Taha Amer Taha, Ahmed Mohamed Fahmy And Doaa Amr Heshmat,

ABSTRACT

Objectives: This Study Was Aiming To Evaluate Primary Stability Of Implant In Closed Sinus Lifting Cases By Densah Bur In Comparison To Osteotome In Partially Edentulous Patients. The Evaluation Was Carried Out Through Ostell Device Day Of The Surgery, 2, 4, 8 Weeks Postoperative.

Materials and Methods: This Study Was Conducted On Ten Patients. The Patients Were Divided Into Two Equal Groups. Each Patient Was Received 1 Implant At The Edentulous Site Of Missing First Or Second Maxillary Molar. One Group Received Dental Implants Using Closed Sinus Lifting By Osteotome While The Other Group Received Dental Implants Using Closed Sinus Lifting By Densah Bur. After Implant Placement, Smart Peg Is Placed On Implant And Ostell Is Used To Record ISQ. Implant Stability Was Measured Intraoperative And At Week 2, 4, 6, And 8 For Both Groups. The Collected Results Were Tabulated And Statistically Analyzed.

Results: The Study Results Showed That There Was No Statistically Significant Difference Between (Osteotome) And (Densah Bur) Groups In ISQ Reading Except At Week 4 Where The Highest Mean Value Was Found In (Densah Bur) Group, While The Least Mean Value Was Found In (Osteotome) Group. Conclusion: Within The Limitation Of This Study, Densah Bur Can Be Applied For Closed Sinus Lifting In A Simple, Safe And Predictable Way With Reduced Morbidity Without Need To Hand Tapping Force.

Mina W. Yassa, Amal Kaddah And Ahmed E. Fayyad,

ABSTRACT
This Study Was Conducted To Evaluate The Effect Of Cast Modifications On The Adaptation Of Maxillary Denture Base In Completely Edentulous Patients. Three Groups Of Maxillary Complete Dentures Were Fabricated. Each Group Contained 15 Dentures. The First Group Was The Control Group And Did Not Contain Any Modifications. The Second Group Was Modified By Scraping A Postdam Posterior To The Fovea Palatini. The Third Group Was Modified By Scraping A Postdam As Well As Creating A Vertical Box-shaped Depression With Pinhole. Sagittal And Coronal Cuts Were Made On All The Casts Using Specific Points. These Images Were Then Captured And Scanned Using Stereomicroscope (50X Magnification) And Then The Images Were Introduced To An Image Analysis Software For Accurate Gap Measurement. There Was A Statistical Significant Difference Between The Three Groups In Both Sagittal And Coronal Cuts In Favor Of The Modified Casts. The Dentures With Postdam Scraping And Vertical Box With Pinhole Showed Better Adaptation And Less Gap Distance When Compared To The Dentures With Postdam Scraping Only.

Safinaz H. Fahmy , Mai M. Akah And Mona Ismail Riad,

ABSTRACT

Objectives: The Study Aim Was To Evaluate The Retention Rate Of Hydroxyapatite Nanofiber Reinforced Flowable Composite Compared To Conventional Resin-based Flowable Composite During Management Of Initial Non Cavitated Pits And Fissures Carious Lesion In Adult Population Over A One-year Period. Methods: A Total Of 19 Volunteer Patients Ranging In Age From 18 To 28 Years, Diagnosed With At Least 2 Non-cavitated Pit-and-fissure Caries In The First And Second Molars Were Selected For This Randomized Split-mouth Design Trial. A Total Of 38 Sealants, Were Placed. The Teeth Were Sealed With NovaPro� Flow Hydroxyapatite Nanofiber Reinforced Flowable Composite In One Side, While Filtek� Z350 XT Flowable Conventional Resin-based Composite On The Contralateral. Each Restoration Was Independently Evaluated In Terms Of Retention Rate At 1, 6, And 12 Months. Data Were Analyzed Using Wilcoxon Signed-rank Test And Friedman�s Test At P < 0.05.

Results: NovaPro� Flow Hydroxyapatite Showed Complete Retention With 100% At 1, 6, Month Evaluation Periods, While Filtek� Z350 XT Retention Rates Were 100%, 78.9%, Respectively, For The Same Evaluation Periods. At The 12-month Recall, 2 (10.5%) Total Losses Were Observed In Subjects Treated With NovaPro� Flow And 2 Total Losses (15.8%) For Filtek� Z350 XT. No Statistical Significant Difference In The Retention Rate In Both Sealants During Different Follow-up Intervals (P>0.05)

Conclusions: The Retention Rate Of Both Hydroxyapatite Nanofibers Reinforced Flowable Resin Composite And The Conventional Nanofilled Flowable Resin Composite After One Year Of Follow Up Was Comparable. Clinical Relevance: The Clinical Survival Rate Of Both Tested Materials May Indicate Them As Effective Approaches For Preventing Carious Lesions In Permanent Teeth.

Aya Gamal Ashour Hassan , Rasha Raafat Hassan And Mohamed Riad Farid,

ABSTRACT


Aim: This Study Was Conducted To Evaluate The Reproducibility Of CAMBRA And Cariogram As Caries Risk Assessment Among Patient With Age Range Of (18-40) Years Old. Method: 47 Patients Where Included In The Study Which Were Evaluated First With The CAMBRA Chart, Then The Same Data Was Used For Cariogram. All Inputs Where Included Except For The Salivary Buffering Capacity. The Results Were Calculated According To Caries Risk Value (low / Moderate / High / Very High). All Assessment Was Conducted In The First Visit With No Follow Up. Reproducibility Between The Results Given By The Two Models Was Evaluated By Using Kappa Statistical Analysis. Results :The Agreement Between The Two Models Was �Fair� Of Value 0.325 (low), With P-value<0.01 Which Makes The Results Statistically Significant But Not Enough To Make The Result Clinically Significant. From This We Can Conclude That Both Caries Risk Assessment Can Give Almost The Same Result Concerning Risk Assessment Except In The Difference Between High And Very High-risk Patient.

Abdel Hameed M. , Metwally A., Dewdar R. And Rekaby A,

ABSTRACT

Objectives: The Present Study Was Conducted To Compare Between The Polyamide Thermoplastic Resin And Polymethyl Methacrylate Resin With Respect To The Patient Satisfaction As A Primary Outcome And Candidal Adherence As A Secondary Outcome. Subjects And Methods: In This Randomized Clinical Trial, Forty-eight Completely Edentulous Patients Were Randomly Classified Into Two Groups Of Twenty-four Patients Each. Group (I)�had�received A Complete Denture Made From A Polyamide Thermoplastic Material Complete Denture. Group (II) Had Received Complete Denture Made From Polymethyl Methacrylate.�Patient Satisfaction Was Evaluated Using A Questionnaire And Candidal Count Was Evaluated By Collection Of Swabs Cultured On Sabouraud�s Agar Gel Plates.

Results: There Was No Significant Difference In Mean Satisfaction Between Group�I�and Group�II�at Insertion Or 1 Month Periods (p�>0.05), However, There Was A Significant Difference In Mean Satisfaction Between Group�I�and Group�II�in 3 Months And 6 Months Periods (p�< 0.05). The Previously Mentioned Results Revealed That There Was No Significant Difference In Mean CFU Between Group�I�and Group�II�at Insertion Or 1 Month Or 3 Months Period (p�>0.05) Except In 6 Months Period Where There Was A Significant Difference In Mean CFU Between Group�I�and Group�II� (p�< 0.05).

Conclusions: Within The Limitation Of This Study We Can Conclude That, - There Was A Gradual Increase In Patient Satisfaction With Complete Denture Over Time In Both Groups. - Completely Edentulous Patients May Be More Satisfied With The Dentures Made Of Polymethyl Methacrylate More Than The Polyamide Thermoplastic Dentures. - The Polyamide Dentures May Have Less Candida Count Adherence On Their Surface Than Polymethyl Methacrylarelate.

Mohammed Atef Abd El Salam, Eman Sayed Elmasry And Randa Youssef Abd Al Gawad,

ABSTRACT
Background: The Mesio-distal Crown Diameter Of Teeth Is An Important Factor Which Affects The Alignment Of Teeth In The Bony Arches And The Development Of Occlusion During Transition Of The Dentition. Objective: Determine The Combined Mesio-distal Width Of The Permanent Mandibular Incisors And That Of The Maxillary And Mandibular Canines And Premolars In A Group Of Egyptian Children In Rural Areas Of Sohag Governorate. And To Find The Correct Relationship Of The Total Mesio-distal Widths Of Teeth Under Study. Methodology: This Study Was Held On 280 Patients With An Age Range From 12-16 Years Attending Schools In Rural Areas Of Sohag Governorate. Subjects Were Chosen To Be Free From Any Systemic Disease And Their Teeth Weren�t Carious Or Crowded. Impressions Were Made For Upper And Lower Arches. Each Impression Was Poured Immediately In Stone Plaster. Mesio-distal Widths Of Mandibular Incisors And Maxillary And Mandibular Canines And Premolars Were Measured From The Study Models Using Digital Caliper.

Results: The Teeth Size Of Males Was Slightly Larger Than That Of The Females. There Was No Statistical Significant Difference In The Mean Of Mesio-distal Tooth Width Between Right And Left Sides For Almost All Teeth Under Study. A Positive Correlation Existed Between The Sum Of The Mesio-distal Width Of Upper Right Canine And Premolars & The Sum Of The Mesio-distal Width Of The Lower Incisors Among Both Genders Combined. A Positive Correlation Between The Sum Of The Mesio-distal Width Of Upper Left Canine And Premolars & The Sum Of The Mesio-distal Width Of The Lower Incisors Among Both Genders Combined Was Evident. Conclusion: The Mesio-distal Width Of Upper And Lower Canines And Premolars Can Be Predicted By Measuring The Mesio-distal Width Of Lower Incisors Due To The Positive Correlation Found Between Them.

Yasmeen S. Mahmoud, Dalia A. Saba And Taheya A. Moussa,

ABSTRACT


Aim: Evaluation Of Push Out Bond Strength Of Resin Sealer To Dentin After Irrigation With NaOCl Followed Grape Seed Extract (GSE) Versus NaOCl Followed By EDTA. Methods And Material: A Total Of 12 Human Teeth Were Randomly Divided Into 2 Groups; (6 Teeth /group) According To The Irrigation Protocol; Intervention (5.25% NaOCl+ 13% GSE) And Comparator (5.25% NaOCl+ 17% EDTA) Groups. Mechanical Instrumentation Was Performed Coupled With Application Of The Corresponding Irrigant Protocol For Each Group. After Obturation And Thermocycling Of The Roots, Each Root Was Sectioned Horizontally Into 3 Thirds And Subdivided Into 3 Subgroups; Coronal, Middle And Apical (n=6). Each Specimen Was Aligned In The Universal Testing Machine And Push-out Test Was Performed. Statistical Analysis: Data Of Push Out Bond Strength Were Statistically Analysed Using Unpaired T Test (p<0.05).

Results: The Results Showed No Significant Difference In Bond Strength Values (MPa) Between The Intervention And Comparator Subgroups In Coronal (p=0.566), Middle (p=0.382) And Apical (p=0.177) Thirds. Within The Intervention Subgroups, The Bond Strength Values In The Apical Third (17.38�3.8 MPa) Was Significantly Higher (p=0.002) Than That In The Coronal (9.35�0.77 MPa) And The Middle Thirds (12.91�2.23 MPa).

Conclusions: Within The Limitations Of The Present Study, It Could Be Concluded That Irrigation With NaOCl Followed By GSE Has A Comparable Effect To NaOCl Followed By EDTA On Push-out Bond Strength Of Resin Sealer. GSE Represents A Better Natural Alternative Irrigant To EDTA Following NaOCl.

Ali Youssef Elgendy, Ehab Elsayed Hassanien, Abeer A. Elhakim Elgendy And Elham Ibrahim Elshaboury,

ABSTRACT


Aim: This Study Aims To Evaluate Tech Biosealer Endo In Comparison With MTA Fillapex And AH Plus Regarding Biocompatibility By Means Of Histochemical Analysis.

Materials and Methods: Tech Biosealer Endo, AH Plus, And MTA Fillapex Were Placed In Polyethylene Tubes And Implanted Into The Dorsum Of Twenty-four Albino Rats. Tissues Biopsies Were Prepared For Histochemical Analysis And Evaluated At One Week, One Month And Two Month Observation Periods After The Implantation Procedure.

Results: AH Plus Presented The Highest Mean Mast Cell Count In All Observation Periods. This Was Followed By Tech Biosealer Endo And MTA Fillapex. The Empty Implanted Polyethylene Tube Showed The Least Mean Mast Cell Count. Mast Cell Degranulation Was Most Noted At The One Week And One Month Observation Periods. Conclusion: It Can Be Concluded That Although The Subcutaneous Tissue Reactions Analyzed In The Present Study Do Not Fully Imitate Those In Root Canals And Periapical Tissues, They Are Valid In That They Comprise A Preliminary Stage In Evaluating The Biocompatibility Of The Tested Root Canal Sealers. All Implanted Sealers Induced Mast Cell Activation And Degranulation.

Khadega Ali Alkhateeb Mai Aboul Fotouh, Fatma Abdelsayed And Fady Fahim,

ABSTRACT

Objectives: The Purpose Of This Study Was To Compare The Parents� Satisfaction Toward The Post-surgical Outcomes In Newborns With Unilateral Cleft Lip And Palate Who Received Presurgical Vacuum Formed Nasoalveolar Molding Aligners (PVFAs) With Those Who Didn�t Undergo PVFAs Therapy, And To Evaluate The Effect Of PVFAs On Parent�s Satisfaction.

Materials and Methods: In This Prospective Controlled Clinical Trial, Twenty-three Non- Syndromic Infants With Unilateral Cleft Lip And Palate (UCLP) Were Included In A Period From April 2017 To April 2018. Sixteen Infants Received Presurgical Vacuum Formed Nasoalveolar Aligners (PVFAs) (Treatment Group), While Seven Infants Did Not (Control Group). At The End Of PVFAs Therapy, Only 14 Infants Succeeded To Complete The Period Of PVFAs Therapy. Questionnaires With Multiple Questions Were Used To Evaluate The Parents� Satisfaction Toward The Post-surgical Esthetics In The Groups And Post PVFAs Therapy In Treatment Group.

Results: The Parents� Satisfaction Was Higher Toward The Post-surgical Outcomes In Infants Who Received PVFAs Therapy Than Those Who Didn�t Receive Any Appliance. Also, Most Of Infants� Parents Exhibited Their High Satisfaction Toward The Outcomes Of PVFAs Therapy In Treatment Group. Conclusion: The Efficiency Of PVFAs Therapy Was High In Reducing The Nasoalveolar Deformities Associated With Newborns With UCLP And Improved The Nasal Symmetry.

Amani Ayman Mohamed, Farid Medhat Farid, Shereen Fathy Ahmed And Salma Belal Eiid,

ABSTRACT
Statement Of Problem: Maxillary Sinus May Have Some Anatomical Variations; One Of These Is The Gothical Arch In The Sinus Floor, The Maxillary Sinus Septum. It Was Noted That Septal Presence During Sinus Lift Procedures Might Cause Sinus Membrane Perforation Leading To Greater Consequences As Graft Migration With Concomitant Graft Failure And Sinus Infection. Moreover, Diagnostic Methods For Verification Of Sinus Disorders, As Endoscopy, May Be Hindered Due To Septal Presence. These Concerns Have Led To A Different Attitude Towards The Maxillary Sinus And Its Anatomical Variations. Aim Of The Study: To Assess The Anatomical Variations (prevalence, Location, Orientation, Origin, Morphology And Height) Of The Maxillary Sinus Septa In A Sample Of Egyptian Population Using 3D Cone Beam Computed Tomography. Materials And Method: This Cross-sectional Study Evaluated 111 Maxillary Sinuses Using Cone Beam Computed Tomography. Presence Of Septa, Location, Orientation, Origin, Morphology And Height Were Evaluated And Recorded. Inter And Intra Observer Agreement Were Done Using Kappa Statistics.

Results: The Prevalence Of Septa Was 33.3% In This Study. Analysis Of The Location Of The Septa Revealed That 39.5% Were In The Middle, 37.2% In The Anterior And 23.2% In The Posterior Areas. Among All Septa, The Majority Of The Maxillary Sinus Septa Traversed The Sinus In A Buccopalatal Direction (76.7%). The Mean Height Of Vertical Septa Was 7.21 Mm � 5.02 Mm, While The Horizontal Septa Presented At A Mean Level Of 13.09 �3.6 Mm From The Floor. Conclusion: Maxillary Sinus Septa Can Jeopardize The Oral And Maxillofacial And ENT Surgeons� Plans Astoundingly If Not Well Assessed. Fortunately, Pre-operative Planning Using CBCT Can Be Very Fruitful In Determining The Unique Septal Expression In Every Subject.