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Clinical, Radiographical and Histological Assessment of Pulpotec pulptomy in vital Primary Teeth 牙髓切开术治疗乳牙的临床、影像学及组织学评价
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.86293.1213
A. Mahmoud
Objectives: To evaluate the effect of Pulpotec clinically, radiographically and histologically on the pulpotomized primary teeth. Subjects and methods : Study was carried out on sixty primary teeth scheduled for extraction for orthodontic purpose, divided into two equal groups of 30 primary teeth in each one. Group (A): Thirty primary teeth will receive Formacresol pulpotomy. Group (B): 30 primary teeth will receive Pulpotec pulpotomy. All pulpotomized primary molars in the present study were restored with SSCs. All pulpotomized teeth were followed up clinically and radiographically at day 1, 1.5 month, and 3 months. At the 3 months follow-up period, the treated teeth were extracted for histological examination of the pulp. Results: Pulpotec pulpotomy group showed increased children percentage by 10% with pain, tenderness to percussion, swelling, partial loss of lamina dura and widening of periodontal ligament space from 1.5 month to 3 months. Regarding Formacresol pulpotomy group, there was increased children percentage by 30% with pain, tenderness to percussion, swelling, partial loss of lamina dura, widening of periodontal ligament space from 1 day to 3 months and increased children percentage by 3-13% with abscess, fistula, mobility and periapical radiolucency from 1.5 month to 3 months. Regarding histological results, there was a statistically non-significant difference in children percentage. Conclusion: Pulpotec can be used as reliable alternative to Formacresol for the pulpotomy procedures in primary teeth.
目的:评价本品对去牙乳牙的临床、影像学和组织学效果。对象与方法:选取拟拔牙正畸的乳牙60颗,分为两组,每组30颗乳牙。A组:30颗乳牙行福马甲索切髓术。B组:30颗乳牙行Pulpotec牙髓切开术。本研究中所有去牙的一磨牙均采用ssc修复。在第1天、1.5个月和3个月对所有去牙牙进行临床和影像学随访。随访3个月,拔牙进行牙髓组织学检查。结果:牙髓切开术组患儿在1.5 ~ 3个月间出现疼痛、触痛、肿胀、硬膜部分丧失、牙周韧带间隙变宽,患儿比例增加10%。福马甲酚切髓组1 ~ 3个月出现疼痛、叩击压痛、肿胀、硬膜部分丧失、牙周韧带间隙增宽的患儿比例增加30%,1.5 ~ 3个月出现脓肿、瘘管、活动、根尖周透光度的患儿比例增加3 ~ 13%。组织学结果方面,儿童百分比差异无统计学意义。结论:牙髓切开术中牙髓切开术中牙髓切开术中牙髓切开术中牙髓切开术中牙髓切开术中牙髓切开术中牙髓切开术可选用牙髓切开术中的牙髓切开术。
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引用次数: 0
Evaluation use of Oxidized Regenerated Cellulose as a Graft Material in Transalveolar Sinus Lifting and Implant Insertion 氧化再生纤维素作为移植物材料在经牙槽窦提升和植入中的应用评价
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2020.54186.1144
Abdel Fatah Farid, Abdalmageed Alfakhrany, A. Elfeky
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引用次数: 0
Evaluation of transalveolarcrestal maxillary sinus lifting with sinus balloon technique and implant placement 经牙槽嵴上颌窦球囊技术提升及种植体放置的评价
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2020.47428.1133
Abdalkareem Abdalhameed, Abdalmageed Alfakhrany, A. Elfar
Objective: To evaluate the efficacy of the sinus balloon technique via transcrestal maxillary sinus floor elevation. Subjects and Methods: The current study was conducted on 12 patients with their age ranged from 16 to 45 years, with limited bone height below the floor of the maxillary sinus. they were divided into two groups. Group A patients received dental implants after sinus lifting using ballooning technique, while in group B patients received dental implants after transcrestal sinus lifting using Osteotomes. The bone density and bone height were measured by cone beam computed tomography (CBCT). Results: Successful sinus lifting with balloon technique and osteotome technique with superior clinical and radiographic results of balloon technique. The radiographic examination showed the mean elevated height after 6 months in group A was 11.72±2.16mm. While in group B was 8.05±1.90 mm. Conclusion: Balloon technique and osteotome technique are successful methods for sinus membrane lifting with superior clinical and radiographic results balloon technique.
目的:评价经上颌窦瓣底提升窦球囊技术的疗效。研究对象和方法:本研究纳入了12例年龄在16 - 45岁之间,上颌窦底以下骨高度有限的患者。他们被分成两组。A组患者采用球囊技术提升鼻窦后种植牙,B组患者采用截骨术提升经瓣鼻窦后种植牙。采用锥形束计算机断层扫描(CBCT)测量骨密度和骨高度。结果:采用球囊技术和成骨技术均取得成功,临床和影像学结果均较好。x线检查显示,A组6个月后平均增高高度为11.72±2.16mm。B组为8.05±1.90 mm。结论:球囊技术和骨切开术是一种成功的鼻窦膜提升方法,具有良好的临床和影像学效果。
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引用次数: 0
Evaluation of Maxillary Molar Distalization by a Modified Palatally Anchored Expander 改良腭锚定扩张器对上颌磨牙离体的评价
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2022.124079.1320
Mahmoud Abo - Elmahasen, Mohamed Elsaharty, Neven Abotaha
Objectives: The present study was conducted to evaluate the dentoskeletal changes after distalization of maxillary molars using skeletally-anchored modified Hyrax appliance in the treatment of dental Class II orthodontic patients. Subjects and methods: Ten participants having Class II molar relation with deep overbite with age ranged from 11 to 14 years old were enrolled in the current study. All patients involved in the present study were selected from those seeking orthodontic treatment at different clinical orthodontic centers. Maxillary molar distalization was performed using modified skeletally anchored Hyrax palatal expander. The appliance was activated twice weekly. For each participant, skeletal and dental measurements were recorded from standardized cephalometric analyses before and after molar distalization. Statistical analyses including t-test were performed at a significance level of p<0.05. Results: The maxillary first molars were distalized successfully (6.16 mm) without tipping and Class Ι molar relation was obtained within a period of 6.2 months. Slight extrusion of the maxillary molars was observed which was reflected on the non-significant increase in lower anterior facial height, as the mandibular plane angle was increased by 0.58 0 . A marked improvement of the deep bite was observed. Conclusion: The modified Hyrax can be used as palatally skeletally anchored distalizer to effectively move the maxillary first molars distally. They are effective, minimally invasive and compliance free alternative for molar distalization and hence, molar Class II correction without anchorage loss.
目的:评价改良Hyrax骨锚固定矫治器在口腔ⅱ类正畸患者上颌磨牙远端拔除后的牙骨骼变化。研究对象和方法:选取10名年龄在11 ~ 14岁之间的II类磨牙关系伴深覆盖咬合患者。参与本研究的所有患者均选自在不同临床正畸中心寻求正畸治疗的患者。上颌磨牙远端使用改良骨锚定Hyrax腭扩张器。设备每周被激活两次。对于每个参与者,在磨牙远端化之前和之后,通过标准化的头颅测量分析记录了骨骼和牙齿测量。统计学分析包括t检验,p<0.05为显著性水平。结果:上颌第一磨牙离体成功(6.16 mm),无倾翻,在6.2个月的时间内获得Ι级磨牙关系。上颌磨牙轻微挤压,下颌平面角增加0.58 0,下前面高无明显增加。观察到深咬的明显改善。结论:改良的Hyrax可以作为腭骨锚定离断器,有效地将上颌第一磨牙远端移动。它们是有效的,微创的,无依从性的磨牙远端替代,因此,磨牙II级矫正无支抗损失。
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引用次数: 0
The Antibacterial Effect of Pomegranate Peel and Guava Leave Extract Mouthwash on Oral Streptococcus Mutans in Scholar Students: A Controlled Clinical Study 石榴皮番石榴叶提取物漱口水对大学生口腔变形链球菌抗菌作用的对照临床研究
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.88470.1218
Yousry Elkarkhy, Gamal Mahmoud, Alaa Aldeen Alla, Alaa Abass
Objective: Pomegranate peel extract (PPE) and guava leave extract (GLE) were used for centuries and their therapeutic abilities were reported. Hence, this study was conducted to evaluate and compare the antimicrobial effect of mouthwashes prepared from pomegranate peel and guava leave extract on oral Streptococcus mutans (S. mutans) count in healthy subjects. Subject and methods: A total of one hundred healthy children aged between 6-12 years were enrolled in this study and equally divided into five equal groups (n=20) according to mouth rinse type used in this study. Group 1 used 2% chlorhexidine (CHX) mouthwash; group 2 used 10 % PPE mouthwash; group 3 used 15 % PPE mouthwash; group 4 used 10 % GLE mouthwash; while group 5 was use15 % GLE mouthwash. Samples of Saliva were collected after mouth rinsing at two-time intervals; immediately after mouth rinsing and 2 hours after rinsing. Mitis Salivarius agar medium was used to determine S. mutans count. Results: The results revealed that S. mutans count recorded a marked significant reduction in all studied groups immediately after mouth rinsing, then S. mutans count was increased significantly in all groups after 2 hrs. The lowest S. mutans count was recorded with the CHX group followed by15 % and 10% PPE groups respectively. While the lowest performance was observed in GLE 15% and 10 % groups respectively. Conclusions: The use of PPE mouthwash has a higher antimicrobial effect when compared to GLE in both concentrations.
目的:石榴皮提取物(PPE)和番石榴叶提取物(GLE)已被使用了几个世纪,并报道了它们的治疗作用。因此,本研究旨在评估和比较石榴皮和番石榴叶提取物配制的漱口水对健康受试者口腔变形链球菌(S. mutans)计数的抗菌效果。研究对象与方法:选取100名6-12岁的健康儿童,根据研究中使用的漱口水类型分为5组(n=20)。1组使用2%氯己定(CHX)漱口水;2组使用10% PPE漱口水;第三组使用15% PPE漱口水;4组使用10% GLE漱口水;第5组使用15% GLE漱口水。每隔两次漱口后收集唾液样本;漱口后立即漱口,2小时后漱口。用Mitis Salivarius琼脂培养基测定变形链球菌数量。结果:结果显示,在漱口后立即,所有研究组的变形链球菌计数均显著减少,在2小时后,所有研究组的变形链球菌计数均显著增加。变异链球菌数量最低的是CHX组,其次是15%和10% PPE组。而GLE含量为15%和10%组的生产性能最低。结论:PPE漱口水在两种浓度下的抗菌效果均高于GLE漱口水。
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引用次数: 0
Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain. 咀嚼肌注射肉毒杆菌毒素治疗颞下颌疾患疼痛的疗效评价。
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.59343.1153
A. Hegazy, W. Elmohandes, Ahmed el feky
Objective: To evaluate injection of botulinum toxin in masseter and temporalis muscles as a treatment modality for temporomandibular disorders pain. Subjects and Methods: A total of 14 patients diagnosed with TMD were selected from the Out-Patient Clinic of the Oral Surgery Department at Faculty of Dental Medicine, Cairo-boys, Al-Azhar University, Egypt. Study included patients with myofascial pain, pain associated with disc displacement with reduction, pain associated with hypermobility of the T.M.J. Patients with unilateral or bilateral disease were accepted equally. They were divided into 2 groups study group which received the botulinum toxin injections and control group which received 0.9% saline solution. Patients had 4 follow ups in total first at the injection session then after 1 month, after 3 months and after 6 months post injection. 4 parameters were recorded Pains scores on the VAS, vertical mouth opening, Tenderness to palpation and Masseter muscle activity using EMG. Results: Results revealed that, there was statistically a significantly lower pain values and increased mouth opening reported after 6 months of botulinum toxin injection. Conclusion: the injection of botulinum toxin is effective in decreasing pain and increasing mouth opening in patient diagnosed with TMDs.
目的:探讨咬肌、颞肌注射肉毒毒素治疗颞下颌疾患疼痛的方法。对象与方法:选取埃及爱资哈尔大学开罗男孩口腔医学院口腔外科门诊确诊的TMD患者14例。研究对象包括肌筋膜疼痛、椎间盘移位伴复位疼痛、颞下颌关节活动过度疼痛。单侧或双侧疾病患者均被平等接受。将患者分为两组,研究组注射肉毒杆菌毒素,对照组注射0.9%生理盐水。患者在注射时、注射后1个月、3个月和6个月共进行了4次随访。记录4个参数:VAS疼痛评分、垂直开口、触诊压痛、肌电图咬肌活动。结果:结果显示,注射肉毒杆菌毒素6个月后,疼痛值明显降低,开口增加,有统计学意义。结论:注射肉毒杆菌毒素能有效减轻tmd患者的疼痛,增加患者的开口。
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引用次数: 0
Evaluation of alveolar Bone dimensional Changes after flapless immediate implant placement 无瓣即刻种植后牙槽骨尺寸变化的评价
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.59281.1152
Abdelfattah Abdelfattah, Ahmed el feky, A. Hosny
Objectives The aim of this study was to evaluate clinically and radiographically alveolar Bone dimensional Changes after flapless immediate implant placement. Subjects and methods: Thirty-two patients were divided into two groups; Group A (control group): received flapped immediate implants combined with xeno graft. Group B (Test group): received flapless immediate implants combined by xeno-graft. Evaluation includes Presence of infection. Wound dehiscence. Implant exposure. Graft exposure or loss. Soft tissue dehiscence. Implant stability. Buccal bone height and lingual bone height of the extracted socket. Ridge width. Results: buccal bone height, flapless group showed a significant lower (0.09 mm) Change than flap (1.13 mm). Ridge width, at 2, 4, 6 mm, flapless group showed a significant lower Change than flap. Flapless group showed significant higher implant stability than flap. Conclusion: The flapless group has shown a lower reduction in height and width after placing immediate implants and filling the residual gap with an organic bovine bone. More ridge reduction was observed for the flapped group.
目的本研究的目的是评估无瓣即刻种植后牙槽骨的临床和影像学改变。对象与方法:32例患者分为两组;A组(对照组):即刻皮瓣移植联合异种移植。B组(试验组):采用无瓣即刻种植结合异种移植。评估包括是否存在感染。伤口裂开。植入物暴露。移植物暴露或丢失。软组织开裂。植入物的稳定性。拔牙窝的颊骨高度和舌骨高度。脊宽度。结果:无瓣组颊骨高度变化(0.09 mm)明显低于瓣组(1.13 mm)。脊宽在2、4、6 mm处,无瓣组明显低于有瓣组。无皮瓣组种植体稳定性显著高于皮瓣组。结论:无瓣组在立即植入种植体并用有机牛骨填充残余间隙后,高度和宽度下降较小。皮瓣组脊部减少较多。
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引用次数: 0
Effect of arthroscopic ethanolamine oleate injection in retrodiscal fibers on internal derangement with reduction of tempromandibular joint 关节镜下椎间盘后纤维注射油酸乙醇胺对颞下颌关节内移位复位的影响
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.61187.1159
Yousef El maghraby
Objectives: The purpose of the present study was to evaluate arthroscopic injection of ethanolamine oleate as sclerosing solution in treatment of temporomandibular joint disorder disc displacement with reduction. Subjects and methods: Eight patients were involved in the study, with a mean age of 25.7 years. Under general anesthesia, using a scalpel to make an opening in the skin. Sharp trocar then blunt trocar 3- washing the joint with a salt solution to clear the vision, locating the retrodiscal fibers and sclerosing agent be injected, by using one c.c. tuberculin plastic syringe with 26 gauge and 1.5 inch bevel steel needle was used, the needle filled with 0.2 ml of ethanolamine oleate 5% and 0.1 ml of local anesthetic without vasoconstrictor, mepivacaine hydro-chloride 2%. Postoperative medication, Patient were instructed to take a postoperative medical regimen. Patients were evaluated after 6 months for radiographic evaluation in pain score, inter incisal distance, muscles tenderness, lateral movement, clicking, maximum protrusion, and bite registration anterior and posterior. Results: There was statistically significant change in pain score, inter incisal distance, muscles tenderness, lateral movement, clicking, maximum protrusion, and bite registration anterior and posterior, but There was not statistically significant change in radiographic evaluation. Conclusion: The concept of injection retrodiscal fibers with sclerosing agent for treat the disc displacement with reduction of TMJ has been developed to optimize treatment strategies.
目的:本研究的目的是评估关节镜下注射油酸乙醇胺作为硬化液治疗颞下颌关节紊乱,椎间盘复位移位。研究对象和方法:8例患者纳入研究,平均年龄25.7岁。在全身麻醉下,用手术刀在皮肤上开一个口。尖套管针再钝套管针3-用盐溶液冲洗关节以清除视力,定位椎间盘后纤维并注射硬化剂,使用一根c.c.c结核素塑料注射器,26号,1.5寸斜角钢针,针内注入0.2 ml 5%油酸乙醇胺和0.1 ml不含血管收缩剂的局麻药,盐酸甲哌卡因2%。术后用药:患者被指示采取术后用药方案。6个月后对患者进行疼痛评分、切间距离、肌肉压痛、横向运动、咔嗒声、最大突出、前后咬合定位等影像学评估。结果:两组患者疼痛评分、切间距离、肌肉压痛、侧移、咔嗒声、最大突出、前后咬位变化均有统计学意义,影像学评价变化无统计学意义。结论:椎间盘后纤维加硬化剂注射治疗椎间盘移位伴颞下颌关节复位的概念已被提出,以优化治疗策略。
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引用次数: 0
Effect Of Three Types Of Chewing Gum On Oral Streptococcus Mutans And Lactobacilli Bacteria In School Children : A Controlled Clinical Study 三种口香糖对学龄儿童口腔变形链球菌和乳酸杆菌的影响:一项对照临床研究
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.87683.1216
adnan eesa, Alaa Al Deen Mohamed Ismai, A. Abbas, Ayman Yassin Al Sayed
Objectives: This study aimed to evaluate and compare the antibacterial effect of three types of chewing gum on oral streptococcus mutans and lactobacilli in school children, and the effect of them on dental debris accumulation. Subjects and Methods : A sample single blinded randomized control study included 60 healthy children age between 6-12 years with specific inclusion criteria. Three types of chewing gum were used in the present study; sugar-containing “chiclets”, sugar-free “xylitol”, and sugar-less “mastic”. Saliva samples were collected in a sterile plain tube from participating children in the first day before taking chewing gum and then after taking chewing gum in a sterile plain tube for 3 successive days, after three days debris index was recorded. Results: There was a statistically significant reduction in S. mutans and lactobacilli count from baseline to the third day in the three studied groups. Through the intergroup comparison, there was also a statistically significant percentage of reduction of S. mutans and lactobacilli count at different time intervals, there was a statistically non-significant difference between the three studied groups according to debris index score. Conclusion: The use of sugar-free “xylitol” chewing gum has the higher significant effect on the reduction of S. mutans and lactobacilli count at different time intervals followed by sugar-less chewing gum “mastic” when compared to sugar-containing “chiclets” chewing gum.
目的:本研究旨在评价和比较三种口香糖对学龄儿童口腔变形链球菌和乳酸菌的抑菌效果及其对牙屑堆积的影响。对象和方法:一项样本单盲随机对照研究纳入60名6-12岁的健康儿童,并有特定的纳入标准。本研究使用了三种类型的口香糖;含糖的“糖果”,无糖的“木糖醇”和无糖的“乳脂”。参与研究的儿童在服用口香糖前第一天用无菌普通管采集唾液样本,连续3天后用无菌普通管采集口香糖后唾液样本,3天后记录碎片指数。结果:从基线到第三天,三个研究组的变形链球菌和乳酸杆菌计数有统计学意义的减少。通过组间比较,不同时间间隔的变形链球菌和乳酸菌数量减少百分比也有统计学意义,三组间碎片指数评分差异无统计学意义。结论:使用无糖“木糖醇”口香糖对不同时间间隔的变形链球菌和乳酸菌数量的减少效果比使用含糖“小糖”口香糖更显著。
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引用次数: 0
Effect of adding nanotitanium dioxide and chitosan on flexural, diametral tensile strengths and hardness of glass ionomer cement 纳米二氧化钛和壳聚糖对玻璃离子水泥抗弯强度、直径拉伸强度和硬度的影响
Pub Date : 2022-07-01 DOI: 10.21608/ajdsm.2021.90370.1222
ashraf el banna, Muhammad Ali, A. Shaaban
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引用次数: 0
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Al-Azhar Journal of Dental Science
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