Central giant cell granuloma (CGCG) is a benign intraosseous, it is a nonneoplastic lesion that is found particularly in the maxilla and mandible, with higher rate in the mandible. Although the etiology is uncertain, it is assumed to be caused by trauma, inflammatory processes, or genetic factors. The biologic behavior of CGCG of the jaws ranges from a quiescent, indolent asymptomatic lesion with slow growth and low recurrence rate, to an aggressive pathological process, characterized by pain, rapid growth, root resorption, cortical perforation, and a high recurrence rate. A rapid diagnostic assessment, together with an adequate histopathologic verification, is essential to improve the management and the prognosis of this locally destructive lesion. In this case report, a 63-year-old female patient complaining of a lower left side mandibular swelling measured (3x3cm) for two months undergone radiographic investigation. Images revealed a mandibular left side lesion with characteristic features that were highly suggestive of CGCG. The patient undergone excisional biopsy, and the subsequent histopathological examination confirmed the diagnosis of CGCG. Postoperative recovery of the patient was smooth and uneventful. The mild postoperative pain and edema were controlled with analgesic anti-inflammatory drugs, and the patient was placed on intravenous broad-spectrum antibiotics for 5 days, The surgery and recovery were uneventful.
{"title":"A Surgical management of Mandibular Central Giant Cell Granuloma: A case report","authors":"Serag Keibah","doi":"10.47705/kjdmr.248204","DOIUrl":"https://doi.org/10.47705/kjdmr.248204","url":null,"abstract":"Central giant cell granuloma (CGCG) is a benign intraosseous, it is a nonneoplastic lesion that is found particularly in the maxilla and mandible, with higher rate in the mandible. Although the etiology is uncertain, it is assumed to be caused by trauma, inflammatory processes, or genetic factors. The biologic behavior of CGCG of the jaws ranges from a quiescent, indolent asymptomatic lesion with slow growth and low recurrence rate, to an aggressive pathological process, characterized by pain, rapid growth, root resorption, cortical perforation, and a high recurrence rate. A rapid diagnostic assessment, together with an adequate histopathologic verification, is essential to improve the management and the prognosis of this locally destructive lesion. In this case report, a 63-year-old female patient complaining of a lower left side mandibular swelling measured (3x3cm) for two months undergone radiographic investigation. Images revealed a mandibular left side lesion with characteristic features that were highly suggestive of CGCG. The patient undergone excisional biopsy, and the subsequent histopathological examination confirmed the diagnosis of CGCG. Postoperative recovery of the patient was smooth and uneventful. The mild postoperative pain and edema were controlled with analgesic anti-inflammatory drugs, and the patient was placed on intravenous broad-spectrum antibiotics for 5 days, The surgery and recovery were uneventful.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"120 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives. The purpose of this study was to recognize the most challenging aspects of root canal treatment encountered by Libyan dental practitioners. Methods: A questionnaire was distributed randomly to 130 general dental practitioners who were working in Libya's public and private dental centers and dental faculty. The data was gathered and statically analyzed. Results: The results showed that 33.8% of the respondents had some difficulties taking periapical radiographs, 45.4% experienced problems in providing proper isolation with the rubber dam, and only 32.3% reported that they faced difficulties when determining working length. The majority of respondents 74.6% had appropriate knowledge about the various irrigation procedures and 26.9% of those experiencing problems associated with difficulties shaping the canal(s).In addition, 30% of respondents were having difficulties obturating the canal; 56.4% during master cone fitting; 30.8% choosing the proper technique; and 12.8% sealer placement.76.9% of respondents had challenge mishaps cases, the most challenging mishap case they had treated was separated instrument(s) by32.3% respondents, 19.2% respondents by ledge bypass, 15.4% of them by negotiating missed canal(s) and 10.0% of them by perforation management. Conclusion. The evaluation of the challenges that dental practitioners face during root canal therapy can help in the creation of instructional plans for preclinical and clinical training. Further studies should be required about this subject, this present survey helped to ascertain various gaps in the education schedule which, if altered correctly, would be of great benefit to both the quality of dental practitioners’ performance.
{"title":"Challenges Faced by Libyan Dental Practitioners in Endodontic Treatment","authors":"","doi":"10.47705/kjdmr.248203","DOIUrl":"https://doi.org/10.47705/kjdmr.248203","url":null,"abstract":"Objectives. The purpose of this study was to recognize the most challenging aspects of root canal treatment encountered by Libyan dental practitioners. Methods: A questionnaire was distributed randomly to 130 general dental practitioners who were working in Libya's public and private dental centers and dental faculty. The data was gathered and statically analyzed. Results: The results showed that 33.8% of the respondents had some difficulties taking periapical radiographs, 45.4% experienced problems in providing proper isolation with the rubber dam, and only 32.3% reported that they faced difficulties when determining working length. The majority of respondents 74.6% had appropriate knowledge about the various irrigation procedures and 26.9% of those experiencing problems associated with difficulties shaping the canal(s).In addition, 30% of respondents were having difficulties obturating the canal; 56.4% during master cone fitting; 30.8% choosing the proper technique; and 12.8% sealer placement.76.9% of respondents had challenge mishaps cases, the most challenging mishap case they had treated was separated instrument(s) by32.3% respondents, 19.2% respondents by ledge bypass, 15.4% of them by negotiating missed canal(s) and 10.0% of them by perforation management. Conclusion. The evaluation of the challenges that dental practitioners face during root canal therapy can help in the creation of instructional plans for preclinical and clinical training. Further studies should be required about this subject, this present survey helped to ascertain various gaps in the education schedule which, if altered correctly, would be of great benefit to both the quality of dental practitioners’ performance.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"122 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141657076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sara A. Hwisa, Ghada Rajab Alnaeli, Mofeda M Faraj, Ghada M. Salem, Namat A Soliman
Background and objectives: Hearing loss is one of the most prevalent disabilities. Factors that can be controlled are linked to hearing loss. Diabetes, which can potentially lead to hearing loss during cases of high blood sugar levels, appears to be a contributing factor to hearing loss. This study aimed to determine the relationship between fasting blood sugar (FBS) and glycated hemoglobin (HbA1c) with hearing loss. Method: This was a cross-sectional study conducted on two groups: the study sample consisting of patients with both diabetes and hearing loss, and the control sample comprising non-diabetic individuals with hearing loss. The study was carried out at the Sabratha Residential Clinic, Surman Clinic Al-Kubra, and Surman General Hospital between April 12, 2022, and October 25, 2023. During this period, a questionnaire was prepared, and a "Pure Tone Audiometry" hearing test was performed in the planning room to assess the hearing status of participants in both the study and control groups. Results: The study involved 80 participants, of whom 44 (55%) were male and 36 (45%) were female, aged 25-65 years. Compared to the control group, the study group had significantly higher fasting blood sugar (FBS: 202.13 ± 48.13 vs. 81.38 ± 9.50, p<0.001) and glycated hemoglobin (HbA1c: 9.48 ± 2.1 vs. 4.25 ± 0.59, p<0.001) levels, The study group exhibited greater hearing impairment in the left ear (56.90 ± 22.94 vs. 44.40 ± 28.13, p=0.031), but the difference in right ear hearing loss was not statistically significant (53.33 ± 24.47 vs. 44.025 ± 28.41, p=0.121). HbA1c (r=0.239, p=0.027) and FBS (r=0.216, p=0.033) both showed significant positive correlations with hearing loss. Conclusion: This study found that type 2 diabetes mellitus adversely affects hearing, with sensorineural hearing loss positively correlating with HbA1c and FBS levels. These findings indicate that poor glycemic control is associated with an increased risk of hearing impairment in this patient population.
{"title":"Evaluating the Correlation of Fasting Blood Sugar, Glycated Hemoglobin with the Hearing Loss","authors":"Sara A. Hwisa, Ghada Rajab Alnaeli, Mofeda M Faraj, Ghada M. Salem, Namat A Soliman","doi":"10.47705/kjdmr.248201","DOIUrl":"https://doi.org/10.47705/kjdmr.248201","url":null,"abstract":"Background and objectives: Hearing loss is one of the most prevalent disabilities. Factors that can be controlled are linked to hearing loss. Diabetes, which can potentially lead to hearing loss during cases of high blood sugar levels, appears to be a contributing factor to hearing loss. This study aimed to determine the relationship between fasting blood sugar (FBS) and glycated hemoglobin (HbA1c) with hearing loss. Method: This was a cross-sectional study conducted on two groups: the study sample consisting of patients with both diabetes and hearing loss, and the control sample comprising non-diabetic individuals with hearing loss. The study was carried out at the Sabratha Residential Clinic, Surman Clinic Al-Kubra, and Surman General Hospital between April 12, 2022, and October 25, 2023. During this period, a questionnaire was prepared, and a \"Pure Tone Audiometry\" hearing test was performed in the planning room to assess the hearing status of participants in both the study and control groups. Results: The study involved 80 participants, of whom 44 (55%) were male and 36 (45%) were female, aged 25-65 years. Compared to the control group, the study group had significantly higher fasting blood sugar (FBS: 202.13 ± 48.13 vs. 81.38 ± 9.50, p<0.001) and glycated hemoglobin (HbA1c: 9.48 ± 2.1 vs. 4.25 ± 0.59, p<0.001) levels, The study group exhibited greater hearing impairment in the left ear (56.90 ± 22.94 vs. 44.40 ± 28.13, p=0.031), but the difference in right ear hearing loss was not statistically significant (53.33 ± 24.47 vs. 44.025 ± 28.41, p=0.121). HbA1c (r=0.239, p=0.027) and FBS (r=0.216, p=0.033) both showed significant positive correlations with hearing loss. Conclusion: This study found that type 2 diabetes mellitus adversely affects hearing, with sensorineural hearing loss positively correlating with HbA1c and FBS levels. These findings indicate that poor glycemic control is associated with an increased risk of hearing impairment in this patient population.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"120 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and objectives: Achieving optimal axial taper and occlusal convergence in crown preparations is a crucial concern among dental students. Proper preparation design is essential for the long-term success of full-coverage restorations. This study aimed to evaluate the convergence angles and axial taper achieved by dental students in their crown preparations. Methods. A total of 80 posterior tooth preparations (40 mandibular first molars and 40 mandibular second molars) created by second-year dental students on a dental simulator were analyzed. The total occlusal convergence (TOC), bucco-lingual (BL) and mesio-distal (MD) convergence angles, as well as the degree of taper on the axial walls, were measured using the B&B dental software (Guide system, B&B, Italy). Statistical analysis was performed using SPSS version 27. Results. The overall mean of the total convergence angle was 21.88°, with a BL convergence angle mean value of 23.11° (standard deviation of 13.3°) and an MD convergence angle mean value of 20.66° (standard deviation of 11.0°). The results showed a statistically significant difference between the mesial axial taper and the distal axial taper (p-value < 0.001). However, no significant differences were observed between the buccal axial taper and lingual axial taper (p-value > 0.05), or between the BL convergence angle and MD convergence angle (p-value > 0.05). Conclusion. The study revealed variations in the convergence angles of full metal crown preparations created by dental students. The recommended convergence angle was difficult for these students to achieve.
{"title":"Evaluation of Convergence Angles in Posterior Crown Preparations by Dental Students at Zawia University","authors":"Fatma Esmeda","doi":"10.47705/248202","DOIUrl":"https://doi.org/10.47705/248202","url":null,"abstract":"Background and objectives: Achieving optimal axial taper and occlusal convergence in crown preparations is a crucial concern among dental students. Proper preparation design is essential for the long-term success of full-coverage restorations. This study aimed to evaluate the convergence angles and axial taper achieved by dental students in their crown preparations. Methods. A total of 80 posterior tooth preparations (40 mandibular first molars and 40 mandibular second molars) created by second-year dental students on a dental simulator were analyzed. The total occlusal convergence (TOC), bucco-lingual (BL) and mesio-distal (MD) convergence angles, as well as the degree of taper on the axial walls, were measured using the B&B dental software (Guide system, B&B, Italy). Statistical analysis was performed using SPSS version 27. Results. The overall mean of the total convergence angle was 21.88°, with a BL convergence angle mean value of 23.11° (standard deviation of 13.3°) and an MD convergence angle mean value of 20.66° (standard deviation of 11.0°). The results showed a statistically significant difference between the mesial axial taper and the distal axial taper (p-value < 0.001). However, no significant differences were observed between the buccal axial taper and lingual axial taper (p-value > 0.05), or between the BL convergence angle and MD convergence angle (p-value > 0.05). Conclusion. The study revealed variations in the convergence angles of full metal crown preparations created by dental students. The recommended convergence angle was difficult for these students to achieve.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"11 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141703482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim: The aim of this study was to evaluate knowledge, attitudes and Practice of biomimetic dentistry among general dentists and specialists in Tripoli, Libya. Methods: The questionnaire was designed to assess knowledge and opinion toward biomimetic dentistry among Libyan dentists in Tripoli, the questionnaire was consisted of 21 yes, no questions about biomimetic some biomimetic materials and techniques. Results: showed highest level of awareness has been founded among specialists (90.9%) and the lowest level was among general dentists, with 76.2% being aware of biomimetic materials. The percentage of awareness tends to increase with increase in years of experience. The study revealed that high percentages of dentists have a good knowledge about biomimetic materials and high percentage of them prefer using biomimetic materials. The study revealed there is an under-utilization of some biomimetic materials and techniques. Conclusion: The present study concludes that the lack of knowledge, unavailability and high cost constitute major obstacles to the use of biomimetic materials when compared to conventional methods. To fill these gaps, seamless education on biomimetic methodologies should be implemented into the curriculum of undergraduate dental studies. In addition, providing particular postgraduate courses about biomimetic dentistry would boost dentist ability and knowledge to use these recent techniques in their regular practice.
{"title":"Knowledge, Attitudes, and Practice of Biomimetic Dentistry among General Dentists and Specialists in Tripoli, Libya","authors":"Asma Ghoul, Salama Shaban, Fatima Abusua","doi":"10.47705/kjdmr.2481018","DOIUrl":"https://doi.org/10.47705/kjdmr.2481018","url":null,"abstract":"Aim: The aim of this study was to evaluate knowledge, attitudes and Practice of biomimetic dentistry among general dentists and specialists in Tripoli, Libya. Methods: The questionnaire was designed to assess knowledge and opinion toward biomimetic dentistry among Libyan dentists in Tripoli, the questionnaire was consisted of 21 yes, no questions about biomimetic some biomimetic materials and techniques. Results: showed highest level of awareness has been founded among specialists (90.9%) and the lowest level was among general dentists, with 76.2% being aware of biomimetic materials. The percentage of awareness tends to increase with increase in years of experience. The study revealed that high percentages of dentists have a good knowledge about biomimetic materials and high percentage of them prefer using biomimetic materials. The study revealed there is an under-utilization of some biomimetic materials and techniques. Conclusion: The present study concludes that the lack of knowledge, unavailability and high cost constitute major obstacles to the use of biomimetic materials when compared to conventional methods. To fill these gaps, seamless education on biomimetic methodologies should be implemented into the curriculum of undergraduate dental studies. In addition, providing particular postgraduate courses about biomimetic dentistry would boost dentist ability and knowledge to use these recent techniques in their regular practice.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"21 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141336186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and objectives: Disinfectants and antiseptics are widely used in hospitals and other healthcare centers to ensure the prevention of nosocomial infections and provide efficient infection control. Numerous studies have recently shown that hospital-acquired bacteria are developing resistance against such compounds. The purpose of this study is to examine the effectiveness of the commonly used disinfectants and antiseptics against a group of nosocomial bacteria isolated from Tripoli University Hospital, Libya. Material and Methods: Five bacterial pathogens isolated from different hospital departments are klebsiella spp., Proteus spp., Escherichia coli (E. coli), Acinetobacter spp., Staphylococcus aureus (S. aureus). These isolated bacterial species were subjected to disinfectants and antiseptics impregnated with filter paper discs (disk diffusion assay). The disinfectants and antiseptics used were; Hydrogen peroxide (H2O2), OROLIN® Multisept plus (Orolin), Chlorhexidine (CHX), 84 Disinfectant, ACTOSAL® Flache AF (Actosal) and Ethyl alcohol. Results: In the present study found that the most effective was H2O2 antiseptic against the tested bacterial pathogens with inhibition diameters of 10 to 26mm, except for Proteus bacteria which illustrated resistance at high concentrations. Similarly, Orolin disinfectant shows very excellent efficacy against tested bacteria, and even with low concentrations. Good efficacy was observed for Actosal disinfectant on all species with diameters of inhibition ranging from 10 to 15mm. S. aureus in particular was very sensitive to 70% Ethyl alcohol (20mm), while all tested species were slightly insensitive to both Ethyl alcohol and CHX. In contrast, no effect of the 84 disinfectant was observed on most of isolates. Conclusion: The results of this study indicated that Orolin disinfectant had comparable effects to H2O2 atiseptic but less than to Actosal, 70% Ethyl alcohol and CHX, whereas 84 disinfectant was the weakest one. This study suggests the necessity of applying continuous monitoring to determine the antimicrobial efficacy of these antimicrobial agents regularly.
{"title":"Efficiency of Commonly Used Disinfectants and Antiseptics against Pathogenic Bacteria Isolated from Tripoli University Hospital, Libya","authors":"Mahmoud Ashawesh, Sara Alashhab, Sakena Kori","doi":"10.47705/kjdmr.2481017","DOIUrl":"https://doi.org/10.47705/kjdmr.2481017","url":null,"abstract":"Background and objectives: Disinfectants and antiseptics are widely used in hospitals and other healthcare centers to ensure the prevention of nosocomial infections and provide efficient infection control. Numerous studies have recently shown that hospital-acquired bacteria are developing resistance against such compounds. The purpose of this study is to examine the effectiveness of the commonly used disinfectants and antiseptics against a group of nosocomial bacteria isolated from Tripoli University Hospital, Libya. Material and Methods: Five bacterial pathogens isolated from different hospital departments are klebsiella spp., Proteus spp., Escherichia coli (E. coli), Acinetobacter spp., Staphylococcus aureus (S. aureus). These isolated bacterial species were subjected to disinfectants and antiseptics impregnated with filter paper discs (disk diffusion assay). The disinfectants and antiseptics used were; Hydrogen peroxide (H2O2), OROLIN® Multisept plus (Orolin), Chlorhexidine (CHX), 84 Disinfectant, ACTOSAL® Flache AF (Actosal) and Ethyl alcohol. Results: In the present study found that the most effective was H2O2 antiseptic against the tested bacterial pathogens with inhibition diameters of 10 to 26mm, except for Proteus bacteria which illustrated resistance at high concentrations. Similarly, Orolin disinfectant shows very excellent efficacy against tested bacteria, and even with low concentrations. Good efficacy was observed for Actosal disinfectant on all species with diameters of inhibition ranging from 10 to 15mm. S. aureus in particular was very sensitive to 70% Ethyl alcohol (20mm), while all tested species were slightly insensitive to both Ethyl alcohol and CHX. In contrast, no effect of the 84 disinfectant was observed on most of isolates. Conclusion: The results of this study indicated that Orolin disinfectant had comparable effects to H2O2 atiseptic but less than to Actosal, 70% Ethyl alcohol and CHX, whereas 84 disinfectant was the weakest one. This study suggests the necessity of applying continuous monitoring to determine the antimicrobial efficacy of these antimicrobial agents regularly.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"21 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141353578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective. The study aims to develop and validate new practical and simple but robust index to determine the complexity level of surgical extraction of mandibular third molars (MTM). Methods. A cross-sectional study with sample of 100 patients referred for management of MTM. Complexity index scores recorded twice at 6 weeks intervals preoperatively by oral and maxillofacial specialist. Prediction of the surgical difficulty and the degree of agreement of different variable indexes were calculated. Results. Out of 100, 78 patients with 139 impacted MTM, 26 were males and 52 were female, with a mean age of 26.40±6.39 years (range, 18-45 years). The prediction of operative difficulty was significant as measured by impaction angulation, distance to ramus, and impaction depth. Most cases were classified as complexity level II (63 [80%]). Although only 3 out of 100 cases (4%) were classified as complexity level III. There was no significant difference in age based on the gender (male: 27.54±7.35 years, female: 25.83±5.86 years; P=0.268). Conclusion. Using MTM complexity index as a preoperative tool to evaluate the surgical difficulty, including different patient-specific variables could facilitate treatment planning, help prevent complications and assess the possibility of referral.
{"title":"Surgical Extraction of Mandibular Third Molars: Risk Assessment and Predictable Complexity","authors":"Hisham Shembesh","doi":"10.47705/kjdmr.2481013","DOIUrl":"https://doi.org/10.47705/kjdmr.2481013","url":null,"abstract":"Objective. The study aims to develop and validate new practical and simple but robust index to determine the complexity level of surgical extraction of mandibular third molars (MTM). Methods. A cross-sectional study with sample of 100 patients referred for management of MTM. Complexity index scores recorded twice at 6 weeks intervals preoperatively by oral and maxillofacial specialist. Prediction of the surgical difficulty and the degree of agreement of different variable indexes were calculated. Results. Out of 100, 78 patients with 139 impacted MTM, 26 were males and 52 were female, with a mean age of 26.40±6.39 years (range, 18-45 years). The prediction of operative difficulty was significant as measured by impaction angulation, distance to ramus, and impaction depth. Most cases were classified as complexity level II (63 [80%]). Although only 3 out of 100 cases (4%) were classified as complexity level III. There was no significant difference in age based on the gender (male: 27.54±7.35 years, female: 25.83±5.86 years; P=0.268). Conclusion. Using MTM complexity index as a preoperative tool to evaluate the surgical difficulty, including different patient-specific variables could facilitate treatment planning, help prevent complications and assess the possibility of referral.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"7 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140962129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and aims. Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The present study was conducted to determine risk factors associated with diabetes mellitus among teaching staff in university of Tripoli, Libya. Methods. A total of 100 staff from university of Tripoli were included in this study. A prospective study was conducted from Sept 2021 to March 2022, by using a questionnaire that distributed manually to teaching staff from different faculties of the university. Results: Out of 100 teaching staff, most of them were observed in age group under 45 years old and their body mass index ranged between 25-30kg/m². Cronbach's alpha showed (0.936), waist circumference with mean (m= 2.1200), body mass index with (m=2.0900), and family history with (m=2.0200) to be the most significant risk factor in DM. Other factors such as: antihypertensive drugs with (m=1.8500), age (m=1.8200), physical activity (m=1.4700) and eat vegetables with (m=1.4100), and history of high RBS with (m=1.1700). Conclusion. The risk of developing type 2 diabetes within 10 years amongst teaching staff in university of Tripoli is slightly elevated and the most common risk factor was age and family history. It is necessary to raise awareness of the dangers of DM and its complication.
{"title":"Assessment of Risk Factors of Type 2 Diabetes Among Teaching Staff in Tripoli University","authors":"","doi":"10.47705/kjdmr.237217","DOIUrl":"https://doi.org/10.47705/kjdmr.237217","url":null,"abstract":"Background and aims. Diabetes mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The present study was conducted to determine risk factors associated with diabetes mellitus among teaching staff in university of Tripoli, Libya. Methods. A total of 100 staff from university of Tripoli were included in this study. A prospective study was conducted from Sept 2021 to March 2022, by using a questionnaire that distributed manually to teaching staff from different faculties of the university. Results: Out of 100 teaching staff, most of them were observed in age group under 45 years old and their body mass index ranged between 25-30kg/m². Cronbach's alpha showed (0.936), waist circumference with mean (m= 2.1200), body mass index with (m=2.0900), and family history with (m=2.0200) to be the most significant risk factor in DM. Other factors such as: antihypertensive drugs with (m=1.8500), age (m=1.8200), physical activity (m=1.4700) and eat vegetables with (m=1.4100), and history of high RBS with (m=1.1700). Conclusion. The risk of developing type 2 diabetes within 10 years amongst teaching staff in university of Tripoli is slightly elevated and the most common risk factor was age and family history. It is necessary to raise awareness of the dangers of DM and its complication.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"27 1‐2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140698426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background and aims. Leukemia significantly contributes to the global cancer burden. Research about leukemia types is limited. In this study, we aimed to evaluate the types of leukemia prevalence related to age, gender, and family history in the western area of Libya. Methodology. A cross-sectional study was conducted involving 100 patients who have leukemia. a questionnaire was filled out for each patient. Descriptive statistics for the prevalence of leukemia types were analyzed to assess associating factors including age, gender, and family history. Statistical calculations were performed using the Microsoft Excel Software Version 2010. Results. Of all ages, the highest rate for all leukemia types was age (46 – 65 y) at 29%, however most prevalent leukemia type was CML with 48% of total cases and ALL was the commonest in children (1-10y). Moreover, AML and CLL were the lowest cases. By both genders, male cases were equal to female cases (50% _ 50%). Only 9% of all types have a family history. Conclusion. It is clear, that the most prevalent leukemia type was CML, especially in adults and ALL type was high in children. Only 9% of cases had a family history and by gender the percentage of males to females was equal. Leukemia is a critical cancer that requires further research on associated risk factors.
{"title":"Prevalence of Leukemia Subtype in the Western Area of Libya: A Focus on Tripoli and Sabratha Cities","authors":"Mohamed Abuagela, Abdurraouf Said","doi":"10.47705/kjdmr.248110","DOIUrl":"https://doi.org/10.47705/kjdmr.248110","url":null,"abstract":"Background and aims. Leukemia significantly contributes to the global cancer burden. Research about leukemia types is limited. In this study, we aimed to evaluate the types of leukemia prevalence related to age, gender, and family history in the western area of Libya. Methodology. A cross-sectional study was conducted involving 100 patients who have leukemia. a questionnaire was filled out for each patient. Descriptive statistics for the prevalence of leukemia types were analyzed to assess associating factors including age, gender, and family history. Statistical calculations were performed using the Microsoft Excel Software Version 2010. Results. Of all ages, the highest rate for all leukemia types was age (46 – 65 y) at 29%, however most prevalent leukemia type was CML with 48% of total cases and ALL was the commonest in children (1-10y). Moreover, AML and CLL were the lowest cases. By both genders, male cases were equal to female cases (50% _ 50%). Only 9% of all types have a family history. Conclusion. It is clear, that the most prevalent leukemia type was CML, especially in adults and ALL type was high in children. Only 9% of cases had a family history and by gender the percentage of males to females was equal. Leukemia is a critical cancer that requires further research on associated risk factors.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"21 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A superficial temporal space infection is a secondary infection that originate from the spread of infection from another facial space. It is located between the temporal fascia and Temporalis muscle and extends superiorly to the zygomatic arch and laterally to the lateral orbital rim; Submessetric space is considered the bottom of the superficial temporal space. An hourglass appearance is seen in the case of infection of the STS and submessetric space due to tight attachment of the temporal fascia and Zygomatic arch. A 31 years old healthy man, how had given different type of antibiotic over 20 days, came with moderate swelling in the submessetric space area with slight skin due to chronic fistula in this area and huge painless swelling in the temporal region left with sight deviation of the external helix. Ultrasound examination showed us a large amount of pus in the superficial space and only a small amount of pus in the submessetric space, as well as significant lymphadenopathy in the right submandibular lymph nodes. Surgical incision and drainage for abscess is carryout through Gillis approach extra-oral and intra-oral incision in buccal vestibule is carryout to reach submessetric abscess. On conclusion, a superficial temporal space infection is one of these facial space abscesses that need appropriate treatment. Proper antibiotic cover and re-evaluation of the patient is necessary in cellulitis stage, but surgical incision and drainage is mandatory in the abscess stage.
{"title":"A Rare Case of Superficial Temporal Space Abscess Arising from Lower Wisdom Tooth","authors":"Mohamed Rohuma","doi":"10.47705/kjdmr.2481011","DOIUrl":"https://doi.org/10.47705/kjdmr.2481011","url":null,"abstract":"A superficial temporal space infection is a secondary infection that originate from the spread of infection from another facial space. It is located between the temporal fascia and Temporalis muscle and extends superiorly to the zygomatic arch and laterally to the lateral orbital rim; Submessetric space is considered the bottom of the superficial temporal space. An hourglass appearance is seen in the case of infection of the STS and submessetric space due to tight attachment of the temporal fascia and Zygomatic arch. A 31 years old healthy man, how had given different type of antibiotic over 20 days, came with moderate swelling in the submessetric space area with slight skin due to chronic fistula in this area and huge painless swelling in the temporal region left with sight deviation of the external helix. Ultrasound examination showed us a large amount of pus in the superficial space and only a small amount of pus in the submessetric space, as well as significant lymphadenopathy in the right submandibular lymph nodes. Surgical incision and drainage for abscess is carryout through Gillis approach extra-oral and intra-oral incision in buccal vestibule is carryout to reach submessetric abscess. On conclusion, a superficial temporal space infection is one of these facial space abscesses that need appropriate treatment. Proper antibiotic cover and re-evaluation of the patient is necessary in cellulitis stage, but surgical incision and drainage is mandatory in the abscess stage.","PeriodicalId":436335,"journal":{"name":"Khalij-Libya Journal of Dental and Medical Research","volume":"5 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140733169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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