Omar S. AboulMakarem, Ahmed S. Hashem And Wael M. Refai ,

ABSTRACT
Objective: Skeletal And Dental Effect Of Facemask Therapy VS Modified Tandem Appliance In Maxillary Protraction Of Cleft Lip And Palate Patients Using Cone Beam Computerized Tomography.

Materials and Methods: The Material Consisted Of Pre-treatment And Post-treatment CBCT Of 10 Growing Children With Cleft Palate And Lip Patients With Retruded Maxilla Ranging In Age From 6 To 11 Years. Facemask Therapy Which Has Been Used Successfully For The Treatment Of Growing Class III Patients. Pre-treatment And Post-treatment CBCT Analyzed By On Demand 3D App Software Was Utilized For Linear And Angular Measurement, And Were Compared To Data From An Archived Data Of 10 Patients Treated With Modified Tandem Appliance

Results: Significant Improvement In Dental And Skeletal Relations. Conclusion: The Both Appliances Were Effective In Management Of Skeletal Class III Malocclusions Via Skeletal And Dental Effects.

Mona M. AbdulHameed , MostafaTalaat Elgengehi, Mamdouh Sayed Ahmed And Mamdouh Ahmed Aboulhassan,

ABSTRACT
Objective: In This Study A Z-plasty Was Just Incorporated In Orbicularis Oris Muscle To Give A Predetermined Length While Maintaining The Curvilinear Incision Of Millard With No Transverse Scar In The Skin, In A Trial To Attain The Most Aesthetic Result Possible Of Having A Repaired Lip With Reasonable Length And The Least Sacrifying Scar At The First Operation. Background: Successful Surgical Repair Of The Unilateral Cleft Lip And Nose Deformity Could Be Defined As Normal Orbicularis Oris Function And Near-perfect Symmetry Of The Repaired Lip And Nose.(1) Millard?s Technique Represents A Significant Advance, Elegantly Overcoming Many Of The Limitations Of Previously Described Methods Of Violating The Philtral Segment With Unnatural Scars. However, There Remain Instances Where The Lip Fails To Maintain Adequate Height, Particularly In Patients With Wide Complete Cleft Lips Since Then, A Number Of Modifications Have Been Developed In Attempt To Improve Millard?s Original Design To Achieve Sufficient Vertical Lip Height. Methods: In This Randomized Clinical Prospective Trial A Group Of Thirty Patients With Nonsyndromic Unilateral Cleft Lip Were Randomized Into Two Equal Groups. Group A: Undergone Modified Millard?s Technique, Group B: Undergone Orbicularis Oris Muscle Z-plasty Modified Millard?s Technique. 6 Months Postoperatively The Patients Were Photographed To Assess The Length Of Philtral Ridge, Scar Width, And Nostril Width And To Ask Parents About Their Satisfaction.

Results: No Significant Difference In Philtrum Length, Scar Width, Nostril Width Or Parents Satisfaction At 6 Months Postoperatively Between The Two Groups.

Omar Effat Mokhtar, Salah Abdel Fattah Metwaly, Amr Amin Ghanem Karim Mahmoud Abdel Mohsen And Ahmed Elsayed Hamed Amr,

ABSTRACT
Objective: Bone Deficiency And Other Anatomical Limitations Might Compromise Dental Implant Surgery In Posterior Maxilla. Short Implant Is An Alternative Treatment To Overcome This Issue. The Purpose Of This Study Was To Compare The Clinical, Radiographical And Patient-recorded Outcomes Of Short Dental Implants (5.5 Mm) Versus Longer Dental Implants (10 Mm) Combined With Bone Added Osteotome Sinus Floor Elevation (BAOSFE) In Rehabilitation Of The Posterior Maxilla At 6 Months Of Loading

Materials and Methods: 13 Patients In Need Of Dental Implant Treatment In The Posterior Maxilla With Total Of 14 Implants, Divided Into Two-arm Equal Parallel Groups. One-way ANOVA Followed By Tukey?s Post-hoc Tests Were Conducted To Compare Implant Stability Quotient Within Each Treatment Group At Different Follow-up Periods. Independent Student-t Test Was Used To Compare Implant Stability Quotient Between The Two Treatment Groups At Each Follow-up Period.

Results: No Statistically Significant Differences In ISQ Mean Values Was Found Between Both Treatment Groups Within Each Follow-up Period.

Conclusions: Both Treatments Showed Comparable High ISQ Values. Limited By An Only 10-month Follow-up Period, These Results May Favor The Use Of The Less Invasive, Time Saving, Cost-effective Short Implant Treatment Option.

Reem Mohammad Al Arawi Mas, Hamdy Abou El-Fotouh And Nora Mohamed Cheta,

ABSTRACT
AIM : Is To Compare The Liner And Angular Deviation Between The Virtual And The Actual Implant Position Using Surgical Guide Versus Free Handed.

Materials & Methods: Ready-made Epoxy Resin Of Completely Edentulous Mandibular Jaw Models. CBCT Scanning With Virtual Implant Planning Were Used To Develop A Computer Based Surgical Guide Which Was Used To Place The Implants. Models Were Scanned By CBCT After Insertion To Compare The Accuracy Of Planned Position And Actual Position Of Implants Placement By Guided Surgery Versus Free Handed Technique. Linear And Angular Deviations Were Measured Between Planned And Actual Position At The Neck And The Apical Part In Both Groups. Result: The Mean Linear Deviation At The Neck For Free Handed Was 1.01?0.42 Mm; While It Was 1.20?0.29mm For Surgical Guided, The Mean Linear Deviation At The Apical Region For Free Handed Was 1.55?0.62mm; While It Was1.00?0.44mm For Surgical Guided And The Mean Angular Deviation For Free Handed Was 4.3?1.70 ? While It Was 3.0?0.86 ? For Surgical Guided. Conclusion: There Was No Statistically Difference In Linear Lateral And Global Deviation And Angular Deviation In Buccolingual Direction And Mesiodistal Direction Between Both Groups.

Riham Mohammad Al Arawi, Hamdy Abou El-Fotouh And Nora Mohamed Sheta,

ABSTRACT
AIM: The Aim Of This In Vitro Study Was To Compare And Evaluate The Amount Of Force Needed To Fracture The Over Denture Supported By Implant With Ball And Bar Attachments.

Materials & Methods: Two Identical Mandibular Overdentures Were Constructed Over The Stone Cast Which Is Duplicated From Epoxy Resin Model In A Conventional Way. Two Identical Implants (4 X 11mm) Were Placed At The Canine Region On Both Sides Following The Surgical Protocol Of The Implant Placement. The Study Was Divided Into Two Group: Group I: Where The Two Implant Were Attached Together With A Bar. Group II: Where The Two Implants Were Connected To Ball/socket Attachment. Pick Up Technique Of Overdenture With Bar And Ball/socket Attachment Was Done. All Samples Were Individually Mounted On A Computer Controlled Materials Testing Machine With A Load Cell Of 5KN And Data Were Recorded Using Computer Software. The Fracture Test Was Done By Compressive Mode Of Load Applied Occlusally Using The T-shaped Load Applicator. The Software Was Adjusted To Register The Load And The Number Of Cycles Corresponded To The Fracture Of The Specimen. Result: Fracture Resistance Test Results Revealed That The Highest Mean Values Of The Fracture Resistance Loads Were Found In The Over Denture With Bar Group But There Was No Statistical Significant Difference Between The Two Groups Conclusion: Within The Limitations Of This Study It Could Be Concluded That: Using A Bar And Ball As An Attachment System In Implant Retained Over Denture As A Treatment Plan Is A Simple, Affordable With Minimum Surgical Intervention. The Fracture Pattern Of The Over Denture Retained Over The Bar Attachment Was More Favorable And Less Extensive Compared To The Over Denture Retained With Ball/socket Attachment.

Mayada Adel Abo Elela Abo Taleb, Samia Nabawy Serag , Shereen Abdel Moula Ali And Malak Yousef Shoukeba ,

ABSTRACT
Conventional Non-surgical Periodontal Therapy Has Been Proven To Be An Effective Treatment For Patients With Chronic Periodontitis. Local Administration Of Antimicrobials Provides A High Concentration Of The Drug In The Pocket And Enhances The Clinical Results Without Any Systemic Side Effects And Bacterial Resistance. Fourteen Patients Were Divided Into Two Groups. Seven Patients In Each Group And Two Sites Were Selected In Each Patient One Of Them Considered As Control Site (SRP). Group?: Received: (chitosan Gel + SRP) And Group??: (triclosan Loaded Chitosan Gel + SRP). Clinical Parameters And PGE2 Measurement Using ELISA Test Were Recorded At Baseline, 1, 3 And 6 Months. The Intergroup Comparison Showed More Favorable Results In Favor To Group ??. Hence, Adjunctive Application Of Triclosan Loaded Chitosan Gel Produces Improvements In The Clinical And Immunological Parameters Over The Traditional Treatment Alone.

Shaimaa MS El Hanafy, Dalia M Moheb , Osama I El Shahawy And Ahmad M Abd Alsamad ,

ABSTRACT
Background: Dental Caries Is The Most Prevalent Disease Worldwide. It?s One Of The Greatest Challenges To The Integrity Of The Developing Tooth. Indirect Pulp Therapy Is Proposed As An Alternative To The Usual Care For Carious Lesion Management. However There Is No Sufficient Evidence That Supports That Technique And Best Capping Materials. Methods: Randomized, Clinical Trial To Evaluate The Clinical And Radiographic Success Of Indirect Pulp Capping. Using Two-step Antibacterial Bonding System Versus Conventional One. This Study Was Carried Out On Thirty Six Children. Divided In Two Groups; One Group Had ?One Step? Indirect Pulp Capping Using Antibacterial Bonding, Another One Had The Same Treatment But With Conventional Bonding. Clinical And Radiographic Follow Up Was Carried Out Immediate Postoperative, Two, And Nine Months.

Results: By Statistical Analysis It Was Found That Both Groups Were Comparable In Postoperative Pain (p=1.000). As Regards Secondary Outcomes, Clinically; There Was No Pain On Percussion, Swelling, Or Sinus Tract. Radiographically; There Wasn?t Any Adverse Radiographic Findings. Conclusion: The ?One Step? Indirect Pulp Capping Technique Has Promising Clinical And Radiographic Success Over 9 Months Follow Up. Perfect Seal Regardless Of Capping Material Is The Key Of Success In Case Of Indirect Pulp Capping.

Hashim N.H, EL-Dokky N.A And Saber H.M,

ABSTRACT


Aim: This Study Aimed To Evaluate The Knowledge, The Attitudes And The Practices Of Minimal Intervention Dentistry (MID) In A Group Of Dental Interns In Egypt.

Materials and Methods: A Self-structured Questionnaire Was Distributed To Dental Interns To Gather Information About Demographics Background, Knowledge About MID In Addition To Dental Interns? Attitude And Practice. The Knowledge Questionnaire Covered Three Main Domains: Caries Risk Assessment, Prevention And Techniques.

Results: 146 Questionnaires Were Statistically Analyzed. The Response Rate Was (73%). The Mean Knowledge Score Of Dental Interns Regarding MID Was Fair (60.52%). They Exhibited Good Attitude Regarding MID With A Mean Score Of (84.15%) And Reported Fair Practice With A Mean Score Of (65.33%). Dental Interns Younger Than 23 Years Of Age Exhibited Significantly Better Knowledge And Attitude Scores (P= 0.001, 0.008). Dental Interns Who Attended All Previous Rounds Exhibited Significantly Better Knowledge Of MID (P=0.028). Dental Interns Who Graduated From Sinai University Exhibited A Significantly Lower Knowledge Grade (P=0.033). Dental Interns Who Attended The Fixed Prosthodontics Round Reported A Significantly Better Practice Of MID Than Those Who Did Not (P=0.043). There Was No Statistically Significant Difference Between Male And Female Dental Interns. There Was A Significant Positive Correlation Between Knowledge And Attitude Scores In This Survey. Dental Interns Showed Good Knowledge About Diagnostic Concepts Of Minimal Intervention Dentistry, But They Had Poor Knowledge Regarding Prevention And Treatment Techniques. Recommendations: There Is A Need To Improve The Undergraduate Dental Curricula Regarding MID. Further Studies Are Recommended To Explore The Needs Of Dental Students And Interns In Distant Provinces Of Egypt.

Hanan M. Abdullah , Laila S. Ghali And Radwa H. Hegazy ,

ABSTRACT
The Present Investigation Aimed To Find Out The Impact Of The Diuretics On The Histological Structures Of The Gingival Mucous Membranes And The Immunohistochemical Localization Of The Proliferating Cell Nuclear Antigen In The Aforementioned Structures. Thirty Adult Male Albino Rats With Average Body Weight 150 ? 10 Grams Were Divided Into Three Groups, 10 Animals Each. Group I, Served As Controls. Animals Received In Group II Acetazolamide (Diamox) In A Daily Oral Dose Of 8 Mg, And Furosemide (Lasix) In A Daily Oral Dose Of 40 Mg In Group III. The Specimens Were Processed To Be Embedded In Paraffin And Stained With Hematoxylin And Eosin For The Mucous Membrane Of Gingiva And PCNA Mouse Monoclonal Antibody For The Proliferating Cell Nuclear Antigen. The Results Revealed That Furosemide, Though Often Effective For Treating Hypertension, Should Have Significant Limitations Due To The Currently Reported Degenerative And Atrophic Changes Shown In The Gingiva. Acetazolamide, One Of The Carbonic Anhydrase Inhibitors Had The Least Degenerative Effects But Is A Weak Diuretic.

Mohamed Salah M. Fahmy Ali Hegazi, Magdy Mohamed Ali And Reham El Sayed Hassan,

ABSTRACT


Aim: The Present Study Was Performed To Evaluate The Post-operative Pain Reduction After Application Of Three Intracanal Medicament Within Necrotic Root Canals. Material And Method: Thirty Three Medically Free Patients With Necrotic Single Rooted Teeth Were Randomly Assigned Into Three Groups According To Intracanal Medicament Used; Conventional Calcium Hydroxide Paste, Calcium Hydroxide Nanoparticle And Combined Calcium Hydroxide With Silver Nanoparticle. After Opening Access Cavity And Completing Mechanical Preparation, Proper Irrigation And Dryness Of The Canals, Application Of Intracanal Medication Was Done. Patients Were Instructed To Record Their Postoperative Pain Level In Pain Chart (Numerical Rating Scale (NRS)) After 6, 24 And 48 Hours.

Results: There Was No Statistically Significant Difference Between The Three Groups At 6 And 24 Hours But There Was A Statistically Significant Difference Between Them After 48hours. Conclusion: The Combination Of Calcium Hydroxide With Silver Nanoparticle As Intracanal Medication Could Be Used As An Alternative For Reduction Of Postoperative Pain.