Showing posts with label MISC.. Show all posts
Showing posts with label MISC.. Show all posts

How to set up a new Dental Clinic


This article focuses on young dentists , who with long standing MDS dream were not able to crack MDS entrance and are unable to pay heavy capitation fees.... DON'T GIVE UP

With increased  competition in mds entrance exams for few govt. seats have let down lot of MDS aspirants. The fee structure for  MDS seats in private colleges have gown up to 6-7 lakhs a year, which is beyond the reach of common middle class family. So once again comes the big question,





WHAT NEXT?

WHAT AFTER BDS ?

For all my dear aspirants,

DON'T GIVE UP.


You are already a professional BDS doctor. Don't underestimate your BDS skills and Qualifications. Obviously the best scenario is in being able to pursue a PG degree. But, this is not always possible as mentioned above.



If you still don't believe me, here are few facts:

1. On an average , a BDS practitioner is making one lakh a month.
2. There is huge demand for dentists in outskirts of all cities in INDIA.
3. Why do you want to setup clinic only in central hubs , there is huge potential in sub urbs.
4. Paying capacity of patients is less in remote areas but number of patients is more.
5. Some of the best dentists are the ones with only a bachelor’s degree. They have reached the pinnacle of their profession through the dint of hard work & constant self-examination.

So , its high time now take the big decision.START your own private practice.

What you require ?

1. A BDS degree. (which you already have)
2. Get 6 month experience of clinical work  in a reputed dental clinic under a qualified dental practitioner.This will boost your confidence and you will how to handle patients at private clinics.
3. A diploma or a short course in aesthetic dentistry or endodontics is always a help.
4. Preferably look for a shop in good commercial area or near by a hospital. You need not buy it, you can always start on a rented shop.
5. If you can get associated with an ENT or MS (eye) , you can start a PolyClinic in patnership.
6. Minimum space advised is 250 sqft. More than this is a luxury.

Equipment and Material : (costs range between 3 to 5 lakhs )




1. A Dental Chair : Go for a brand which provides service in your area.  (1 to 4 lakhs)
2. Compressor : min. 20 litres capacity ( 10 to 20 thousand)
3. Dental chair should be equipped with motorised suction, 3 way syringe and micromotor.
4. x-ray machine which supports use of RVG later on. (25 to 70 thousand)
5. Ultrasonic Scaler  : preferably good brand (5 to 30 thousand)
6. Cordless Light Cure unit ( 5 to 25 thousand)
7. A straight hand piece
8. A contra angle hand piece
9. Airrotor ( 3 in number)
10. Autoclave (min. 5 lit. , top loading, newer front loading are better)
11. Glass bead sterliser

12. UV chamber
13. A full set of upper and lower teeth extraction forceps...go for the best brand (150 to 600 a piece)
14. A needle cutter
15. PMT sets ( best brand ) min. 15 in number.
16. Kidney trays 15
17. Enamel trays 3
18. Intrument drums 2
19. Ultrasonic bath
20. A portable X- ray developing chamber.
21. Dental burs
22. Alginate
23. Rubber Based impression material
24. Conservative filling instruments
25. Prosthodontic Instument Kit
25. Endo box
26. Endo gauge
27. Bur box
28. K- files all sizes, broaches , spreader etc.
29. Endo MOTOR ( optional)
30. RVG (optional)
31. Apex locator (optional)
32. All endo related material e.g. sealer, gp points, paper points,
33. Ca hydoxide
34. Temporary filling material
35. Composite starter kit
36. Lathe (optional)
37. Suction tips
38. Cotton holder
39. Developer and fixer
40. Gates glidden and paeso reamers
41. Plaster, stone and die stone
42. Impression trays both perforated and non perforated
43. Articulators
44. Posts and core material
45. Prophylactic paste
46. Instant Hand sanitizer
47. Filling materials like amalgam, GIC, compomer , miracle mix and posterior composites.
48. Pain OFF
49. Alveogyl
50. Irrigants


This is a brief list.

What more do you need ?

Dental office and waiting area furniture which may consists of

- Doctor's Table
- Doctor's Chair
- 2 patients chairs

One reception table
- receptionists chair
- waiting chairs from 6 to 20 depending on size of OPD

OTHER MUST HAVE FEATURES IN YOU CLINIC

A LCD/LED TV in waiting area.
A Water filter with hot/cold water facilities
A magazine stand with newspaper in regional language and few magazines


All is done I guess.... Along with all these things your courteous attitude and humble approach with a smile on your face is required to treat patients even before they sit on your dental chair.





ALL THE BEST !!





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CAD CAM IN FPD.PPT


 POWERPOINT SLIDESHOW

CAD-CAM IN DENTISTRY.

TYPE: FREE
FORMAT:PPSX
SIZE: 8 MB

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Bitten By a Snake : Things you should know



►    3500   SPECIES
►    300     VENOMOUS
►    30000  - 40000 DEATHS ANNUALLY


POISONOUS SNAKES

INDIAN SCENARIO
►    5 DANGEROUSLY POISONOUS SNAKES
          KING COBRA
          COMMON COBRA
          COMMON KRAIT
          RUSSELL’S VIPER
          SAWSCALED VIPER
MOST COMMON POISONOUS SNAKE IS COMMON KRAIT

►    216  SPECIES

►    52  VENOMOUS



SNAKE VENOM

►    Toxic saliva secreted by modified parotid glands of a venomous snake
►    Amber coloured when fresh
►    Constituents               Toxins
                                       Enzymes
                                       Miscellaneous : neurotoxins
                                                                cardiotoxins
                                                                hemolysin


VENOM CLASSIFICATION

►    Neurotoxic              elapids(cobra,krait)
►    Hemotoxic               viperidae
►    Myotoxic                  sea snake
►    Krait and russell’s viper is much more toxic than that of cobra


SYMPTOMATOLOGY OF NON VENOMOUS SNAKES

►    Universal fear associated induce a state of shock
►    Bite site may demonstrate multiple teeth impressions
►    Lack of significant local pain or swelling
►    Adequate reassurance and symptomatic treatment measures lead to full recovery


SYMP..VENOMOUS SNAKE BITES

►    ELAPID BITE
►    Local features :
►        indistinct fang marks ,
►        burning pain,
►        swelling and discolouration,                                                                        
►        serosanguinous discharge

       
Systemic features

►    preparalytic stage  :     emesis,
                                             headache,
                                              LOC.
      paralytic stage      : ptosis,
                                           ophthalmoplegia
                                           drowsiness,
                                           dysarthria,
                                           dysphagia,
                                           convulsions,
                                           bulbar paralysis,
                                           resp failure .

     

VIPERID BITE

Local features:
                         rapid swelling,
                         discolouration,
                         blister formation,
                         bleeding from bite site,
                         severe pain
    
Generalised bleeding manifestations.                       
                          epistaxis,
                          hemoptysis,
                          bleeding gums
                          hemauria
                          purpuric spots
 Renal failure

      

HYDROPHID BITE

►    Local features: minimal swelling and pain
►    Systemic features: myalgia muscle stiffness
                  myoglobinuria , renal tubular
                  necrosis                  


DIAGNOSIS OF SNAKE BITE
►    FANG MARKS:classically, two puncture                wounds seperated by a distance varying from 8mm to 4cm, depending on the species involved.
►    However a side swipe may produce only a single puncture,while multiple bites could result in numerous fang marks.
►    Baileys method
  
      



Management of snake bite


FIRST AID


►    DELAY ENRY OF VENOM
►    TOURNIQUET
►    ABOVE KNEE
►    ABOVE ELBOW


CLINICAL ASSESMENT
►    VITAL SIGNS—PULSE
                           --B P
                           --RESPIRATION –SBC
OBSERVE – BITE MARK
                   --LOCAL REACTION
                   --PAINFUL LNE
►               


NEUROTOXICITY
►    PTOSIS
►    OPHTHALMOPLEGIA
►    MYASTHENIA LIKE SYMPTOMS
►    ASSES SBC



HEMATOTOXICITY

►    PURPURA
►    ECHYMOSIS
►    GINGIVAL SULCUS BLEED
►    HEMATURIA

CAPILLARY LEAK SYNDROME
►    PUFFINESS
►    CHEMOSIS
►    PAROTID SWELLING




Lab. Investigations

  
Haematological-
                             leucocytosis(>20,000-
                                     severe envenomation)                          
                            elevated PCV
                             thrombocytopenia
                             evidence of hemolysis
                             prolonged CT,PT,PTT
                             elevated FDP



►    CT     >    20 MINUTES

►    SURE SIGN OF ENVONOMATION

►    PITVIPER   > 2 WEEKS

►    ECG: bradycardia
             ST    /
             Twave inversion
             QT Prolongation
             changes due to hyperkalemia
             

►    Metabolic
         hyperkalemia
         hypoxemia with resp.Ac
         met.Ac or lactic Ac
►    Urine
         hematuria,proteinuria,Hburia
         Mburia
        


►    Renal : ARF -- BU S.Cr   S E
►    CXR :  pulm.edema
               intrapulm.Hgs
               pleural effusion
►     Immunodiagnosis: by ELISA….
     highly sensitive but specificity inadequate to diff b/w diff species of snakes



SPECIFIC MANAGEMENT  ASV

►    HORSE SERUM
►    ASV IN INDIA
                        COBRA
                        KRAIT
                        RUSSEL’S VIPER
                        SAW SCALED VIPER
 1 mi ASV     ---    0.6m6 cobra R viper
                     ---    0.45mg krait S viper
                       


Indication ---- systemic manifestaiton
►    NEUROTOXICITY
►    REPEATED VOMITING
►    HAEMOTOXICITY
►    NEPHROTOXICITY
►    CARDIOTOXICITY
►    RHABDOMYOLYSIS


►    PROLONGED  CT  ALONE

                       PIT VIPER  --  NO
                       SNAKE NOT IDENTIFIED


NEUROTOXIC ENVONOMATION
►    INITIAL DOSE  10  -  15 VIALS
►    REASSESS
►    IMPROVEMENT   30  --  60 MIN
►    REPEAT  5 VIALS AFTER 60  -- 90 MINS
►    SUPPORTIVE – NEOSTIGMINE AFTER ATROPINE


HAEMOTOXIC ENVONOMATION
►    MILD            CT  <  30 MINS
                        CLOT SIZE  =  50% blood col
                        initial dose  = 5 vials
►    MODERATE   CT   >  30 MINS
►                           CLOTS ONLY SPECKLES
►                           intial dose   = 10 vials
►    SEVERE      INCOAGULABLE
►                         initial dose  = 15 vials


►    REPEAT  CT  AFTER 6 – 9 HOURS
►    IF CT PRONGED REPEAT 5- 10  VIALS
►    LOW DOSE INFUSION – FOLLOWING
                                            DAYS


SUPPORTIVE CARE


  ANTIBIOTICS
  METHYL PREDNISOLONE
  FFP,FRESH BLOOD
  PREVENTION AND Rx OF HYPOTENSION
  PRVENTION OF SHOCK



PREVENTION OF ARF

►    PROPER FLUID ADMINISTRATION
►    CORRECT MYOCARDIAL DYSFUNCTION
►    MONITOR OUTPUT BU S.Cr SE
►    AVOID  NEPHROTOXIC DRUGS
►    PROTEIN RESTRICTION



Management of local reactions

►    BULLAE   - LEFT INTACT
►    NECROSIS  - DEBRIDEMENT
►    COMPARTMENT SYNDROME – FASCIOTOMY
►    MOST COMFORTABLE POSITION


REACTIONS TO ANTIVENOM

►    ANAPHYLACTOID  10 – 90 MINS

►    PYROGENIC 2 HOURS

►    SERUM SICKNESS  5 – 21 DAYS
►    Rx  local anaesthetic ice pack













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5 Common Dental Problems (for a layman)


  • DECAY: The most common problem, often seen as blackish or brownish spots and can cause a lot of sensitivity and pain too!

  • GUM PROBLEMS: Red, swollen gums can hurt a lot, can bleed when you brush, cause your teeth to become lose and can be a major cause of bad breath

  • CROWDED / PROTRUDED TEETH: An extremely unaesthetic scenario with difficulty in maintaining oral hygiene.

  • MISSING TEETH: Can cause ugly looking gaps when you smile and makes chewing difficult. Also causes loss of adjacent teeth over time, if not replaced soon.

  • DISCOLORED TEETH: Can arise from a variety of reasons, resulting in a totally unaesthetic appearance.

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Lecture notes in Dentistry

Introduction to Dental Materials 2.ppt
Introduction to Dental Materials 3.ppt
dental-amalgam-material-properties-and-its-use-in-clinical.ppt
gassionomercement.ppt
Irrev Hydrocolliod.ppt
Labaratory Materials In dentistry.ppt
Strength Of Amalgam.ppt
Dentalanatomy.ppt
Teethdevelopment.ppt
toothnotation.ppt
IFDEA Dental Anatomy Educational Teaching Resource.ppt
Hardtissuecharting.ppt
Terms.ppt
ToothMorphology.ppt
Maxillaryincisors.ppt
Mandibularincisors.ppt
Canines.ppt
maxillarymolars.ppt
1e85Introduction_to_Operative_Dentistry.ppt
Cavity Preparations.ppt
ch48.ppt
classificationofdentalcaries-090721094719-phpapp02.ppt
DENTAL CARIES.ppt
dentalhandinstruments-100306035258-phpapp02.ppt
Restorative aMaterials.ppt
treatment-of-dental-caries-as-an-infectious-disease1450.ppt
CavityPrepPresentation1.pptx



Oral Pathology Powerpoint Lectures


SOURCE:utechdmd2015.wikispaces.com/
and :
Cabrillo Community College
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15 Discoveries/Scientists you should C.T.M (commit to memory)


             Discovery                                                           Scientist
1.    Acidogenic (chemicoparasitic)               Miller
2.    Proteolysis theory                                      Gottieb
3.    Proteolysis chelation                                 Schartz and Martin
4.    Flourosis index                                            Dean
5.    Pit & fissure sealant                                   Buonocore
6.    Prophylactic odontotomy                        Hyatt
7.    Procaine                                                        Einhorn
8.    Epidemiology                                               Thomas Sidenham
9.    Bis—GMA                                                      Bowen
10.          OHI—S                                                      Green and Vermilion
11.          Psychoanalytic theory                          Sigmond Freud
12.          Conditioning theory                              Pavlov
13.          Cognitive development                        Piaget
14.          Social learning                                           Bandura
15.          Fermentation/putrifaction                    Louis Pasteur (1857)

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WHAT AFTER BDS?


With increased competition , lack of jobs and variety of options , it has become a big confusion as to which direction you should choose.

Last few days before completion of your degree , you will find yourself in state of dilema , mixed feelings . The excitement of completion and the big question >>> WHAT NEXT? WHAT AFTER BDS?

HERE IS A SMALL EFFORT TO HELP YOU CHOOSE >>> REST >>CHOICE IS YOURS !!

1. MDS >> Most sorted and wanted option after BDS. Still the most opted option , inspite of decreased jobs and increased fee. To be precise MDS is a gateway to better things in life, but may be not the best.

To get addmission in MDS you can either spend few 30-40 lakhs or study to clear an MDS entrance exam. For the former I can't help you , may be your dad can , but for the later here are few articles which can be of help.

Ten reasons why you should / shouldn't do MDS
FAQ's About MDS entrance
MDS prepration >> TIPS & TRICKS
MDS TIPS /TRICKS
HOW TO CRACK AIPG
MDS COACHING/TEST SERIES
MDS STUDY MATERIAL



2. ADC >> Still there is a great demand for dentists in overseas countries and the most preferred destination is Australia. Clear the australian licensure exam and start earning in dollars. But the road is not as easy as it sounds . Follow the links below for more info on this....

ADC COMPLETE INFO
OET INFO
STUDY MATERIAL
ADC TEST SERIES

3. NBDE >> Dentists remain to be among the most rich in US.Clear NBDE part 1 exam >> DDS >> earn in Dollars. But this is not all , the journey is full of hurdles . I have tried to explain in various articles below.

FAQ'S NBDE
NBDE SYLLABUS
NBDE STUDY MATERIAL
TIPS : NBDE

NBDE PREPARATION TIPS
WHAT IS NBDE ?
NBDE INFO
NBDE TEST SERIES/MOCK EXAM


4. Clinical Practice > This is what 90 % of BDS passouts eventually do . Set up a good dental clinic ,but again you should have the infrastructure, machinery , location and most importantly the required clinical skills.Find more about clinical dental practice in subsequent articles.

5. Diplomas/ certificate courses > Diploma or a certificate course in Implants / orthodontics or aesthetics is recommended if you plan to open up or you are already running your practice.It will not hold any academic value.

6. MHA > Masters in hospital administration offers a new option after graduation . Many of the multi speciality hospitals offer good pay scales to administrators. It will be a requirement in almost every hospital soon.

Find more in the article below

MBA OR MDS?

7. MPH > Masters in public health is a dry subject but it may sound interesting if you get to know salary packages attached to these professionals. WHO , red cross and similar govt . bodies provide good jobs after completion.The only drawback is you get cut off from dentistry.

8. Clinical research > With lack of jobs in various fields clinical research have come up , giving jobs to medicos/dentos in pharmaceutical companies. Dentistry is gone. You get an average package .

9. ORE >> Overseas registration examination is an exam conducted by general dental council United Kingdom for entry into european union countries . Find elaborated article below.


ORE FOR ENTRY TO U.K.

10. I am also searching for another option , may be you guys can suggest one . Add your views in comment section below.


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Art of Conquering Patients.ppt

Art_of_Conquering_patients


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DENTAL MATRIX