Ehab Ahmed Shams, Rami El- Bialy And Mohamed Atef Abdel Rassoul,

ABSTRACT
Background: The Goal Of Modern Dentistry Is To Restore The Normal Contour, Function, Comfort Esthetics, Speech, And Health Regardless Of The Atrophy, Disease, Or Injury Of The Stomatognathic System. Nowadays, Overall Positive Experiences And Generation Of New Knowledge Have Targeted The Immediate Future As A Time To Establish Dental Implants As A Routinely Applied Treatment Modality In Dentistry.

Aim: Assessment Of The Long-term Stability Of Short Dental Implants And Marginal Bone Loss In Comparison To Standard Implants Inserted Simultaneously With Inferior Alveolar Nerve Lateralization.Methods: Implants Were Inserted And Stability Was Measured By Osstell Immediately And 6 Months Post-operative. CBCT Was Taken Immediately After Implants Placement And 6 Month?s Post-operative To Measure Marginal Bone Loss Around The Implants.

Results: There Is No Significantdifference Between Using Short Dental Implants Or Inferior Alveolar Nerve Lateralization With Simultaneous Implant Placement. Conclusion: Both Short Implants And Standard Length Implants Placed Simultaneously After IAN Lateralization Shows Similar Clinical And Radiographic Outcomes. Short Dental Implants Are A Good Treatment Option In Severely Atrophic Posterior Mandible Because It Has Less Morbidity, Less Cost, And Complications Compared With IAN Lateralization.

Hussein Hatam Jawad, Ahmed Fahmy And Amr Naguib,

ABSTRACT
Background: Magnetic Attachments, Which Have Been Used To Maintain The Stability Of Dentures Since The 1950s, Presented Several Advantages Including Long-lasting Constant Retentive Force, Reduced Lateral Forces, And Simplicity In Installation For Patients With Dexterity Problems. Aim; This Study Aims To Assess The Patient Satisfaction And Primary Implant Stability Of Dome Magnet Attachment Design Mandibular Overdenture Versus Patient Satisfaction And Primary Implant Stability Of Flat Magnetic Attachment Design Mandibular Overdentures With Immediate Loading. Methods: Fourteen Patients With Completely Edentulism Were Enrolled In This Study. Each Patient Received 2 Implants Between The Canine And Lateral Incisor Area In Both Side Regions. The Implants Were Loaded Immediately With Two Magnet Attachments Retained Over-dentures (flat,dome Magnetic Attachment). The Patient Satisfaction Will Be Measured In 2 Weeks (baseline) And After 12 Weeks By Denture Satisfaction Questionnaire And Implant, Stability Will Be Measured For Both Groups Using Smart Peg /osstell At The Day Of Implant Installation And After 2,4,8,12 Weeks.

Results: Assessment Of Patient Satisfaction After Twelve Weeks Of Implant Installation, The Statistically Significantdifference Between Group 1 And Group 2, Which Indicates That Group One Shows Better Improvement Than Group 2. Regarding The Amount Of Primary Implant Stability Change During Follow-up For Both Groups, According To The Average Of Two Groups At Eight And Twelve Weeks, We Concluded That Group 1 Had More Improvement Than Group 2. Conclusion: The Immediate Loading Of 2 Implants Using Magnet Attachment-retained Mandibular Over-dentures May Be A Viable Treatment Option In Cases Of Complete Arch Edentulism. Which The Patient?s General Satisfaction With Flatmagnetic Attachment Retained Overdentures Was Greater Than That For Dome Magnetic Attachments. The Implant Stability From Baseline To The Twelve-week Showed Flat Magnetic Attachment Better Than Dome Magnetic Attachment

Haytham Mohammed Talaat, Nada Sherin El Khourazaty And Amal Fathy Kaddah,

ABSTRACT


Aim: The Objective Of This Study Was To Evaluate The Retentive Forces Of PEEK RPD With PEEK Clasps In Comparison To Cobalt-Chrome (Co-Cr) RPD With (Co-Cr) Clasps During Attachment/detachment Cycles On Abutment Teeth In Mandibular Kennedy Class I Free End Saddle Edentulous Cases Using Digital Force Meter Device. Methodology: Mandibular Kennedy Class I Patients With Natural Abutment Teeth (last Standing 2nd Premolars) Bilaterally Were Selected For The Trial. Abutments Of Group I Patients Were Prepared For Receiving Metal Framework Removable Partial Dentures With Acrylic Teeth And These Frameworks Were Fabricated By Conventional Casting Technique While The Abutments Of Group II Patients Were Prepared To Receive PEEK Framework Removable Partial Denture With Acrylic Teeth Which Were Fabricated By Injection Molding Technique. Digital Force Meter Device Was Used To Measure Retentive Forces Of PEEK RPD With Peek Clasps And That Of The Cobalt-Chrome (Co-Cr) RPD With (Co-Cr) Clasps During Attachment/detachment Cycles.

Results: In Group I (Control Group), There Was A Statistically Significantdecrease In Retention Between 0-month, 1 Month And 3 Months. For Group II (Intervention Group), There Was A Statistically Insignificantdifference In Retention Between 0 Month And 1 Month, And Statistically Significantincrease In Retention Between 1 Month And 3 Months. Comparing The Two Groups Together, There Was Statistically Significantdifference Where Co-Cr RPD Offered Higher Degree Of Retention In All Periods Of Follow-up.

Conclusions: The Conventional Metallic Co-Cr RPD And Injected Molded PEEK RPD Offer Clinically Acceptable Degree Of Retention But The Mean Retentive Force Required To Remove Co-Cr RPD Was Found To Be Higher Than This Required For PEEK RPD.

Cherine Emad M.M. Hamada , Mona Aly Shoeib And Ahmed Reda Abdelrahman ,

ABSTRACT


Aim: To Evaluate Soft Tissue Esthetics Around Immediate Dental Implants With Dentin Chips In Thin Buccal Bone .Methodology: 8 Patients With Non Restorable Tooth Were Recruited In This Study For Immediate Implant Placement With Augmentation. PES Are Recorded On Loading At 6 Months & After 1 Year Of Implant Insertion According To Vanl?o?lu. Also Buccal Bone, Crestal Bone Resorption Were Measured Using CBCT On 6 Month & 1 Year ; Implant Stability Measured Using Osstel Immediately On Implant Insertion & Before Loading And Pain Is Recorded As Numerical Rating Scale According To Breivik.

Results: In The Present Study, PES, Buccal Bone & Crestal Bone Resorption & Implant Stability Showed Great Results With Dentin Chips With Immediate Implants

Conclusions: The Use Of Slowly Resorbing Grafting Substitutes Simultaneously With Immediate Implants Helped To Preserve The Contour Of The Facial Bone Plate In The Esthetic Zone. Autogenous Dentin Chips When Used With Immediate Implants Decrease The Crestal Bone Loss .

Abd Alrahman A. R. Aburas, Niveen Askar And Nesrine Mohammed Khairy,

ABSTRACT
AIM: This Study Was Conducted To Assess And Compare Clinically And Radiographically The Effectiveness Of Computer Guided Technique In Ridge Splitting Over The Conventional Technique. In Augmenting The Horizontal Deficient Anterior Maxilla.Methods: 10patients (32 Implants) With Severely Atrophied Anterior Maxillary Alveolar Ridges, Fiveof Them Underwent Rehabilitation Using Computer Guided Stents (study Group) And The Others Underwent Rehabilitation By Conventional Technique (control Group). Radiographic Assessment Included Measurements Of Changes In The Horizontal Dimensions On Cross Sectional Cuts Of Computed Tomography (CBCT) Using Special Software. Result: Mean Value Of Difference In Accuracy Of Conventional Group (0.54?0.29) Was Higher Than Mean Value Of Computer Guided Group (0.29?0.26) Yet The Difference Was Not Significant(p=0.189). Mean Value Of Bone Gain Of Computer Guided Group (2.81?0.58) Was Higher Than Mean Value Of Conventional Group (2.32?0.16) Yet The Difference Was Not Significant (p=0.106) Conclusion: For The Alveolar Ridge With Insufficientthickness But Adequate Height, This Computer Guided Flaplessalveolar Ridge Splitting Technique Can Be A Predictable, Less Invasive, An Atraumatic Technique And Available Treatment Option When Immediate Implant Placement Is A Prerequisite And Minimized Treatment Time Is Required.

Ahmed Maher Mansour , Amr Hosny El-Khadem And Mohamed Atef Abdel Rasoul,

ABSTRACT


Aim: The Aim Of This Study Is To Assessment The Need For Sinus Floorelevation When Restoring Atrophic Posterior Maxilla Or It Will Be Enough To Use Of Short Implant.Methodology: 31 Implants Were Inserted In Thirteen Patient. Patient Were Divided Randomly Into 2 Groups .the Control Group Was Graftless Open Sinus Lift With Simultaneous Implant Placement And The Study Group Was Short Implant. The Primary And Secondary Stability Were Measured, Resonance Frequency Analysis (RFA) By Osstell, And The Amount Of Marginal Bone Loss Was Measured By CBCT.Results : The Results Revealed That No Significantdifference Between Two Groups Regarding Primary And Secondary Stability But The Study Group (short Implant ) Show Less Crestal Bone Loss Than Control Group After 6 Months Of Implant Insertion .Conclusion: Short Dental Implant Is A Reliable Treatment For Restoring Edentulous Posterior Maxilla Without The Need For Extra Cost ,more Complication ,morbidity In Open Sinus Surgeries.

Sarah Samir Abdelmaged, Sherif A. Elkordy, Hoda M. Abdelaziz And Olfat Gamil Shaker,

ABSTRACT
Objective: To Evaluate The Mean Age For The Pubertal Growth Spurt In Egyptian Children And Adolescent Females As Detected By The Modifiedmiddle Phalanx Of The Middle Finger(MP3) Staging Method. Methods: 92 Egyptian Female Patients Aged 7-16 Years Old Were Recruited. They Were Selected To Be Free From Any Growth Abnormalities And Any Systemic Bone Diseases. A Digital Periapical X-ray Was Taken For The Middle Phalanx Of The Middle Fingerof The Left Hand For Each Subject, And Evaluated Using The Modified Method Of Middle Phalanx

Results: The MP3-G Stage Representing The Peak Of Pubertal Growth Spurt Was Found With High Prevalence In Subjects With Mean Age 10.25 ?1.288 Years Old And For Stage H The Mean Age Was 12.29 ?1.139 Years Old.Conclusion: The Mean Skeletal Maturity Age (MP3-G Stage) That Represents The Peak Of Pubertal Growth Spurt In Egyptian Adolescent Females Was Found To Be 10.25 ?1.288. That Will Aid In Detection Of The Ideal Age For Treatment Of Skeletal Problems In Growing Females.

Fawaz Fadhel Abbas, Hamida Refai Hassanien And Usama Taema,

ABSTRACT
Aim Of The Study: To Assess The Efficacyof PRP Prolotherapy In Patients With Symptomatic TMJ Hypermobility After Injection Of The High And Low PRP Concentration During 30 Weeks Prospective Study.Patients And Methods: Thirty-four Patients Diagnosed With Symptomatic TMJ Hypermobility That Confirmedradiograhically By TMJ Tomography In Closed And MMO Positions. They Were Divided Into Intervention (H-PRP) And Comparative (L-PRP) Groups (17 In Each Group). Clinical Outcomes Parameters (VAS, Frequency Of Luxation, MMO, And Joint Sounds) Were Assessed At Baseline And At 6 , 12, 30 Weeks After The Last Injection Session.

Results: Both Groups Showed Statistically Significantdecrease In All The Evaluated Parameters At The Firstfollow-up Interval That Maintained Thereafter. By The End Of The Present Study, The Group Receiving H-PRP Showed Better Improvement Compared To L-PRP Group As Evident By Significantdecrease In Pain Scores And MMO In H-PRP Group Compared To L-PRP Group.Conclusion: The Results Of The Present Study Suggest That PRP With Different Concentrations Of Platelets (most Likely Different Concentrations Of The Growth Factors That Are Released From The Platelets) Exhibit Different Levels Of Prolotherapy Efficacywith High Platelet Concentration Is More Effective Than Low One In Alleviating Symptoms Of TMJ Hypermobility. Further Studies Are Needed To Assess Current Outcome Indicators At A Longer Follow-up.

Maha Fawzy Elsayed, Hani El Nahass And Manal Mohamed Hosny,

ABSTRACT


Aim: Investigating The Effect Of Immediate Temporization On The Pink Esthetics In Delayed Implants In Patients With Thin Gingival Biotype Associated With Subepithelial Connective Tissue Graft In The Maxillary Esthetic Zone.Methodology: 10 Patients Were Enrolled In The Study, Each With One Upper Missing Tooth In The Esthetic Zone, The Pink Esthetics Was Assessed As The Primary Outcome While The Keratinized Tissue Width, Soft Tissue Thickness, Were Assessed As The Secondary Outcomes.

Results: 10 Implants Were Placed In 10 Patients; One Implants Had Early Failure. No Patients Were Lost To Follow Up And All Of Them Completed Their 9 Months FU After The Delivery Of The Finalcrown. The PES Outcome After 1 Year Showed 11.29 (1.15). Regarding The Keratinized Tissue Width; The Reading Increased From 3.86 (0.63) At The Baseline To 4.57 (0.45) At 12 Months FU. As For The Soft Tissue Thickness, The Augmentation Procedure Was Successful, After 12 Months Follow Up, It Was 2.29 (0.57) At 2mm, 2.43 (0.35) At 4mm And 2.43 (0.35) At 6 Mm From The Gingival Margin.Conclusion: Immediate Temporization Exhibited Shorter Treatment Time And Yielded Patient Satisfaction In Terms Of Esthetics. Augmentation Of The Soft Tissues With Connective Tissue Graft Led To A Good Quality And Quantity Of Soft Tissue Around The Dental Implant Which In Turn Yielded Better Esthetics And Soft Tissue Stability Especially In Patients With Thin Gingival Biotype.

Abdelrahman Soliman Alatyeh , Hamida Refai Hassanien And Osama Taema,

ABSTRACT


Aim: This Study Aims To Clinically Assess The Efficacyof PRP Prolotherapy For The Treatment Of TMJ Subluxation.Methodology: A Prospective, Randomized Placebo-controlled Clinical Trial Including Patients With Temporomandibular Joint Subluxation. The Study Comprised 34 Patients. Patients Were Randomly Divided Into 2 Groups: Control Group (Saline), Active Group (PRP) Each Patient In Both Groups Received 2 Treatment Sessions Intra-articular And Pericapsular Injections 2 Weeks Apart. The Visual Analog Scale Of TMJ Pain Intensity, Maximum Mouth Opening (MMO), Joint Sounds, And Frequency Of Luxations Were Clinically Assessed And Documented Preoperatively And Postoperatively At 6, 12, And 30 Weeks After Treatment.

Results: Both Groups Showed Statistically Significantimprovement In TMJ Pain, Frequency Of Luxations, And Clicking After 6, 12, And 30 Weeks Comparison Between The Two Groups Showed Insignificant Diferences In All The Assessed Parameters At Any Time Point.

Conclusions: The Results Of This Study Highlight The Beneficialeffects Of Both Saline And PRP Injections In Patients With TMJ Subluxation And Demonstrate That PRP Prolotherapy Is Not More Effective Than Placebo In The Treatment Of TMJ Subluxation.