@article { author = {TADROS, FADY and Darwish, Sameh and Noureldin, Marwa}, title = {EVALUATION OF SHORT IMPLANTS’ SUCCESS FOR TEETH REPLACEMENT IN ATROPHIC POSTERIOR MANDIBULAR RIDGE (CLINICAL TRIAL)}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {145-155}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.45062.1286}, abstract = {Introduction: Atrophic mandibular jaws have been challenging to treat, using long implants. Techniques as jaw ridge augmentations, mandibular canal lateralization, and osseous distraction were proposed to allow the insertion of long Implants. However, complications as nerve injuries, tissue morbidity and prolonged healing have been inconvenient. Therefore, short implants with advanced surface treatments have been suggested. Objectives: Clinical and radiographic evaluation of splinted and single short implants, before and after loading, for teeth replacement in atrophic posterior mandibular alveolar ridges. Materials and Methods: A prospective study was done on 16 Patients with missing posterior teeth, with 6-8 mm of crestal height above the mandibular canal, and at least 7mm of bone width. Group A: 8 patients received 2 short implants loaded by splinted crowns. Group B: 8 patients received single short implants loaded by single crowns. Osstell and CBCts were used for implant stability and bone condition assessment. Results: Both groups maintained high implant stability with a mean of (68.79±4.61) for group A and (71.71±3.55) for group B, 6 months postoperative. Mean marginal bone loss for group A and group B was (0.11±0.04) and (0.16±0.10) respectively; however the difference is insignificant with P value 0.535. A remarkable increase in bone density for both groups among the follow up time with P value Conclusions: Short Implant is a useful solution for teeth replacement in atrophic posterior mandibular ridges, with an 87.5% of success recorded.}, keywords = {Short implants,Splinted short Implants,Atrophic mandible,crown-implant ratio}, url = {https://edj.journals.ekb.eg/article_134456.html}, eprint = {https://edj.journals.ekb.eg/article_134456_57b686b3f43e83a2d8927036b1622ef3.pdf} } @article { author = {Abdullah, Abdel Aziz and Mwafey, Ibraheem}, title = {Efficacy of multidetector computed tomography in Quantitative and Qualitative Analysis Of Facial Symmetry After Zygomaticomaxillary Complex Fractures Management}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {157-166}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.45444.1288}, abstract = {Aim : The aim of present study was quantitative and qualitative analysis of facial symmetry after ZMC fractures management using multidetector computed tomography . Patients and methods: A descriptive study of consecutive 40 adult patients with recent isolated unilateral ZMC fractures who were otherwise healthy was performed from 2019 through 2020. Patient demographics ,and both clinical ,and CT radiographical assessments were done preoperatively and postoperatively after 2 months to evaluate postoperative complications ,patient satisfaction score ,and quality and quantity of facial symmetry. Results: A total 16 patients complained postoperative complications. Postoperative facial asymmetry was observed in 22.5% of patients . The patient satisfaction score gradually increased at all intervals of study. As for the pre- and post-operative radiographic analysis; a total of 28 fractures were considered acceptably reduced, while 12 fractures was considered sub-optimally reduced. There was highly significant difference between preoperative and postoperative values of facial asymmetry indexes (p < 0.01) Conclusion: Our results demonstrated that multidetector computed tomography can be used as accurate imaging modality for quantitative and qualitative analysis of facial symmetry after ZMC fractures management leading to improve postoperative esthetic outcome .}, keywords = {Keywords: ZMC fracture,facial symmetry,rigid internal fixation,Multi-detector Computed Tomography,Midface fracture}, url = {https://edj.journals.ekb.eg/article_134457.html}, eprint = {https://edj.journals.ekb.eg/article_134457_b67603b61e009ab7132d4051265cf182.pdf} } @article { author = {Mahmoud, Nermine and ashour, Essam}, title = {Comparative study between three different plating techniques in management of mandibular angular fractures. A Retrospective Study}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {167-180}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.36904.1185}, abstract = {Aim of Study: was to compare both clinically and radiographically between the three-dimensional plates, 2.4 reconstruction plates and superior border Champy's single miniplate fixation in the treatment of mandibular angle fractures. Materials and Methods: The study enrolled patients who suffered from mandibular angle fractures, presented to the outpatient clinic of the oral and maxillofacial surgery department, faculty of dentistry, October 6 University as well as to the emergency unit of October 6 University Hospital. Patients were divided into 3 equal groups; Group I where open reduction and internal rigid fixation (ORIF) was performed by using 3 Dimensional miniplates through an intra-oral approach assisted by transbuccal trocar. Group II where ORIF was performed by 2.4 reconstruction plate through an extra-oral Risdon approach. Group III where ORIF was performed using single superior border Champy's miniplate through an intra-oral approach. Follow up were scheduled 1 week then 1,3 and 6 months post-operatively. Intra-operative outcomes included: ease of accessibility, ease of adaptation, need for post-operative IMF and approach related complications. Results: Statistical analysis of this study concluded that (Group I) presented statistically significant lower infection rate and lower possibility of sensory and motor nerve affection (Group I) and (Group II) presented proper occlusion, more segment stability and fracture rigidity in the treatment of mandibular angular fractures in comparison to (Group III). Conclusion: The 3D plates demonstrated a superior advantage over the 2.4 Reconstruction plates of ease of insertion transbuccally avoiding any extraoral cutaneous scars, lower infection rates and negligible possibility of facial nerve affection.}, keywords = {Keywords: mandibular angle fractures,Transbuccal trocar,3D plates,2.4 reconstruction plate,champy’s technique}, url = {https://edj.journals.ekb.eg/article_134458.html}, eprint = {https://edj.journals.ekb.eg/article_134458_de5d0ca8f774be33b8aa9719cfde8e99.pdf} } @article { author = {Abdelhakim Elbahkiri, Amro and mounir, Ragia and mounir, mohamed}, title = {Evaluation of marginal bone loss after Immediate implant placement in maxillary esthetic zone with coral bone versus xenograft}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {181-190}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.47327.1307}, abstract = {Conclusion: Results demonstrated a small amount of marginal bone loss in both groups yet it was statistically significant, there was more marginal bone loss in group A (with xenograft ) than group B (with coral bone) but it was not statistically significant. The aim of the study is to evaluate marginal bone loss using coral bone graft which is a xenograft of marine origin versus xenograft of bovine origin in immediate implant placement in maxillary esthetic zone as a gap filling material. Materials and Methods: Ten patients were participated in this study (3 males and 7 females), with a mean age of 34 years having non restorable single or multiple maxillary anterior teeth (18 fresh extraction sockets were conducted in the study). patient's sockets were divided randomly and equally into 2 groups : Group A (control group): included 9 extraction sockets in 5 patients (one male and 4 females) which recived immediate post extraction implant placement with xenograft between the residual labial bone and implant surface. Group B (study group): included 9 extraction sockets in 5 patients(2 males and 3 females) which received immediate post extraction implant placement with coral bone between the residual labial bone and implant surface. Cone beam CT was taken immediately post operative and 4 months postoperatively to measure the amount of marginal bone loss in each group and then the percentage of bone loss in each group.}, keywords = {marginal bone loss after Immediate implant:,> placement in maxillary esthetic zone :,>with coral bone versus xenograft :,>}, url = {https://edj.journals.ekb.eg/article_134459.html}, eprint = {https://edj.journals.ekb.eg/article_134459_277898cb019e1d43cdb8e169f52e710d.pdf} } @article { author = {Hammad, Mohammed and El-Bialy, Rami and Abdel Rasoul, Mohammed}, title = {Immediate implant placement with immediate provisionalization in the maxillary esthetic zone using mixture of allograft and xenograft vs xenografts to augment the jumping gap (A Randomized Clinical Trial)}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {191-201}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.40894.1232}, abstract = {AIM: The aim of the study is to evaluate the efficacy of grafting material in the jumping gap and their effect on the marginal bone loss in upper esthetic zone by using mixture of allograft and xenograft versus xenograft. Material and methods: A total of 20 extractions sockets, with 17 patients had non-restorable maxillary teeth in the esthetic zone indicated for implant placement. They were selected from the outpatient clinic of the oral Maxillofacial surgery Department, Faculty of Dentistry, Cairo University. • Xenograft as jumping gap filling material is successful for preservation labial cortical plate in immediate implant placement in the aesthetic zone. Summary: This study was performed to evaluate marginal bone loss using mixture allograft and xenograft versus xenograft in immediate implant placement with temporization in esthetic area. Twenty implants were conducted in twenty fresh extraction sockets in 17 patients with one or more hopeless teeth indicated for extraction in the region of maxillary anterior teeth. All patients were systemically free and with reasonable oral hygiene. Conclusion: •Immediate implant with immediate temporization is a viable technique for emergence profile preservation which subsequently adds to better result regarding radiographic bony changes and pink esthetic score.}, keywords = {''Immediate implant''< using mixture of allograft and xenograft vs xenografts,''=< to augment the jumping gap,''>}, url = {https://edj.journals.ekb.eg/article_134460.html}, eprint = {https://edj.journals.ekb.eg/article_134460_92863e0a2d76237fd054055c66534fbd.pdf} } @article { author = {Abdel Motaleb, Hesham and El-Gengehi, Mostafa and Khalil, Ehab and Helmy, Emad}, title = {Evaluation of an interocclusal acrylic block for prevention of post radiation trismus}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {203-209}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.42383.1267}, abstract = {Aim: The aim of this study is to evaluate the efficacy of an interocclusal acrylic bite block as a preventative and conservative tool to prevent or minimize post radiation trismus in an effort to improve the quality of life of irradiated patients. Patients and Methods: Twenty patients with confirmed newly diagnosed head and neck cancer planned for radiation therapy, were selected. A custom-made inter occlusal acrylic splint was fabricated for each patient before radiation therapy started. Physiotherapy - using the acrylic block and assisted range of motion exercises - were instructed for the patients during the first 12 months following end of radiation therapy. Maximum interincisal openings were recorded prior to initiation of radiation therapy and then readings were taken monthly after completion of radiation therapy for 12 months. Results: All patients except one have shown decrease in inter incisal openings. The decrease was statistically insignificant and non-of the patients included in this study exhibited trismus. Conclusion: In this observational study the use of the inter occlusal acrylic block has shown promise in preventing post radiation trismus in addition to being cost effective. Further studies with more standardization and randomization are required to further prove the efficacy of this method.}, keywords = {Radiotherapy,Trismus,Physiotherapy}, url = {https://edj.journals.ekb.eg/article_134461.html}, eprint = {https://edj.journals.ekb.eg/article_134461_ee2d1796dc7a1d90eb609b2ce34c4c28.pdf} } @article { author = {Khalifah, Mosaad}, title = {A comparative study for a novel technique for the inferior alveolar nerve block versus the conventional technique}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {211-218}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.43747.1273}, abstract = {Although conventional (Halsted) inferior alveolar nerve block is the most applied nerve block in Dentistry, it is still the most frustrating with high failure rates up to13% or even higher due to inconsistent intraoral landmarks. So, the current study aims at comparing a novel technique for the inferior alveolar nerve block (IANB) depending on extraoral landmarks with the conventional technique. The study group patients received IANB employing the novel technique. The novel technique depended entirely on extraoral consistent landmarks which were the base of the columella, the outer canthus of the right and the left eye, and the upper lip. In the control group, the conventional technique was applied. The success rate and the onset, the duration, and the depth of anaesthesia were assessed. Complications were recorded. While the novel technique achieved higher success rate (98.68%) than the conventional technique (88.16%), the differences with regards with all other parameters to assess the local anaesthesia were statistically insignificant. The novel technique provides the clinicians with a new tool that might be a reliable substitute for the conventional technique since the former depends entirely on extraoral consistent landmarks, which also might account for its simplicity, accuracy, and high success rate.}, keywords = {block,extraoral landmarks,Inferior alveolar,novel,Technique}, url = {https://edj.journals.ekb.eg/article_134462.html}, eprint = {https://edj.journals.ekb.eg/article_134462_294b0a504f0bda116730d77485882061.pdf} } @article { author = {Shuman, Mohammad}, title = {Patient’s Risk Factors for Dental Implant Success and Failure (A Retrospective Study)}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {219-223}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.47496.1310}, abstract = {Abstract Aim: To detect the odds ratios of the various risks influencing the dental implant success and failure retrospectively. Methods: In this retrospective study the clinical and radiographic data of the patients who underwent dental implant procedures at the department of oral and maxillofacial surgery Al-Azhar university since year 2015 were reviewed. Two hundred cases were selected for this study, data were recorded including smoking, periodontal diseases history, diabetes, hypertension, osteoporosis and number of implants in each patient. Periapical digital radiograph was used immediate after implant, at the loading time and in annual basis for five years for measuring radiographic bone loss (RBL). Criteria for implant success and failure were also collected and recorded and all these data were statistically analyzed. The odds ratio (ORs) and RBL were determined and the significance level was considered to be a p value of 0.05. Results: The success rate at the level of 200 patients in this study was 93.5 percent (187 patients) and at least one implant failed in the remaining 6.5 percent (13 patients). Patients who were not smokers, without neither diabetes nor history of periodontitis and patients who received only single implant recorded higher significant ORs associated with implant success (OR = 3.66, 5.96, 7.24 & 3.56) respectively. The average RBL was minimal with 0.08mm annually for the success implants. Conclusion: Data review of this study showed that the effectiveness of the dental implant was adversely affected by smoking, diabetes, history of periodontal diseases and multiple placements of implants.}, keywords = {Keywords: Dental implant,risk factors,Success,Failure}, url = {https://edj.journals.ekb.eg/article_134463.html}, eprint = {https://edj.journals.ekb.eg/article_134463_f0f62a970667dd7992e3ccf5e433f5cf.pdf} } @article { author = {Elfeky, Ahmed}, title = {Stability and integration of laser sintered versus sandblast acid etched implants}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {225-233}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.48437.1321}, abstract = {Abstract Objectives: to evaluate clinically and radiographically stability and tissue integration of laser sintered implant and acid etched-sandblasted implant. Subjects and methods: Ten implants were inserted in patients with unrestorable premolar or molar teeth indicated for extraction. They were divided into two groups as the following: group < br /> A included patients who received dental implants with Laser- treated surface, group B included patients who received implants with (SLA) sandblasted-acid etched surface. The patients were clinically and radiographically evaluated preoperatively and postoperatively at the intervals of 4 month, 6 and 9 months. Clinical evaluation included pocket depth, gingival health, implant stability using osstell, bleeding index, plaque index, pain and satisfaction. Radiographic evaluation was done by using periapical radiographs to measure the marginal bone defect. Results: Both Laser- treated surface implants and sandblasted-acid etched surface implants have significant success rates with superior clinical and radiographic results of laser treated implants over acid etched implants after a follow up period up to 9 months. Conclusion: Laser and acid etched treatment are promising methods for roughening the implant surface and both have significant success rates. Key words: Laser treated, Acid etched, Dental implants.}, keywords = {Laser treated,Acid etched,Dental implants}, url = {https://edj.journals.ekb.eg/article_134464.html}, eprint = {https://edj.journals.ekb.eg/article_134464_67ab6c06b8135c0e7c786bb2d308aa8e.pdf} } @article { author = {Khalifah, Mosaad}, title = {Curettage versus Zinc Oxide Eugenol as a Treatment Modality in Patients with Dry Socket}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {235-239}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.48499.1322}, abstract = {Dry socket (DS) is a very common complication of dental extraction. Although it is due to healing retardation, pain is the most important symptom in DS. Variant studies discussed many treatment methods for pain alleviation, but with wide controversy regarding the efficacy. Zinc oxide eugenol (ZOE) is an old treatment depends on the obtunding neurotoxic properties of eugenol. Zinc oxide eugenol was recommended by many authors; however, there is no general recommendation. Curettage was an accepted treatment method by some authors, but was contraindicated by others. The literature does not provide enough comparative data of two or more agents. In the current comparative study, forty patients with DS were randomly divided into two equal groups. In Group I, curettage was performed to remove the superficial layer of the bone of the extraction socket. A gauze pack was placed over the socket for 20 minutes. For group II a brief saline irrigation of the extraction socket was followed by lightly packing with a cotton pellet impregnated with fresh mix of ZOE. The current study demonstrated that curettage is more efficient than ZOE with regards to the required total treatment period and the number of the needed analgesic tablets.}, keywords = {Dry socket,Curettage,Zinc oxide eugenol}, url = {https://edj.journals.ekb.eg/article_134465.html}, eprint = {https://edj.journals.ekb.eg/article_134465_99bd5654aaf351f7d61e5cbf298948fd.pdf} } @article { author = {Naguib, Ahmed and Beder, Rafik}, title = {Oral Rehabilitation with Osseo integrated Implants within the Native Bone Following Benign Tumor or Cystic Lesion Ablation}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {241-249}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.48690.1324}, abstract = {Purpose:This study aimed to determine the prognosis of performing oral rehabilitation with osseo-integrated implants within the native bone, following tumor or cystic ablation. Patients & Methods: This study was conducted on eight adult patients, (3) males and (5) females, their ages ranged from 25-45 years in Oral and Maxillofacial Surgery Department. Faculty of Dentistry, Tanta University. Stage (I) followed up using panoramic radiograph immediately and then after 6 months. stage (II), The inserted fixtures followed up both clinically and radiographically immediately, three and six months. stage (III), prosthetic rehabilitation. All patients followed up clinically and radiographically, after four months. Results: No pain had detected around the inserted fixtures in all cases, except in case no. (3). No peri- implant infection occurred in all cases except in case no. (3), .No implant mobility had been detected in all cases, except in case no. (3). Peri-implant radiolucency had been detected around the fixtures of case no. (3) only, and proper osseo-integration occurred in all other cases. orthopantogramic and CBCT views showed absence of bone resorption around the inserted fixtures in all cases, except in case no. (3). Excellent patient’s satisfaction occurred in all patients regarding to facial contour, but according to aesthetic and functional aspects, only one patient (case no.3) was unsatisfied. Conclusion: Installation of dental fixtures in the native bone of the lower Jaw after cystic or tumor ablation considered as an excellent Modality for performing oral rehabilitation}, keywords = {VAS,Visual analogue scale. CBCT,Cone beam computerized tomogram}, url = {https://edj.journals.ekb.eg/article_134466.html}, eprint = {https://edj.journals.ekb.eg/article_134466_36f420723e68f25adafd282fb4cf2324.pdf} } @article { author = {Hamad, Omar and Almukhtar, Anas and Sleem, Heba and Ghanem, Amr}, title = {Step-by-Step Design and Construction of Virtual Planned Orthognathic Occlusal Repositioning Wafer}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {251-256}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.49362.1333}, abstract = {Abstract Orthognathic surgery became a rapidly evolving procedure, innovations in virtual planning offers a potentially superior alternative to the conventional model surgery. The variation in techniques, virtual planning software’s, imaging machines and 3D printing options made virtual planning an appealing field, however, the accuracy of these methods remains subject to accuracy assessment. A virtual planning technique was elaborated and validated. Both intermediate a final wafer of seven orthognathic patients were tested revealing mean deviation in intermediate wafer group of 0.64±0.33 mm; while the mean deviation in final wafer group of 0.53±0.10 mm .The virtual technique adopted by our team for construction of occlusal wafers showed good fitting and almost no rocking or interference, minor interferences were caused by the remnants of the supports made during printed to support the 3D model during the process, these interferences were easily eliminated in the occlusal trial session with a finishing stone. In further model that complication was reduced by orienting the models during printing and relocating printing supports away from the fitting surface of the wafers.}, keywords = {Orthognathic,Model Surgery,virtual planning}, url = {https://edj.journals.ekb.eg/article_134467.html}, eprint = {https://edj.journals.ekb.eg/article_134467_bcf0b910574cfbff388f83e1574317ca.pdf} } @article { author = {Abdullah, Abdel Aziz and Gouda, Wesam El-Din}, title = {Efficacy of Modified corticotomy technique combined with skeletal anchorage in maxillary dentoalveolar class II malocclusion correction}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {257-265}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.52433.1393}, abstract = {Aim: It was to evaluate efficacy of modified corticotomy technique (combination between vertical and perforation corticotomy) versus standard vertical corticotomy technique in canine retraction for maxillary dentoalveolar class II malocclusion correction when they were in combination with skeletal anchorage. Patients and methods: 24 patients had maxillary class II malocclusion were treated by skeletal anchorage application combined by corticotomy cuts in one side and alone in another side (control side). Groups were divided randomly into equal groups according corticotomy techniques {group I: vertical corticotomy, group II: vertical and perforation corticotomy (modified corticotomy)}. The upper arch was immediately activated bilaterally after surgical procedure for retraction of the maxillary canines. The patients were followed for 6 months. Statistical analysis was done for the duration of canine retraction, rate of canine retraction, molar anchorage loss, gingival probing depth, and canine root resorption parameters. Results: The control side took significant longer duration than the corticotomy side in all groups. Group I showed statistically significant longer duration for canine movement than groups II. Molar anchorage loss parameter during canine retraction was unsignificant in both groups. Other parameters showed no significant differences between both sides in groups. Conclusion: Modified corticotomy technique is an effective way to accelerate orthodontic tooth movement, with superiority for it than vertical corticotomy in this aspect.}, keywords = {corticotomy technique,canine retraction,skeletal anchorage,miniscrew implants}, url = {https://edj.journals.ekb.eg/article_134468.html}, eprint = {https://edj.journals.ekb.eg/article_134468_83ea508a911ccc81014b3b94a4952641.pdf} } @article { author = {Ramadan, Nermine}, title = {Efficacy of various routes of dexamethasone administration on post-operative complications following impacted mandibular third molar surgeries, comparative clinical study.}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {267-275}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.52489.1395}, abstract = {Introduction: Corticosteroids are considered anti-inflammatory which considered the essential roles, as well as it reduces edema. (1) Aim: To compare the efficacy of dexamethasone injection submucosally, intra-masseteric and intra-muscular on post-operative swelling, mouth opening and pain following removal of mandibular impacted third molars. Type of Study: prospective randomized comparative clinical study. Methods: The current study included forty-five patients with impacted mandibular third molars were selected to underwent surgical removal of mandibular third molars. Group I, comprised of fifteen patients who received pre-operative sub-mucosal 8 mg dexamethasone injection, Group II, comprised of fifteen patients who received pre-operative Intra-masseteric 8 mg dexamethasone injection and Group III, taking intramuscular dexamethasone injection, Postoperative assessment included: mouth opening, swelling as well as pain at the following intervals; 1st, 3rd and 7th day post-operative. Results: our study showed no statistically significant difference between mean MMO as well as VAS in Group I and II; both showed statistically significant higher mean MMO and VAS than Group III. Significant reduction in pain and swelling in both sub-mucosal, intra-masseteric and intra-muscular but a greater immediate effect on trismus was seen in sub-mucosal and intramasseteric routes Discussion: preoperative administration of dexamethasone has greater post-operative effects. Dexamethasone injected preoperatively was safe and simple effective method to reduce postoperative complications such pain, swelling and trismus.}, keywords = {corticosteroid,dexamethasone,post-surgery swelling,third molar extraction}, url = {https://edj.journals.ekb.eg/article_134469.html}, eprint = {https://edj.journals.ekb.eg/article_134469_98b71b80938e2f04699559be2f8c0a81.pdf} } @article { author = {shehab, Mohamed and Taalab, Dina and Abdel Rasoul, Mohammed}, title = {Evaluation of Virtual Surgical Planning and CAD/CAM techniques in Treatment of Mandibular Fractures via Three-Dimensional Patient-Specific Titanium Plates: A Case series.}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {277-284}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.51973.1406}, abstract = {Background: The study aimed to evaluate and assess the clinical stability and efficacy of 3D patient-specific computer-guided titanium plates (3D-PSP) for accurate reduction and fixation of mandibular fractures. Methods: Ten patients were selected suffering from mandibular body/ para-symphyseal fractures, treated with 3D-PSP. Clinical evaluation included; Patient satisfaction, Pain, Occlusion and Occlusal Bite force. Radiographic parameter evaluated was fracture gap distance. The operating time was also measured during the surgery. Results: The occlusal bite forces showed significant increase at 3 months (p≤0.05) follow up. The fracture gap distance revealed a mean of 0.64±0.40 mm at one week and 0.30±0.38 mm at 3 months. The operating time showed a mean of 8:58±02:39 mins:secs. Conclusions: 3D patient specific plates showed accurate reduction and stability of mandibular fractures with decreased operative time. Superior adaptation on bony surfaces offered increased biting forces and decreased risk of plate fracture and design flexibility avoided mental nerve damage.}, keywords = {Computer-guided surgery,Mandibular fractures,Patient-specific plates,Titanium plates,Three dimensional plates}, url = {https://edj.journals.ekb.eg/article_134470.html}, eprint = {https://edj.journals.ekb.eg/article_134470_ceb5e2215e346c24505aaa9b64e8def6.pdf} } @article { author = {ElAdl, Noha and Emara, Aalaa}, title = {Low- Intensity pulsed ultrasound application improves bone healing in maxillary sockets.}, journal = {Egyptian Dental Journal}, volume = {67}, number = {Issue 1 - January (Oral Surgery)}, pages = {285-291}, year = {2021}, publisher = {The Egyptian Dental Association (EDA)}, issn = {0070-9484}, eissn = {2090-2360}, doi = {10.21608/edj.2020.53919.1412}, abstract = {Background: Low-Intensity Pulsed Ultrasound (LIPU) stimulates bone cells and accelerates the repair process. This article aims to evaluate its effect on bone formation by assessing bone density in a maxillary socket after extraction of a central incisor. Methods: A RCT was designed;16 patients with badly decayed upper central incisors were selected. Eight adult patients were randomly assigned to each group. The ultrasound group were subjected to LIPU immediately after extraction through an ultrasound device and the 15 sessions scheduled at five sessions per week for three weeks. The control group patients were not exposed to any intervention. Bone density changes were measured by digital radiographs on days one and 90postoperatively. Results: The bone density of each group was significantly increased at day 90. The estimated mean change in bone density at day 90 was significantly larger in the ultrasound group than the control group (71.555 and 55.764 respectively) after deducting the difference at day 1. Conclusions: the results suggest that LIPU enhances bone healing of maxillary bony extraction sockets. This may be an adjunct modality to avoid healing delays of maxillofacial bony defects as in extraction sockets and cystic defects. Keywords—Bone density, ultrasonic waves, tooth extraction, maxilla, LIPU}, keywords = {bone density,Ultrasonic Waves,Tooth extraction,maxilla,LIPU}, url = {https://edj.journals.ekb.eg/article_134471.html}, eprint = {https://edj.journals.ekb.eg/article_134471_9dea7d4a98db380ff93ec72a3bd6ee0f.pdf} }