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SCHOOL OF DENTAL MEDICINE UNIVERSITY OF ZAGREB Lidija Štefić ENGLISH IN DENTAL MEDICINE I WORD FORMATION IN ENGLISH DERIVATION CONVERSION COMPOUNDING BORROWING DERIVATION AFFIXATION AFFIXES SUFFIXES PREFIXES ROOT (STEM) COMBINING WORD BASIC WORD STRUCTURE Word root: gingiv/al root (gums) Suffix: gingiv/itis Prefix:: suffix (inflammation) sub/gingiv/al prefix (below) Combining word:: prefix electr/o/cardi/o/gram root combining vowel suffix SUFFIXES IN DENTAL MEDICINE a word added at the end of a word or word base (root) to change its meaning. DERIVE FROM Greek Latin WR SUFFIX gingiv + arthr + -itis -algia WR +O SUFFIX pulp +O + -tomy NEW TERM USED IN DENTISTRY OR MEDICINE gingivitis arthralgia NEW TERM USED IN DENTISTRY OR MEDICINE pulpotomy SURGICAL PROCEDURE SUFFIXES Incision -ectomy (surgical removal, excision) apiectomy - the ablation of the root end of a tooth -o/centesis (surgical puncture) amniocentesis surgical perforation of the uterus to obtain amniotic fluid -o/stomy (forming an opening) esophagostom the surgical creation of an opening yinto the esophagus -o/tome (instrument to cut) osteotome - a chisel like knife for cutting bone -o/tomy (to cut into) tracheotomy - incision of windpipe Plastic operations (repair, rebulid, reconstruct, bind) -desis arthrodesis - surgical fixation of a joint -o/rrhaphy (suture) splenorrhaphy - surgical repair of the spleen -o/pexy (fixation, suspension) splenopexy - surgical fixation of a mobile spleen -o/plasty (formation, plastic repair) osteoplasty - plastic surgery involving a bone Refracturing, loosening, crushing -o/clasis (to break down, refracture) osetoclasis - the surgical fracture or refracture of bones -o/lysis (loosen, free form adhesions, destruction) enterolysis - the operative division of adhesions between loops of intenstine of or between the intestine and abdominal wall -o/tripsy (to crush) neurotripsy - surgical crushing of a nerve DIAGNOSTIC AND SYMPTOMATIC SUFFIXES -algia (pain) odontalgia - toothache -o/cele (hernia, swelling) nephrocele - hernial protrusion of a kidney -o/dynia (pain) odontodynia - toothache -ectasis (dilatation, expansion) bronchiectasis - chronic dilatation of the bronchi -emia (blood condition) hyperemia - an excess of blood in a body part -o/gen (beginning, origin) pathogen -any disease - producing microorganism -o/gram (a writing, record) roentgenogram - a photograph taken with the x-rays -o/graph (to write, record) cardiograph - a technique by means of which roentgenograms of the heart can be made at any chosen phase of its cycle. -iasis (condition, formation of, presence of) psoriasis - a chronic skin disease characterized by scaly red dish patches -sis (state of, condition) dysgenesis - state of deterioration of hereditary qualites of the stock -itis (inflammation) stomatitis - a general inflammation of the mouth -o/logy (study of) odontology - the study of the teeth -o/malacia (softening) osteomalacia - a condition marked by softening of the bones -o/megaly (enlargement) acromegaly - enlargement of the extremities of the skeleton, the nose, jaws fingers and toes -o/meter (measure) dynamometer - an instrument for measuring forces or power -oma (tumor, mass) odontoma - tumor of a tooth, although it doesn’t show all the features of a tumor. It consists of the calicified dental tissues -opsy (process of viewing) autopsy - an examination and dissection of a dead body to discover the cause of death, damage done by disease. -o/pathy (disease) trombocytopathy - a very rare disease of unknown etiology where there is a tendency to bleeding. -o/penia (decrease, deficiency) leukocytopenia - deficiency in the number of leukocytes -osis (abnormal condition, increase-used only with blood cells) e.g. leukocytosis sialosis - chronic swelling of the salivary glands -phagia (eating) dysphagia - difficulty in swallowing -phasia (speech) dysphasia - impairment of the ability to speak -plegia (paralysis, stroke) paraplegia - paralysis of the legs and lower part of the body -phobia (morbid fear) aerophobia - an abnormal fear of air, especially drafts metroptosis - downward displacement or prolapse of the uterus -o/ptosis -o/rrhage (burst forth) hemorrhage - excessive blood flow -o/rrhea (discharge, flow) dysmenorrhea - painful or difficult menstruation -o/clerosis (hardening) arteriosclerosis - thickening and loss of elasticity of arterial walls -scope (instrument to visually examine) endoscope - an instrument for examining visually the inside of a hollow organ of the body, as the bladder or rectum SUFFIXES: ADJECTIVE ENDINGS The adjective endings that mean “pertaining to” are: -ac cardiac (heart) -al gingival (gums) -ar, -ary salivary (saliva) -ic dermic (skin) -ical apical (apex) -ous mucous (mucosa) -(t)ic lymphatic (lymph) SUFFIXES: NOUN ENDINGS -coccus bacteria streptococcus (berry shaped bacteria) -cyte cell thrombocyte -ole little, small arteriole - little artery hypertrophy (cells increase in size, not number) -trophy -ule little, small nodule - little node -ist specialist dentist - a specialist in dentistry -iac an individual affected by a certain disase hypohondriac - an invidual who thinks he is ill -ia abnormal condition amnesia - forgetfulness -is forms the noun from the root cutis - skin -ism abnormal condition, state of being alcoholism PREFIXES IN DENTAL MEDICINE at the beginning of a word DERIVE FROM Greek Latin PREFIXES OF DIRECTION Prefix Meaning ab- from,away from ad- to, toward, near circum – peri- around Example ab/normal usual, regular ad/sternal breast plate circum/renal kidney peri/odontal tooth Prefix ecex- ectoexoextra- Meaning through, across outside Example ec/tropia place ex/cision to cut ecto/derm skin ex/odontics tooth extra/cellular cell Prefix Meaning endoIntra- in, within parpara- near, beside,beyond supersupra- above excessive Example endo/cranial skull intra/dental tooth para/nasal nose super/acidity acidity supra/molecular molecule Prefix Meaning ultra- beyond,excesive diapertrans- trough, across Example ultra/sonic sound dia/rea flow per/cutaneos skin trans/urethral urethra PREFIXES OF POSITION Prefix ambiamphi- anteanter/oprepro- Meaning both,both sides on both sides before, in front of Example ambi/lateral side amphi/cranial skull ante/febrile antero/septal Septum pre/operative Operation pro/nephros kidney Prefix dextr/o- Meaning right, to the right dors/o- back epi- upon hypo- infrasub- under below beneath, under Example dextr/o/rotatory rotation dors/o/ventral belly epi/cranial skull hypo/dermic skin infra/sonic sound sub/lingual tongue Prefix inter- Meaning between later/o- to the side of mes/omedi- in the middle of retropost- after,backward postero- located, behind sinistr/o- left,to the left of Example inter/dental tooth latero/abdominal stomach mes/o/dermic skin retro/cervical cervix(neck) postero/lateral To the side of sinistr/o/dextral to the right PREFIXES OF NUMBER AND MEASUREMENT Prefix Meaning Example micro- small micro/stomatous mouth macro- large macro/cyst hyper- over,above,excessive hyper/sensitivity hypo- under,below,deficient primi- first hypo/glossal tongue primi/para to bear off spring Prefix Meaning unimono- one bidi- two hemi- half semi- partial Example uni/lateral side mono/nucleus kernel bi/lateral side di/phy/odont leaf, tooth hemi/plegia paralysis semi/lunar moon Prefix Meaning multipoly- many tri- three quadri- four Example multi/lateral side poly/phobia fear tri/cephalus head quadry/plegia paralysis PREFIXES OF COLOUR Prefix Meaning Example albalbuminoleuc/oleuk/o- white albin/ous contain leuc/emia blood condition chlor/o- green chlor/emija grey glauc/oma swelling polio/myel/itis glauc/opoli/o- Prefix Meaning Example yellow cirrh/osis abnormal condition xanth/emia cyan/o- blue cyan/o/dermia skin melan/o- black cirrh/oxanth/o- erythr/orube/o- purpur/o- red purple melan/oma tumor, mass erythr/o/cyte cell rube/osis abnormal condition purpur/ic pertaining to PREFIXES OF NEGATION Prefix a– (used before a consonant) an(used before a vowel) arimindis- Meaning Example a/pnea without, not, a lack of breath not ar/rhythmia rhythm im/mature in/somni/ac sleep dis/functional MISCELLANEOUS PREFIXES Prefix anticontra- bradytachydys- Meaning Example against anti/bacterial Bacteria contra/ception fertilization slow brady/cardia heart rapid tachy/cardia heart Bad,paniful,difficult Dys/phagia swallowing Prefix euheter/o- homohydro- mal- meta- Meaning Example good, easy eu/pnea breathing different heter/o/cellular cell same homo/sexual sex water hydr/o/cephalus head ill, bad, poor after,over,change mal/nutrition food substances meta/plasia abnormal (change) Prefix panpseudo- scler/o- symsyn- Meaning Example all pan/hyster/ectomy uterus/removal false pseudo/mening/itis meninges inflammation hard scler/osis condition of union, together sym/podia foot syn/chilia lips COMBINING FORMS Combining form Meaning Terminology cyt/o all cytology cephal/o head cephalic -ic means pertaining to physi/o nature physiology study of functions of the living organism hem/o blood hematoma -oma means tumor or mass Meaning crin/o to secrete endocrine glands endo-means within derm/o skin hypodermic hypo-means below, under gingiv/o gums gingivitis -itis means inflammation cerebr/o brain cerebrum cerebral -al means pertaining to gen/o producing pathogenic produced by patho-means disease gnos/o knowledge diagnosis -dia-means complete; -sis means state of. A diagnosis is made after sufficient information has been obtained about the patient’s condition cardi/o heart cardiology sarco/o flesh sarcoma path/o disease pathological orth/o straight, regular, correct orthodontist odont means tooth -ist means a specialist bi/o life biopsy -opsy means process of viewing oste/o bone osteodynia -dynia means pain ANATOMY Anatomy (from the Greek ἀνατομία anatomia, from ἀνατέμνειν ana: separate, apart from, and temnein, to cut up, cut open) is a branch of biology It is the study of exernal and internal structures and the physical realationships between body parts Macroscopic (gross) -surface -regional systemic Microscopic -cytology -histology HYSTORY OF ANATOMY Hippocrates of Kos (Greek: Ἱπποκράτης) Claudius Aelius Galenus (AD 129 – 200) ca. 460 BC - ca. 370 BC Canon of Medicine Ibn al-Nafis 1213-1288 1484 Leonardo da Vinci Anatomy Lesson of dr.Nicolaes Tulp 1632 Rembrandt 1606 - 1669 1452 - 1519 Anton Van Leeuwenhoek 1632 - 1723 Robert Hooke’s microscope The scanning electron microscope (SEM) Anatomy employs two chief methods of study - the systemic and topographic.In the former the body is regarded as consisting of systems and organs. The divisions of systemic anatomy are: a. Osteology, the description of the skeleton b. Arthrology, the description of the joints c. Myology, the description of muscles and accessory structures d. Splancnology, the description of viscera e. Angiology, the description of organs of circulation f. Neurology, the description of the nervous system g. Esthesiology, the description of the sense organs Dental medicine takes into consideration other branches of systemic anatomy such as : embriology, genetics, endocrinology and dermatology. Pathological anatomy is the study of diseased organs. sections of normal anatomy applied to various purposes receive special names such as medical, surgical, ginaecological, artistic and superficial anatomy Structural Organisation of the Body Organs, Systems Body Cavities Organs and Systems Tissues Patterns Various Organs Organs = several kinds of tissue viscera (lat.) = internal organs (sing. viscus) Systems = groups of organs working together and performing complex functions Gastrointestinal System •Mouth, pharynx, • oesophagus, stomach, • intestines (small and large), •liver, gallbladder, pancreas Excretory System Kidneys, ureters, urinary bladder, urethra Respiratory System Nose, pharynx, larynx, trachea, bronchial tubes, lungs Reproductive System Female: Ovaries, fallopian tubes, uterus, vagina, mammary glands Reproductive System Male: testes and associated tubes, urethra, penis, prostate gland Endocrine System Thyroid gland, pituitary gland, sex glands, adrenal glands, pancreas, parathyroid glands, pineal gland, thymus gland Nervous System Brain, spinal cord, nerves, and collection of nerves Cardiovascular System Heart, blood vessels (arteries, veins and capillaries), lymphatic vessels and nodes, spleen, thymus gland Muscular System Muscles Skeletal System Bones and joints (articulations) Integumentary System Skin, hair, nails and associated glands (sweat or sudoriferous and sebaceous or oil glands) Body Cavities Body cavity = space within the body containing the internal organs (viscera). Cranial Cavity Brain Thoracic Cavity Subdivided into: -Pleural Cavities: area surrounding the lungs -The Mediastinum: area between the lungs; contains heart, aorta, trachea, oesophagus, and thymus gland Abdominal Cavity Stomach, small and large intestines, spleen, liver, gallbladder, pancreas, kidneys Surrounded by peritoneum Pelvic Cavity Urinary bladder, urethra, ureters; uterus and vagina in the female Spinal Cavity Spinal cord and nerves of the spinal cord Glossary tissue = tkivo cavity = šupljina gallbladder = žučni mjehur pancreas = gušterača spleen = slezena thymus gland = prsna žlijezda thyroid gland = štitnjača MUSCULOSKELETAL SYSTEM •BONES •JOINTS •MUSCLES BONES Bones are complete organs, composed of connective tissue called osseous tissue Dense connective tissue includes the cartilage and bone It consists of osteocytes surrounded by intercellular substance filled with calcium salts It is composed of an outer hard layer and an inner,spongy core. Compact tissue- forms the outer layer of bones, it is arranged in concentric layers with a hollow centre which carries blood vessels and nerves. The inner spongy core- forms the inside of bones, it has the yellow and red bone marrow. - the yellow bone marrow stores fat cells (leucocytes). - the red bone marrow contains red cells (erythrocytes). External surface of bone is covered by periosteum- it has the function of feeding the bone Several hormones regulate the activity of the bone cell 1) Osteoblasts- they are immature osteocytes which produce the bony tissue that replaces cartilage during ossification 2) Osteoclasts- they reabsorb bony tissue thus enlarging the inner bone cavity so that the bone does not become overly thick and heavy - parathyroid gland stimulates osteoclasts to remove bone and to stimulate osteoblasts to build up the bone It secretes a hormone to release calcium from bone, bones become weakened due to loss of calcium. CRANIAL BONES •Frontal •Parietal •Temporal •Occipital •Sphenoid •Ethmoid FACIAL BONES •Nasal •Lacrimal •Maxillary •Mandibular •Zygomatic •Vomer The Mandible The Maxilla The Palate JOINTS junctions (meeting places called articulations) between two or more bones. SYNARTHROSES DIARTHROSES TEMPOROMANDIBULAR JOINT (TMJ) FOUR MOVEMENTS OF TMJ: Elevation Depression Protraction Retraction MUSCLES from Latin musculus, diminutive of mus "mouse" Myology is the branch of anatomy dealing with the muscles, muscular tissue components, structure and functions. Striated - Voluntary Smooth - Involuntary Cardiac MASTICATORY MUSCLES Temporal Muscle Masseter Muscle Lateral (External) Pterygoid Muscle Digastric Muscle (Anterior Portion) Temporal Muscle Masseter Muscle Lateral (External) Pterygoid Muscle Digastric Muscle (Anterior Portion) FACIAL MUSCLES Orbicularis oris – the sphincter of the mouth The buccinator - a deep muscle of the cheek THE NERVOUS SYSTEM NERVE TISSUE Neuroglia Neurons Neuron Dendrite Axon Terminal Node of Ranvier Soma Schwann cell Nucleus Axon Myelin sheath SYNAPSE Greek "syn-" ("together") and "haptein" ("to clasp"). synapses are specialized junctions through which neurons signal to each other and to non-neuronal cells such as those in muscles or glands. THE BRAIN CRANIAL NERVES There are 12 pairs of cranial nerves. Olfactory I Optic II Oculomotor III Trochlear IV Trigeminal V Abducens VI Facial VII Auditory (vestibulocochlear) VIII Glossopharyngeal IX Vagus X Spinal Accessory XI Hypoglossal XII THE CIRCULATORY AND LYMPHATIC SYSTEM BLOOD AND OTHER BODY FLUIDS Fluids constitute over half of an adult’s weight under normal conditions These fluids are vital in the transport of nutrients to all cells Blood is composed of: liquid (plasma) – 55% formed elements ( erythrocytes, leukocytes and platelets) – 45 % Plasma consists of about: - 90% of water 7% proteins less than 1% inorganic salts, organic substances, dissolved gases, hormones, antibodies and enzymes Many important proteins such as serum, albumin, gamma globulin and fibrinogen are dissolved in the plasma Fibrinogen is essential in the clotting process All blood cells originate from hemocytoblasts They change from undifferentiated form into specialized or differentiated Hematopoiesis: : Blood transports oxygen from the lungs to the body tissues, and carbon dioxide from the tissues to the lungs: Erythrocytes The great majority of all blood cells 35 trillion in the average adult Total surface area almost the size of a football field Hemoglobin enables carrying oxygen from the lungs to the tissues Red blood cells are stored in the spleen They live for about 110 to 120 days About 180 million erythrocytes are destroyed every minute Leukocytes Body’s primary defense against Infections These cells are larger than erythrocytes and fewer in number Blood has about 8000 leukocytes per cubic millimeter Classification of leukocytes 1. Granulocytes ( neutrophils, eosinophils, basophils) 2. Agranulocytes (monocytes, lynphocytes) Neutrophils form about 70%, and limphocytes about 20% of the total number Platelets (thrombocytes) Small clear disk-shaped bodies About 1/3 the size of erythrocytes 25000 platelets per one cubic millimeter of blood They initiate blood clotting Platelets disintegrate and adhere to the edges of the injured tissue Blood coagulation (clotting) The process by which the body prevents blood loss Bleeding generally stops within 5 minutes A thrombus can form within a vessel Defects in blood vessels (owing to injury or disease) •Anemia •Neutropenia •Human immunodeficiency virus (HIV) •Leukimia •Thrombocytopenia •Hemophilia BLOOD TRANSFUSION BLOOD GROUPS Four main blood groups Type O = universal donors Type AB = universal recipients Rhesus factor - Rh Another important factor, called Rh factor must also be considered in blood typing. This is a very complex system : 8 principal variants of the Rh factor are known, and there are others not yet identified and grouped. For practical reasons there are 2 main groups of Rh types: Rh positive Rh negative Blood diseases Blood parasites Christmas disease Hemophilia Malaria Septicemia Vitamin K deficiency Hemoglobin C,S,E disease Vitamin K deficiency Anemia Malaria Hemophilia THE CIRCULATORY AND LYMPHATIC SYSTEM CARDIOVASCULAR SYSTEM The cardiovascular system is composed of the heart, blood vessels and blood. The circulatory system consists of the heart, blood vessels and lymphatics. This system transports food, oxygen, and other vital substances to all body cells and picks up waste products for disposal. THE HEART The heart is a hollow, muscular organ that pumps blood through the blood vessels. It is enclosed in a fibrouserous sac called pericardium. The heart beats over 100.000 times per day. It weights about one half pound and is the size of clenched fist The heart has three distinctive layers of tissue: The endocardium The myocardium The epicardium The heart is divided into four chambers: Right atrium Right ventricle Left atrium Left ventricle BLOOD VESSELS ARTERIES carry blood from the heart to the body tissues and organs VEINS carry blood back to the heart from body organs and tissues CAPILLARIES connect arterioles to venules. LYMPHATIC SYSTEM Lymph fluid Capillaries Lymphatic vessels Lymphatic ducts Lymph nodes FUNCTION Transporting fluids from tissues back to the bloodstream Aiding in the control of infection caused by microorganisms Conveyance of lipids or fats away from the digestive organs Lymph nodes of the human head and neck Regional lymph tissue THE DIGESTIVE SYSTEM The digestive system is basically a long, muscular tube that begins at the mouth and ends at the anus The functions of the digestive system are threefold Digestive enzymes are substances that speed up chemical reactions and help in the breakdown of complex nutrients Digestion can be defined as a complete process of changing the chemical and physical composition of food in order to facilitate assimilations of the nourishing ingredients of flood by the cells of the body The gastrointestinial (GI) tract begins at the oral cavity or mouth THE MOUTH The mouth is the first division of the digestive tube and is separable into two parts, smaller external part, the vestibule formed by the lips cheek, gums and teeth and a larger part, the mouth proper (oral) cavity behind the gums and teeth Lips and cheeks Lips are a visible body part at the mouth of humans and many animals. Lips are soft, movable, and serve as the opening for food intake , and in the articulation of speech, as a tactile sensory organ as an erogenous organ used in kissing and other acts of intimacy. Cheeks (Latin: buccae) constitute the area of the face below the eyes and between the nose and the left or right ear. Gums and teeth Gingiva are part of the soft tissue lining of the mouth. They surround the teeth and provide a seal around them. Compared with the soft tissue linings of the lips and cheeks, most of the gingiva are tightly bound to the underlying bone and are designed to resist the friction of food passing over them. Healthy gingiva is usually coral pink, but may contain physiologic pigmentation. Changes in color, particularly increased redness, together with edema and an increased tendency to bleed, suggest an inflammation (gingivitis) Teeth (singular, Tooth) are small whitish structures found in the jaws (or mouths) of many vertebrates that are used to tear, scrape, milk and chew food Humans usually have 20 primary teeth (also called deciduous, baby, or milk teeth) and 32 permanent teeth. Among primary teeth, 10 are found in the (upper) maxilla and the other 10 in the (lower) mandible. Teeth are classified as incisors, canines,premolars and molars . The main functions of the teeth: Incisors = cutting Canines = tearing Premolars = crushing Molars = grinding The tongue The tongue is skeletal muscle on the floor of the mouth that manipulates food for chewing and swallowing (deglutition). The main functions of the tongue: •It moves food around in the mouth •It begins swallowing action (deglutition) •It aids in speech production •It provides the equipment for taste sensation