite you to consider switching

> to only fresh fruits as your primary ingredients. Consider the frozen

> varieties in the same category as dried greens — they are backup for the

> sake of convenience, when the real deal is not on hand.

> And of course, if it comes down to making Live Green Smoothies with frozen fruit or not making them at all, well…make the dang LGS

>

------------------------------------

[Guest guest]

Oh, feel better, dear gal! Cabbage, while hard to digest raw or cooked, is great for UC when juiced with a bit of ginger root. Sounds like you are doing just the right thing with the soups. Hope you recover quickly! From: Old and Forgotten <busresponsible@...>Subject: Re: Re: question Date: Wednesday, August 3, 2011, 9:41 PM

Thank you, right now I'm fighting with ulcerative colitus and can't eat raw anyway. Mostly doing soups and smoothies in the vitamix so I don't have to digest too much. Also just started taking St 's Wort to help with stress, and it seems to have helped 90% today, will see if it continues.

-- Re: question

Personally, I disagree with the theory that ALL of your foods should be consumed raw. Granted, the enzymes are intact, but we don't all NEED that much enzyme activity going on, and for people like me, it is TOO much when you go all raw. Although all raw is great for the digestive system, it is hard on the kidneys, and stones can form as a result of too much of a good thing. I think it is perfectly healthy and reasonable to freeze fruits and veggies. I grow all of my own stuff, and if I didn't freeze it, there would be no way for me to preserve and enjoy it year round. When I first tried a full on, 100 percent raw diet years ago, I actually got quite sick. Turns out my kidneys couldn't process all of the purines, salicylates, and other naturally occurring enzymes, so I had to modify dramatically to suit MY needs. I am not a fan of diets that dictate that one "must" do this

or that. I think we each need to decide what is best for us, but it rarely gets mentioned in the raw diet community that it can actually be HARMFUL to go all raw. Just my two cents worth...

>

> Read this on the web about using frozen fruits for smoothies, can anyone

> debate this for me and others?

>

> Can I Put Frozen Fruit Into My Live Green Smoothies?

> When I first started out making Live Green Smoothies, I kept bags of frozen

> fruit in my fridge and used them daily. But then I realized that these foods

> were just as dead as the cooked foods I was moving away from. I consequently

> haven't used frozen fruit in my smoothies for years.

> A living thing is permanently affected by freezing. Freeze your hand solid

> overnight and tell me tomorrow after you've defrosted it if it's anywhere

> near its original state. In fact, it will die and will have to be lopped off

> that's a fact. Similarly, meat that's frozen in a freezer is actually

> tenderized when it's defrosted, because the cells are damaged during the

> freezing process.

> Living tissues are made of cells containing water, which expands when frozen

> ultimately causing the cells to explode.

> Putting frozen bananas and frozen mango into your green smoothie will most

> certainly be delicious… but it will not be a bonafide Live Green Smoothie

> made from living greens and living fruit.

> Because Live Green Smoothies are all about maximum nutrition and vitality

> for your dollar, time, and consumption, I invite you to consider switching

> to only fresh fruits as your primary ingredients. Consider the frozen

> varieties in the same category as dried greens — they are backup for the

> sake of convenience, when the real deal is not on hand.

> And of course, if it comes down to making Live Green Smoothies with frozen fruit or not making them at all, well…make the dang LGS

>

------------------------------------

[Guest guest]

Thank you, will try the cabbage and working on getting well.

-- Re: question

Personally, I disagree with the theory that ALL of your foods should be consumed raw. Granted, the enzymes are intact, but we don't all NEED that much enzyme activity going on, and for people like me, it is TOO much when you go all raw. Although all raw is great for the digestive system, it is hard on the kidneys, and stones can form as a result of too much of a good thing. I think it is perfectly healthy and reasonable to freeze fruits and veggies. I grow all of my own stuff, and if I didn't freeze it, there would be no way for me to preserve and enjoy it year round. When I first tried a full on, 100 percent raw diet years ago, I actually got quite sick. Turns out my kidneys couldn't process all of the purines, salicylates, and other naturally occurring enzymes, so I had to modify dramatically to suit MY needs. I am not a fan of diets that dictate that one "must" do this or that. I think we each need to decide what is best for us, but it rarely gets mentioned in the raw diet community that it can actually be HARMFUL to go all raw. Just my two cents worth...

>

> Read this on the web about using frozen fruits for smoothies, can anyone

> debate this for me and others?

>

> Can I Put Frozen Fruit Into My Live Green Smoothies?

> When I first started out making Live Green Smoothies, I kept bags of frozen

> fruit in my fridge and used them daily. But then I realized that these foods

> were just as dead as the cooked foods I was moving away from. I consequently

> haven't used frozen fruit in my smoothies for years.

> A living thing is permanently affected by freezing. Freeze your hand solid

> overnight and tell me tomorrow after you've defrosted it if it's anywhere

> near its original state. In fact, it will die and will have to be lopped off

> that's a fact. Similarly, meat that's frozen in a freezer is actually

> tenderized when it's defrosted, because the cells are damaged during the

> freezing process.

> Living tissues are made of cells containing water, which expands when frozen

> ultimately causing the cells to explode.

> Putting frozen bananas and frozen mango into your green smoothie will most

> certainly be delicious… but it will not be a bonafide Live Green Smoothie

> made from living greens and living fruit.

> Because Live Green Smoothies are all about maximum nutrition and vitality

> for your dollar, time, and consumption, I invite you to consider switching

> to only fresh fruits as your primary ingredients. Consider the frozen

> varieties in the same category as dried greens — they are backup for the

> sake of convenience, when the real deal is not on hand.

> And of course, if it comes down to making Live Green Smoothies with frozen fruit or not making them at all, well…make the dang LGS

>

------------------------------------

[Guest guest]

I agree with the last sentence:

Blessings,Lea Ann SavageSatellite Beach, FL(321) 773-7088 (home)(321-961-9219 (cell)))><'>www.VitamixLady.comwww..com<))><

On Aug 3, 2011, at 9:01 PM, Cat Lady wrote:

Read this on the web about using frozen fruits for smoothies, can anyone debate this for me and others?

Can I Put Frozen Fruit Into My Live Green Smoothies?

When I first started out making Live Green Smoothies, I kept bags of frozen fruit in my fridge and used them daily. But then I realized that these foods were just as dead as the cooked foods I was moving away from. I consequently haven’t used frozen fruit in my smoothies for years.

A living thing is permanently affected by freezing. Freeze your hand solid overnight and tell me tomorrow after you’ve defrosted it if it’s anywhere near its original state. In fact, it will die and will have to be lopped off; that’s a fact. Similarly, meat that’s frozen in a freezer is actually tenderized when it’s defrosted, because the cells are damaged during the freezing process.

Living tissues are made of cells containing water, which expands when frozen, ultimately causing the cells to explode.

Putting frozen bananas and frozen mango into your green smoothie will most certainly be delicious… but it will not be a bonafide Live Green Smoothie made from living greens and living fruit.

Because Live Green Smoothies are all about maximum nutrition and vitality for your dollar, time, and consumption, I invite you to consider switching to only fresh fruits as your primary ingredients. Consider the frozen varieties in the same category as dried greens — they are backup for the sake of convenience, when the real deal is not on hand.

And of course, if it comes down to making Live Green Smoothies with frozen fruit or not making them at all, well…make the dang LGS

[Guest guest]

I agree with

Veld

Sent from Velda's iPad

On Aug 3, 2011, at 6:10 PM, " " <berrywell@...> wrote:

>

> Personally, I disagree with the theory that ALL of your foods should be

consumed raw. Granted, the enzymes are intact, but we don't all NEED that much

enzyme activity going on, and for people like me, it is TOO much when you go all

raw. Although all raw is great for the digestive system, it is hard on the

kidneys, and stones can form as a result of too much of a good thing. I think

it is perfectly healthy and reasonable to freeze fruits and veggies. I grow all

of my own stuff, and if I didn't freeze it, there would be no way for me to

preserve and enjoy it year round. When I first tried a full on, 100 percent raw

diet years ago, I actually got quite sick. Turns out my kidneys couldn't

process all of the purines, salicylates, and other naturally occurring enzymes,

so I had to modify dramatically to suit MY needs. I am not a fan of diets that

dictate that one " must " do this or that. I think we each need to decide what is

best for us, but it rarely gets mentioned in the raw diet community that it can

actually be HARMFUL to go all raw. Just my two cents worth...

>

>

>

>>

>> Read this on the web about using frozen fruits for smoothies, can anyone

>> debate this for me and others?

>>

>> Can I Put Frozen Fruit Into My Live Green Smoothies?

>> When I first started out making Live Green Smoothies, I kept bags of frozen

>> fruit in my fridge and used them daily. But then I realized that these foods

>> were just as dead as the cooked foods I was moving away from. I consequently

>> haven't used frozen fruit in my smoothies for years.

>> A living thing is permanently affected by freezing. Freeze your hand solid

>> overnight and tell me tomorrow after you've defrosted it if it's anywhere

>> near its original state. In fact, it will die and will have to be lopped off

>> that's a fact. Similarly, meat that's frozen in a freezer is actually

>> tenderized when it's defrosted, because the cells are damaged during the

>> freezing process.

>> Living tissues are made of cells containing water, which expands when frozen

>> ultimately causing the cells to explode.

>> Putting frozen bananas and frozen mango into your green smoothie will most

>> certainly be delicious… but it will not be a bonafide Live Green Smoothie

>> made from living greens and living fruit.

>> Because Live Green Smoothies are all about maximum nutrition and vitality

>> for your dollar, time, and consumption, I invite you to consider switching

>> to only fresh fruits as your primary ingredients. Consider the frozen

>> varieties in the same category as dried greens — they are backup for the

>> sake of convenience, when the real deal is not on hand.

>> And of course, if it comes down to making Live Green Smoothies with frozen

fruit or not making them at all, well…make the dang LGS

>>

>

>

>

>

> ------------------------------------

>

>

[Guest guest]

Good word ..

> >

> > Read this on the web about using frozen fruits for smoothies, can anyone

> > debate this for me and others?

> >

> > Can I Put Frozen Fruit Into My Live Green Smoothies?

> > When I first started out making Live Green Smoothies, I kept bags of frozen

> > fruit in my fridge and used them daily. But then I realized that these foods

> > were just as dead as the cooked foods I was moving away from. I consequently

> > haven't used frozen fruit in my smoothies for years.

> > A living thing is permanently affected by freezing. Freeze your hand solid

> > overnight and tell me tomorrow after you've defrosted it if it's anywhere

> > near its original state. In fact, it will die and will have to be lopped off

> > that's a fact. Similarly, meat that's frozen in a freezer is actually

> > tenderized when it's defrosted, because the cells are damaged during the

> > freezing process.

> > Living tissues are made of cells containing water, which expands when frozen

> > ultimately causing the cells to explode.

> > Putting frozen bananas and frozen mango into your green smoothie will most

> > certainly be delicious… but it will not be a bonafide Live Green Smoothie

> > made from living greens and living fruit.

> > Because Live Green Smoothies are all about maximum nutrition and vitality

> > for your dollar, time, and consumption, I invite you to consider switching

> > to only fresh fruits as your primary ingredients. Consider the frozen

> > varieties in the same category as dried greens — they are backup for the

> > sake of convenience, when the real deal is not on hand.

> > And of course, if it comes down to making Live Green Smoothies with frozen

fruit or not making them at all, well…make the dang LGS

> >

>

[Guest guest]

I won't get into the living / " dead " food debate, but I don't buy into it. :-)Also, (throwing my 2 cents in here, FWIW), sometimes advocating an all-raw diet is the right thing for everyone can get people sick.

Not everyone is the same. Assuming that they are means giving out dangerous advice. Not everyone has the same nutritional needs, we can see this by so many different requirements for food allergies, intolerances etc.

When I was diagnosed with cancer, of course, I had deeply concerned friends who insisted (ala certain raw gurus) that the ONLY way I would survive is a raw food and juiced diet.My system was so ravaged, I could not handle raw. In any form. For quite awhile. I won't tell you what I lived on to survive, it might hurt some of you and your food consciences, but I did what was my body could tolerate at the time. And even now, 6 years later and REMISSION (thank G-d!), my system still cannot handle concentrated juices or much raw food and although I can eat a good amount of fresh, raw salads and veggies, it cannot make up the major portion of my intake and juicing still bothers me.

So, there is no " one size fits all " when it comes to nutritional and dietary or even herbal advice. It's simply what each of us have to find about what our bodies need and that changes as we heal or as we grow or as our bodies are subjected to different assaults or develop different challenges.

Vickilynn HaycraftMicah 6:8http://www.realfoodliving.comhttp://www.blog.realfoodliving.com

http://www.examiner.com/housewares-in-national/vickilynn-haycrafthttp://www.examiner.com/family-preparedness-in-national/vickilynn-haycraft

http://www.bepreparedradio.com/category/prepper-podcasts-preparedness/get-real-get-prepared/

[Guest guest]

40%From: "huraira2002@..." <huraira2002@...> Sent: Thursday, 11 August 2011, 19:08Subject: QuestionCompensated blood loss. - 20%/40%/60%Sent from

my BlackBerry® wireless device-----Original Message-----From: doctorjasleen@...Sender: Date: Thu, 11 Aug 2011 17:57:04 Oremutual< >Reply- Subject: Ore 1What does a single motor neuron to a lingual musculature suppy1. Muscle spindle2. Single muscle fibre3. Multiple muscle fiberSent from my BlackBerry Torch® wireless device------------------------------------

Links------------------------------------

[Guest guest]

Lower lip (cawson)Sent from my BlackBerry Torch® wireless deviceFrom: Roshini Agarwal <roshini.agarwal@...>Sender: Date: Thu, 11 Aug 2011 13:05:20 -0700 (PDT)< >Reply Subject: question pl let me know tat a carcinoma on lip is more common on lower lip or upper lip?Due to uv rays, carcimona ll develop on upper lip or lower lip. Really confused coz tencate says its upper lip nd pastest says it lower lip...Pls share ur knowledge.Thanks.

[Guest guest]

its lower lip

>

> pl let me know tat a carcinoma on lip is more common on lower lip or upper

lip?

>

> Due to uv rays, carcimona ll develop on upper lip or lower lip.

> Really confused coz tencate says its upper lip nd pastest says it lower

lip...

>

> Pls share ur knowledge.

>

> Thanks.

>

[Guest guest]

hi huraira, r u sure about dis....can u gv da reference plz

>

> 40%

>

>

> From: " huraira2002@... " <huraira2002@...>

>

> Sent: Thursday, 11 August 2011, 19:08

> Subject: Question

>

> Compensated blood loss. - 20%/40%/60%

> Sent from my BlackBerry® wireless device

>

> Ore 1

>

> What does a single motor neuron to a lingual musculature suppy

>

> 1. Muscle spindle

> 2. Single muscle fibre

> 3. Multiple muscle fiber

> Sent from my BlackBerry Torch® wireless device

>

> ------------------------------------

>

>

[Guest guest]

hi huraira, r u sure about dis....can u gv da reference plz

>

> 40%

>

>

> From: " huraira2002@... " <huraira2002@...>

>

> Sent: Thursday, 11 August 2011, 19:08

> Subject: Question

>

> Compensated blood loss. - 20%/40%/60%

> Sent from my BlackBerry® wireless device

>

> Ore 1

>

> What does a single motor neuron to a lingual musculature suppy

>

> 1. Muscle spindle

> 2. Single muscle fibre

> 3. Multiple muscle fiber

> Sent from my BlackBerry Torch® wireless device

>

> ------------------------------------

>

>

[Guest guest]

The answer is 20%, I was not the one who answereed 40% and Agustina ferrenti has the reference. She read it to me via skype from. The Vanders physiology book.Sent from my BlackBerry® wireless deviceFrom: "nauman_ayesha" <nauman_ayesha@...>Sender: Date: Fri, 12 Aug 2011 00:10:37 -0000< >Reply Subject: Re: Question hi huraira, r u sure about dis....can u gv da reference plz>> 40%> > > From: " huraira2002@... " <huraira2002@...>> > Sent: Thursday, 11 August 2011, 19:08> Subject: Question> > Compensated blood loss. - 20%/40%/60%> Sent from my BlackBerry® wireless device> > Ore 1> > What does a single motor neuron to a lingual musculature suppy> > 1. Muscle spindle> 2. Single muscle fibre> 3. Multiple muscle fiber> Sent from my BlackBerry Torch® wireless device> > ------------------------------------> >

[Guest guest]

thanks

> >

> > 40%

> >

> >

> > From: " huraira2002@ " <huraira2002@>

> >

> > Sent: Thursday, 11 August 2011, 19:08

> > Subject: Question

> >

> > Compensated blood loss. - 20%/40%/60%

> > Sent from my BlackBerry® wireless device

> >

> > Ore 1

> >

> > What does a single motor neuron to a lingual musculature suppy

> >

> > 1. Muscle spindle

> > 2. Single muscle fibre

> > 3. Multiple muscle fiber

> > Sent from my BlackBerry Torch® wireless device

> >

> > ------------------------------------

> >

> >

[Guest guest]

I found it on google.. 20%

From: "huraira2002@..." <huraira2002@...> Sent: Friday, 12 August 2011, 14:12Subject: Re: Question

The answer is 20%, I was not the one who answereed 40% and Agustina ferrenti has the reference. She read it to me via skype from. The Vanders physiology book.

Sent from my BlackBerry® wireless device

From: "nauman_ayesha" <nauman_ayesha@...>

Sender:

Date: Fri, 12 Aug 2011 00:10:37 -0000

< >

Reply

Subject: Re: Question

hi huraira, r u sure about dis....can u gv da reference plz>> 40%> > > From: "huraira2002@..." <huraira2002@...>> > Sent: Thursday, 11 August 2011, 19:08> Subject: Question> > Compensated blood loss. - 20%/40%/60%> Sent from my BlackBerry® wireless device> > Ore 1> > What does a single motor neuron to a lingual musculature suppy> > 1. Muscle spindle> 2. Single muscle fibre> 3. Multiple muscle fiber> Sent from my BlackBerry Torch® wireless device> > ------------------------------------> >

[Guest guest]

5 is correct you can see clearly see the path of IDN on radiograph and its relation to the tooth so you can prevent or change treatment plan please , correct me if i am wrong From: Areej Abbas

<areej.aldura@...> " " < > Sent: Monday, November 21, 2011 2:54 PM Subject: question

which one of the following radiograghic feachures would NOT suggest that the patient would be at high reisk of damage to thier inferior dental nurve during the removal of mand 3th molar

1- loss of tramline of IDcanal

2-deviation of the tramlines of the IDcanal

3-narrowing of the tramline of the ID canal

4-radiolucint band across the tooth

5- widening of the tramline of ID canal.

and why?

[Guest guest]

1).How many colonies should contain a dental water unit?

a.>20 colonies/ml

b.>200 colonies/ml

c.>2000 colonies/ml

d.>20000 colonies/ml

2)A mum is concern by the oral hygien of her child who is 3 yrs old.They live in area with appropriate fluoridation,which advice will you give her?

a.Do not swallow the tooth paste

b.Spit the tooth paste and do not rince

3)What is the least important factor for a post?

a. The lenth

b. The diameter

4)you want to do a review on water fluoridation,which method will be the most appropriate

a.Cohort study

b.randomized controlled study

c.systemic reviews

d.cross-sectonial surveys

From: Chloe Berg <chloe.berg86@...> " " < > Sent: Monday, November 21, 2011 3:15 PM Subject: Re: question

5 is correct you can see clearly see the path of IDN on radiograph and its relation to the tooth so you can prevent or change treatment plan please , correct me if i am wrong From: Areej Abbas

<areej.aldura@...> " " < > Sent: Monday, November 21, 2011 2:54 PM Subject: question

which one of the following radiograghic feachures would NOT suggest that the patient would be at high reisk of damage to thier inferior dental nurve during the removal of mand 3th molar

1- loss of tramline of IDcanal

2-deviation of the tramlines of the IDcanal

3-narrowing of the tramline of the ID canal

4-radiolucint band across the tooth

5- widening of the tramline of ID canal.

and why?

[Guest guest]

hi i have found this in nice scottish guidelines see if it can be of help..thanks

The following signs have been demonstrated to be associated with a significantly increased risk

of nerve injury during third molar surgery:

§ diversionoftheinferiordentalcanal

§ darkeningoftherootwherecrossedbythecanal

§ interruptionofthewhitelinesofthecanal

In the presence of any of these findings, great care should be taken in surgical exploration

and the decision to treat should be carefully reviewed. The patient should be carefully advised

of the risk.

If on the initial radiograph there is a suggestion of an intimate relationship between the roots of

the lower third molar, and the inferior dental canal, a second radiograph should be taken using

different project geometry.

From: chloe.berg86@...Date: Mon, 21 Nov 2011 07:44:42 -0800Subject: Re: question

1).How many colonies should contain a dental water unit?

a.>20 colonies/ml

b.>200 colonies/ml

c.>2000 colonies/ml

d.>20000 colonies/ml

2)A mum is concern by the oral hygien of her child who is 3 yrs old.They live in area with appropriate fluoridation,which advice will you give her?

a.Do not swallow the tooth paste

b.Spit the tooth paste and do not rince

3)What is the least important factor for a post?

a. The lenth

b. The diameter

4)you want to do a review on water fluoridation,which method will be the most appropriate

a.Cohort study

b.randomized controlled study

c.systemic reviews

d.cross-sectonial surveys

From: Chloe Berg <chloe.berg86@...> " " < > Sent: Monday, November 21, 2011 3:15 PM Subject: Re: question

5 is correct

you can see clearly see the path of IDN on radiograph and its relation to the tooth so you can prevent or change treatment plan please , correct me if i am wrong From: Areej Abbas

<areej.aldura@...> " " < > Sent: Monday, November 21, 2011 2:54 PM Subject: question

which one of the following radiograghic feachures would NOT suggest that the patient would be at high reisk of damage to thier inferior dental nurve during the removal of mand 3th molar

1- loss of tramline of IDcanal

2-deviation of the tramlines of the IDcanal

3-narrowing of the tramline of the ID canal

4-radiolucint band across the tooth

5- widening of the tramline of ID canal.

and why?

[Guest guest]

Clindamycin From: " huraira2002@... " <huraira2002@...> Sent: Monday, November 28, 2011 3:27 PM Subject: Question

Hi guysWhat drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: huraira2002@...

Sender:

Date: Mon, 28 Nov 2011 14:35:47 +0000< >Reply

Subject: Re: help with dtp case

Hi guys What drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: Poonam Kapoor <docpoonam_99@...>

Sender:

Date: Mon, 28 Nov 2011 02:47:12 -0800 (PST) < >Reply

Subject: Re: help with dtp case

Hi Laxmi, Hope you are fine.I know about this case since april 2010 and initially i thought its tricky but now i feel its quiet straightforward as we need to think very simple way of treating as a general dentist.Treatment plan as you know always depends on the correct diagnosis ,so first of all make a list of diagnosis or diff diagnosis of pts c/c and other findings and only then u can gv the right tt plan.The diagnosis acc to me is.a)Hypertensionb)Allergies c)chief complant diagnosis can be either dentine hypersensitivity or Reversible pulpitis depending upon the clinical findings and investigations...and it seems it is a case of

reversible pulpitis as there is dental caries in UR6.If the pain history says pain is for longer duration and disturbs sleep and painful on biting then it could be irreversible pulpitis.But the patient had only sensitivity which was not severe and bearrable it is most likely to be reversible and to confirm your diagnosis vitality test could help but it will give false reading in this case as the tooth surface is covered by crowns.so only source of correct diagnosis is history taking.....According to me most likely diagnosis is REVERSIBLE PUPLITIS as i have not taken the history of pain so whatever i could predict from your notes give me this diagnosis. d)Gingivitis,calculus deposits or overhangs depending upon the investigations. e)broken

filling f)dental caries in one

tooth So now we have all the diagnosis ready.......Take the patient as a whole considering that she is getting married soon and has come to you to give some realistic solution to her problem.Thank her for her time to wait when u were making the tt paln and tell her you are going to talk about her complain as well as other findings which are important to discuss as well so that patient is ready to listen to your tt plan. 1.First of all address the medical condition and the allergies and tell the patient i have made a note of it and make sure you take the medicine for high bp regularly.2.Patient has sensitivity...explain how and why showing radiograph and the process of decay and pain...Now the question is can patient

wait untill her marriage for the treatment to be postponed as the new treatment has some risks involved which should be explained.There are various options.Leave the bridge as it is but you may have similar sensitivity which can be controlled by painkillers like paracetamol... pain may or maynot become severe but chances are less as the tooth is protected by the crown from being disinfected by bugs in the mouth....but this option can wait for a small period of time as the decay can progress in the future and damage the inner part of the tooth ..... after marriage,appointment should be made as soon as possible. Other option is a permanent option which involves removal of the bridge and cleaning the deayed part of the tooth and filling it with a filling material and finish the margins around the tooth to give a new

bridge .In this process the bridge may or may not come out in one piece...but the bridge is 30 year old it mat have worn out and it may eaily fracture so giving a new bridge will be considere but if there is no problem with old bridge it can be recemented as well.Before we do anything and whichever choice you make, a temporary bridge has to be made to be on safe side,in case the bridge breaks while removing..we will take moulds of your teeth to make a temporary bridge,made of plastic material which will substite for permanent bridge for few weeks(till your marriage). This temporary bridge can serve the purpose till your marriage making sure you donot chew hard foods in this side. Next option is Implants which is like a metal rod inserted in the

bone and on top of it artificial caps are given.Its an expensive procedure,involves surgery and is done by a specialist so i need to refer you to the specialist.For this the teeth on which you have caps show 6and 3 on the model to the patient will be given caps as normal.This option is safe to start only after marriage.There may be a period while giving implants where the gap needs to be covered by dentures to help in healing for few months...but it depends on which specialist u go to and some might give you immediate implants as well. Ask the patient if he/she has any doubts. The last option is to replace the gap by removable plates which the patient is not interested in but let the patient know its a basic treatment and less expensive.but since the pt is not interested in

it donot go in depth of it. Now explain to the patient there are other findings which need to be considered as well..Some bleeding from gums and some deposits called tarttar have been noticed by me which is due to start of gum disease and can be controlled by professional cleaning and more importantly you maintaining it by tbrushing ur teeth twice daily once during the day and once at night befor bed using fluoride toothpaste.I will show you the technique on the model as well as how to floss in to clean in between the teeth and a special floss to clean around the bridge margins as cleaning around the bridge margins is as important as natural teeth,to prevent any further gum disease and decay underneath the bridge. There is one broken filling which can be filled by temporary today and next time with permanent

filling. One tooth is decayed which can be treated as well and needs to cleaned and filled as soon as possible as decay if remainds for a long time can cause infection in the inner core of the tooth and the tooth may die as well. So this is your treatment plan...do you have any questions or doubts. Yours Sicerely,Poonam Julka From: vijaya laxmi

<drvijaya_laxmi@...> " " < > Sent: Friday, November 25, 2011 10:19 PM Subject: help with dtp case

this case is from jan 2011. can somebody help with the treatment options

DTP CASE:this was a very weird case ......the patient had come to us after seeing another dentist who had told her that her upper right bridge for missing 4 and 5 needed to be re-done or changed or whatever......and she had come to us for second opinion. she had only sensitivity to cold on her bridge which developed recently but she had had the bridge for almost 30 years......she was getting married in 3 weeks so wanted some quick treatment for it.on investigations......3 and 6 which were the abutments, were sensitive to hot and cold but vital, the radiograph showed only 6 which had caries......she wasn't interested in partial dentures and with her wedding coming up dint want to take up the

implants options.......so basically this was it.....had some perio disease with score of 2's in all quadrants.....and one broken filling in one tooth and decay in another........suffered from hypertension for which she was taking medication and was allergic to latex and penicillins.........i have no idea as to what was the correct treatment plan for her.....

thanks

laxmi

[Guest guest]

ThanxSent from my BlackBerry wireless device from MTNFrom: Irfan Salim <irfansalim85@...>Sender: Date: Mon, 28 Nov 2011 08:44:08 -0800 (PST)< >Reply Subject: Re: Question Clindamycin From: " huraira2002@... " <huraira2002@...> Sent: Monday, November 28, 2011 3:27 PM Subject: Question Hi guysWhat drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: huraira2002@...Sender: Date: Mon, 28 Nov 2011 14:35:47 +0000< >Reply Subject: Re: help with dtp case Hi guys What drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: Poonam Kapoor <docpoonam_99@...>Sender: Date: Mon, 28 Nov 2011 02:47:12 -0800 (PST) < >Reply Subject: Re: help with dtp case Hi Laxmi, Hope you are fine.I know about this case since april 2010 and initially i thought its tricky but now i feel its quiet straightforward as we need to think very simple way of treating as a general dentist.Treatment plan as you know always depends on the correct diagnosis ,so first of all make a list of diagnosis or diff diagnosis of pts c/c and other findings and only then u can gv the right tt plan.The diagnosis acc to me is.a)Hypertensionb)Allergies c)chief complant diagnosis can be either dentine hypersensitivity or Reversible pulpitis depending upon the clinical findings and investigations...and it seems it is a case ofreversible pulpitis as there is dental caries in UR6.If the pain history says pain is for longer duration and disturbs sleep and painful on biting then it could be irreversible pulpitis.But the patient had only sensitivity which was not severe and bearrable it is most likely to be reversible and to confirm your diagnosis vitality test could help but it will give false reading in this case as the tooth surface is covered by crowns.so only source of correct diagnosis is history taking.....According to me most likely diagnosis is REVERSIBLE PUPLITIS as i have not taken the history of pain so whatever i could predict from your notes give me this diagnosis. d)Gingivitis,calculus deposits or overhangs depending upon the investigations. e)brokenfilling f)dental caries in onetooth So now we have all the diagnosis ready.......Take the patient as a whole considering that she is getting married soon and has come to you to give some realistic solution to her problem.Thank her for her time to wait when u were making the tt paln and tell her you are going to talk about her complain as well as other findings which are important to discuss as well so that patient is ready to listen to your tt plan. 1.First of all address the medical condition and the allergies and tell the patient i have made a note of it and make sure you take the medicine for high bp regularly.2.Patient has sensitivity...explain how and why showing radiograph and the process of decay and pain...Now the question is can patientwait untill her marriage for the treatment to be postponed as the new treatment has some risks involved which should be explained.There are various options.Leave the bridge as it is but you may have similar sensitivity which can be controlled by painkillers like paracetamol... pain may or maynot become severe but chances are less as the tooth is protected by the crown from being disinfected by bugs in the mouth....but this option can wait for a small period of time as the decay can progress in the future and damage the inner part of the tooth ..... after marriage,appointment should be made as soon as possible. Other option is a permanent option which involves removal of the bridge and cleaning the deayed part of the tooth and filling it with a filling material and finish the margins around the tooth to give a newbridge .In this process the bridge may or may not come out in one piece...but the bridge is 30 year old it mat have worn out and it may eaily fracture so giving a new bridge will be considere but if there is no problem with old bridge it can be recemented as well.Before we do anything and whichever choice you make, a temporary bridge has to be made to be on safe side,in case the bridge breaks while removing..we will take moulds of your teeth to make a temporary bridge,made of plastic material which will substite for permanent bridge for few weeks(till your marriage). This temporary bridge can serve the purpose till your marriage making sure you donot chew hard foods in this side. Next option is Implants which is like a metal rod inserted in thebone and on top of it artificial caps are given.Its an expensive procedure,involves surgery and is done by a specialist so i need to refer you to the specialist.For this the teeth on which you have caps show 6and 3 on the model to the patient will be given caps as normal.This option is safe to start only after marriage.There may be a period while giving implants where the gap needs to be covered by dentures to help in healing for few months...but it depends on which specialist u go to and some might give you immediate implants as well. Ask the patient if he/she has any doubts. The last option is to replace the gap by removable plates which the patient is not interested in but let the patient know its a basic treatment and less expensive.but since the pt is not interested init donot go in depth of it. Now explain to the patient there are other findings which need to be considered as well..Some bleeding from gums and some deposits called tarttar have been noticed by me which is due to start of gum disease and can be controlled by professional cleaning and more importantly you maintaining it by tbrushing ur teeth twice daily once during the day and once at night befor bed using fluoride toothpaste.I will show you the technique on the model as well as how to floss in to clean in between the teeth and a special floss to clean around the bridge margins as cleaning around the bridge margins is as important as natural teeth,to prevent any further gum disease and decay underneath the bridge. There is one broken filling which can be filled by temporary today and next time with permanentfilling. One tooth is decayed which can be treated as well and needs to cleaned and filled as soon as possible as decay if remainds for a long time can cause infection in the inner core of the tooth and the tooth may die as well. So this is your treatment plan...do you have any questions or doubts. Yours Sicerely,Poonam Julka From: vijaya laxmi<drvijaya_laxmi@...> " " < > Sent: Friday, November 25, 2011 10:19 PM Subject: help with dtp case this case is from jan 2011. can somebody help with the treatment optionsDTP CASE:this was a very weird case ......the patient had come to us after seeing another dentist who had told her that her upper right bridge for missing 4 and 5 needed to be re-done or changed or whatever......and she had come to us for second opinion. she had only sensitivity to cold on her bridge which developed recently but she had had the bridge for almost 30 years......she was getting married in 3 weeks so wanted some quick treatment for it.on investigations......3 and 6 which were the abutments, were sensitive to hot and cold but vital, the radiograph showed only 6 which had caries......she wasn't interested in partial dentures and with her wedding coming up dint want to take up theimplants options.......so basically this was it.....had some perio disease with score of 2's in all quadrants.....and one broken filling in one tooth and decay in another........suffered from hypertension for which she was taking medication and was allergic to latex and penicillins.........i have no idea as to what was the correct treatment plan for her..... thanks laxmi

[Guest guest]

Clindamycin From: "huraira2002@..." <huraira2002@...> Sent: Monday, 28 November 2011, 15:27 Subject: Question

Hi guysWhat drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: huraira2002@...

Sender:

Date: Mon, 28 Nov 2011 14:35:47 +0000< >Reply

Subject: Re: help with dtp case

Hi guys What drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: Poonam Kapoor <docpoonam_99@...>

Sender:

Date: Mon, 28 Nov 2011 02:47:12 -0800 (PST) < >Reply

Subject: Re: help with dtp case

Hi Laxmi, Hope you are fine.I know about this case since april 2010 and initially i thought its tricky but now i feel its quiet straightforward as we need to think very simple way of treating as a general dentist.Treatment plan as you know always depends on the correct diagnosis ,so first of all make a list of diagnosis or diff diagnosis of pts c/c and other findings and only then u can gv the right tt plan.The diagnosis acc to me is.a)Hypertensionb)Allergies c)chief complant diagnosis can be either dentine hypersensitivity or Reversible pulpitis depending upon the clinical findings and

investigations...and it seems it is a case of

reversible pulpitis as there is dental caries in UR6.If the pain history says pain is for longer duration and disturbs sleep and painful on biting then it could be irreversible pulpitis.But the patient had only sensitivity which was not severe and bearrable it is most likely to be reversible and to confirm your diagnosis vitality test could help but it will give false reading in this case as the tooth surface is covered by crowns.so only source of correct diagnosis is history taking.....According to me most likely diagnosis is REVERSIBLE PUPLITIS as i have not taken the history of pain so whatever i could predict from your notes give me this diagnosis. d)Gingivitis,calculus deposits or overhangs depending upon the investigations. e)broken filling f)dental caries in one

tooth So now we have all the diagnosis ready.......Take the patient as a whole considering that she is getting married soon and has come to you to give some realistic solution to her problem.Thank her for her time to wait when u were making the tt paln and tell her you are going to talk about her complain as well as other findings which are important to discuss as well so that patient is ready to listen to your tt plan. 1.First of all address the medical condition and the allergies and tell the patient i have made a note of it and make sure you take the medicine for high bp regularly.2.Patient has sensitivity...explain how and why showing radiograph and the process of decay and pain...Now the question is can patient

wait untill her marriage for the treatment to be postponed as the new treatment has some risks involved which should be explained.There are various options.Leave the bridge as it is but you may have similar sensitivity which can be controlled by painkillers like paracetamol... pain may or maynot become severe but chances are less as the tooth is protected by the crown from being disinfected by bugs in the mouth....but this option can wait for a small period of time as the decay can progress in the future and damage the inner part of the tooth ..... after marriage,appointment should be made as soon as possible. Other option is a permanent option which involves removal of the bridge and cleaning the deayed part of the tooth and filling it with a filling material and finish the margins around the tooth to give a new

bridge .In this process the bridge may or may not come out in one piece...but the bridge is 30 year old it mat have worn out and it may eaily fracture so giving a new bridge will be considere but if there is no problem with old bridge it can be recemented as well.Before we do anything and whichever choice you make, a temporary bridge has to be made to be on safe side,in case the bridge breaks while removing..we will take moulds of your teeth to make a temporary bridge,made of plastic material which will substite for permanent bridge for few weeks(till your marriage). This temporary bridge can serve the purpose till your marriage making sure you donot chew hard foods in this side. Next option is Implants which is like a metal rod inserted in the

bone and on top of it artificial caps are given.Its an expensive procedure,involves surgery and is done by a specialist so i need to refer you to the specialist.For this the teeth on which you have caps show 6and 3 on the model to the patient will be given caps as normal.This option is safe to start only after marriage.There may be a period while giving implants where the gap needs to be covered by dentures to help in healing for few months...but it depends on which specialist u go to and some might give you immediate implants as well. Ask the patient if he/she has any doubts. The last option is to replace the gap by removable plates which the patient is not interested in but let the patient know its a basic treatment and less expensive.but since the pt is not interested in

it donot go in depth of it. Now explain to the patient there are other findings which need to be considered as well..Some bleeding from gums and some deposits called tarttar have been noticed by me which is due to start of gum disease and can be controlled by professional cleaning and more importantly you maintaining it by tbrushing ur teeth twice daily once during the day and once at night befor bed using fluoride toothpaste.I will show you the technique on the model as well as how to floss in to clean in between the teeth and a special floss to clean around the bridge margins as cleaning around the bridge margins is as important as natural teeth,to prevent any further gum disease and decay underneath the bridge. There is one broken filling which can be filled by temporary today and next time with permanent

filling. One tooth is decayed which can be treated as well and needs to cleaned and filled as soon as possible as decay if remainds for a long time can cause infection in the inner core of the tooth and the tooth may die as well. So this is your treatment plan...do you have any questions or doubts. Yours Sicerely,Poonam Julka From: vijaya laxmi <drvijaya_laxmi@...> " " < > Sent: Friday, November 25, 2011 10:19 PM Subject: help with dtp case

this case is from jan 2011. can somebody help with the treatment options

DTP CASE:this was a very weird case ......the patient had come to us after seeing another dentist who had told her that her upper right bridge for missing 4 and 5 needed to be re-done or changed or whatever......and she had come to us for second opinion. she had only sensitivity to cold on her bridge which developed recently but she had had the bridge for almost 30 years......she was getting married in 3 weeks so wanted some quick treatment for it.on investigations......3 and 6 which were the abutments, were sensitive to hot and cold but vital, the radiograph showed only 6 which had caries......she wasn't interested in partial dentures and with her wedding coming up dint want to take up the

implants options.......so basically this was it.....had some perio disease with score of 2's in all quadrants.....and one broken filling in one tooth and decay in another........suffered from hypertension for which she was taking medication and was allergic to latex and penicillins.........i have no idea as to what was the correct treatment plan for her.....

thanks

laxmi

[Guest guest]

Most broad spectrum antibiotics such as cephalosporisn or any penicillin based antibiotics can cause abdominal cramps... because they disrupt the normal bacterial flora of the bowel. From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Tuesday, 29 November 2011, 19:00

Subject: Re: Question

Clindamycin From: "huraira2002@..."

<huraira2002@...> Sent: Monday, 28 November 2011, 15:27 Subject: Question

Hi guysWhat drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: huraira2002@...

Sender:

Date: Mon, 28 Nov 2011 14:35:47 +0000< >Reply

Subject: Re: help with dtp case

Hi guys What drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: Poonam Kapoor <docpoonam_99@...>

Sender:

Date: Mon, 28 Nov 2011 02:47:12 -0800 (PST) < >Reply

Subject: Re: help with dtp case

Hi Laxmi, Hope you are fine.I know about this case since april 2010 and initially i thought its tricky but now i feel its quiet straightforward as we need to think very simple way of treating as a general dentist.Treatment plan as you know always depends on the correct diagnosis ,so first of all make a list of diagnosis or diff diagnosis of pts c/c and other findings and only then u can gv the right tt plan.The diagnosis acc to me is.a)Hypertensionb)Allergies c)chief complant diagnosis can be either dentine hypersensitivity or Reversible pulpitis depending upon the clinical findings and

investigations...and it seems it is a case of

reversible pulpitis as there is dental caries in UR6.If the pain history says pain is for longer duration and disturbs sleep and painful on biting then it could be irreversible pulpitis.But the patient had only sensitivity which was not severe and bearrable it is most likely to be reversible and to confirm your diagnosis vitality test could help but it will give false reading in this case as the tooth surface is covered by crowns.so only source of correct diagnosis is history taking.....According to me most likely diagnosis is REVERSIBLE PUPLITIS as i have not taken the history of pain so whatever i could predict from your notes give me this diagnosis. d)Gingivitis,calculus deposits or overhangs depending upon the investigations. e)broken filling f)dental caries in one

tooth So now we have all the diagnosis ready.......Take the patient as a whole considering that she is getting married soon and has come to you to give some realistic solution to her problem.Thank her for her time to wait when u were making the tt paln and tell her you are going to talk about her complain as well as other findings which are important to discuss as well so that patient is ready to listen to your tt plan. 1.First of all address the medical condition and the allergies and tell the patient i have made a note of it and make sure you take the medicine for high bp regularly.2.Patient has sensitivity...explain how and why showing radiograph and the process of decay and pain...Now the question is can patient

wait untill her marriage for the treatment to be postponed as the new treatment has some risks involved which should be explained.There are various options.Leave the bridge as it is but you may have similar sensitivity which can be controlled by painkillers like paracetamol... pain may or maynot become severe but chances are less as the tooth is protected by the crown from being disinfected by bugs in the mouth....but this option can wait for a small period of time as the decay can progress in the future and damage the inner part of the tooth ..... after marriage,appointment should be made as soon as possible. Other option is a permanent option which involves removal of the bridge and cleaning the deayed part of the tooth and filling it with a filling material and finish the margins around the tooth to give a new

bridge .In this process the bridge may or may not come out in one piece...but the bridge is 30 year old it mat have worn out and it may eaily fracture so giving a new bridge will be considere but if there is no problem with old bridge it can be recemented as well.Before we do anything and whichever choice you make, a temporary bridge has to be made to be on safe side,in case the bridge breaks while removing..we will take moulds of your teeth to make a temporary bridge,made of plastic material which will substite for permanent bridge for few weeks(till your marriage). This temporary bridge can serve the purpose till your marriage making sure you donot chew hard foods in this side. Next option is Implants which is like a metal rod inserted in the

bone and on top of it artificial caps are given.Its an expensive procedure,involves surgery and is done by a specialist so i need to refer you to the specialist.For this the teeth on which you have caps show 6and 3 on the model to the patient will be given caps as normal.This option is safe to start only after marriage.There may be a period while giving implants where the gap needs to be covered by dentures to help in healing for few months...but it depends on which specialist u go to and some might give you immediate implants as well. Ask the patient if he/she has any doubts. The last option is to replace the gap by removable plates which the patient is not interested in but let the patient know its a basic treatment and less expensive.but since the pt is not interested in

it donot go in depth of it. Now explain to the patient there are other findings which need to be considered as well..Some bleeding from gums and some deposits called tarttar have been noticed by me which is due to start of gum disease and can be controlled by professional cleaning and more importantly you maintaining it by tbrushing ur teeth twice daily once during the day and once at night befor bed using fluoride toothpaste.I will show you the technique on the model as well as how to floss in to clean in between the teeth and a special floss to clean around the bridge margins as cleaning around the bridge margins is as important as natural teeth,to prevent any further gum disease and decay underneath the bridge. There is one broken filling which can be filled by temporary today and next time with permanent

filling. One tooth is decayed which can be treated as well and needs to cleaned and filled as soon as possible as decay if remainds for a long time can cause infection in the inner core of the tooth and the tooth may die as well. So this is your treatment plan...do you have any questions or doubts. Yours Sicerely,Poonam Julka From: vijaya laxmi <drvijaya_laxmi@...> " "

< > Sent: Friday, November 25, 2011 10:19 PM Subject: help with dtp case

this case is from jan 2011. can somebody help with the treatment options

DTP CASE:this was a very weird case ......the patient had come to us after seeing another dentist who had told her that her upper right bridge for missing 4 and 5 needed to be re-done or changed or whatever......and she had come to us for second opinion. she had only sensitivity to cold on her bridge which developed recently but she had had the bridge for almost 30 years......she was getting married in 3 weeks so wanted some quick treatment for it.on investigations......3 and 6 which were the abutments, were sensitive to hot and cold but vital, the radiograph showed only 6 which had caries......she wasn't interested in partial dentures and with her wedding coming up dint want to take up the

implants options.......so basically this was it.....had some perio disease with score of 2's in all quadrants.....and one broken filling in one tooth and decay in another........suffered from hypertension for which she was taking medication and was allergic to latex and penicillins.........i have no idea as to what was the correct treatment plan for her.....

thanks

laxmi

[Guest guest]

Hi thereClindamycin:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or

tongue); bloody or tarry stools; decreased urination; joint pain or swelling; red, swollen, blistered, or peeling skin; severe or persistent

diarrhea; severe stomach cramps or pain; unusual vaginal discharge, itching, or odor; yellowing of the skin or eyes.Hope it helps

SincerelyLyudmyla From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Tuesday, 29 November 2011, 18:00 Subject: Re: Question

Clindamycin From: "huraira2002@..." <huraira2002@...> Sent: Monday, 28 November 2011, 15:27 Subject: Question

Hi guysWhat drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: huraira2002@...

Sender:

Date: Mon, 28 Nov 2011 14:35:47 +0000< >Reply

Subject: Re: help with dtp case

Hi guys What drug causes severe abdominal cramps as a side effect?Sent from my BlackBerry wireless device from MTNFrom: Poonam Kapoor <docpoonam_99@...>

Sender:

Date: Mon, 28 Nov 2011 02:47:12 -0800 (PST) < >Reply

Subject: Re: help with dtp case

Hi Laxmi, Hope you are fine.I know about this case since april 2010 and initially i thought its tricky but now i feel its quiet straightforward as we need to think very simple way of treating as a general dentist.Treatment plan as you know always depends on the correct diagnosis ,so first of all make a list of diagnosis or diff diagnosis of pts c/c and other findings and only then u can gv the right tt plan.The diagnosis acc to me is.a)Hypertensionb)Allergies c)chief complant diagnosis can be either dentine hypersensitivity or Reversible pulpitis depending upon the clinical findings and

investigations...and it seems it is a case of

reversible pulpitis as there is dental caries in UR6.If the pain history says pain is for longer duration and disturbs sleep and painful on biting then it could be irreversible pulpitis.But the patient had only sensitivity which was not severe and bearrable it is most likely to be reversible and to confirm your diagnosis vitality test could help but it will give false reading in this case as the tooth surface is covered by crowns.so only source of correct diagnosis is history taking.....According to me most likely diagnosis is REVERSIBLE PUPLITIS as i have not taken the history of pain so whatever i could predict from your notes give me this diagnosis. d)Gingivitis,calculus deposits or overhangs depending upon the investigations. e)broken filling f)dental caries in one

tooth So now we have all the diagnosis ready.......Take the patient as a whole considering that she is getting married soon and has come to you to give some realistic solution to her problem.Thank her for her time to wait when u were making the tt paln and tell her you are going to talk about her complain as well as other findings which are important to discuss as well so that patient is ready to listen to your tt plan. 1.First of all address the medical condition and the allergies and tell the patient i have made a note of it and make sure you take the medicine for high bp regularly.2.Patient has sensitivity...explain how and why showing radiograph and the process of decay and pain...Now the question is can patient

wait untill her marriage for the treatment to be postponed as the new treatment has some risks involved which should be explained.There are various options.Leave the bridge as it is but you may have similar sensitivity which can be controlled by painkillers like paracetamol... pain may or maynot become severe but chances are less as the tooth is protected by the crown from being disinfected by bugs in the mouth....but this option can wait for a small period of time as the decay can progress in the future and damage the inner part of the tooth ..... after marriage,appointment should be made as soon as possible. Other option is a permanent option which involves removal of the bridge and cleaning the deayed part of the tooth and filling it with a filling material and finish the margins around the tooth to give a new

bridge .In this process the bridge may or may not come out in one piece...but the bridge is 30 year old it mat have worn out and it may eaily fracture so giving a new bridge will be considere but if there is no problem with old bridge it can be recemented as well.Before we do anything and whichever choice you make, a temporary bridge has to be made to be on safe side,in case the bridge breaks while removing..we will take moulds of your teeth to make a temporary bridge,made of plastic material which will substite for permanent bridge for few weeks(till your marriage). This temporary bridge can serve the purpose till your marriage making sure you donot chew hard foods in this side. Next option is Implants which is like a metal rod inserted in the

bone and on top of it artificial caps are given.Its an expensive procedure,involves surgery and is done by a specialist so i need to refer you to the specialist.For this the teeth on which you have caps show 6and 3 on the model to the patient will be given caps as normal.This option is safe to start only after marriage.There may be a period while giving implants where the gap needs to be covered by dentures to help in healing for few months...but it depends on which specialist u go to and some might give you immediate implants as well. Ask the patient if he/she has any doubts. The last option is to replace the gap by removable plates which the patient is not interested in but let the patient know its a basic treatment and less expensive.but since the pt is not interested in

it donot go in depth of it. Now explain to the patient there are other findings which need to be considered as well..Some bleeding from gums and some deposits called tarttar have been noticed by me which is due to start of gum disease and can be controlled by professional cleaning and more importantly you maintaining it by tbrushing ur teeth twice daily once during the day and once at night befor bed using fluoride toothpaste.I will show you the technique on the model as well as how to floss in to clean in between the teeth and a special floss to clean around the bridge margins as cleaning around the bridge margins is as important as natural teeth,to prevent any further gum disease and decay underneath the bridge. There is one broken filling which can be filled by temporary today and next time with permanent

filling. One tooth is decayed which can be treated as well and needs to cleaned and filled as soon as possible as decay if remainds for a long time can cause infection in the inner core of the tooth and the tooth may die as well. So this is your treatment plan...do you have any questions or doubts. Yours Sicerely,Poonam Julka From: vijaya laxmi <drvijaya_laxmi@...> " "

< > Sent: Friday, November 25, 2011 10:19 PM Subject: help with dtp case

this case is from jan 2011. can somebody help with the treatment options

DTP CASE:this was a very weird case ......the patient had come to us after seeing another dentist who had told her that her upper right bridge for missing 4 and 5 needed to be re-done or changed or whatever......and she had come to us for second opinion. she had only sensitivity to cold on her bridge which developed recently but she had had the bridge for almost 30 years......she was getting married in 3 weeks so wanted some quick treatment for it.on investigations......3 and 6 which were the abutments, were sensitive to hot and cold but vital, the radiograph showed only 6 which had caries......she wasn't interested in partial dentures and with her wedding coming up dint want to take up the

implants options.......so basically this was it.....had some perio disease with score of 2's in all quadrants.....and one broken filling in one tooth and decay in another........suffered from hypertension for which she was taking medication and was allergic to latex and penicillins.........i have no idea as to what was the correct treatment plan for her.....

thanks

laxmi