@article { author = {Ghanem, Walid}, title = {NEW REGIMEN FOR REDUCTION ANTERIORLY DISPLACED DISC IN PATIENTS WITH BRUXISM}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {865-874}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95216}, abstract = {Aim: This study is aimed to evaluate the efficacy of modified stabilizing splint in reduction anteriorly displaced disc in patients with bruxism.   Patient & Methods: This study was carried out on 26 patients, (14 femal&12male) .Patients complained of severe periauricular pain, inability of eating food, loudly unilateral clicking and se- vere temporal headache. Tenderness of masseter and temporalis muscles on palpation. All patients underwent unilateral arthrocentesis and delivered with modified stabilizing splint with posterior open bite 6, 4, 2 mm, two weeks for each consecutive posterior open bite.MRI was done for each patient preoperative, one and 12months postoperatively. Follow up period was one year.   Results: All patients showed relief of periauricular pain, no clicking in (18 patients). Percep- tible clicking in (8patients). MRI revealed recapture of the anteriorly displaced disc on the condyle in closed &opened positions postoperatively, while anteriorly displaced deformed disc remained in position postoperatively in (8 patients) . Conclusion: Arthrocentesis and modified stabilizing splint are effective in recapture of the anteriorly displaced non deformed disc on the condyle in patients with bruxism.}, keywords = {internal derangement,Stabilizing splint,Arthrocentesis,bruxism}, url = {https://edj.journals.ekb.eg/article_95216.html}, eprint = {https://edj.journals.ekb.eg/article_95216_a9b53f70443e02ece96ae3c3f6218e0b.pdf} } @article { author = {Ghanem, Walid}, title = {RELATIONSHIP OF TWO FACTORS AFFECTING OSSEOINTEGRATION OF IMMEDIATE IMPLANT}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {875-882}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95217}, abstract = {Background: Implant stability plays important role in the success of implant which is affected by peri-implant bone defect .Also the bone formation around the implant indicates the implant os- seointegration condition.   Aim of the study: was aimed to evaluate the relation between horizontal gap ,implant stability and osseointegration of immediate implant. Patient & Methods: This study included 14 patients (8males and 6 females) average age was 32 years. 20 implants were inserted into 20 fresh extracted of maxillary non restorable single rooted teeth. Horizontal gap was measured immediately after implant insertion, stability and bone density of each implant were measured immediately, 3 and 6months postoperatively. All data were ana- lyzed statistically. Results:  The  mean  of  horizontal  gap  was  1.84±0.38,  implant  stability  measures  were 58.35±4.53, 64.9±2.63 and 74.45±4.78 while bone density were 1303.2±140.68, 1609.15±122.84 and 1963.25±127.13 immediately,3 & 6 months postoperatively respectively. Horizontal gap re- sults statistically showed reverse relation with implant stability & bone density results. While im- plant stability results showed direct relation with bone density results.  Conclusion: Horizontal gap has reverse relation with implant stability & osseointegration. While implant stability has direct relation with osseointegration.}, keywords = {Horizontal gap,implant stability,Oseointegratio,Immediate implant}, url = {https://edj.journals.ekb.eg/article_95217.html}, eprint = {https://edj.journals.ekb.eg/article_95217_988e472c73428c3ae316281a7e185ae9.pdf} } @article { author = {Elmohandes, Wael and Elnady, Salah and Waly, Salem}, title = {IS THE ENUCLEATION PROCESS AS A TREATMENT MODALITY FOR AGGRESSIVE (LARGE-SIZED) CEMENTO-OSSIFYING FIBROMA OF THE MAXILLA CURING ?}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {883-887}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95219}, abstract = {The purpose: Is to assess the efficacy of enucleation process as an effective treatment modality in management of large sized (aggressive) cemento-ossifying fibroma (COF) or not.   patients and methods:  Six patients presented with a large expansile, painless growth in the maxilla, diagnosed a cemento-ossifying fibroma were included in this study. The surgical techniques of COFs which applied for six cases were the enucleation of the tumor masses with surgical removal of the sclerotic margins around the lesions.   Results:  Enucleation  process    was  curative  for  (aggressive)  large  sized  COF  lesions. The interesting points; the capsules of lesions were not violated and the sclerotic margins were tumor free. Conclusion: Enucleation with peripheral curettage is quite enough surgical intervention for management of large sized COFs. .  }, keywords = {}, url = {https://edj.journals.ekb.eg/article_95219.html}, eprint = {https://edj.journals.ekb.eg/article_95219_fe910559cb772cd9593937687887a8cf.pdf} } @article { author = {Melek, Lydia and Shokry, Mohamed}, title = {CLINICAL AND RADIOGRAPHIC OUTCOMES OF IMMEDIATELY LOADED IMPLANTS FOLLOWING ALVEOLAR RIDGE PRESERVATION UTILIZING BIOSCAFFOLD}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {889-899}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95220}, abstract = {Background: Preservation of socket at the time of tooth extraction is driven by the desire to minimize the need for future more invasive ridge augmentation procedures. Moreover, it also facilitates successful implant and conventional prosthetic treatment.   purpose: the aim of this study was to evaluate the use of Alvelac™ as a bioscaffold for socket preservation with subsequent placement of immediately loaded dental implants   materials and methods: This study was carried out as a randomized controlled clinical trial. Twenty patients, in need for extraction of a non-restorable posterior maxillary tooth were selected from those attending the outpatient clinic of Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University. After selection of the sample conveniently, it was randomly allocated into two equal groups each consisted of ten participants. The study group; in which the maxillary teeth were extracted and the bioscaffold Alvelac™ was inserted into the empty socket and  supported by 3-0 black silk with a figure of eight sutures. Three months later, immediately loaded dental implants were inserted. Whereas in the control group;the extraction of teeth was done without introducing any material and the wound was closed and supported by 3-0 silk with a figure of eight sutures. Then three months later, immediately loaded dental implants were inserted   results: As for alveolar bone width and height, the current work reveals statistically significant difference between the two groups, regarding the percent of change three months post-extraction and at the time the implants were inserted. A statistically significant difference was found in bone density between the two groups, immediately post-operative and at the first month after implant insertion. However, at the time of three and six months after implants were inserted, there was no statistically significant difference between the two groups.   Conclusions: insertion of the bioscaffold Alvelac™ material in the socket immediately after tooth extraction allows it to act as a scaffold for bone deposition and it assists the natural healing process. Furthermore, treating the socket with Bioscaffold results in natural healing within the given time frame with better bone quality. It is clear that this material allows preservation of the dimensional measures of alveolar bone after tooth extraction. Finally, the material is believed to assist in increasing the success rate of the immediately loaded dental implants.  }, keywords = {}, url = {https://edj.journals.ekb.eg/article_95220.html}, eprint = {https://edj.journals.ekb.eg/article_95220_0035da5e942d903ca79d46e4366d9bd7.pdf} } @article { author = {El Ghazawy, Nora and Helmy, Iman and Hakam, Maha}, title = {POSTERIOR MAXILLARY SOCKET PRESERVATION USING COLLAGENATED CORTICO-CANCELLOUS XENOGRAFT}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {901-910}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95221}, abstract = {The current study was conducted to evaluate posterior maxillary socket preservation using Prehydrated  Collagenated  Cortico-Cancellous  Equine  Xenograft  (Osteobiol®)  compared  to normal socket healing. 22 posterior maxillary extraction sites, indicated for socket preservation and implant placement were included in this study. They were randomly divided into two equal groups; 1-Study group: in which the extraction socket was filled with the bone graft. 2-Control group: in which the extraction socket was left to heal without bone grafting. All patients underwent preoperative evaluation, the target tooth was extracted atraumatically and the alveolar ridge was preserved using Osteobiol Putty bone graft material in the study group cases. All patients underwent follow up for 9 months. During this period they were regularly examined clinically to monitor healing and assess for any complications. Nine months after the first operative phase, bone core biopsy was taken from all cases of both groups, followed by implant placement. Histologic and histomorphometric evaluation of the retrieved biopsies was performed to assess for the amount, type, percentage of new bone formation as well as the osteoblastic/osteoclastic ratio. No major intraoperative or postoperative clinical complications were encountered in both groups. Histologic and histomorphometric examination of the bone biopsies revealed new bone formation in both groups. Morphometric analysis showed that the mean area fraction of the total bone matrix and the lamellar bone area fraction were significantly higher in the study group than the control group. The osteoblastic/osteoclastic ratio was significantly higher in the study group than in the control group. The used grafting material could be successfully utilized for socket preservation in posterior maxilla with minimally invasive procedures without the use of a barrier membrane or a mucoperiosteal flap.}, keywords = {}, url = {https://edj.journals.ekb.eg/article_95221.html}, eprint = {https://edj.journals.ekb.eg/article_95221_9ad2d0662edee3a88efbc24af5bda4d8.pdf} } @article { author = {Ishak, Tamer and Omara, Laila and Osman, Hassan and Hamdy, Reham}, title = {EVALUATION OF COLLAGENATED CORTICO-CANCELLOUS XENOGRAFT PLUS LEUKOCYTE-PLATELET RICH FIBRIN AS A GRAFT MATERIAL PRIOR TO DENTAL IMPLANTATION (COMPARATIVE CLINICAL, RADIOGRAPHICAL & HISTOLOGICAL STUDY)}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {911-919}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95222}, abstract = {The dimensions of the alveolar bone are of great importance from both esthetic and implant planning reasons. The preservation of bone volume immediately after tooth removal might be necessary to optimize the success of implant placement in terms of esthetics and function. This study was conducted to investigate histologically, clinically & radiographically, the potential of combination of xenogenic cortico – cancellous bone graft and platelet Rich Fibrin (PRF) as a socket graft material to enhance bone regeneration after tooth extraction and in a trial to minimize the alveolar ridge collapse prior to placement of dental implant placed in the maxilla. This study included 15 females (12 females and 3 males) healthy patients, they were free from any systemic disease or disorders that could affect the healing of bone. The patients were selected from the outpatient clinic of Oral and Maxillofacial Surgery Department; Faculty of Oral & Dental Medicine, Cairo University. The patient’s age ranged from 20 to 40 years. The need for extraction of unrepairable maxillary posterior teeth was determined by clinical and radiographic examination. The xenogenic cortico-cancellous bone graft was dispensed in a ready made syringe in putty form. The platelet rich fibrin preparation requires an adequate centrifuge, needle and 10 ml blood collection tubes. The whole blood is drawn into the tubes without anticoagulant (as bovine thrombin) and is immediately centrifuged at 3000 rpm for 10minutes. The result is a fibrin clot containing the platelets located in the middle of the tube,  just between the red blood cell layer at the bottom and a cellular plasma at the top. Teeth were extracted atraumatically, by using a surgical bur to separate the roots of the choosable maxillary posterior teeth. Each root was removed separately. Then the sockets were debrided and irrigated with sterile saline solution.   Immediately after extraction of teeth, the teeth sockets were grafted with a combination of xenogenic cortico – cancellous bone graft and platelet- rich fibrin and sutured with figure 8 sutures. The radiographic follow up intervals was performed using digital panoramic radiography, done after extraction of the tooth immediately at baseline  }, keywords = {}, url = {https://edj.journals.ekb.eg/article_95222.html}, eprint = {https://edj.journals.ekb.eg/article_95222_ba9dbe2a29b4f0f70565966587b97a4b.pdf} } @article { author = {Gad, Hamed and Bakry, Ahmed}, title = {VALIDITY OF DIGITAL PANORAMIC RADIOGRAPHY IN POST-MARSUPIALIZATION SIZE REDUCTION ASSESSMENT OF MANDIBULAR CYSTIC LESIONS}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {921-927}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95223}, abstract = {Objectives: The purpose of this study was to evaluate the accuracy of digital panoramic radiography (DP) in assessment of size reduction following the marsupialization of mandibular cystic lesions.   methodology: 10 patients those were exhibited mandibular odontogenic cystic lesions at the molar/ ramus areas were selected. These lesions were included; 7 mandibular odontogenic kerato- cystic tumors (OKCT) and 3  mandibular unicystic ameloblastoma(UAB). All lesions were exam- ined pre-marsupialization and during the follow up periods with Multi-slice CT (MSCT) Scan (that used as a gold standard) and digital panoramic radiography.   Results: There was a statistically significant difference between the (MSCT) and digital pan- orama (DP) in detecting the actual size reduction of the cystic lesions resulted from bone deposition after marsupialization. MSCT showed statistically significantly higher prevalence of validity and clearly interpretation than modality of the digital panoramic radiography. Conclusion: The digital panoramic radiography alone is insufficient tool for assessment, evalu- ation and  follow up of the  post-marsupialization  size  reduction progress of mandibular odon- togenic  cystic lesions, and  subsequently this reliance might be lead to  erroneous  professional decision related to real size reduction  of  these types of lesions.    }, keywords = {}, url = {https://edj.journals.ekb.eg/article_95223.html}, eprint = {https://edj.journals.ekb.eg/article_95223_df75318cbe0e6c42644486c2e1e1b710.pdf} } @article { author = {Melek, Lydia and Al Mahalawy, Haytham}, title = {MINIPLATE REMOVAL FOLLOWING MAXILLOFACIAL TRAUMA: ROUTINE OR SYMPTOMATIC?}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {931-936}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95224}, abstract = {Background: The literature shows that hardware removal rates after fixation of maxillofacial fractures with miniplates are significant, as there are some needs for hardware removal in a number of patients who have been treated with metallic osteosynthesis devices. purpose: The purpose of the present study was to find the rates of and reasons for miniplates removal in patients who have been treated for maxillofacial fractures.   patients and methods: The files of 103 patients who have been treated with open reduction and internal fixation with titanium miniplates were retrospectively revised. The number of patients who underwent miniplate removal was recorded. For each patient who has undergone miniplate removal; the indication for miniplate removal, the number of removed plates and the interval between plate placement and removal were recorded.   Results: 28 patients out of 103 patients have undergone miniplate removal with a total removal rate of 27.18 %. By excluding the pediatric population, the removal rate for the adult population alone was 9.6%. Twenty cases were removed due to ongoing growth in children and teenagers (71.43 %), five cases for objective reasons (17.85%) and three cases (10.71 %) due to subjective patient discomfort. A total of 51 plates were removed. Twelve plates (23.5 %) were removed from the mid-face and 39 (76.47 %) from the mandible.   Conclusion: The low rate of miniplate removal in this study shows that the routine removal of asymptomatic miniplates in adult population is not indicated.  }, keywords = {plate removal,miniplates,maxillofacial trauma}, url = {https://edj.journals.ekb.eg/article_95224.html}, eprint = {https://edj.journals.ekb.eg/article_95224_027a57575d8d6cbd5f6aa0251a274db9.pdf} } @article { author = {Essa, Emad and Nowair, Ibrahim}, title = {VERSATILITY OF INTRAORAL MAXILLARY BUCCAL SULCUS APPROACH FOR SURGICAL MANAGEMENT OF UNILATERAL DISPLACED ZYGOMATIC COMPLEX FRACTURES}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {937-943}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95225}, abstract = {Purpose: The aim of this research was to evaluate the versatility of using intraoral maxillary buccal sulcus approach for reduction of zygomatic complex fractures and also for rigid fixation of the infraorbital horizontal buttress Patients and methods: Twenty patients with displaced zygomatic complex fractures were diagnosed according to signs, symptoms and radiographically, treated by open reduction and internal fixation. The data were recorded and analyzed.   Results: The intraoral approach has several advantages such as (a) only one incision is necessary to approach the zygomatico-maxillary buttress and infraorbital rim, (b) it decrease surgical time (c) it avoids periorbital scars and (d) avoidance of lower lid ectropion or entropion.}, keywords = {Zygomatic complex fractures,intraoral approach,open reduction and internal rigid fixation}, url = {https://edj.journals.ekb.eg/article_95225.html}, eprint = {https://edj.journals.ekb.eg/article_95225_aa292b9ab79a6ec7cb59f23060a9d711.pdf} } @article { author = {Gad, Hamed and Ali, Amro}, title = {INDIRECT IMPACT OF AN ACRYLIC LABIOLINGUAL SPLINTS MANGING FRACTURED PEDIATRIC MANDIBULAR DENTAL BEARING AREAS ON TEMPOROMANDIBULAR JOINT FUNCTIONS}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {945-953}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95226}, abstract = {  Objective: The purpose of the current study was to investigate the indirect impact of an acrylic labio-lingual splints as a fixation maneuver of pediatric mandibular body fractures on temporo- mandibular joint (TMJ) function.   study design: The current study was conducted on twenty patients of both genders (12 boys and 8 girls) with age ranging from 5-10 years old. These patients suffered from 20 single mandibular fractures at teeth bearing area. The patients were divided into two groups; pre-school age group (G1) and school age group (G2). They were conservatively treated through closed reduction and indirect fixation by using acrylic labio-lingual splint tightened by 2-4circummandibular wires under local anesthesia and conscious sedation. The patients were followed up clinically and radio-graphically immediately, and at (one, three, six, nine and twelve) months postoperatively.   Results: Through all follow up period; all mandibular functional movements well not affected. Statistically; there were non-statistically significance decrease in all functional mandibular movement in both groups. In the meantime there non-statistically significance decrease in all functional mandibular movement in the same group from immediate post-operative period to the end of the postoperative follow up period Conclusion: An acrylic labio-lingual splints as the legendary mean of indirect fixating of pediatric mandibular body fractures had no deleterious effect on TMJ functional activities.  }, keywords = {Circum mandibular wiring,mandibular body fractures,acrylic splint,pediatric trauma}, url = {https://edj.journals.ekb.eg/article_95226.html}, eprint = {https://edj.journals.ekb.eg/article_95226_37eb7ec09ad9f298c1e2d3b2b8c49442.pdf} } @article { author = {Nabil, Yasser and Ghita, Alaa}, title = {TRANSORAL ENDOSCOPIC-ASSISTED EN BLOC RESECTION OF MUCOEPIDERMOID CARCINOMA: AN ALTERNATIVE TO EXTRA-ORAL ROUTE}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {955-958}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95227}, abstract = {The most common approache for the resection of mucoepidermoid carcinoma of the maxilla are the extraoral conventional incision. The standard treatment is en bloc resection with wide safety margins and subsequent reconstruction of the jaw, the resulting scars could be devastating to the patient’s postoperative appearance. In this study we reported endoscopically assisted approach that offers a less aesthetically invasive technique, with complete removal of the lesion. Four patients were included, they were diagnosed of having mucoepidermoid carcinoma by clinical examination, computed tomography imaging in saggittal and coronal planes, and preoperative fine-needle aspiration biopsy. They had endoscopically assisted resections through intranasal approach to resects the upper and the proximal medial extension of the lesion, while the rest had been removed through the trans-palatal route. A pre operative primary acrylic splint was prefabricated to act as a primary obturator. All the resections were successful without recurrence after 2 years follow up. Endoscopically assisted resection of such lesions provides it complete removal with excellent cosmetic results. With this technique there was no facial paralyses, nor recurrences, with excellent aesthetic and functional results. The patients returned back to normal in the short term. It provides a viable alternative to conventional approaches.  }, keywords = {Endoscope,Mucoepidermoid carcinoma}, url = {https://edj.journals.ekb.eg/article_95227.html}, eprint = {https://edj.journals.ekb.eg/article_95227_de21f9e8489adf12461febf0bcaf98c5.pdf} } @article { author = {Al-Hady, Abdullah and El-Mardenly, Ahmed and Sayed, Mamdouh and Zayet, Mohamed and Abd El-Ghany, Khaled}, title = {VIRTUAL ASSESSMENT OF RIB GRAFT POSITION AFTER DISARTICULATION RESECTION}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {959-963}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95229}, abstract = {Purpose: Immediate replacement of the mandibular condyle is sometime required when the mandibular condyle is involved in pathology. This study was designed to evaluate virtualY rib position in disarticulation resection after immediate replacement of the condyle using costochondral graft following disarticulation.   Patients  and  methods:  This  study  included 11  patients,  where  costochondral  graft  was used for immediate condylar replacement following disarticulation. Assessment was conducted immediately postoperatively by radiographic on specialized soft utilize post operative CT.   results: Eleven patients suffered from benign and locally aggressive lesions of the mandibles were presented in this study, there were no complications in all patients .Radiographic outcome showed normal position of the replaced condyle in the glenoid fossa and virtual assessment using specialized soft ware virtually . conclusions: Immediate reconstruction of the condylar unit with costochondral graft is a viable technique combining ease of surgery and a high success rate.vitual assessment help us to identify good rib position or not.}, keywords = {}, url = {https://edj.journals.ekb.eg/article_95229.html}, eprint = {https://edj.journals.ekb.eg/article_95229_dcf0229a9017897c229520dfa51fb1c9.pdf} } @article { author = {Al-Hady, Abdullah and El-Mardenly, Ahmed and Sayed, Mamdouh and Zayet, Mohamed and Abd El-Ghany, Khaled}, title = {IMMEDIATE REPLACEMENT OF THE CONDYLE FOLLOWING DISARTICULATION RESECTION BY COSTOCHONDRAL GRAFT USING STEREOLITHOGRAPHIC MODEL}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {965-969}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95230}, abstract = {Purpose: Immediate replacement of the mandibular condyle is sometime required when the mandibular condyle is involved in pathology. This study was designed to evaluate immediate replacement of the condyle using costochondral graft following disarticulation.   Patients and Methods: This  study included 11 patients, where costochondral graft was used for immediate condylar replacement following disarticulation, the condylar replacement articulated against the preserved disc. The follow up was 2 months. Assessment was conducted immediately postoperatively by radiographic examination and 2 months by direct questioning, and clinical observation.   Results: Eleven patients suffered from benign and locally aggressive lesions of the mandibles were presented in this study, there were no complications in all patients, there was no open bite, normal range of mandibular opening, the occlusion and facial form was restored. Radiographic outcome showed normal position of the replaced condyle in the glenoid fossa. Conclusions:  Immediate  reconstruction  of  the  condylar  unit  with  costochondral  graft  is a viable technique combining ease of surgery and a high success rate. Keeping in mind this was the primary stage of reconstruction and the patient will pass the second stage constructing the body area by anterior iliac crest grafting via transcutaneous approach}, keywords = {}, url = {https://edj.journals.ekb.eg/article_95230.html}, eprint = {https://edj.journals.ekb.eg/article_95230_8b4e425f8d338b271b2c598365542865.pdf} } @article { author = {Gawish, Abeer and Khalifa, Amany}, title = {INFECTION CONTROL PRACTICES AMONG GROUP OF DENTAL HEALTH CARE PROVIDERS}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {971-976}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95231}, abstract = {objective: To observe adoption of infection control measures among group of dental students, staff and assistance attended to Sinai University and ministry of health in Egypt.   methodology: A cross-sectional randomized study based on a convenient sampling technique was conducted. A total of 225members chosen by random sampling were attended to fill a close ended structured questionnaire (response as ‘yes’ or ‘no’). Study was conducted from the first of February to the first of May 2015.   Statistical analysis for knowledge, attitude and practice descriptive statistics were computed using the SPSS software for Windows version 17.   results: Two hundred and eighteen dental health care providers were asked to participate in the study and response rate of 96.9% was obtained. The included persons as 20 staff members, 150 undergraduate students, 48 were health workers. Significant differences between the study groups were noticed for means of practice scores (p≤0.01) and significant linear correlation was observed between knowledge and practice scores (p≤0.01).   conclusions: Lack of awareness regarding universal precautions proposed by Centers for Disease Control (CDC) is observed among dental practitioners. The knowledge and attitude of dental students about cross infection control is enhancing but there is still some room for developing a firm attitude. This attitude can be improved by refreshing and upgrading their knowledge by obtaining continues education regarding universal infection control measures through arranging sessions or lectures for dentists. recommendations: There is a great need for enhancing the awareness of infection control guidelines among dental practitioners}, keywords = {}, url = {https://edj.journals.ekb.eg/article_95231.html}, eprint = {https://edj.journals.ekb.eg/article_95231_65c2d44cf705ace6508ef3e80fb541f4.pdf} } @article { author = {Thabet, Hend and Refai, Hamida and Hassanin, Nermine and Zaki, Ahmed}, title = {LOW LEVEL LASER THERAPY IN THE TREATMENT OF TEMPOROMANDIBULAR JOINT PAIN: A DOUBLE-BLIND STUDY}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {977-981}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95232}, abstract = {Aim of the Study: was to evaluate the effectiveness of low level laser therapy for the control of TMJ pain.   Materials and Methods: This study included 12 patients with clinical diagnosis of DDWR in a random and double blind research design. Patients, divided into study group and control (placebo) group submitted to treatment with LLL using Ga-As diode laser. Study group received 3 sessions per week during 4 consecutive weeks while placebo group received inactive laser using the same technique and schedule as study group. Results: There were not statistically significant differences between both groups.}, keywords = {low intensity laser therapy,Laser Therapy,Temporomandibular joint,temporomandibular disorder treatment}, url = {https://edj.journals.ekb.eg/article_95232.html}, eprint = {https://edj.journals.ekb.eg/article_95232_c1af51c1c707d61df03c045277103b39.pdf} } @article { author = {Abdullah, Walid}, title = {VERTICAL AND HORIZONTAL STABILITY FOLLOWING LE FORT I OSTEOTOMY WITHOUT BONE GRAFT}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {983-992}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95233}, abstract = {objectives: the study aimed to evaluate the vertical and horizontal stability following Le Fort I osteotomy without using any bone graft in patients with maxillary advancement up to 6 mm alone or combined with vertical repositioning. Patients and methods: patients referred for one piece Le Fort I osteotomy with or without other orthognathic procedures were included in this study. In all surgeries, the maxilla was fixed using titanium plates and no bone graft was used in any of the patients. Suspension wires were fixed to be used for IMF with elastics postoperatively. Lateral cephalometric X-rays were taken 1 week after the surgery (T1), and 1 year after the surgery (T2), these X-rays were used to evaluate the postoperative stability using the SNA angle, maxillary depth angle, palatal plane angle, and maxillary height angle to evaluate changes in the horizontal and vertical direction.   results: The lateral cephalometric analysis for relapse in the anteroposterior direction showed that only 6 patients out of 18 (33.3%) encountered a relapse of more than 2° in SNA angle and 5 (27.7%) in the maxillary depth angle measurements. Yet in between those patients there was only one (5.5%) out of 18 patients had only maxillary advancement without vertical repositioning. The results of the maxillary height and palatal plane angles showed that all the changes of more than 2° in the vertical direction were in the elongation group (3 patients out of four) (75%) using the palatal plane angle while it was only 1 patient (25%) using the maxillary height angle evaluation. Conclusion: within the limitation of the present study (small sample number especially in the patients with vertical repositioning) ; the study suggests that the use of bone graft can be avoided in maxillary advancement movement up to 6 mm anterior repositioning even this was combined with superior repositioning. Moreover the study recommends the use of bone graft in cases of anterior maxillary advancement with inferior repositioning of the maxilla.}, keywords = {Orthognathic surgery stability,Le Fort I osteotomy,bone graft}, url = {https://edj.journals.ekb.eg/article_95233.html}, eprint = {https://edj.journals.ekb.eg/article_95233_e43c88620e3d997bcd2b81e487eb02ba.pdf} } @article { author = {Shehab, Mohamed}, title = {CLINICAL ACCURACY OF A COMPUTER-GENERATED SURGICAL GUIDE TEMPLATE IN SANDWICH OSTEOTOMY FOR POSTERIOR EDENTULOUS MANDIBLE}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {993-1001}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95234}, abstract = {Background: The study was conducted to evaluate the accuracy of a novel design computer- generated surgical guide template (SGT) using rapid prototyping to guide the osteotomy cuts in sandwich osteotomy technique according to the pre-planned position to prevent injury to the infe- rior alveolar nerve.   Methods: Eight partially edentulous patients showing atrophy in the posterior mandibular ridge were included. A SGT was designed according to each case using a 3D modeling software to guide the bony osteotomy cuts during the surgical procedure. Preoperative, immediate post-operative and after 4 months CBCT was done for all patients. Dental implants were installed at the grafted sites after 4 months. Results: Linear measurements were taken from the pre and post-operative CBCT. No statisti- cally significant difference was found between the pre and post-operative measurements (P ≤ 0.05). Conclusion: The computer generated SGT provided enhanced visualization, better treatment planning, predictable results and a less technique sensitive procedure.}, keywords = {trophied posterior mandible,Sandwich osteotomy technique,Computer- generated surgical guide templates,rapid prototyping}, url = {https://edj.journals.ekb.eg/article_95234.html}, eprint = {https://edj.journals.ekb.eg/article_95234_489da8b10addf0d9510ce8582bcee79f.pdf} } @article { author = {Hussein, Sherif and Shindy, Ibrahim and Ahmed, Mohamed}, title = {THE EFFECT OF COMBINING CORTICOSTEROIDS AND HYALURONIC ACID, AS OPPOSED TO THAT OF CORTICOSTEROIDS ALONE, FOLLOWING TEMPOROMANDIBULAR JOINT ARTHROCENTHESIS.}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {1003-1012}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95236}, abstract = {objective: The purpose of this study is to evaluate the therapeutic effect of the combination of Hyaluronic acid and Corticosteroids in treatment of Temporomandibular joint disorder following Temporomandibular arthrocenthesis using single needle technique.   materials   and  methods:   12  young  females  that  have  been  diagnosed  for  internal derangement of the Temporomandibular joint, were divided into two groups where the first group (Study group) were treated by a combination of Hyaluronic acid and Corticosteroids following TMJ arthrocenthesis. While the second group (Control group) were treated only by Corticosteroids.   All procedures were performed using single needle technique and took place at the outpatient clinic of the Oral and Maxillofacial Department, Faculty of Oral and Dental Medicine, Cairo University.   results: The study showed a remarkable decrease in pain sensation and increase in range of mouth opening in the majority of the cases. conclusion: •  Single needle arthrocenthesis is an effective technique for treatment of internal derangement of the TMJ. •  The mix of hyaluronic acid and corticosteroid did not show any significant difference whenMN compared to the injection of corticosteroids alone in mouth opening and VAS score. •   Psychological stresses have a negative effect on temporomandibular condition, and the effectiveness of the treatment procedure.  }, keywords = {Temporomandibular joint,Arthrocenthesis,Lavage,Hyaluronic acid,corticosteroid,Single needle}, url = {https://edj.journals.ekb.eg/article_95236.html}, eprint = {https://edj.journals.ekb.eg/article_95236_c5fdb41c605eafb7327bf2ff5b92b1fa.pdf} } @article { author = {Tawfik, Abdel Monem and Amer, Mohamed and Aql, Ibrahim}, title = {POSTOPERATIVE SEQUELAE OF RADICULAR CYST ENUCLEATION USING PIEZOSURGERY VERSUS CONVENTIONAL TREATMENT MODALITY}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {1013-1025}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95237}, abstract = {Problem statement: The need to develop an alternative surgical tools facilitates cyst enucleation with minimal recurrence risk has introduced piezosurgery as a recent treatment modality for enucleation of radicular cyst especially, when cyst remnants are localized in inaccessible area. So, this study was based to assess postoperative sequelae of radicular cyst enucleation using ultrasonic bone surgery (piezosurgery) in comparison with conventional surgical treatment modality.   Patients and methods: Twenty patients were randomly divided into two equal groups for treatment of radicular cystic lesion of size ranged between 2-4cm. Ten Patients included within 1st   group were subjected to surgical enucleation of cystic lesion with classical application of conventional rotary instruments. While, ten patients included within 2nd  group were subjected to surgical enucleation of cystic lesion with application of piezosurgery. All patients were evaluated intraoperatively in terms of bleeding either at 24 hours and 7 days. Pain and swelling were assessed after 2 and 7 days. Bone mineral density was recorded immediately, 6 and 12 months.   results: No statistical significant difference was recorded between both groups regarding to severity of intra-operative bleeding and pain severity after 2 days (P=0.068- 0.111 respectively). A statistical significant difference was recorded between both groups regarding to summation of swelling and BMD after 2 days of follow up (P=.001-0.015 respectively). Additionally, a statistical significant difference was recorded between both groups regarding to inter-incisal distance (IID) after 24 hours and 2 days (P=0.002- 0.035respectively) and time of surgery (P=0.013). conclusion: Although, piezosurgery can be represented as technique sensitive maneuver affected seriously by several factors either related to operator experience or device adoption by itself. However, the collective findings of this study declared their positive impact on reducing the postoperative sequelae of radicular cyst enucleation compared with conventional treatment modality.}, keywords = {}, url = {https://edj.journals.ekb.eg/article_95237.html}, eprint = {https://edj.journals.ekb.eg/article_95237_7e4068beb06341e26fefcba09474fb5e.pdf} } @article { author = {Ghanem, Mohamed and Hakam, Maha and Mekhemer, Sameh and Abdel-Mottaleb, Mohamed}, title = {HISTOLOGICAL EVALUATION OF ENHANCED OSTEO-INDUCTION BY NANO-STRUCTURED TITANIUM GRANULES}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {1027-1031}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95238}, abstract = {Technological advancement in addition to better understanding of bone-healing biology, however, have recently lead to the development of several bone graft substitutes that are currently available to surgeons. In the current study we introduce a new bone grafting material, its structure is based on pure commercially available nano-particles of Titanium Dioxide (TiO2).  This study aims to evaluate this TiO2  bone graft substitute interaction with viable bone histologically by assessing its osteo-induction and conduction properties.    }, keywords = {TiO2,Nanotechnology,bone grafting,osteoinduction,Osteoconduction,calvaria,albino rat,H&E}, url = {https://edj.journals.ekb.eg/article_95238.html}, eprint = {https://edj.journals.ekb.eg/article_95238_1360cca6bb112be2fadb07be225de252.pdf} } @article { author = {Habib, Ahmed and Fata, Mohamed}, title = {THE FEASIBILITY OF CRANIOFACIAL SKELETAL FIXATION USING CYANOACRYLATE GLUE BASED ON CLINICAL EXPERIENCE, AT A GOVERNMENTAL HOSPITAL, ALEXANDRIA, EGYPT}, journal = {Egyptian Dental Journal}, volume = {62}, number = {Issue 1 - January (Oral Surgery)}, pages = {1033-1038}, year = {2016}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2016.95239}, abstract = {objective: The purpose of this study was to present experience using cyanoacrylate tissue glue in fixation of onlay bone grafts used in different craniofacial reconstruction situations   design: Prospective analysis of patients with craniofacial defects including nasofrontal encephalocele and post traumatic craniofacial fractures repaired by onlay bone grafts. setting: Institutional center   patients/participants: A total of 27 patients presented with nasofrontal encephalocele (5) and post traumatic craniofacial fractures (22). interventions:  Reconstruction  of  nasofrontal  defects  using  onlay  bone  grafts  fixed  by cyanoacrylate tissue glue   outcome measures: Patients had repair using bone grafts fixed by cyanoacrylate tissue glue between 2010 and 2013. Patients’ photographs, and clinical records, were collected. The technique of defect reconstruction and method of bone grafts securing it in its position is described in this study.   results:  Patients were followed up over a mean period of 12.6 months to clinically check the stability of the reconstruction, and the contour of the cranium. All patients showed uneventful healing without complications. Conclusions:  This  technique  offered  a  secure  method  of  onlay  bone  fixation  during reconstruction. Further researches are needed to show this technique advantages and drawbacks.  }, keywords = {cyanoacrylate,bone graft,craniofacial,glu}, url = {https://edj.journals.ekb.eg/article_95239.html}, eprint = {https://edj.journals.ekb.eg/article_95239_1704526fef05c433cb087fd9600e3889.pdf} }