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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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Hello sir we are married in November 2014 but from till did not get child. How involve in sex period to get child. Please inform sex chart ?
Yadi hame pregnancy nhi chahiye to kya virya ko piche se sex kar sakte hai ya fir waha se bhi pregnant ho sakati hai.
Use of Dental Operating Microscope in endodontic therapy In all areas, from exposure of the access cavity and preparation to three-dimensional obturation and post endodontic management, the microscope provides major advantages over working without appropriate magnification. As a result, the use of the microscope can be expressly recommended for the following specific indications and special aspects.
For an endodontic specialist include: increased visualization, improved Quality and precision of treatment, enhanced ergonomics, ease of proper digital documentation and increased communication ability through integrated video.
1} Examination, diagnosis, and treatment planning - With enhanced visualization, the clinician’s ability to diagnose problems in the earlier stages of a disease process is possible. High-powered magnification allows endodontists to identify a microscopic blemish,colour alteration, tiny amounts of plaque collecting within the grooves, microscopic amounts of chalky white demineralization around the grooves, and tiny amounts of flaking of darkened carious tooth structure within the crevices of these grooves. Treatments also can be performed with a greater level of precision, thereby reducing the occurrence of failures and the need of redos.
2} Diagnosis of cracked teeth Microfractures and longitudinal fractures which are often difficult to diagnoseclinically and represent signs of occlusal damages which include cracks in teeth orrestorations, craze lines, wear facets, cracks at slightly elevated marginal ridges, or areaswhere the enamel has been worn by opposing porcelain, exposing dentin and thus causingsensitivity and pain can be viewed more precisely with DOM
3} Better visualization of pulp chamber, canal orifices Magnification allows endodontists to better identify anatomical landmarks, within thepulp chamber—including the sides, overhanging remnants of the pulp chamber roof, initialperforations into the pulp, dentinal map, canal orifices and to differentiate between the pulphorns and the main body of pulp within the chamber
4} During instrumentation , the improved ability to see specific canals allowsendodontists to maneuver files into canal openings with greater efficiency, to distinguishbetween vital and necrotic canals, and to detect tiny amounts of purulence or blood drainingthrough specific canals or see any tiny amounts of necrotic pulp material that were notremoved during canal instrumentation. So it is possible for an endodontist to determine if allcanals are accessed and instrumented properly when a direc t view might be difficult withoutremoving excessive amounts of coronal tooth structure
5} Locating hidden canals/canal systems Anatomical variations are not as rare or exotic as is frequently assumed as described by Walter Hess as early as 1917. Many of these important structures cannot be readily detected or treated with traditional endodontic treatment methods. If the radiographic image is examined more closely, there are often signs of unusual root and/or canal shapes like those caused by changes in the course of canal anatomy or root surface.An off center exposure or three dimensional image can provide further valuable information. Three rooted premolars, for example, are encountered in 6% of all first maxillary premolars. However, anatomical variations also include other complex structures like middle mesial canal in mandibular first molar and C-shaped canals in mandibular second molar (7.6%) . Without a doubt, the second mesiobuccal canal in maxillary molars (16% and 78% in vivo), which is often difficult to localize and prepare, is the reason why the failure rate is highest in first maxillary molars . Virtually all studies point to distinct advantages in the localization and treatment of this highly complex anatomical variation when using a dental microscope. The introduction of the dental microscope and the associated ability to inspect the root canals – both orthograde and retrograde – have fundamentally changed our understanding of dental morphology and its complexity.
6} Identification and removing of Obliterations and calcifications - These signs occur to a greater or lesser extent in 50% of all teeth, impairing instrumentation considerably or essentially preventing treatment of the canal system
Identification and removal of Denticles This specific form of calcification is also encountered very frequently, can block the canal entranceor even obstruct further instrumentation. Denticles can be found and negotiate readily with the help of a DOM
In Open apex cases Modern apexification therapies call for special treatment techniques and materials, the manipulation of which is facilitated significantly under a dental microscope .
Perforation repair Treatment of iatrogenic problem such as pulpal floor perforation, lateral root perforation and prognosis chiefly involve visualization of the problem so the microscope certainly plays a major role in this contex.
7} Removal of fractured post and instruments The enhanced vision with magnification and illumination from a microscope allows endodontist to observe the most coronal aspects of fractured post and broken instruments andto remove them without any major loss of tooth structure and perforations, the prognosis forpreservation of the tooth is quite good.
Microsurgical apicoectomy Incorporating microscopic approach in surgical endodontics, Use of the smaller retro mirrors it is possible to carefully examine the apical segment of the root endand perform an atraumatic , more moderated bevel apical resection procedures and permit a coaxial ultrasonicpreparation into the root, better management of the bone structures thereby making minimally invasive class Iretrograde cavity preparation and retrograde filling of the canal system and all its branches along the longitudinal axis of the root easy to perform
Microscope reduces distance and improves the overall treatment quality and encourages endodontists to review and perfect their own treatment concepts resulting in a positive impact on the entire practice structure but also increases the enjoyment of providing treatment.
I had unprotected sex with my boyfriend for the frst time on 14th of aug however he dint ejaculated inside me afta few hours I hd I pill. We den had sex continuously til 16 sometimes using condom sometimes without using it so I again took and I pill on 17. I hd bleeding too when I ws having sex. After 1 week we agan had sex using condom I agn had bleeding the problem is that its 23rd of sept but stil I am not having periods I hav done urine test at home it shows that I am nt pregnant. Please help me out now.
I am 8 weeks pregnant. I am having thyroid. I had my tsh 10.1. So I started taking 150 mcg. (Earlier I used to take 88 mcg) After 10 days my tsh level dropped to 3.5 but t4 level increased to 13.1. Should I continue with 150 mcg or should I minimize dosage. Kindly help.
I am 36 female and have suffer from hormonal changes during menses and pre menses. Severe constipation and too much swell in anus area and also urine infection. Pls tell me what to do.
I am bleeding on the 17th day after period. I am using clear strip ovulation kits and it says im at high fertility not peak (got high for 4 days) so I can't be ovulating right? Trying to get preg so worried!
Hello doctor. I had a unprotected sex with my girlfriend on 6th November. But she got her regular period with as usual bleeding on regular expected date. But now after 9-10 days of her menstruation she is saying she is feeling little bit nausea. So is there further chance of pregnancy. Or should she go for a home pregnancy check up. Kindly rply soon.
Hi I have skipped my periods but the pregnancy test says its negative. Still my periods are 10 days already delayed. Please suggest what to do next?
I could not pleasure my wife on bed. We came to delhi from our native kerala two weeks ago. She was not having any problem at home place. At present She could not get any feeling while penetration. While doing in doggy style (not anal) she feels bit better with a pain between thies and vagina.
Its been 20 days since I took ipill. My periods are delayed by more than a week and the home pregnancy test came negative. I do have a white vaginal discharge. Please advice.
Mera friend 22 saal ka h. Usko pregancy he. But usko 26 saal hone ke baad pregnant hona pasand hai. Main kaisa usko bolungi. Kya karna he usko 4 saal tak pregnancy bandh karne ke liye. Please help me. Its urgent.
I'm 25. I had unprotected sex with my boyfriend. I missed my periods. My pregnancy test is positive. I want to have periods. Please suggest me medicines which can help me out.
My lmp was 15 nov. My last usg showed 6 week 3 days pregnancy. It showed a bicornuate uterus and foods in right horn. Is pregnancy safe and successful in bicornuate uterus. And no heart beat shown till then. So in how many week do the baby gets heart beat .I am very worried about it please help.
My wife is pregnant with 45 days. I don't want baby. Which medicine is useful. I have checked with preganews and gets+.
Hello! My friend has a breast related problem. She has pain in her upper lateral part of her breast. Which feels on walking, moving and touching the breast. please suggest what should she do? Is it a normal problem or she has to start medicine for it.
My aunt is of 49 years old, her ht is 5'3 and weight around 70. She wanted to know how to cure fibroid without operation? Her report: uterus is Anteverted bulky measuring 105x68x70 mm ET=4.4 mm EE complex is pushed back two hypothetical masses measuring 44x34 and 28x18 mm have seen in interior wall of upper part of uterus Another small hypothetical mass 19. 6x18.7 mm is also seen. She has heavy bleeding during periods and body aches daily What is exactly it means and cure?
Hi my question is that after taking I pill I got bleeding but after 10 days again my period starts is it normal?
The spine lends structural stability and balance to our body helping us stand upright, while allowing flexibility in various movements. Moreover, it forms a protective canal in which the spinal cord, the most important part of the neural network, flows down from the brain to the rest of our body. The spinal column is an interconnected structure of bony (vertebrae) and cartilage tissues (intervertebral discs) and it is prone to age related wear and tear. Read through to learn more about a herniated disc, its manifestations and treatment options, with special reference to a minimally invasive surgical technique called endoscopic discectomy.
What is a herniated disc?
First, let’s understand an intervertebral disc. It is essentially a disc shaped, rubber like tough and flexible structure made of outer layers of fibrous cartilage with a softer gel like tissue in the centre. A disc lies between two adjoining vertebral bones of the spine and acts as a shock absorber. This disc undergoes wear and tear changes (degeneration) after a certain age. When the degenerated disc is subjected to any external strain or injury, the substance from the central part of the disc comes out through the tears in the outer fibrous layers. This condition is called a herniated disc. It is also referred to as prolapsed or slipped disc. A disc prolapse can occur in any part of the vertebral column; but, mostly observed in the lumbar (lower back) or in cervical (neck) region.
What happens when an intervertebral disc herniates?
When the inner disc material protrudes through the disc surface, it may pinch or irritate the nerve roots it comes in contact with. It also elicits a severe inflammatory chemical response in that area. If this happens in the lumbar spine, it induces symptoms such as:
Pain in the back, pain running down the leg, weakness of the muscles in the leg supplied by the affected nerve root, numbness or tingling sensation in the respective part of the leg. Loss of bladder and bowel control if a large disc prolapse compresses multiple nerve roots.
If you feel recurring radiating pain in any of the body parts, it would be a good call to see a spine specialist.
What causes disc herniation?
Disc herniation happens as a result of degeneration that is mostly related to the genetic composition of the person. Smoking is another well established factor that causes disc degeneration. Other factors also play a role in the process of wear and tear of the discs. Though the exact reason is hard to pick, disc herniation may be precipitated by strain on the spine during physical work, certain kind of frequent body movements or spinal injury due to any accident. Sometimes adopting improper body posture for physically demanding jobs of time may result in this condition.
What are the treatment options for herniated disc condition?
Most cases of disc herniation can be treated medically with rest, pain relievers, anti-inflammatory medication and physiotherapy. But, if the symptoms persist or the pain is severe or if it is affecting the nerve function causing numbness and weakness, it needs surgical intervention.
Minimally invasive (endoscopic) spine surgery
Spine surgery is generally adopted as the last resort to treat painful disc prolapse that do not respond to medication for a longer period (usually 3 months). Rarely, a severe nerve compression causing weakness of muscles or severe sciatica may need surgical treatment straight away. Conventional open surgery involves cutting the muscles and removing some portion of bone in the spine, which has its own complications and disadvantages. But, the advent of high definition image guided systems and surgical tools, now-a-days spine surgery for herniated discs can be done with minimal invasion.
Endoscopic discectomy for herniated disc is a minimally invasive spine surgery carried out through a small on the back. It involves removal of herniated disc material that protrudes and compresses the adjacent nerve roots, through specially designed spine endoscopes that help in clear visualization of the structures. Instead of cutting the muscles in an open surgery, endoscopic surgery involves dilation of the muscles causing much less damage and procedure related pain. It can also be performed under local anesthesia as a day care procedure in suitable patients.