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Use of level-of care devices in sufferers with oral anticoagulation: a Health Technology Assessment erectile dysfunction drugs buy kamagra polo 100mg low price. Advantages erectile dysfunction young age treatment cheap 100 mg kamagra polo mastercard, disadvantages and feasibility of the introduction of �Pay for Quality� programmes in Belgium erectile dysfunction icd 9 code 2012 buy kamagra polo paypal. In this counsel a synthesis of the current data that would evaluate impotence women order genuine kamagra polo, based on systematic evaluate databases and guide result in the denition of diagnostic and therapeutic professional lines, we summarise the appropriate indications for the cedures aimed at bettering the quality of look after diagnosis, remedy and comply with-up, accompanied, when sufferers affected by probably the most-frequent compressive ever potential, by the degrees of proof and strength of neuropathies: carpal tunnel syndrome and lumbar sciatic recommendations. For the preparation of this paper, we consulted a number of Keywords Carpal tunnel syndrome A Guidelines A sources able to providing a dependable and authoritative Surgical remedy A Non-surgical remedy A synthesis of the current data of specic aspects of Katz hand diagram each illness: the Cochrane Library (database created by the Cochrane Collaboration together with, amongst different issues, systematic literature critiques) [1], clinical evi dence (a summary of evidences, organised by illness, that reviews information on incidence and prevalence, therapeutic and diagnostic, clinical and instrumental aspects, in addition to prognostic options) [2], and tips. Orsola-Malpighi, Via Albertoni, all the time indicated by the authors with the corresponding 15, 40141 Bologna, Italy strength of recommendations and stage of proof [3]. Torreggiani (&) Via Ciovasso, 4, 20121 Milan, Italy ment within the well being condition of the inhabitants to whom the e-mail: torex@tin. Carpal tunnel syndromes and or based on opinions of the members of the working group lumbar disc herniations are probably the most-relevant clinical manifestations. Considering the information of the 2001 Second Dutch Survey of General Practice, concerning a inhabitants of virtually Compressive and entrapment neuropathies four hundred thousand topics, a 6. If the com ones: from the 931 reported and 10 accepted circumstances in pression persists, blood ow to the endoneural capillary 1996, they reached 1960 reported and 1,061 accepted system may be interrupted, resulting in alterations within the circumstances in 2000. Naturally, these data reect the growing stage of sensitivity to this drawback, which is translated into Physical examination the next number of reviews, quite than reecting an actual increase. The Katz hand diagram [16] is a self-administered dia First stage: Patients have frequent awakenings during gram that allows the patient to localise symptoms and to the night with a sensation of swollen, describe them as numbness, pain, tingling and numb hand; furthermore, they report of hypoesthesia. Sleep Case historical past should give attention to symptom onset (within the early Sustained arm or hand positions stage, primarily nocturnal paraesthesias), provocative elements Repetitive actions of the hand and wrist (positions, repeated movements), working activity (instru Mitigating elements ment use, vibrating tools), pain localisation and irradiation Change in hand posture (within the cutaneous median nerve area with ascending, Shaking of the hand sometimes up to the shoulder, or descending irradiation), 123 Neurol Sci the rst, second or third this evaluation are the following: (1) to conrm a focal nger; damage to the median nerve inside the carpal tunnel; (2) to Unlikely sample: No symptoms are present in quantify the neurophysiological severity through the use of a scale; rst, second or third nger. Academy of Physical Medicine and Rehabilitation dened the nding of hypalgesia within the median nerve territory the Practice Parameters for electrodiagnostic studies in (sensitivity = zero. It have to be measured on an identical distance on one other adjoining nerve in remembered that goal examination may be completely the same hand. Needle electromyography May be helpful to conrm axonal degeneration of the motor bres innervating the Instrumental diagnosis and its evaluation abductor pollicis brevis and opponens pollicis muscles. Hand and wrist splinting this classication has the benefit/disadvantage of using adjectives commonly used; therefore, we advise to Pharmacological remedy specify that the quantication refers to neurophysiological data (Table 5). Studies have been nerve and of its hyperlinks with the opposite carpal tunnel buildings conducted to assess the effect of oral prednisone adminis and, particularly, it allows for the individuation of both tration, of the local administration of depot steroids, a nerve adhesion or compression. Another examine compared the effectiveness of splints immobilising the wrist at 20� extension with neutral Non-pharmacological remedy angle splints [31]. The outcomes showed that after 2 weeks, the neutral angle supplied superior symptom reduction as the present proof shows a signicant quick-time period compared to extension. However, a re-analysis of the development after wrist splinting and immobilisation. In the rst examine, the applying of ultrasounds maximum tour of the median nerve and of the carpal 2 (1. One randomised managed demonstrated a whole remyelination on the stage of the examine has proved that night-time put on of an progressive soft median nerve, with restoration of nerve conduction and of hand brace for 4 weeks was associated to a signicant the contraction capability of the innervated muscle, which regains its capability of correctly receiving the nervous stimulation (Table 7). At present, the decision on the No randomised managed studies have ever been technique to be used appears to be principally linked to the reported within the literature evaluating surgical versus no patient�s and surgeon�s preference. The toms after intervention, 17% reported gentle improvement or patient�s clinical condition have to be steady before the no change, and eight% reported worsening [21]. Pregnant girls should postpone the inter There are three randomised managed studies that vention as a result of symptoms typically disappear after supply. In case of rheumatoid arthritis (the intervention could the non-surgical group had been treated by hand�wrist� worsen the inammatory course of) forearm splinting for 4 or 6 weeks. This improvement nonetheless continued inammations (these sufferers could benet from neu after 6 and 18 months. In case of Dupuytren syndrome or in case of earlier splinting group had undergone surgical remedy. There are two surgical procedures: Complications associated with the interventional technique 1. Another randomised examine concludes that, com scales, probably the most-incessantly used of which is the 11-level pared to no remedy, using a splint for two weeks after Lickert numerical scale. These scales assess pain intensity, the intervention signicantly delayed the return to work whereas its high quality may be assessed with the Short Form [51] (Table eight). Remission charges were � Return to work larger in youthful topics, in girls, and in pregnant � Objective improvement at neurological examination girls [fifty seven]. In one other examine, according to the parameter (reexes, strength, sensitivity) examined, 27�34% of palms showed spontaneous � Possible surgical intervention improvement after 10�15 months. The most-severe As issues the carpal tunnel syndrome, the Global sufferers had the best improvement. Negative predictive elements included bilateral nardo Rivelli, Vincenzo Rollo, Pierpaolo Romani, Sergio symptoms and positive Phalen indicators [fifty eight] (Table 10). Ronco, Vincenzo Rossi, Alberto Sampietro, Antonino Sanlippo, Provvidenza Sansone, Giovanni Savoca, Gius eppe Scaglione, Antonio Scala, Francesco Sellitto, Agos Appendix tino Spinelli, Fausto Stante, Walter Starace, Salvatore Torre, Raffaele Torre, Lucia Toscani, Arturo Tricarico, Considerable contribution to the preparation of this docu Enrico Trucco, Tobia Ulisse, Angelo Vetro, Cesarino Ve ment was obtained from an extensive number of Physicians zzosi, Massimo Vigilante, Renato Villaminar, Gennaro specialised in Neurology, Orthopaedics, Physiatrics, Pain Vitiello, Luciano Wolensky, Leonardo Wolensky, Gianc Therapy, and General Medicine, who supported us by arlo Za, Antonio Zampogna, Angelo Zuppardo. The Cochrane Library (2008) the Cochrane Library, Issue X, Antonio Bernardo, Claudio Boninsegna, Davide Bonomo, 2008. Clinical Evidence, Edizione Italiana Silvano Botteselle, Enrico Califano, Valeria Campanella, 3. Elsevier Saunders, Philadelphia, pp 1391�1402 boli, Giovanni Cilia, Roberto Conigliaro, Roberto Corez 5. J zola, Renzo Cosso, Ettore Costabile, Domenico Cremonesi, Clinic Epidemiol 45:373�376 Marcello Cusitore, Michele D�Arienzo, Antonio D�Aura, 6. Mondelli M, Giannini F, Giacchi M (2002) Carpal tunnel syn drome incidence in a basic inhabitants. Bot S, van der Waal J, Terwee C et al (2005) Incidence and Massimo Darbisi, Roberto De Masi, Paolo De Stefanis, prevalence of complaints of the neck and upper extremity in Vito De Tullio, Maria Teresa Desiato, Giuseppina Di basic follow. European Agency for Safety and Health at Work (1999) Work associated neck and upper limb musculoskeletal disorders. Ofce for Falso, Andrea Fedeli, Giovanni Ficola, Alo Mauro Fin Ofcial Publication of the European Communities, Luxembourg occhiaro, Giulio Fiorenza, Sabino Fiume, Michele Form 9. La Medicina del Lavoro (1996) 87 Numero monograco con oso, Elio Fortuna, Andrea Foti, Silvia Galeri, Raffaele tenente metodi di analisi, studi ed esperienze di prevenzione per Gambardella, Renato Gatto, Elisena Geraci, Sergio Gig le affezioni muscolo scheletriche da sovraccarico biomeccanico degli arti superiori liotti, Letizia Giulia Mauro, Luigi Grompone, Vittorio 10. Quality Standard Subcommittee of the American Academy of Guglielmo Grosso, Fabio Guerriero, Stefano Guidotti, Neurology (1993) Practice parameter for carpal tunnel syndrome Raimondo Ibba, Francesco Indiano, Giovanni Italiano, Rita (Summary statement) Neurology forty three:2406�2409 l�Episcopo, Alessandro La Medica, Matteo Laringe, Rosita 11. Report of the American Association of Electrodiag nostic Medicine, American Academy of Neurology, and the Carlotta Marazzi, Nicola Margiotta, Claudio Mariani, American Academy of Physical Medicine and Rehabilitation. Maria Letizia Marini, Angelo Claudio Marrone, Gianni Neurology fifty eight:1589�1592 Martelli, Daniele Martini, Alfredo Mattaliano, Massimo 12. Colombini D, Occhipinti E, Cairoli S et al (2003) Le affezioni Megna, Oriano Mercante, Antonio Mileto, Carmelo Mili muscoloscheletriche degli arti superiori e inferiori come patolo tello, Gaetano Militenda, Donatella Moci, Mario Mosconi, gie professionali; quali e a quali condizioni. Documento di con Silvia Oldani, Maurizio Olivieri, Michele Olivieri, senso di un gruppo di lavoro nazionale. J Rheumathol 17:1495�1498 versus surgical procedure within the remedy of carpal tunnel syndrome. Padua L, Lo Monaco M, Padua R et al (1997) Neurophysiological 288:1245�1251 classication of carpal tunnel syndrome: assessment of 600 forty one. It J Neurol Sci 18:one hundred forty five�one hundred fifty pression versus local steroid injection in carpal tunnel syndrome: 18. Arthritis Rheum fifty two:612�619 of the wrist and nerve conduction studies in sufferers with idio 42. Thoma A, Veltri K, Haines T et al (2004) A meta-analysis of Orthop Surg 15:537�542 randomized managed trials evaluating endoscopic and open 23. Neurology 56:1459� release: a prospective, randomized examine of endoscopic versus 1466 restricted-open methods. A quick time period open cost-effectiveness of endoscopic versus open carpal tunnel multicentre examine. Gerritsen et al (2002) Conservative remedy 449 options for carpal tunnel syndrome: a scientific evaluate of ran forty eight.

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Hera contains funding compounds for crowns and bridges, funding compounds for mannequin casting, for press-ceramics and plaster-bound compounds for cast-gold alloys � at all times leading to good matches and easy surfaces. Hera by Kulzer is subject to excessive standards to ensure that reproducible quality could be achieved. Advantages Advantages Advantages Outstanding flowability For treasured steel alloys Easily controlled total growth Excellent fit, even in troublesome Excellent fit Creamy consistency for good conditions Smooth surfaces flowability in all wax jobs Extra easy surfaces (resistant Gold casting alloys seven-hundred � 800 �C Simple devestment underneath to cracking) Ceramic bonding alloys flowing water Laboratory tested 850 � 950 �C No sandblasting essential Particularly good for inlay/onlay jobs Indication Indication Particularly easy surfaces Inlays Inlays Partial crowns Partial crowns Indication Crown, small bridges Crown, small bridges Inlays Tapered crowns, telescope Tapered crowns, telescope Partial crowns Large bridges Large bridges Crown, small bridges Delivery type Art. Advantages Advantages Extra�easy surfaces Outstanding flowability Highest precision Excellent fit, even in troublesome Precise fit casts conditions Suggested for the transfer method Extra easy surfaces (resistant 900 seven-hundred�C to cracking) Laboratory tested Indication Inlays Indication Partial crowns Inlays Crown, small bridges Partial crowns Tapered crowns, telescope Crown, small bridges Large bridges Tapered crowns, telescope Large bridges Delivery type Art. Advantages Heravest M print+ is really helpful Outstanding flowability for fast preheating. Advantages Excellent fit Outstanding flowability Smooth surfaces Advantages Excellent fit Results oriented and clinic tested Excellent fit Smooth surfaces Clean cast object Results oriented and laboratory Indication Smooth surfaces tested Cast partial denture Indication Indication Delivery type Art. Code Cast partial denture Cast partial denture 20 kg carton Delivery type Art. 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Advantages Advantages Outstanding flowability Outstanding flowability Excellent fit, even in troublesome Excellent fit, even in troublesome conditions conditions Extra�easy surfaces (resistant Extra�easy surfaces (resistant to cracking) to cracking) Laboratory tested Laboratory tested Indication Indication Inlays Inlays Partial crowns Partial crowns Crown, small bridges Crown, small bridges Tapered crowns, telescope Tapered crowns, telescope Large bridges Large bridges Delivery type Art. Code Heravest M 2000 Moldavest actual 900 ml bottle 6601 9996 900 ml bottle 6602 0131 Moldavest master three l canister 6601 9997 Moldavest master run 10 l canister 6601 9998 Extra liquid for telescopes and tapered crowns for Heravest Saphir Moldavest futura Delivery type Art. Code 900 ml bottle 6601 9993 three l canister 6601 9994 10 l canister 6601 9995 Levotherm liquid Special mixing liquid for Levotherm funding materials Delivery type Art. 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It solely takes three to 5 minutes excessive strain hose neither a casting head nor flow per cast. The vacuum pump and cooling No inclusions of graphite or ceramic system are already integrated. The excessive are integrated demands manufactured from dental laboratories 6 languages to choose from Fig. The clever, interactive cutting-edge casting expertise Technical knowledge Delivery type Art. Maximum vacuum 10 mbar Advantages Dimensions Compact building W H D in mm 150 150 240 Quiet operation Weight 5. The hard rubber cone formers invested in particular silicone rings to the Silicon sleeve and cone former in with brass rims could also be used with all make funding materials growth mannequin type are especially suitable for Kulzer casting rings. Ring X3, cone formers of yellow plastic will be 6450 0694 O forty eight mm delivered together with the silicone rings. 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Code the help plates across the cylinder crucibles to forestall the penetration Delivery type Art. Code Advantages Reliable dissolving of all oxides Reliably dissolves oxide even on No time consuming polishing of 300 g pack 6460 1356 Pd�based mostly alloys gnathologically modelled occlusal No time consuming polishing of surfaces gnathologically modelled occlusal surfaces Delivery type Art. Code 25kg carton, 50m 6450 0657 25kg carton, 250m 6450 0660 25 kg carton 5 0 m 6450 0651 a hundred twenty five m 6450 0654 25 0 m 6450 0659 6 kg drum 5 0 m 6460 0971 a hundred twenty five m 6460 0968 25 0 m 6460 0969 Separating discs the separating discs are available in thickness of 0. The setting protects for oxidation even at excessive growth of Heravest L may be very low. The Hera mannequin pouring system has excessive�quality, perfectly matched elements that ensure a reliable and precise mannequin cast � from preparation to duplication, wax�up and funding to cast alloys. 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Use Heravest M within the classical, programme�controlled preheating course of and Heravest M 2000 in in fast�heating for an excellent fit. Kulzer analysis has developed a course of for placing the crystal nuclei inside the mould cavity to obtain appropriately nice�grained cast buildings. The bodily properties of the partial denture skeleton are considerably improved. This addition crosslinked, shrinkage and Addition cured duplicating silicone, filler free silicone is used to fabricate mixing ratio 1: 1. Code than classical Heraform Advantages Resistance to cracking Blockout materials 6600 1813 Heraform excels for its excessive Very good wettability 250 g tin replica of particulars and good Shrinkage and filler free flowability. Code cast partial denture system consists of Levogel is an financial, reversible the next elements: Base tray duplication gel for several duplications. 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If this is sus implants to erectile dysfunction 31 years old order 100 mg kamagra polo with amex stabilize prostheses reduces the need for the pected erectile dysfunction doctor philippines order kamagra polo us, then the thickness of the polished floor ought to affected person to erectile dysfunction treatment hyderabad purchase kamagra polo discount develop the complex skills required to erectile dysfunction rates age order kamagra polo 100 mg visa management be reduced steadily till the affected person can open the mouth conventional full dentures. These contacts should be recognized and adjusted There are many ways that dentures can be improved, till balanced articulation is achieved [7,9,10,20]. A com There are nonetheless no reliable strategies to predict the out mon drawback when such a mixture presents is that come of full denture treatment and there are lots of of �flabby� tissue in the anterior maxilla. Ill-fit loss occurs in the posterior a part of the ridge beneath the ting dentures can forestall enjoyment of food and affect partial denture bases. This state of affairs essentially the most frequently noticed faults in denture con represents 26 per cent of the denture patients [32]. There is critical relationship be occlusal contacts to preserve a secure maxillary denture. The medical problem is to resolve how faults in horizontal and vertical jaw relationships earlier than many occlusal contacts are required to overcome this situ concluding that the affected person�s criticism is expounded to age, ation, and this varies from affected person to affected person [9,18]. Quality of care: ease patterns and treatment wants in the Scandinavian popula compared perceptions of affected person and prosthodontist. Clinical lengthy � term study of com Prosthodentics: principles and management strategies. Psychological results of relative medical well being: Factors associated with complaints in aesthetic dental treatment. Int J Prosthodont resorption and subjective complaints of full denture pa 1999; 12: 9-19. Changes attributable to a mandibular removable partial full dentures five years after treatment. Received: 21 01 2006 Accepted for publishing: 27 06 2006 64 Stomatologija, Baltic Dental and Maxillofacial Journal, 2006, Vol. Inserting and removing your denture If the soreness is severe it could assist to take away the denture for at least a part of the day. However, please wear the denture for a Your dentist or prosthetist will show you tips on how to put in and take few hours earlier than your appointment so we can work out the place out your denture. Caring for your denture in a single day You ought to take away your dentures earlier than going to mattress each night time. The operate of your new denture this gives your mouth a chance to relaxation and will assist cease you Your new denture may really feel strange, even in case you have worn grinding your teeth when you sleep. Your dentist or prosthesist will show you tips on how to use a toothbrush and dental foss accurately. Maintaining your denture You may even must clear your dentures after each meal to If your denture breaks or is broken, cease carrying it straight cease food and plaque building up. Hold your denture, and with a soft toothbrush and cleaning soap, clear both the inside and outside surfaces. If you fnd that your denture has a construct up (tartar or calculus), soak it in white vinegar (1 half) and water (4 parts). Kitchen detergents Methylated spirits Abrasives Antiseptics Sore mouth from carrying denture (unless instructed) Your mouth may become slightly sore beneath your new denture. It will restore support to the jaw, improve your chewing capability, and improve your look. If the partial denture is difficult to take away, cease and just remember to have it in the correct path of insertion/removing. After brushing, verify for food particles or different matter around teeth and gums, especially on the gum line and behind the teeth. Examine your teeth for decay, stains, or brown deposits; especially on the gum line. Always depart the denture out of your mouth at night time, unless instructed by your dentist to do in any other case. Remaining natural teeth may decay and gums change or shrink simply as they did if you had your whole natural teeth. Periodic examinations by your dentist will enable changes to be made to your partial denture as needed. This may cause it to fit incorrectly, or even break the partial denture or your teeth. What new technologies and materials have gotten obtainable, and which printers can ofer these advances Even laboratories which have already included 3D printing must frequently assess developments in hardware, software program, materials, and post-gross sales support�and be ready to apply them to new merchandise corresponding to 3D-printed dentures. Downtime, via underuse or tools failure, can complicate workflow schedules, lead to income loss, and even damage client relationships. Understanding throughput wants, managing a dynamic workflow to fit production requirements, and monitoring tools well being is a constant process. In response to these challenges, forward-pondering manufacturers like Carbon are growing progressive lengthy-term partnerships and printer subscription fashions that particularly concentrate on the laboratory enterprise and proactively address printing workflow wants and printer well being via knowledge and analytics. This Stage 1: Nesting breakthrough additive manufacturing technology was pioneered by Carbon. Fundamentally quicker in comparison with different additive technologies available in the market, Digital Light Synthesis permits customers to manufacture durable, excessive-performance merchandise at unmatched quality. Carbon M series printers characteristic a construct space that enables for bigger parts, larger throughput, decrease half price, and excessive accuracy (often within +/-50 m). Laboratories with decrease throughput requirements now have entry to Carbon 3D print technology via a reduced size construct space (M2d) as in comparison with the M2. Technical Tips As in milling, the printing process requires a steadiness between maximizing productivity and dealing inside the tools�s operating capabilities. In printing, a denture base benefits from orientations that decrease the amount of necessary helps whereas nonetheless maximizing the structural integrity of the half. This can be accomplished by nesting the half in both an angled or vertical orientation. The 5-Stage, Step-by-Step Instruction Guide | three Printing Digital Dentures, continued Stage 2: Support Removal Stage three: Bonding Stage 4: Polishing Stage 5: Composite Layering � Support removing is best previous to curing, as � To bond the denture base, fill the tooth � Dentures should be polished utilizing a lathe, � If a extremely characterised denture is the material is softer at this stage. This will lead to a uniform, glossy post-remedy floor that requires excessive-esthetic skills to present an unrivaled denture resolution. The Carbon subscription model for 3D printers is an business-leading alternative, sparing laboratory managers the efort and Distinct Advantages expense of making an attempt to future-proof their digital workflow on their very own. We lead by ofering excessive-value resins, regular software program updates that improve the velocity and accuracy of our hardware, and new validated workflows. All-Inclusive Data + World-Class Best-in-Class Serialization + Simple, Validated Comprehensive Service + Support Analytics Training + Reliability + Production Traceability Workflows Partnership Education Consistency of Parts Ofering Fast Printability, High Accuracy Powered by Carbon Digital Light Synthesis� technology, which Carbon, Inc. Received: April 22, 2019; Published: May 17, 2019 Abstract Objective: the aim of this study was to assess the denture hygiene data, attitudes and follow towards affected person education in denture care amongst dental interns in Saudi Arabia. Materials and Methods: A cross-sectional on-line survey was carried out utilizing a questionnaire amongst dental interns in dental colleges in Saudi Arabia. Fisher�s actual test alongside the Chi-square test was used to determine the association between the groups. Results: A total of 316 dental interns from twenty-five dental colleges in Saudi Arabia participated on this study. Conclusion: the study concluded that despite the dental interns data in denture hygiene, dental interns had been missing the optimal information with reference to denture cleaning materials. Keywords: Knowledge; Dental Intern; Denture Hygiene; Attitudes; Dental Practitioner; Questionnaire Introduction Quality of life and common well being might improve via good oral well being [1]. An essential part for good oral well being for denture affected person is having an efficient and regular denture hygiene. On daily basis, dentures have to be cleaned and removed so as to do away with all food particles and plaques that are the principle cause for stains, bad breath as well as gum irritation. Plaque types on dentures in the same way because it types on regular teeth, thus, dentures have to be cleaned often. At the present day, the �toothbrush� is the preferred method being used so as to accomplish oral hygiene. One of the most common strategies for disturbing the development of dental plaque is tooth cleaning mechanism i. Dentists ought to have the duty to encourage and information patients via offering all of them means and methods to management plaque the place patients ought to take up the duty of sustaining the oral hygiene via a daily basis care routine [4]. Dental plaque acquires both exhausting and soft surfaces in Citation: Razan Fahad AlEidan. Evaluation of Knowledge, Attitude, and Practices towards Complete Denture Hygiene amongst Dental Interns in Saudi Arabia 1182 the oral cavity.

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Diseases

• Infantile dysphagia
• King Denborough syndrome
• Oral facial digital syndrome type 4
• Nevus of ota retinitis pigmentosa
• Male pseudohermaphroditism due to 5-alpha-reductase 2 deficiency
• Female pseudohermaphrodism Genuardi type
• Pigment dispersion syndrome
• Variegate porphyria