THE EFFECT OF TRIFOLIUM PRATENSE AND CICER ARIETINUM EXTRACTS ON THE MANDIBULAR ALVEOLAR BONE AND OBLIQUE FIBERS OF PERIODONTAL LIGAMENTS IN OVARIECTOMIZED ALBINO RATS. (HISTOLOGICAL AND IMMUNOHISTOCHEMICAL STUDY)

Nada M. Reda, Ahmed M. Halawa, Nehad S. Taha And Dina M. Abdel-Khalek,

ABSTRACT
Osteoporosis Is A Medical Condition Characterized By Low Bone Density And Micro-architectural Deterioration Of Bone. Antiresorptive Drugs And Estrogens Are Considered The Common Traditional Therapy For Post-menopausal Osteoporosis.

Aim: The Aim Of This Study Was To Evaluate The Action Of Red Clover And Chickpea On The Alterations Of The Mandibular Alveolar Bone And Periodontal Ligaments Induced By Ovariectomy In Albino Rats. Methods: 35 Adult Female Albino Rats Were Divided Into 5 Groups Each Of 7 Rats: The Negative Control Group (group I) That Were Only Subjected To Sham Operation And Did Not Receive Any Intervention, The Positive Control Group (group II) That Were Subjected To Ovariectomy Without Any Treatment, The Alendronate Sodium (bisphosphonate) Experimental Group (group III) That Were Subjected To Ovariectomy And Received Fosamax Daily For 3 Months One Month Postoperative, The Chickpea Experimental Group (group IV) That Were Subjected To Ovariectomy And Received Chickpea Extract Daily For 3 Months One Month Postoperative. And The Red Clover Experimental Group (group V) That Were Subjected To Ovariectomy And Received Red Clover Extract Daily For 3 Months One Month Postoperative. After Rats Were Terminated, Mandibular Molar Regions Were Excised And Stained For H&E Stain And Anti-fibronectin (FN) Immunohistochemical Stain. Specimens Were Also Examined For Bone Mineral Density (BMD).

Results: Histological And Immunohistochemical Examination Showed Inflammatory Reaction In Alveolar Bone And Oblique Fibers That Decreased Over The Course Of Treatment With Phytoestrogens. Statistical Results Showed That There Was No Significant Difference Between Phytoestrogens And Alendronate Sodium Drug (bisphosphonate) And There Was A Significant Difference Between Group II And All Experimental Treated Groups As Well As Between Group I And Experimental Treated Groups. Conclusion: Alternative Hormone Replacement Therapy Using Phytoestrogens Was Associated With Variable Grades Of Statistically Significant Reduction Of Osteoporosis And Periodontitis.

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EFFECT OF FIBER MESHWORK REINFORCEMENT ON FRACTURE OF MAXILLARY COMPLETE DENTURE, AN IN VITRO STUDY

Shymaa H. Elsharkawy, Maha Wagdy And Ahmed E. Fayyad,

ABSTRACT
This Study Was Conducted To Evaluate The Effect Of Fiber Meshwork Reinforcement On The Fracture Of Maxillary Complete Dentures. Two Groups Of Dentures Were Fabricated. Five Dentures In Each Group. The First Group Had Conventional Non-reinforced Maxillary Complete Dentures. The Second Group Had Fiber-meshwork Reinforced Maxillary Complete Dentures. All Samples Were Individually Mounted On A Computer Controlled Materials Universal Testing Machine, Where Load Was Applied Bilaterally Using T-shaped Load Applicator. Initial Crack Load, Fracture Load And Fracture Pattern Were Recorded For Each Tested Denture. There Was No Statistical Significant Difference In Both Initial Crack And Fracture Loads Of Both Groups, On The Other Hand The Fracture Pattern Of The Fiber-meshwork Reinforced Group Was More Favorable And Less Extensive Compared To The Fracture Pattern Of The Non-reinforced Group. In The Clinical Situation, Both Conventional And Fiber-meshwork Reinforced Maxillary Complete Dentures Are Expected To Be Strong Enough To Resist Fracture Under Maximum Biting Forces, With The Fiber-meshwork Reinforced Dentures Having A More Favorable And Less Extensive Fracture Pattern Compared To The Conventional Non-reinforced Dentures.

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EVALUATION OF TIME CONSUMED AND TOTAL REMOVAL OF SMART PASTE BIO SYSTEM COMPARED TO AH-PLUS SEALER AND GUTTA-PERCHA IN OBTURATED SINGLE ROOTED TEETH (AN IN VITRO STUDY)

Mohammed Mostafa Rehab, Reem Ahmed Lutfy And Shaimaa Gawdat,

ABSTRACT
The Aim Of This Study Was To Evaluate The Time Consumed And Total Removal Of Smart Paste Bio System Compared To AH-plus Sealer And Gutta-percha In Obturated Single Rooted Teeth By Using Hedstrom Files With Gates-Glidden Burs Compared To D-race Retreatment System.

Materials and Methods: Fifty Two Single-rooted Teeth Were Used In This Study. The Teeth Were Decoronated, Prepared Using The Protaper Rotary System And Obturated Using The Modified Single Cone Technique. The Samples Were Then Divided Into Two Main Groups (n=26) According To The Sealer Used In Obturation: Group I: AH-plus Sealer. Group II: Smart Paste Bio Sealer. Each Group Was Further Subdivided Into Two Subgroups (n=13) According To The Method Used In Removal Of Obturation Material: Subgroup 1: H-files And Gates-Glidden Drills. Subgroup 2: D-race Retreatment System.

Results: The Results Revealed That There Is No Significant Difference Between Smart Paste Bio Sealer And AH-plus Sealer Regarding Residual Debris. Regarding The Method Of Root Canal Filling Removal, D-race Retreatment System Showed Significantly Faster And Efficient In (GP/AH-plus) Obturation System Removal Than H-files And Gates Glidden And Slower But Efficient In (SPBio) Obturation System Removal Than H-files And Gates-Glidden.

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FREQUENCY OF HYPODONTIA AFTER CHEMOTHERAPY IN CHILDHOOD CANCER SURVIVORS: A CROSS SECTIONAL STUDY

Ghada Adel Tahoun , Sara Ahmed Mahmoud , Amr Ezzat Abdul Latif And Lobna Mohamed Shalaby,

ABSTRACT
AIM: To Provide Information On The Frequency Of Hypodontia In Children Cancer Survivors Who Received Chemotherapy Before 4 Years Of Age. METHOD: A Total Of 144 Cancer Survivor Who Received Anti Neoplastic Chemotherapy At Children Cancer Hospital Egypt 57357 Before They Were 4 Years Old Were Selected Using Stratified Random Sampling. Those Who Met The Eligibility Criteria Were Asked To Attend For A Panoramic Radiographic Examination. Dental Panoramic Radiographs Were Examined To Assess Hypodontia, Excluding Third Molars. RESULTS: The Frequency Of Hypodontia In Childhood Cancer Survivors Who Received Antineoplastic Chemotherapy Before The Age Of 4 Is 9.72% (14 Of 144). There Was No Statistical Significant Difference Between Tumor Types And Hypodontia (P>0.05). CONCLUSION: This Study Confirms That Children Who Receive Antineoplastic Chemotherapy Before The Age Of 4 Are At A Higher Risk Of Developing Hypodontia.

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FORENSIC SIGNIFICANCE OF ANALYSIS OF MENTAL FORAMEN AND MANDIBULAR INDICES IN GENDER ESTIMATION BY USING CONE BEAM COMPUTED TOMOGRAPHIC IMAGES (AN ANALYTICAL OBSERVATIONAL STUDY)

Christine Atef Banoub*, Mushira Mohamed Abdelatif Dahaba And Enas Anter Abd El Ghafar,

ABSTRACT
Background: Forensic Odontology Is Described By The Federation Dentaire Internationale As ?that Branch Of Dentistry Which, In The Interest Of Justice, Deals With The Proper Handling And Examination Of Dental Evidence And The Proper Evaluation And Presentation Of Dental Findings?. This Study Aimed To Investigate And Analyze The Difference Between Egyptian Males And Females In Mandibular Indices? Measurements And Mental Foramen Position Using Cone Beam Computed Tomographic Images.

Materials and Methods: Thirty Six Patients Were Included In This Study. They Were Divided Equally Into Two Groups. The First Group Included Eighteen Females And The Second Group Included Eighteen Males. All Of The 36 Participants Were Scanned Using CBCT Scanner Then Six Indices Were Obtained From The Reformatted Panoramic Images Of Each Mandible (superior Index Of Mental Foramen Position, Inferior Index Of Mental Foramen Position, Mental Index, Gonial Angle, Antegonial Index And Ramus Height).

Results: It Was Found That There Was Statistical Significant Difference Between Males And Females Regarding Three Parameters Namely Superior Index Of Mental Foramen Position, Inferior Index Of Mental Foramen Position And Ramus Height However, There Was No Statistical Significant Difference Between Males And Females Regarding Three Parameters Namely Gonial Angle, Mental Index And Antegonial Index. Assessment Of Intra-observer And Inter-observer Reliability Regarding All Linear And Angular Measurements Showed Highly Significant Agreement Between Observers. Conclusion: Certain Mandibular Indices As: Superior Index Of Mental Foramen Position, Inferior Index Of Mental Foramen Position And Ramus Height Of Mandible Are Rendered As Reliable Gender Discriminators In Forensic Odontology. The Mean Values Of Males Are Higher Than Females Regarding The Superior Index Of Mental Foramen Position, Inferior Index Of Mental Foramen Position And Ramus Height. Certain Mandibular Indices As: Mental Index, Gonial Angle And Antegonial Index Are Rendered As Non-reliable Gender Discriminators In Forensic Odontology. Cone Beam Computed Tomography Is Considered As The Imaging Modality Of Choice To Assess The Role Of Mental Foramen Position And Mandibular Parameters In Gender Determination.

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EVALUATION OF PURABONE AS AN OSTEOINDUCTIVE MATERIAL IN COMPARISON WITH TRICALCIUM PHOSPHATE IN OBLITERATION OF ENDOPHYTIC MANDIBULAR CYSTS (RANDOMIZED CONTROLLED CLINICAL TRIAL)

Mohamed Mohsen Hussein Elbanna, Samar Sewilam And Sherif Ali,

ABSTRACT


Purpose: The Aim Of This Study Is To Evaluation Of Purabone As An Osteoinductive Material In Comparison With Tricalcium Phosphate In Obliteration Of Endophytic Mandibular Cysts Materials And Method: Twelve Patients Were Selected From The Outpatient Clinic Of Oral And Maxillofacial Surgery At Faculty Of Dentistry, Cairo University During The Period From 2015 Through 2017. Result: Estimation Of 6 Months Postoperative Conventional CT Scans For All Patients We Found That 100% Of Patients In Control Group (Group B) Had Increase In Radiodensity While 66.7% Of Patients In Intervention Group (Group A) Had Increase In Radiodensity Conclusion: Increasing The Feasibility Of Plant Derived Materials With Osteoinductive Properties That Aids In Bone Regeneration. Purabone In Collagen Matrix Has The Effect Of Increasing New Bone Formation. Tricalcium Phosphate Had Better Results In Bone Formation In Comparison With Purabone. Plant Derived Purabone Xenograft Became Realistic And This Will Change The View Of Surgeons Towards Xenografts.

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EVALUATION OF RETENTION OF METAL REINFORCED POLYAMIDE DENTURE BASE COMPARED TO CONVENTIONAL HEAT CURED ACRYLIC RESIN DENTURE BASE IN COMPLETE MANDIBULAR DENTURE (RANDOMIZED CLINICAL TRIAL)

Ahmed Mostafa Hassan, Amal Fathy Kaddah And Ahmed Emad Fayyad,

ABSTRACT
Randomized Clinical Trial Was Carried Out To Compare The Retention Of Mandibular Complete Denture Constructed From Two Different Materials; Metal Reinforced Polyamide And Conventional PMMA. Twelve Completely Edentulous Patients. The Patients Were Divided Into Two Equal Groups, Group I Received Conventional Heat Cured Maxillary Denture And Metal Reinforced Polyamide Mandibular Denture And Group II Received Conventional Maxillary And Mandibular Heat Cured PPMA. Patients Of Both Groups Were Evaluated By Retention Measurements At The Time Of Prosthesis Insertion As Well As Three And Six Weeks Later By Digital Force Meter. The Results Of This Study Showed That Retention Measurements In Group I Were Greater Than That Of Group II At Time Of Denture Insertion, 3 Weeks And 6 Weeks Post Insertion.

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ASSESSMENT OF ROOT APEX POSITION OF MANDIBULAR MOLARS AND PREMOLARS LINEAR TO INFERIOR ALVEOLAR CANAL AMONG A SAMPLE OF EGYPTIAN POPULATION USING CBCT: A CROSS SECTIONAL STUDY

Menna Mosaad El Said , Alaa Nawwar And Farid Medhat ,

ABSTRACT

Objectives: The Study Aimed To Assess The Distance Between Root Apices Of Mandibular Premolars And Molars And The Superior Border Of The Cortical Boundary Of The Inferior Alveolar Canal (IAC) Among A Sample Of Egyptian Population. Materials And Methods:. The Study Was A Cross Sectional Retrospective Study Performed On 172 Mandibular Permanent Premolars And Molars From 43 CBCT Scans Belonging To Egyptian Individuals. Radiographic Examination Was Done Using Planmeca Promax 3D Mid CBCT Machine With Image Capture Parameters Set At?FOV Of 20 X 20 Cm, 90 KV, 8 MA And An Exposure Time Of 13.5 Seconds. The Voxel Size Was 0.4 Mm

Results: A Total Of 41 Second Mandibular Premolars And 42 First And 42 Second Mandibular Molars Were Included, The Longest Mean Distance To The Inferior Alveolar Canal Was Recorded By Mesial Root Of First Molar With Mean Distance 4.78 ? 2.52 Mm, Followed By The Distal Root Of The First Molar (4.2 ? 2.37), Second Premolars (3.13? 2.6), Then Mesial Root Of Second Molar Which Showed Mean Distance Of 2.42? 2.06. The Distal Root Of The Second Molar Was The Closest To The IAC, With An Average Distance Of 1.7 ? 1.95 Mm. Conclusion: Within The Limitations Of This Study, The Roots Of The Second Molars Were Significantly Closer To The Canal Than The Roots Of The First Molars And First And Second Premolars.

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THE PREVALENCE OF MALOCCLUSION DEVELOPMENT IN A GROUP OF EGYPTIAN CHILDREN WITH DIGIT SUCKING AGED 3 TO 6 YEARS: A CROSS-SECTIONAL STUDY

Heba Ashraf Abd El Sabour , Mahmoud Hamdy Eid**, Salah El Din El Behery And Randa Youssef Abd Al Gawad ,

ABSTRACT
Background: The Effect Of Prolonged Digit Sucking Habit Is A Common Oral Health Problem And Could Affect The Quality Of Life. Therefore, It Is Important For The Dentist To Understand This Habit Well To Be Able To Help The Parents And The Child Relate To It And To Manage The Child?s Dental Situation. Objective: The Aim Of This Study Was To Determine The Prevalence Of Malocclusion Among A Group Of Egyptian Children With Digit Sucking Aged 3 To 6 Years. Patients And Methods: This Study Was Performed On 185 Egyptian Children Aged 3 To 6 Years. It Was Performed In The Department Of Pediatric Dentistry, Faculty Of Dentistry, Cairo University, Egypt.

Results: Malocclusion Was Present In 61.1% Of The Sample. Anterior Open Bite Was The Commonly Seen Condition (32.4%), Followed By Increased Over-jet (21.6%); Deep-bite (14.6%), Posterior Cross-bite Unilaterally (7%) Then Anterior Cross-bite And Bilateral Posterior Cross-bite Were Present In 4.9% Of The Sample. 23.2% Of The Sample Had More Than One Condition. Presence Of Blisters Was Seen In 44.9% Of The Sample. Conclusion: The Prevalence Of Malocclusion Is High In Children With Digit Sucking Habit. Digit Sucking Habit Is More Prevalent In Females, In Children Ranging From Three To Six Years Of Age. The Greatest Percentage Of Malocclusion Occurs In The 6 Years Old Children.

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EVALUATION OF PLASMA RICH IN GROWTH FACTORS PRGF INJECTION FOLLOWING ARTHROCENTESIS VERSUS ARTHROCENTESIS ALONE IN TREATMENT OF TEMPOROMANDIBULAR JOINT DISC DISPLACEMENT (RANDOMIZED BLINDED CONTROLLED CLINICAL TRIAL)

Moteea Abdulsalam Ahmed Sanad , Basma Gamal Mousa And Khaled Amr ,

ABSTRACT
Temporomandibular Joint TMJ Disorders TMDs Is A Umbrella Term For A Variety Of Conditions Of The Joint And Mastication Muscles. TMJ Arthrocentesis And Intra-articular Injection Are Commonly Known And Used As Minimally Invasive Surgical Treatment Of Tmj Disc Displacement With Reduction. Aim Of The Study: To Compare Between Arthrocentesis Followed By Intra Articular Injection With Plasma Rich In Growth Factors PRGF Versus Arthrocentesis Alone. Patients And Methods: Sixteen Patients Diagnosed With Anterior Disc Displacement (ADD) Were Divided Into; Intervention And Comparative Group. Clinical Outcome Parameters Were Assessed At Baseline And At 6, 12, 18 And 30 Weeks Postoperatively.

Results: Both Groups Showed Significant Improvement Of Pain And Mouth Opening, The Evaluated Parameters Showed Insignificant Differences Between The Two Groups Throughout The Study Intervals With The Exception That The PRGF Group Showed Statistically Significant Pain Reduction And Mouth Opening Improvement In 30 And 6 Weeks Postoperative Respectively (p = 0.01 , 0.03) Conclusion: Both TMJ Arthrocentesis With Intra-articular Injection Of PRGF Or Arthrocentesis Only Was Proved To Reduce Symptoms Of Pain And Limited Mouth Opening And To Maintain Improvements Over Time. PRGF Injection After Arthrocentesis Revealed Some Superiority In Pain Reduction And Mouth Opening Over Arthrocentesis In 30, 6 Weeks Interval Respectively.

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