Application

My brain in the calvaria which sits on cranial base and covered by calva is exhausting. I think i still walk upright, coz my cranial-base angle is acute.

This morning:
When i yawn, my lateral pterygoid muscles which insert medially on pterygoid fovea and lateral pterygoid plate contract. I heard clicking sounds which is abnormal at my temporomandibular joints and i know it is because of my condyle with my articular disc slides too anteriorly and clicks with articular eminence. I close my mouth via the contraction of masseter muscle which inserts at angle of mandible; contraction of medial pterygoid muscles which insert at lateral pterygoid plate and interior angle of mandible; temporalis muslces which origin is at lateral aspect of temporal fossa pass through zygomatic arch insert in coronoid process.

When i brush my teeth, i use modified Bass techniques, with 1000ppm of fluoride in the 0.76% sodium monofluorophosphate Colgate toothpaste. My multi-tufted soft bristles Colgate toothbrush must place 45 degree to the gingival sulcus to effectively remove plaque so that it cannot stagnate and causes me gingivitis. I SPIT DON'T RINSE. So that fluoride can maintain in my oral cavity to enhance remineralisation (via formation of fluoroapatite and calcium fluoride), to inhibit demineralisation, to inhibit acid production by Streptococcus mutans, to kill those bacteria at high concentration by interfering their glycolytic pathway by interfering with enzyme enolase.

When i eat my breakfast - the toasted Coles wholemeal breads and Nutella hazelnut spread, i think of how its consistency, form, amount, frequency and combination promotes caries process. Nutella with bread is sticky thus slower oral clearance. Means those Strep. mutans at my 11 and 21 interproximal surfaces can metabolize it, produce acids which my saliva with supersaturated Calcium Phosphate Fluoride ions unable to buffer coz unable to diffuse through the matured plaque matrix. Sucrose in the Nutella bread will be used by those Strep. mutans to form Extracellular PolySaccharides (glucans) and Intracellular PolySaccharides (fructans) coz they have glucosyltransferase and fructosyltransferase and they are aciduric and acidogenic. Then the resting pH will drop till the critical pH of hydroxyapatite 5.5 in my enamel and further to 4.5 the critical pH of the fluoroapatite crystals. Demineralisation occurs and at this time i really hope that the acid production stops and my saliva can buffer it and the supersaturated ions in the plaque-enamel interface will reform the apatite crystals.

So i quickly drink milk. Milk is cariostatic and contains casein, which will bind to calcium and phosphate ions in the plaque and thus promotes remineralisation. There is also one such thing in the world called ACP-CPP which is Amorphous Calcium Phosphate-Calcium Phospho Peptide which is quite similar to that mechanism.

But when i drink the hot milk my anterior teeth with caries stage of enamel cavitation and possibly dentinal involvement which are permanent maxillary central incisors are sensitive. Then i think of the hydrodynamic theory, where the hot stimulus cause the dentinal fluid movements in the dentine tubules in the dentine-pulp complex which cause the mechanical disturbances on the nerve endings in the odontoblastic process to depolarize.


arghhhhhhhhhhhhhhhh wanna crazy wanna crazy

developing pre-exam syndrome
symptoms: buy lotsa foods to fill the drawer
pathogenesis: EAT
treatment: cancel the exams
Clinical appearance: FATTER