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Lecture 7: Advances in Dentistry (10min)

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Introduction to Dental Medicine

University of Pennsylvania

4.8 (380 ratings) | 15K Students Enrolled

The mouth is the window into human health. This course provides an overview of dental medicine to engage, educate, excite and assist you in improving the oral health of your patients and members of your community. We will review topics in dental medicine including scope of the field, what to expect in function, and some of the many ways that dysfunction may present for different patients. This will include discussions of mouth, jaw, and tooth anatomy, pathology, and treatment. We will talk about differences between patients and the unique roles that different members of the dental field may play in treatment depending on the patient and condition. This course starts from basic concepts and proceeds to review trends in current research and technology. We offer scientific background, some skills for patient evaluation and interview, and some suggestions for further learning for those interested in or involved in dental education.

Reviews

4.8 (380 ratings)

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ND

Nov 29, 2016

Great overview of issues encompassing the patient assessment and management in the general dental practice underpinned by theoretical basis of health and disease supported by the latest evidence .

MA

Aug 19, 2017

I am going to the Dentist School and I feel like this is a very beneficial course that introduced me perfectly to the dentistry sea.\n\nIt's really awesome.\n\nThank you Pennsylvania university!

From the lesson

Week 1 - Introduction to Dental Medicine and Its Relations to Public Health

In this course, you will learn about basic dental anatomy, how to evaluate a patient, and the causes and impact of oral diseases. We will use case examples and live demonstrations with patients to illustrate these points. Please note that some lectures in this course contain graphic medical images, including illustrations of the human body, oral cavity, early development, and photographs of medical conditions and deformities. Discretion is advised. The materials in this course are intended for education purposes only and are not intended to serve as professional medical advice, diagnosis, or treatment. Please seek the advice of your dentist, physician, or other qualified health professional if you have any questions related to this material and its relevance to your health or that of someone else. Week 1 is your introduction to dental medicine! This includes oral health's relation to general health, sources of infection, modern technology in dentistry, and the public health impact of dental medicine. Let's get started!

Course Introduction4:04

Lecture 1: Goals of the Course (2min)2:37

Lecture 2: Oral Health Related to General Health: Oral Cavity Tissue (9min)8:54

Lecture 3: Modern Scope of Dental Medicine (2min)2:33

Lecture 4: Educational Opportunities in Dental Medicine (7min)7:39

Lecture 5: Public Health Impact of Dental Medicine (5min)5:19

Lecture 6: Dental Public Health (10min)10:30

Lecture 7: Advances in Dentistry (10min)10:03

Taught By

Dr. Uri Hangorsky
Associate Dean for Academic Affairs/ Director PASS
Dr. Thomas P. Sollecito
Professor and Chairman of Oral Medicine
Dr. Eric Stoopler
Associate Professor of Oral Medicine

Transcript

[MUSIC]

Hello, in this section we're going to discuss advances in dentistry.

The art and science of dentistry are constantly evolving.

New and exciting innovations are integrated into the treatment

on an ongoing basis, and

the mode of dental therapy has come a long way from the traditional model.

Let's now review some of the more significant recent advances in dentistry.

We will focus on two areas, the area of diagnosis and the area of treatment.

In the diagnostics tool we will review the digital x-rays,

the caries detection system, the 3-dimensional imaging and

also some of the diagnostic tools which can detect soft tissue lesions.

As far as the digital x-rays are concerned,

the digital format is a very useful one.

It can provide a greater comfort and

certainly reduce the exposure to radiation.

Four digital x-rays have the same radiation as one traditional paper x-ray.

Three dimensional imaging is accomplished by CAT scans and other three dimensional

scans, which help dentists view and operate on the jawbone with more accuracy.

As implants become the standard of care in many cases,

three dimensional imaging has become increasingly specialized in dentistry.

Caries detection system compensates and

complements the dentist to detect caries in addition to visual detection.

They detect it with more accuracy and they scan the teeth with pulses of laser light.

Decay emits a fluorescent light that is translated into an audible signal.

Laser fluorescents, or laser lights, of a specific frequency

is directed at the tooth and the amount of reflected light is measured.

Healthy teeth exhibit little to no fluorescence, but carries teeth

structures exhibit fluorescence proportional to the degree of carries.

We also have diagnostic tool to detect soft tissue lesions such as VELScope.

VELScope uses natural tissue fluorescence visualization to help

discover all of your causal abnormalities that might otherwise have been overlooked.

Vizilite is another diagnostic tool which identifies oral lesion and

provides painless screening for the detection of small changes in your mouth.

One of the least favorite procedures in the dental office

is the injection of the local anesthetics.

Actually, the pain is caused not by the anesthetic itself, but

rather by the pressure from the injection of the liquid anesthetic.

The anesthetic wand uses computer regulated slow and

gentle flow of anesthetic to reduce pain of injection.

Another interesting device that has been implemented recently in

dental offices is the computer assisted design or

computer assisted manufacture, known otherwise as the CAD/CAM.

This technology allows for

the fabrication of dental restoration through computerized technology.

A digital impression is taken using an optical,

a laser scanner, and entered into a computerized system.

This system is used to create a virtual model of your teeth and

design your crown, veneer, inlay, or onlay.

This process involves identifying the appropriate color,

shape, and biting chewing surface, for your restorations.

The design then is sent via cable or

wirelessly to milling unit in the dentist's office

that will fabricate the restoration in a approximately 20 minutes.

This technique also enables a dentist to use a camera

to create a digital impression thereby circumventing the traditional

impression which is generally not very much favored by the patients.

Perhaps the development of a modern implant has revolutionized

the practice of dentistry in recent years more than any other innovation.

While the dental implants were being places as early as in the 70s,

the osseointegrated implant has become popular in the 80s.

In 1952, an orthopedic surgeon noted that he could not remove a small

titanium cylinder he had placed in a bone to study how the bone healed.

This special property that titanium has of fusing to bone is called

osseointegration, a fusion joining with the bone and

it is the biological basis for modern implant success.

Dental implants today are being used in the replacement of single or

multiple teeth.

They can serve as abutments for bridges.

Furthermore, they can also serve as a stabilizing anchorage for

complete dentures, thereby improving their retention as well as speech and

mastication of food.

The biointegration of the titanium tooth

root with human bone is highly predictable and the results are very long lasting.

The industry has also focused on reducing treatment time and

some implants can be placed immediately after the tooth extraction,

as opposed to waiting six months after extraction.

In many instances,

dental implants are now the standard of care if a tooth needs to be extracted, or

if there is a question as to whether a root canal procedure needs to be done.

The use of microscope in dentistry has been one of the latest trends to perfect

acute vision for the dentist.

Microscopes offer the dentists the ability to see microcracks,

weakened underlying tooth structure and proximity of dental nerves with precision.

The microscope is an improved diagnostic tool as well as a treatment assisted tool.

Today, this technique is used to improve the precision of surgery and

root canal therapy.

One of the most dreaded aspects of dental office is the dental drill.

Patients neither like the vision of it nor the sound.

Well, there is some research going on into bypassing this unit.

It is something air abrasion.

It is used to treat small cavities.

The system uses a blast of air and aluminum oxide pellets to remove decay.

Often works without the need for anesthesia, in other words,

there is also no needles.

Bone replacement is particularly important to those patients who have

weakened tooth support due to periodontal disease, related bone loss, or

they are dentures patients whose alveolar process has shrunk over the years.

Three types to assist people suffering from bone loss or

those requiring tooth extraction.

The first one is the autografts, which are bone taken from the same patient.

This bone is taken from another part of the body such as the iliac

crest, for example.

The second part are the allografts and

an allograft is a bone taken from another human being.

This bone is taken from a cadaver and processed in a lab so

that it is ready for grafting.

The third part is the alloplast which is a synthetic bone replacement material.

It is made in a lab to mimic bone structure.

Bone growth factors, such as platelet derivative growth factor, known otherwise

as PDGF, are used in conjunction with bone grafts to achieve maximum results.

The use of lasers has been increasing in the past decades.

We have four types of lasers.

The diodide, which is absorbed by pigmented tissues, such as the hemoglobin

and melamine, and it is particularly good for treatment of soft tissue.

There is the Nd-YAG and

CO2 laser which is excellent for homeostasis, for stopping bleeding.

There is the erbium laser, which is good for heart tissue, and

hence can potentially replace the drill.

And the argon laser, which can cure resins and improve bonding.

Lasers surgery is an alternative to traditional scalpel surgery

that can often reduce discomfort and doesn't require sutures.

Lasers can also be used for a variety of procedures, including tumor surgery,

cold sores, crown lengthening, aesthetic gum changes,

tongue tie and speech impediment and nerve regeneration.

Laser may also be applied in the treatment of select dental conditions Such as sleep

apnea, certain cases of temporomandibular disorder and tooth sensitivity.

This is a very exciting area of development in dentistry.

One of the most exciting future trends,

is the tissue engineering, the ability to regrow teeth.

When this happens it'll be a very exciting new phase of dental practice.

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