dental implant and mri

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course the old age-old answer to is to find a mentor that that you can help to lift you and some dental societies are a great resource for that even if you don’t feel comfortable asking the guy that practices in your neighborhood for business advice you can meet people from around the country that will give you bad advicethere’s a wealth of information the majority of it is free where you can start to just surround yourself in that that business mindset and you know I my my ultimate piece of advice when I lecture to dental students sent to new dentist when it comes to getting yourself ready for that business mindset and where do you startit’s there’s no one book I would recommend it’s more of just that a mantra for yourself right it’s it’s the idea of ready fire aim which is a famous business book ready when you’re in business have an idea I’m gonna start though this recall system we’re gonna do it this way or


we’re going to spend some money on a marketing came in or whatever have an idea think it out but then just just do it right don’t sit there forever analyzing the most perfect way to do it because I’m telling you nine times out of ten you never end up doing it and you end up just keep doing the way you did yesterday but do the darn thing and then after that is is aim then you aim then say okay let’s pay attention to the metrics did this work that did not should be throughout the whole addition we refine it just not being afraid to fire and fail is is the key and if you can trust in that which is hard to do as I said when you’re worried about like not you know sending an endo file through the side of someone’s tooth like we’re we’re trained to want to be really careful in what we do the business mindset is very different from the clinical mindset you can fail in fact you will fail many times small and big in business and the goal is



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dental implant removal

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not that would be professional superiority or they are the only dentist in so-and-so city that performs thisprocedure they have to have you know some facts some information to back that up so there are many general dentists whoperform orthodontics who perform limited oral surgery who perform limited periodontics but they cannot call themselves an orthodontist aperiodontist a maxillofacial oral surgeon next the violation of laws regarding procurement dispensing or administration of drugs so in that case there are many laws we’ll look at a couple of these in a moment only the dental the dentist excuse me only the dentist in the stateof California can dispense or prescribe drugs of any type so or administer drugs so only the dentist has is that allowed under their scope of practice all right another slide of unprofessional conduct so this has to do with dental radiography so any person who is going to

operate in any manner radiographic dental radiographic equipment must be certified by the state to do so so you must have we’ll look at this and also in detail in a moment remember I’m following the exam outline so if it kind of looks like it’s jumping around it is all right so a person must be certified orsometimes known used to be known as a license to operate equipment that means placing the sensor or the film that means hitting the button you must have be certified by the state to do so and in regards to students even if there is a dental student maybe they don’t have their certificate whether they’re dental students if they have graduated from their programs and for some reason don’t have their certificates yet they cannot they’re working in an office they cannot operate the dental radiography geographic equipment if they were licensed or certified in another state if they do not hold a California radiography

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dental implant screw

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administering anesthesia other duties that are particular to the orthodontic assistant permit holder or the dental sedation assistant permit holder or certainly out of our scope of practice for duties that are for the registered dental hygienist so you do want to review that in the dental practice act slide presentations also review the supervision some of the duties are under general supervision and some are under direct supervision then we have conditional duties and conditional duties arecertain duties or procedures that can be performed after having special certifications in those duties so one would be an ultrasonic scaler certification which can only be used in orthodontic treatment to remove cement supragingivally from teeth so again the ultrasonic scaler certification is only used in orthodontic treatment to remove supragingival cement on the teeth another conditional duty would be any orthodontic duties or

duties of the dental sedation assistant that are permitted by the legal scope of practice for the RDA also the DA and the RDA so those are conditional you don’t have to have a OA a or a DSA permit to perform certain duties so you have to be knowledgeable about what those duties are the application of pit and fissure sealants you do have to have certification special certification to place pit and fissure sealants exempt clinical duties exempt clinical duties are duties or procedures that can be performed under the supervision of a registered dental hygienist or registered dental hygienist inalternative practice and they are limited so if you are working with a registered dental hygienist may be in or a registered dental hygienist in alternative practice you are allowed to perform extraoral duties under their supervision and basic supportive procedures such as oral evacuationor rinsing you may perform coronal polishing if

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than the cingulum now moving on to molar relationships so again you’re about to see a diagram over the top of me narrating which hopefully you’re finding more helpful than just my hands waving around so when we’re looking at molar classifications we’re looking at where the Museo buccal cusp of the first permanent molar so MB of the upper six occludes with the buccal groove as a lower first permanent molar so where the MV cusps of the first upper molar occludes with the buccal groove of the first lower molar so the MV of the upper 6 where that is with the buccal groove of the lower 6 so I hope that that makes senseexplaining it like that so in class 1 in a class 1 molar relationship the Museo buccal cusp of the maxillary first permanent molar occludes with the buccal groove of the mandibular first molar so they fit together you get the MB cusp sitting in that buccal groove so it kind of looks you would think almost

like a class 3 because the lower tooth is slightly further forward than the upper tooth but it’s where the MB cusp is sitting relative to that groove and it sits right in itso always just thingwhere is the MB cusp of the upper 6 sitting and that’s what you’re looking for if it’s in the groove its class 1 now for a class 2 molar relationship if the MB cusp of the upper 6 or upper first permanent molar is anterior to that groove at all then that’sconsidered to be class 2 and then if the MB cusp of the maxillary first permanent molar is distal to the buccal groove then that’s class 3 now if you go from the groove up to the cusp then that is the difference between a class 1 and class 2 and a class 3 so it’s that relationship between the groove and that cuspso when we’re looking at caninerelationships we’re looking at the cusps tip of the upper canine in relation to the lower embrasure between the canine and the first premolar and you’ll see a diagram

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dental implant specialist

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tooth or a high cusp on or high points on my restoration caught on this side says my jaw moves to that side but tooth catches here first so you kind of get that and stuttering a lot juddering on the tooth then that will be a non-working side interference and then finally a protrusion turf earring so this is when you get a deflective contact on a single posterior tooth whilst trying to move into a protrusion so while you try and find Horde like this I don’t know why I try and talk at the same time as doing the jaw movement but as you try and slide your forwards a single posterior tooth catcherspreventing that anterior guidance during protrusion so now we’re going to move on to jaw movements so the movements of the mandible is happens in two different waysfirstly there’s a hinge so there’s up to a certain amounts of opening this just works on a hinge basis as soon as you want to open wider than that after the hinge movement you

then get atranslation in the jaw joints so the hinge movement is up to 25 millimetres and then beyond that point that’s when the translation starts to happen so you know the hinge motion is basically just the condyle rotating in the TMJcompartment between 10 and 13 degrees and that then gives you that 20 to 25 millimeters of anterior separation moving on to the translation this is the gliding movement of the condyle along the glenoid fossa so when we’re thinking about these jaw movements it’s really important to use that to consider how we want to restore the dentition so when we’re thinking about the way the teeth meet together the way the mandibles moving we need to assess what’s going to be the best position to restore a patient to so there are six advantages to restoring a patient to the CR CP so we’ll go into those in a second and also three disadvantages and just a reminder that the CR C P is the

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steps for dental implant

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RDA or an RDAEF or an RDH you are responsible for your actions in that office and so if patients are going to start any type of legal action then it is possible that you would be involved it’s not just the dentist’s responsibility informed consent so informed consent is where the patient or the legal guardian of the patient agrees to treatment after receiving information about the treatment including possible outcomes many times on a medical dental history some offices will have a section where the patient signs that they consent to dental treatment in general in some situations such as sedation conscious sedation for patients there may be separate informed consent forms I’ve heard of some offices in esthetic cases or cosmetic dentistry they actually have the patient sign after looking at shades maybe for you know various aesthetic restorations that the patient signs that they accept that shade that would also include any

other diagnostic aids photographs x-rays study models etc that the patient does have to have informed consentpatient confidentiality so this is where patient informationverbal and written is held in confidence so we keep itprivate and it’s very important to be aware as the part of the dental health team to be aware of your surroundings when you are discussing patient information even within an office maybe your office is an open concept design so you have to be very careful about what you discuss in the associate you never want to associate a name you need to do so very quietly and privately if that is important for your dental practice or for the flow of treatment appointments etc for the day on occasion a patient may ask to see the dentists and share some private information it’s certainly up to the dentist to determine whether that information could affect the patient’s care by not only the dentist but the RDA

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