Gamal A.M. And Khattab N.M. .,

ABSTRACT


Introduction: Chemo-mechanical Caries Removal Is A Minimal Invasive Technique For Caries Removal, Was Developed To�remove Infected Dentine Without Altering The Healthy Dental Tissue, One Of These Techniques Is Papacarie Gel.

Aim: The Aim Of This Study Was To Evaluate The Effect Of Papacarie Gel For Chemomechanical Caries Removal Both Clinically And Radiographically. Methods: Twenty Children Ranging In Age From 4-7 Were Selected, Caries Was Removed Using Papacarie Gel. Split Mouth Technique Was Applied In Which, Rights Side (first Group) Was Restored With Universal Micro Hybrid Photopolymerised Composite (Harvard Restore Composite) And The Left Side (second Group) Was Restored With Universal Nano Hybrid Photopolymerised Composite (Grandio). All Patients Were Evaluated Every 3 Months For A Period Of One Year Both Clinically And Radiographically.

Results: None Of The Restored Teeth In Both Groups Showed Failure At The End Of Clinical Follow Up Periods. No Significant Difference Between Groups Was Found Regarding The Clinical And Radiographic. Conclusion: Papacarie Is An Effective Caries Removal Agent And Does Not Affect Bond Strength Of Composite Resin Restorations.

Mohamed Saleh Mohamed, Cherif Adel Mohsen And Shams Waaz Amgad .,

ABSTRACT
Purpose To Evaluation The Effect Of Deep Marginal Elevation Technique On Fracture Force Of CAD-CAM-fabricated Overlay Restorations Using Hybrid Ceramic Material (VITA Enamic). Materials And Methods Twenty Overlay Restorations Were Constructed In This Study. The Samples Were Divided Into Two Main Groups According To The Ceramic Material (n=10). The Type Of Ceramics That Was Used Is (vita Enamic). The First Group: VITA ENAMMIC Hybrid Ceramic Overlays Without Deep Marginal Elevation (DME). The Second Group: VITA ENAMMIC Hybrid Ceramic Overlays With Deep Marginal Elevation (DME). The Two Main Groups Was Cemented By RelyX Ultimate Clicker Resin Cement.

Results: There Was A Significant Difference Between The Vita Enamic Material With DME And Without DME Technique. The First Group Was Higher Than The Second Group. Conclusion: Although The Deep Marginal Elevation Technique Has A Lower Fracture Strength But It Is Considered A Promising Treatment.

Aly Gomaa, Khaled Barakat And Ahmed Mahrous .,

ABSTRACT
Orbital Floor Fractures Are Traditionally Treated By Reduction Through Trans-orbital Approach, Internal Rigid Fixation, And Primary Bone Grafting. A Different Approach To The Orbital Floor Reduction And Fixation Through The Underneath Antrum Was Popularized In The Evolving Maxillofacial Endoscopic Surgery Era. The Endoscopic Reduction Of Orbital Floor Fracture Offers Great Advantages Over The Traditional Technique.

Ahmed Adel Soliman Angie Galal Ghoneim And Shaimaa Ismail Gawdat,

ABSTRACT
Introduction And Objective: Post-operative Pain Is A Multi-factorial Event That Can Be Affected By Age, Sex, Pulpal And Peri-radicular Status, Type Of Tooth, Sinus Tracts, Pre-operative Pain And One Important Cause Has Been Claimed To Be The Instrumentation Process. The Objective Of The Present Trial Was To Compare The Incidence And Intensity Of Postoperative Pain After Using Reciproc Or One Shape Nickel-titanium Systems For Root Canal Instrumentation. Methods: Fifty Four Patients Diagnosed With Symptomatic Irreversible Pulpitis Were Equally Assigned Into 2 Groups, Reciproc (VDW, Munich, Germany) Or One Shape (MicroMega, Besan?on Cedex, France), According To The Root Canal Instrumentation Technique. Root Canal Treatment Was Completed In A Single Visit. At The End Of The Visit, Participants Were Asked To Rate The Intensity Of Postoperative Pain On The Numerical Rating Scale At 6, 12, 24, 48 And 72 Hours.

Results: Both Reciproc And One Shape Groups Had No Statistically Significant Difference In The Incidence Of Post-operative Pain At Different Follow-up Periods (6,12,24,48, And 72 Hours Post-treatment) After Single Visit Root Canal Treatment In Patients With Symptomatic Irreversible Pulpitis. Conclusion: The Intensity Of Postoperative Pain And Analgesic Intake Were Similar In Both Groups.

Sohil Souod Ali Shaalan And Sherif Bahgat El Tawil And Sara Ahmed Mahmoud ,

ABSTRACT
The Aims Of This Study Were To Assess: 1) The Effect Of Dental Educational Program On Oral Hygiene Among Institutionalized Hearing Impaired And Mute Children And 2)assess Particpants Satisfaction Toward Oral Health Via Questionaire Before And After Program. Two Hundred And Thirty Eight Children Within Age Range (6-12) Included In This Study Divided Into Two Equal Groups, Intervention Group And Control Group. Intervention Group Received Educational Program And Control Group Didn?t. Oral Hyiegne Simplified Index(OHIs) Was Done For Both Groups At Baseline And At Three Follow Up Visits (at 1st Week, 3rd Week And 6th Week). Questionnaire Was Taken At The Basline And At The End Of Study To Assess Particpants Satisfaction Toward Oral Health. The Result Of The Study Showed Significant Improvement In Oral Hygiene Status And Significant Improvement In Participant Satisfaction Toward Oral Health In The Intervention Group After The Educational Program.

Passant Nagi , Nevine Waly , Adel Elbardissy And Mohamed Khalifa Zayet ,

ABSTRACT
Objective: Comparing Pulpotomy (partial/complete) For Cariously-exposed Vital Young Permanent Molars Using TheraCal/MTA-Angelus Regarding Post-operative Pain. Methods: This Was Randomized Clinical Trial, Double-blinded. We Treated 22 Permanent Molars, 7.7 Years Was Mean Age Of Participants. We Used Rubber Dam Isolation, Perform Pulpotomy, Direct Application Of Capping Material, Then Glass Ionomer Base And Composite Resin Final Restoration. We Took Immediate Standardized Postoperative Periapical Radiographs. We Evaluated Post-operative Pain Using Telephone Call The Same Day And Clinical Assessment 24 Hours Later.

Results: We Used Absolute Risk Reduction. The Risk Of Post-operative Pain At The Same Day Was 7-times More In TheraCal Group Compared To MTA Group. Pain Relief Was Observed 24 Hours After The Procedure. Conclusion: MTA Cause Less Post-operative Pain Than TheraCal When Used For Pulpotomy In Young Permanent Molars.

Ahmed Hassan Mohamed Ahmed El Banna, Emad Said Helmy And Mostafa Talaat El Gangehi ,

ABSTRACT
Objective: The Purpose Of The Present Study Is To Evaluate The Effect Of Platelet Rich Fibrin (PRF) As A Grafting Material On The Quality And Quantity Of The Formed Bone At Maxillary Sinus Floor After Schneiderian Membrane Elevation And Maintaining Space With Titanium Mesh Versus Sinus Lifting Without Any Grafting Material.

Materials and Methods: The Patients Were Clinically And Radiographically Evaluated, The Clinical Evaluation Included Assessment Of Complications During Surgery And Postoperative Healing. Radiographic Evaluation Involved CBCT Radiographs Taken For Every Patient Immediate And 6 Months Postoperatively To Evaluate The Changes In Bone. While Histopathological Evaluation Involved Transcortical Bone Biopsies Taken After 6 Months During The Second Stage Surgery For Implant Placement.

Results: From The Data That Extracted From The Current Study We See Clear Radiological And Histological Evidences To Bone Formation In The Sinus After Using Lateral Window Technique For The Lift While Using Blood Clot Alone In One Group And PRF In The Other Group For The Bone Formation. Also There Was No Significant Difference In Linear, Volumetric Of Newly Formed Bone In Both Groups. Conclusion: Titanium Mesh Serve As A Space Maintaining Devices In Both Grafting And Non-grafting Sinus Lifting Techniques Regarding Tenting And Bone Formation, During Graftless Maxillary Sinus Lifting Blood Clot Serves As Autogenous Graft Filler Material For Bone Regeneration.

Maram Taema , Nouran Abdel Nabi , Heba Kamal And Samira Ibrahim,

ABSTRACT
In The Present Study, A Total Number Of Six Female Patients (12 Joints) Were Included In The Study. All Included Patients Were Diagnosed For Anterior Disc Displacement With Reduction. All Included Patients Received A Pre-operative Magnetic Resonance Imaging (MRI), And Pain Assessment Using A VAS Scale. Patients Were Randomly Divided Into Two Groups The First Group Of Patients Received Botox Injection In The Lateral Pterygoid Muscle, While The Second Group Of Patients Received Botox Injection In The Lateral Pterygoid Muscle And Received An Anterior Repositioning Splint One Week After Botox Injection. All Patients Were Followed Up 2 Weeks After Botox Injection, And Every Month For A 4 Month Follow Up Period After Botox Injection. Both Groups Of Patients Showed Clinical Improvement Regarding Pain, Mouth Opening And Clicking. The First Group Of Patients Showed Better Clinical Results When Compared To The Second Group Of Patients.

Ali El Masri, Nayer Aboelsaad, Ahmed Abdel Moneim And Essam Osman,

ABSTRACT


Purpose: The Aim Of This Study Was To Evaluate The Pain Sensation That Orthodontic Patients Experience When Initial Arch Wire Is Placed And To Determine The Degree Of Analgesic Efficacy Of Low-level Laser Therapy (LLLT) Comparing It With A Placebo Treatment Using Two Different Duration Of Laser Application.

Materials and Methods: This Study Was Carried Out As A Randomized Control Clinical Trial (split Mouth Design). The Study Sample Consist Of 20 Patients (10 Females, 10 Males), Between The Ages Of 15 And 25 Years. Just Before Placing The Initial NiTi Wire A Record Of Pain At Time T1 Had Taken Then The Wire Placed And Fully Fill The Bracket Slot. The Upper Right Side Had Irradiated Using 910nm GaAlAs Diode Laser With An Output Power Of 0.2W For 10s/point And Of 2 J/point, Three Points Were Irradiated In The Vestibular Zone: Two Points At The Third Cervical (mesial And Distal) And One In The Apical Third. After That Three Points Were Irradiated At The Palatal Zone In The Experimental Quadrant. The Total Energy Released In All Laser-treated Teeth Was 12 J. Irradiation Is Done For 1 Min In Group A(GA) And 1 Min For 2 Time In Group B(GB) So That The Output Power (0.2w) And Energy (2j/point) Is Fixed. The Same Procedure Had Repeated In The Contra Lateral Quadrant, But With Laser Switched Off. This Procedure Had Been Done Immediate After First Wire Insertion Then It Is Repeated After 24 Hours, 48 Hours, And 72 Hours. Results Had Taken Using VAS Scale Before Placing The Wire And At 5min, 6h, 24h, 48h, 72h, One Week, And Two Weeks After Wire Insertion.

Results: Pain Level Reported For The Experimental Laser Side Was Significantly Less Than That Reported For The Control Placebo Side (GA T= 0.56, GB T= 0.42) In Both Groups However The Group B That Exposed To Laser Extra Time Show Lower Value Of Pain Than Group A. The Mean Pain Value In Laser Exposed Side Was More Than That For Placebo Side For Both Groups. The Progression Of Pain Was The Same For Both Groups. GA Showed More Pain Values Than GB But There Is No Statistical Difference During The Study Period. Conclusion: The Application Of LLLT After The First Wire Insertion Is An Effective Way To Decrease Orthodontic Pain, But The Increase Of Duration Of LLLT Has No Obvious Difference.

Miran Ismail I. , Manal M. Hosny And Shahinaz Gamal El-Din Alashiry,

ABSTRACT

Objectives: The Aim Of This RCT Was To Assess The Effect Of Topical HA On Postoperative Pain After MWF Versus MWF Alone In Patients With Chronic Periodontitis. Methods: Forty Patients With Chronic Periodontitis Having PPD ? 5 Mm And CAL ? 5 Mm Were Randomly Assigned To Be Treated With MWF Surgery In Conjunction With Either 0.2% Hyaluronan Gel (test) Or Placebo Gel (control) Application For 1 Week, Following Initial Nonsurgical Periodontal Therapy And Re-evaluation After 4 Weeks. Patient Discomfort Measured By VAS And Post-operative Consumption Of Acetaminophen Analgesic Were Evaluated Daily For 1 Week. Tissue Edema, Tissue Color Values Were Recorded 1 Week After Surgical Treatment. CAL, PPD, PI, And BOP Values Were Assessed At Baseline And 2 Months After Surgical Intervention.

Results: Test Group Showed More Reduction In Average VAS Scores, Acetaminophen Consumption, PPD And CAL During Serial Measurements (especially In VAS Measurements) Without Reaching Statistical Significance. No Significant Differences Were Present Regarding BOP And PI Values (P>0.05). Moreover, Significantly Higher Values Of TEI And TCI Scores Were Revealed In Control Group Compared To Test Group (p = 0.0001). Conclusion: Hyaluronan Gel Application In Conjunction With MWF Surgery Appears To Improve The Periodontal Surgical Outcome In Terms Of VAS, Reduction In The Number Of Rescue Pills Intake, Tissue Edema And Tissue Color Of The Gingiva.