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- This topic has 20 replies, 6 voices, and was last updated 30/06/2011 at 4:07 pm by sushantpatel_doc.
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12/07/2009 at 8:40 am #8523AnonymousOnlineTopics: 0Replies: 1150Has thanked: 0 timesBeen thanked: 1 time15/07/2009 at 1:06 pm #13349ahluwaliatonyOfflineRegistered On: 11/07/2009Topics: 0Replies: 10Has thanked: 0 timesBeen thanked: 0 times16/07/2009 at 9:06 am #13350Anonymous
whether ortho is done by a GP or by an orthdodontist the patient expects and is entitled to the same level of service as a specialist.
GP’s should take substantial training before they start with ortho . They must have a mentor either a GP who is experienced in orthodontics or an orthodontist.
What I have found from multiple sources is that an orthodontist visiting a clinic to perform ortho is usually a disaster unless the orthodontist can make himself available at a very short notice.For an experienced GDP integrating orthodontics in his practice is a good experience. However, he must take only those patients who have been in his practice for at least 5 yrs or more.
Veerendra
16/07/2009 at 1:20 pm #13351Anonymous” these practitioners start up the cases but are unable to finish them ” . . . are you refering to the GPs or to the visiting orthodontists in the above quote ? ? ? what would you advise a fresh GP with about a year or two of clinical experience and wants to do ortho cases at his clinic ? he knows that he is going to learn from the initial few cases himself. he is even prepared to wait for another year or two before taking up ortho cases but is puzzled as to how , where and from whom will he learn the skills. please enlighten ., .,
17/07/2009 at 7:35 am #13352Anonymous30/07/2009 at 7:27 am #13353drsapnaOfflineRegistered On: 18/07/2009Topics: 6Replies: 6Has thanked: 0 timesBeen thanked: 0 timesI think GDPs should not start orthodontics until they got at least diploma in orthodontics from an authorized institution..now various colleges have started diploma courses…there should be some standard set up by DCI for GDPs…after say 10-15 years india will emerge more in medical and dental field…i don’t think just for sake of earning more from an ortho case one inefficient GDP should not be allowed to experiment on patients..
30/07/2009 at 12:24 pm #13354Anonymous05/08/2009 at 8:07 am #13355drsapnaOfflineRegistered On: 18/07/2009Topics: 6Replies: 6Has thanked: 0 timesBeen thanked: 0 times*Sharad Pawar Dental college of DMIMS(Datta Meghe Institute of Medical Sciences) has started Post-graduate diploma course of 2yr and fee is about 5-6lacs(but one has to get proper information from institution)..
log on- http://2006.dmims.org/dmimsdu/ug09/brochure-09.pdf
(21st page)*Manipal has Post-graduate diploma in oral impantology and aesthetic dentistry.
*IGNOU( Indira Gandhi National Open University) has started Post-graduate diploma course in endodontics and oral implantology.
06/08/2009 at 8:19 am #13356AnonymousIs it a full time course ?. what courses r available for pravticing clinicians. Practicing clinicians cannot attend a full time course ?
There is a huge section of the population who cannot afford an orthodontist and in need of orthodontic treatment .
Training GDP’s to perform limited orthdontics is the need of the hour.
Regards,
Veerendra
05/12/2009 at 3:50 pm #13357sushantpatel_docOfflineRegistered On: 30/11/2009Topics: 510Replies: 666Has thanked: 0 timesBeen thanked: 0 times06/12/2009 at 6:30 am #13358Anonymoussomewhere in the mid-nineties there were only 125 orthodontists in the city of Mumbai (population of one crore). perhaps the number of orthodontists must have increased by now but the poulation has also increased.
In many semi-urban and rural areas orthodontists are not easily available.
Are there any guidelines regarding the ratio of orthodontists with respect to the population and GDP’s.
Academically inclined GDP’s can learn orthodontics and provide some or complete orthdontic services.
Regards,
Veerendra Darakh
06/12/2009 at 9:45 pm #1335905/05/2010 at 1:12 pm #1336005/05/2010 at 3:00 pm #13361Anonymous06/05/2010 at 2:55 am #13362AnonymousThe Buteyko method or Buteyko Breathing Technique is a practice used for the treatment of asthma. The method takes its name from the late Ukrainian doctor Konstantin Pavlovich Buteyko (Ukrainian: Бутейко), who first formulated its principles during the 1960s. The method is a physical therapy and several small clinical trials have shown that it can safely reduce asthma symptoms and the need for rescue medication, as well as increasing quality of life scores.. However, improvement takes time and commitment, requiring daily exercises over a period of weeks or months.
At the core of the Buteyko method is a series of reduced-breathing exercises that focus on nasal-breathing, breath-holding and relaxation. Buteyko’s theory was that asthmatics “chronically overbreathe” and the exercises are designed to teach asthmatics to breathe less. The goal is to retrain breathing to a normal pattern, akin to certain forms of Yoga.
The British Guideline on the Management of Asthma 2008 grants permission for health professionals in the United Kingdom to recommend Buteyko, stating that the method “may be considered to help patients control the symptoms of asthma”, having noted of primary importance the Cochrane review meta-analysis which concluded that there is “no change in routine measures of lung function”, although some high quality trials have suggested benefits of reduced symptoms and bronchodilator use, but no effect on lung function.
The Method
Although variations exist among teachers of the technique in different countries, the three core principles of Buteyko remain the same: Reduced breathing, nasal breathing and relaxation.Reduced Breathing Exercises
The core Buteyko exercises involve breath control; consciously reducing either breathing rate or breathing volume. Many teachers refer to Buteyko as ‘breathing retraining’ and compare the method to learning to ride a bicycle. Once time has been spent practicing, the techniques become instinctive and the exercises are gradually phased out as the condition improves. A common theme in Buteyko exercise is to hold one’s breath until it is uncomfortable – producing a feeling of air hunger. This feeling mimics the feeling of breathlessness that asthmatics typically experience during an asthma attack.Rather than using traditional peak flow measurements to monitor the condition of asthmatics, Buteyko uses an exercise called the Control Pause (CP), defined as the amount of time that an individual can comfortably hold breath after a normal exhalation. With regular Buteyko reduced-breathing practice, asthmatics tend to find that their CP gradually increases and in parallel their asthma symptoms decrease.
Nasal Breathing
The Buteyko method emphasizes the importance of nasal breathing, which protects the airways by humidifying, warming, and cleaning the air entering the lungs. In addition, breathing through the nose helps the body to maintain higher concentrations of carbon dioxide and nitric oxide in the lungs.A majority of asthmatics have problems sleeping at night, and this is thought to be linked with poor posture or unconscious mouth-breathing. By keeping the nose clear and encouraging nasal breathing during the day, night-time symptoms can also improve. Other methods of encouraging nasal breathing are full-face CPAP machines – commonly used to treat sleep apnea – or using a jaw-strap or paper-tape to keep the mouth closed during the night. However, a study in 2009 showed that nasal breathing alone was not enough to cause an improvement in asthma symptoms.
Strictly nasal breathing during physical exercise is another key element of the Buteyko method. A study in 2008 found that it made exercise safer for asthmatics.[8] While breathing through the nose-only, asthmatics could attain a work intensity great enough to produce an aerobic training effect.[9]Relaxation
Dealing with asthma attacks is an important factor of Buteyko practice. The first feeling of an asthma attack is unsettling and can result in a short period of rapid breathing. By controlling this initial over-breathing phase, asthmatics can prevent a “vicious circle of over-breathing” from developing and spiraling into an asthma attack. This means that asthma attacks may be averted simply by breathing less.Teachers note that the method is not a substitute for medical treatment and reliever medication should be kept handy at all times and used as required. Reduction of medication should be done under supervision of the doctor prescribing the medication, as some steroids and other drugs should not be ceased too quickly. This aspect of Buteyko is merely a change in lifestyle that can minimize the chance of an attack occurring and reduce the severity by remaining calm and in control of breathing.
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