Guest guest Posted December 18, 2011 Report Share Posted December 18, 2011 Panavia! correct me if i m wrong! From: Balsam Majid <balsam_majid@...> To: " " < > Sent: Sunday, 18 December 2011, 20:06 Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:16, "Dr.Vanaja k" <dr_vanajanaik@...> wrote: Dear Goomti, thanks for your concern on new oversees dentists in UK, however curious to know since how long you are in UK? Have you appeared for exams in America, Canada and Australia?Vanaja From: shetty deepa <mrsiglesias2001@...> " " < > Sent: Sunday, 18 December 2011, 16:30 Subject: Re: Re: Need a clarification actually irfan,i am curious too. From: Irfan Salim <irfansalim85@...> Sent: Sunday, December 18, 2011 8:45 PM Subject: Re: Re: Need a clarification Dear Goomti. Are you actually working here in uk? May I ask as what? From: Goomti Shah <goomtishah@...> Sent: Sunday, December 18, 2011 1:20 PM Subject: Re: Re: Need a clarification Hi, UK overseas dentists are strugling to get a place in the uk. Personally I dont recommend new overseas dentists to try their luck in the UK coz firstly exams are tough and there is a long waiting to take a exam and more important after you pass it has become very difficult to get the training contract and on top over as compared to America, Canada & Australia here dentists are earning only 1/10 th of these country, i mean tough hardwork but less earning. I recommend you to try Canada or Australia but not England. From: Aditi Jagdale <aditi.jagdale@...>Subject: Re: Re: Need a clarification" " < >Date: Saturday, December 17, 2011, 8:42 PM hello Dr.Usha, have you been in practice in uk for a while now?. I am from india and considering the global economic situation, I was wondering wot the current senario in uk would be.. any views would be helpfull. Thanks Aditi Jagdale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2011 Report Share Posted December 18, 2011 Can you tell me plz from where to study this topic ??Many thanksBalsam Sent from my iPadOn 18 Dec 2011, at 19:58, Bee Ahmed <ahmedbee@...> wrote: Panavia! correct me if i m wrong! From: Balsam Majid <balsam_majid@...> To: " " < > Sent: Sunday, 18 December 2011, 20:06 Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:16, "Dr.Vanaja k" <dr_vanajanaik@...> wrote: Dear Goomti, thanks for your concern on new oversees dentists in UK, however curious to know since how long you are in UK? Have you appeared for exams in America, Canada and Australia?Vanaja From: shetty deepa <mrsiglesias2001@...> " " < > Sent: Sunday, 18 December 2011, 16:30 Subject: Re: Re: Need a clarification actually irfan,i am curious too. From: Irfan Salim <irfansalim85@...> Sent: Sunday, December 18, 2011 8:45 PM Subject: Re: Re: Need a clarification Dear Goomti. Are you actually working here in uk? May I ask as what? From: Goomti Shah <goomtishah@...> Sent: Sunday, December 18, 2011 1:20 PM Subject: Re: Re: Need a clarification Hi, UK overseas dentists are strugling to get a place in the uk. Personally I dont recommend new overseas dentists to try their luck in the UK coz firstly exams are tough and there is a long waiting to take a exam and more important after you pass it has become very difficult to get the training contract and on top over as compared to America, Canada & Australia here dentists are earning only 1/10 th of these country, i mean tough hardwork but less earning. I recommend you to try Canada or Australia but not England. From: Aditi Jagdale <aditi.jagdale@...>Subject: Re: Re: Need a clarification" " < >Date: Saturday, December 17, 2011, 8:42 PM hello Dr.Usha, have you been in practice in uk for a while now?. I am from india and considering the global economic situation, I was wondering wot the current senario in uk would be.. any views would be helpfull. Thanks Aditi Jagdale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2011 Report Share Posted December 19, 2011 panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2011 Report Share Posted December 19, 2011 I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...>Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday,December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To:" " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From:Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previousdiagnosis ofBONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasivedental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2011 Report Share Posted December 19, 2011 PANAVIA 21Self-Curing Adhesive Bond SystemPANAVIA 21 is a dental adhesive cement that directly bonds to cut enamel, dentin, composite, porcelain, base, semi-precious and precious metals. With ED PRIMER an effective mild one-step conditioning of cut enamel and dentin is ensured, so that there is no need for acid etching, rinsing and concern about post-operative sensitivity. Its high strength paste/paste formulation provides a consistent mix with convenient working and setting times. The practical dispenser gives additional convenience in mixing the pastes at the correct ratio. PANAVIA 21 is indicated for a wide range of indications and available in three shades: EX, TC and OP.Features & Benefits• High bond strength to cut enamel, dentin, metal, silanated porcelain and cured composite• ED Primer for effective one-step conditioning of cut enamel and dentin without having to rinse• Easy handling• Paste/paste formulation makes mixing easy• Convenient dispenser measures precise amounts of paste for consistent results• Anaerobic setting properties provide extended working time and trouble-free cleaning• Low film thickness for accurate seating• Radiopaque and insoluClinical Indications• Cementation of:• -metal inlays, onlays, crowns, and bridges• -porcelain or composite inlays, onlays and crowns• -posts and metal cores• -adhesion bridges or splints• bonded amalgam restorations From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, 19 December 2011 6:12 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2011 Report Share Posted December 19, 2011 Panavia 21 often give better adhesion to alumina compared to other resin cements From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, 19 December 2011 6:12 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2011 Report Share Posted December 19, 2011 PANAVIA is a universal dual-curing (light- and/or self-cure) resin based cement system for metal, ceramic, hybrid ceramics (e.g. EASTENIA C & , composite resin and metal restorations. PANAVIA releases fluoride and can be light-cured by halogen or LED. Due to low curing depth, opaque paste can not be light-cured.] PANAVIA has been regarded as a guarantee for permanent adhesive technique in the area of all-ceramics and metal restorations, especially for high-quality and difficult restorations. It is recommended by leading universities as a premium product. PANAVIA is indicated for the following applications:Cementation of crowns, bridges, inlays and onlays made of ceramic, hybrid ceramics, composite resin or metalCementation of veneersCementation of adhesion bridgesCementation of metal cores, resin cores, metal posts or glass-fiber postsAmalgam bondingWhy should eugenol-containing materials (e.g. temporary cement) not be used? Eugenol retards the curing process. As a result, the bonding strength and mechanical properties will decrease. Why should hemostatic agents containing ferric compounds not be used? These materials may impair adhesion and may cause discoloration at the tooth margin or surrounding gingiva due to ferric ions that may remain. pretreatment of zirconia or alumina based ceramic restorations:As necessary, sandblast the restoration surface using 30-50 mm alumina powder at an air pressure of 0.1-0.4 MPa (1-4 kg/cm2). The air pressure should be properly adjusted to suit the material and/or shape of the prosthetic restoration, using caution to prevent chipping. After sandblasting, clean the prosthetic restoration by using an ultrasonic unit for 2 minutes, followed by drying it with an air steam. There is no need for further surface treatment.How should the PANAVIA Paste be cured? Cure the mixed PANAVIA™ F 2.0 Paste along the cement margin, using either of the following two methods:(1) Light-curing method: Light-cure the paste along the cement margin with a dental curing unit (Conventional halogen, Fast halogen, LED, and Plasma arc). The Opaque paste should not be light-cured due to a low curing depth. Therefore, the paste should cure in its self-curing mode.(2) Self-curing method: Use PANAVIA™ F 2.0 OXYGUARD II at the margin areas. After 3 minutes, remove OXYGUARD II with a cotton roll and water spray.regards, Ahmed From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, 19 December 2011, 19:12 Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla 1 of 1 File(s) glass-infiltrated_zirconia.pdf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2011 Report Share Posted December 20, 2011 panavia is a light cured resin based cement.it is commonly used to cement metal free ceramic crowns but yes it can also be used to bond amalgam. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, December 19, 2011 11:42 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2011 Report Share Posted December 20, 2011 Thanx soo much,,,Sent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...>Sender: Date: Tue, 20 Dec 2011 08:29:06 -0800 (PST) < >Reply Subject: Re: Cement panavia is a light cured resin based cement.it is commonly used to cement metal free ceramic crowns but yes it can also be used to bond amalgam. From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, December 19, 2011 11:42 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...>Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday,December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To:" " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From:Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previousdiagnosis ofBONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasivedental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2011 Report Share Posted December 20, 2011 that explains everything.preeti that was brilliant. From: Preeti Birla <preeti.birla@...> " " < > Sent: Monday, December 19, 2011 11:48 PM Subject: Re: Cement PANAVIA 21Self-Curing Adhesive Bond SystemPANAVIA 21 is a dental adhesive cement that directly bonds to cut enamel, dentin, composite, porcelain, base, semi-precious and precious metals. With ED PRIMER an effective mild one-step conditioning of cut enamel and dentin is ensured, so that there is no need for acid etching, rinsing and concern about post-operative sensitivity. Its high strength paste/paste formulation provides a consistent mix with convenient working and setting times. The practical dispenser gives additional convenience in mixing the pastes at the correct ratio. PANAVIA 21 is indicated for a wide range of indications and available in three shades: EX, TC and OP.Features & Benefits• High bond strength to cut enamel, dentin, metal, silanated porcelain and cured composite• ED Primer for effective one-step conditioning of cut enamel and dentin without having to rinse• Easy handling• Paste/paste formulation makes mixing easy• Convenient dispenser measures precise amounts of paste for consistent results• Anaerobic setting properties provide extended working time and trouble-free cleaning• Low film thickness for accurate seating• Radiopaque and insoluClinical Indications• Cementation of:• -metal inlays, onlays, crowns, and bridges• -porcelain or composite inlays, onlays and crowns• -posts and metal cores• -adhesion bridges or splints• bonded amalgam restorations From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, 19 December 2011 6:12 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. SincerelyLyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2011 Report Share Posted December 20, 2011 cheers From: shetty deepa <mrsiglesias2001@...> " " < > Sent: Tuesday, 20 December 2011 4:31 PM Subject: Re: Cement that explains everything.preeti that was brilliant. From: Preeti Birla <preeti.birla@...> " " < > Sent: Monday, December 19, 2011 11:48 PM Subject: Re: Cement PANAVIA 21Self-Curing Adhesive Bond SystemPANAVIA 21 is a dental adhesive cement that directly bonds to cut enamel, dentin, composite, porcelain, base, semi-precious and precious metals. With ED PRIMER an effective mild one-step conditioning of cut enamel and dentin is ensured, so that there is no need for acid etching, rinsing and concern about post-operative sensitivity. Its high strength paste/paste formulation provides a consistent mix with convenient working and setting times. The practical dispenser gives additional convenience in mixing the pastes at the correct ratio. PANAVIA 21 is indicated for a wide range of indications and available in three shades: EX, TC and OP.Features & Benefits• High bond strength to cut enamel, dentin, metal, silanated porcelain and cured composite • ED Primer for effective one-step conditioning of cut enamel and dentin without having to rinse • Easy handling • Paste/paste formulation makes mixing easy • Convenient dispenser measures precise amounts of paste for consistent results • Anaerobic setting properties provide extended working time and trouble-free cleaning • Low film thickness for accurate seating • Radiopaque and insoluClinical Indications• Cementation of: • -metal inlays, onlays, crowns, and bridges • -porcelain or composite inlays, onlays and crowns • -posts and metal cores • -adhesion bridges or splints • bonded amalgam restorations From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, 19 December 2011 6:12 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used.. AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate Balsam Sent from my iPad On 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) Sincerely Lyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subject: Re: Again bisphosphonates-new guidance..? But I think lyuda you already answered this in your question lol .. From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Saturday, December 17, 2011 1:29 AM Subject: Again bisphosphonates-new guidance..? Hi guysI am confused abt bisphosphonates-if Pt has a toothache what shall we do?Extract or RCTIt looks like we can extract tooth but before you need to assess pt if they are at low risk...If any extraction or any oral surgery or procedure which may impact on bone is necessary,assess whether the patient is at low, or higher risk of BONJ as follows:• the patient is at low risk before they have started taking bisphosphonates for any condition,or are taking bisphosphonates for the prevention or management of osteoporosis.• the patient is at higher risk if any of the following factors is present:−−previous diagnosis of BONJ;−−taking a bisphosphonate as part of the management of a malignant condition;−−other non-malignant systemic condition affecting bone (e.g. Paget’s disease);−−under the care of a specialist for a rare medical condition (e.g. osteogenesis imperfecta);−−concurrent use of systemic corticosteroids or other immunosuppressants;−−coagulopathy, chemotherapy or radiotherapy.Advise the patient that there may be BONJ risk to enable informed consent, but ensure that theyunderstand that it is an extremely rare condition. It is very important that a patient is not discouragedfrom taking medication or undergoing dental treatment. Record that this advice has been given.Follow the management strategies described in Sections 3.2.1 and 3.2.2.Note: There is no supporting evidence that BONJ risk will be reduced if the patient temporarily, or evenpermanently, stops taking bisphosphonates prior to invasive dental procedures since the drugs maypersist in the skeletal tissue for years. If a patient has taken bisphosphonates in the past but is nolonger taking them for whatever reason (i.e. completed or discontinued the course, taking a drugholiday), allocate them to a risk group as if they are still taking them. Sincerely Lyudmyla Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2011 Report Share Posted December 20, 2011 Many thanksSent from my iPhoneOn Dec 20, 2011, at 4:31 PM, shetty deepa <mrsiglesias2001@...> wrote: that explains everything.preeti that was brilliant. From: Preeti Birla <preeti.birla@...> " " < > Sent: Monday, December 19, 2011 11:48 PM Subject: Re: Cement PANAVIA 21Self-Curing Adhesive Bond SystemPANAVIA 21 is a dental adhesive cement that directly bonds to cut enamel, dentin, composite, porcelain, base, semi-precious and precious metals. With ED PRIMER an effective mild one-step conditioning of cut enamel and dentin is ensured, so that there is no need for acid etching, rinsing and concern about post-operative sensitivity. Its high strength paste/paste formulation provides a consistent mix with convenient working and setting times. The practical dispenser gives additional convenience in mixing the pastes at the correct ratio. PANAVIA 21 is indicated for a wide range of indications and available in three shades: EX, TC and OP.Features & Benefits• High bond strength to cut enamel, dentin, metal, silanated porcelain and cured composite• ED Primer for effective one-step conditioning of cut enamel and dentin without having to rinse• Easy handling• Paste/paste formulation makes mixing easy• Convenient dispenser measures precise amounts of paste for consistent results• Anaerobic setting properties provide extended working time and trouble-free cleaning• Low film thickness for accurate seating• Radiopaque and insoluClinical Indications• Cementation of:• -metal inlays, onlays, crowns, and bridges• -porcelain or composite inlays, onlays and crowns• -posts and metal cores• -adhesion bridges or splints• bonded amalgam restorations From: "dr_ashish_pandit@..." <dr_ashish_pandit@...> < > Sent: Monday, 19 December 2011 6:12 PM Subject: Re: Cement I think panavia is amalgam bonding agent Pls can u elaborate more on panavia and how and why it is used..AshishSent on my BlackBerry® from VodafoneFrom: shetty deepa <mrsiglesias2001@...> Sender: Date: Mon, 19 Dec 2011 10:09:40 -0800 (PST) < >Reply Subject: Re: Cement panavia is most commonly used. From: Balsam Majid <balsam_majid@...> " " < > Sent: Monday, December 19, 2011 12:34 AM Subject: Cement What do u think??Which cement would you use to glue an aluminia core ceramic ?Panavia Zinc phosphateResin modified glass ionomer Poly carboxylate BalsamSent from my iPadOn 18 Dec 2011, at 17:18, Irfan Salim <irfansalim85@...> wrote: hmm .. well I dont exactly know what happened. But if patient opts to have the tooth edxtracted knowing that we have explained the procedure then its patient who has to decide the final procedure based on the pros n cons of the procedure. We can give alternatives and patient can decide. Because we do take consent from patient before extraction so necrosis would be one of the side effects of the procedure mentioned in the consent form. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 9:18 PM Subject: Re: Again bisphosphonates-new guidance..? The way i handle and communication was fine and i passed that(they grade you on that as well),but the answer abt pulpotomy i guess was wrong...i told everything as it was in MJDF RCS osces..Nothing to do with other osces..because I have fedback from the exam on every osces-passed/failedi feel that i shouldnt refer pt to extract the tooth,i should extract it From: Irfan Salim <irfansalim85@...> To: " " < > Sent: Sunday, 18 December 2011, 15:12 Subject: Re: Again bisphosphonates-new guidance..? I dont think that this exact question can be the cause of failure. In OSCE the way you handle the patient is also important. Its about communication skills as well . So I think it might have to do with other osces. With bisphosphonates I would always tell the patient that he pain can be relieved easily by pulpotomy. There is no need to go into problems. Immediate pain relief is via pulpotomy. From: Sana Puremel <sanapuremel@...> " " < > Sent: Sunday, December 18, 2011 8:08 PM Subject: Re: Again bisphosphonates-new guidance..? Hi guysI offered to my Pt RCT in the exam mfds-I failed this osce,I guess I should say extract the tooth...pt was suffering from a pain,and kept asking me to pull the tooth out...and said you may have the osteonecrosis,,,well i explained everything abt bisphosph.-but i failed the osce.... From: Lyudmyla Huhley <huhley2006@...> " " < > Sent: Sunday, 18 December 2011, 9:52 Subject: Re: Again bisphosphonates-new guidance..? thank you irfan for confirmation of my thoughts)) SincerelyLyudmyla From: Irfan Salim <irfansalim85@...> " " < > Sent: Sunday, 18 December 2011, 4:13 Subje Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2012 Report Share Posted April 11, 2012 Zno means ? is it ZOE? THANX From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Wednesday, 11 April 2012, 16:38Subject: Re: cement Zno Sent from my BlackBerry® wireless device From: Harpreet Bhela <harpreetbhela@...> Sender: Date: Wed, 11 Apr 2012 16:37:04 +0100 (BST) < > Reply Subject: cement Cement for cementing temperory bridge? 1.ZOE2.Zinc polycarboxylate thanx, harpreet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2012 Report Share Posted April 11, 2012 Yeh sorry ZnESent from my BlackBerry® wireless deviceFrom: Harpreet Bhela <harpreetbhela@...>Sender: Date: Wed, 11 Apr 2012 16:40:38 +0100 (BST) < >Reply Subject: Re: cement Zno means ? is it ZOE?THANXFrom: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Wednesday, 11 April 2012, 16:38Subject: Re: cement ZnoSent from my BlackBerry® wireless deviceFrom: Harpreet Bhela <harpreetbhela@...> Sender: Date: Wed, 11 Apr 2012 16:37:04 +0100 (BST) < >Reply Subject: cement Cement for cementing temperory bridge?1.ZOE2.Zinc polycarboxylate thanx,harpreet Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2012 Report Share Posted April 11, 2012 ok thanx a lot:-) From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Wednesday, 11 April 2012, 16:42Subject: Re: cement Yeh sorry ZnE Sent from my BlackBerry® wireless device From: Harpreet Bhela <harpreetbhela@...> Sender: Date: Wed, 11 Apr 2012 16:40:38 +0100 (BST) < > Reply Subject: Re: cement Zno means ? is it ZOE? THANX From: "dr_hibahaboubi@..." <dr_hibahaboubi@...> Sent: Wednesday, 11 April 2012, 16:38Subject: Re: cement Zno Sent from my BlackBerry® wireless device From: Harpreet Bhela <harpreetbhela@...> Sender: Date: Wed, 11 Apr 2012 16:37:04 +0100 (BST) < > Reply Subject: cement Cement for cementing temperory bridge? 1.ZOE2.Zinc polycarboxylate thanx, harpreet Quote Link to comment Share on other sites More sharing options...
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