2024-03-29T09:40:24Z
https://edj.journals.ekb.eg/?_action=export&rf=summon&issue=10703
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Autologous Platelet Rich Fibrin Glue Local Application at Fracture Line in Treatment of the Mandibular Angle Fractures
Heba
Fayed
Objective: The aim of this study was to evaluate the application of platelet rich fibrin on the outcome of mandibular fracture. Methods: This prospective study was carried on 16 patients with mandibular angle fracture with a mean age of 35 years, PRF was applied on fracture line after reduction. Results: significantly higher mean of bone density was recorded in PRF group in first and third months postoperatively. Conclusion: PRF seems to be attributed to enhance and accelerate bone formation.
2019
10
01
3277
3282
https://edj.journals.ekb.eg/article_74756_9a9b5ca044c54dc8d7b310f61dfa9ebb.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Effects of Erythropoietin on The Healing of Calvarial Bone Defect
Alshaimaa
Ahmed
Inass
Abou Elmagd
Maggie
Khairy
Ahmed
Fahmi
Objectives To evaluate the effect of a single-dose local administration versus the systemic administration of Erythropoietin on bone healing in calvarial bone defectsMaterial & Methods Critical-size cranial osteotomy defects were created in 30 rabbits. The animals were randomly divided into 3 groups. The animals were randomly divided into 3 groups (n= 10 animals in each group). In the Group I, the bone defect was only filled with a collagen sponge soaked with erythropoietin. In the Group II, it was filled with a collagen sponge and erythropoietin injected systemically. While in the Group III, the defect was filled with a collagen sponge. The groups were further split in two for euthanasia 10- and 21-days post-surgery. New bone formation and neovascularization were evaluated by hematoxylin-eosin. For the 10-days samples, all the groups analyzed for area percent of blood vessels while on the 21- day samples, the area of new bone formation was calculated. Differences between groups were analyzed by one-way ANOVA.Results At 10 days post-surgery, the histological analysis showed that the erythropoietin Groups exhibited a significantly higher percentage of bone formation compared with the other Group. At 21 days post-surgery, a higher percentage of new bone was observed in the erythropoietin group.Conclusions The results suggest that both local and systemic administration of erythropoietin hormone encouraged the bone healing in critical-size calvarial defects in Rabbits.
erythropoietin
calvarial bone defect
Rabbits
topical dose
2019
10
01
3283
3294
https://edj.journals.ekb.eg/article_74758_0e1600edac0a9d58cca42f5c00561511.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
A combined staged novel approach for reconstruction of persisting Oro-antral fistulae defects utilizing tripled layer closure and open sinus lifting
Amr
Gibaly
Mohamed
Mounir
Samy
Mounir
This study aimed to assess the clinical outcome of a designated approach purpose to reconstruct large oro-antral fistulae combining tripled layer soft tissue closure along with later sinus lifting and bone grafting. The study constituted of three non-smokers male patients, which were subjected to failed previous surgical closures of large oro-antral fistulae, with a subsequent maxillary sinus infection and morbid vascular bed. After definite eradication of the persisting infection, the large communications were planned to be restored by three soft tissue flaps, the first of which based on utilizing the dense epithelial fistulous sinus tract, which was crafted, instead of being eliminated and adapted to the underlying bony defect to represent a shield that sealed the defect, obliterated the dead space, withstood the postoperative fluid overload and supported the overlying pedicled fat pad and the buccal advancement flap, which represented the second and third layers of closure. Three months later, open sinus lifting and bone grafting of the defects were carried out. Although two patients complained significant postoperative pain, limitation of mouth opening and swelling, all the reconstructed defects healed uneventfully, none of them revealed postoperative infection, wound dehiscence or relapse throughout the investigation period, and the patients neither exhibited any sign of recurrent maxillary sinusitis nor graft failure, furthermore, C.B.C.T. six months postoperatively, demonstrated that the reconstructed defects are well organized to receive proper sized dental implants. The authors recommend implementing this study over a broadened sample size, as this study was restrained by the small number of participants.
chronic
persistent
reconstruction of
oro-antral fistula
oro-antral communication
layered closure
epithelial sinus tract
buccal fat pad flap
buccal advancement flap
open sinus lift
bone graft
2019
10
01
3295
3303
https://edj.journals.ekb.eg/article_74759_963096fcc607bf3ffd1f0cd5e6f17145.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Boosting Effect of Concentrated Growth Factor on Osseointegration of Immediate Implant: A Histological Analysis in Dogs
Gamal
Moutamed
Background: Implant osseointegration is an important of long term success of the widely used Rehabilitation treatment. Many therapeutic presidiums have been investigated to accelerate osseointegration. Concentrated growth factors are third generation platelet concentrate used clinically in acceleration of tissue healing and bone regeneration. The aim of this study was to assess histologically the effect of using CGF on osseointegration of immediate dental implant in animal modelMethods: ten animal models (adult mongrel dogs) were selected in this study each to receive one immediate implant of the Spectra system (Inc. Las Vegas, NV 89149, CA. USA). They were divided in to 2 equal groups; group A received immediate implant without CGF as a control group and group B received immediate implant with CGF which was applied to the socket walls before implant placement. Eight weeks postoperatively the animal models were euthanized and implants with surrounding bone were dissected and transferred in formalin to the lab for histologic preparation and histomorphometric analysisResults: histomorphometric analysis revealed the mean percentage of new bone formation for group A (control group) was 25.662 % while for group B it reached 66.939%. Student’s t –test revealed that the difference between both groups was statistically significant difference with p value of 0.0001 which indicated the higher amount of bone regeneration in group B indicative of the accelerated osseointegration process in the test group.Conclusion it may be concluded that application of CGF to the socket walls before placement of immediate implant may enhance the healing of bone surrounding implants and accelerate osseointegration providing a convenient and affordable choice for implant placement. Application of this method may, therefore, be effective in enhancing the rate of osseointegration and allow for early loading of immediate implants.
2019
10
01
3305
3314
https://edj.journals.ekb.eg/article_74761_c906f79cb4bbc90b7076159e53471b4e.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Comparison of two hemostatic agents in patients receiving anticoagulants without altering medication dosage
Hala
Ragab
Lydia
Melek
Background: Patients under anticoagulant therapy who need tooth extraction, face the problem of intraoperative and postoperative bleeding which may be difficult to control. Some surgeons use the option of stopping the medication or altering its dose for three to four days preoperatively to obtain adequate hemostasis; however, this may carry the risk of thromboembolism. Objective: This study aims to compare the effect of Gelatamp and Chitosan in control of post-extraction bleeding and prevention of complications as dry socket in patients receiving anticoagulant therapy without altering the medication dose.Materials and Methods: Patients were divided into 2 equal groups each consisting of 20 patients. Patients of group 1 underwent extraction followed by insertion of Gelatamp (gelatine sponge with colloidal silver). Patients of group 2 underwent extraction followed by insertion of Chitosan as a local hemostatic agent. All patients were examined postoperatively for bleeding after 5 minutes, 30 minutes, 2 hours and after 24 hours.Results: Comparing the 2 groups in the different follow-up periods with regards to postoperative bleeding, a statistically significant difference was found between the Gelatamp and Chitosan groups at 5 minutes, 30 minutes and 2 hours post-extraction in favor of Gelatatmp, while the 2 groups showed a non-significant difference at 24 hours after extraction. At the time of suture removal, proper wound healing was found in patients of both groups with no signs of dry socket, inflammation or infection.Conclusion: Both Gelatamp and Chitosan have provided adequate control of bleeding in patients receiving anticoagulants without altering drug dosage, with Gelatamp showing superior hemostatic effect in the immediate post-extraction period.
2019
10
01
3315
3321
https://edj.journals.ekb.eg/article_74763_f3bdf0097656c92dd7d4679ea7daf248.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
THE IMPACT OF SOCIAL LIFE STYLE ON MID-FACE FRACTURE
Hala
Ragab
Introduction: Mid face trauma, with or without life threatening injuries needs accurate assessment which should be in a systematic and repeated manner.Aim of the work: Is the identification of such injuries and the definitive management of common injury patterns that were changes laterally due to the advancement and severity of social life style.Patients and Methods: the study performed from January 2016 to December 2018 (36 months) on 288 adult patients with mid-face trauma, at Oral and Maxillofacial Department, Faculty of Dentistry, Alexandria University.Results: Patients demographic data demonstrated that road traffic accident, motor vehicle, is the major etiological factor that change the pattern of mid-face fractures due to change of economic and social life style.Conclusion: The rapid change of the economic and social life style was reported as the leading cause of pattern change of mid-face trauma. RTAs were the main cause of fractures followed by falls and sport respectively.
Mid-face Fracture
change the pattern of fracture
road traffic accident
modification of Le Fort fracture
2019
10
01
3323
3328
https://edj.journals.ekb.eg/article_74764_4b2683d747b95be1208f1f9b0c62a46b.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Evaluation of Bone quality and quantity by using bovine xenograft versus β-TCP for maxillary sinus augmentation: A Randomized controlled clinical trial
Saleh
Bakry
Purpose: Dental rehabilitation of partially or totally edentulous patients with dental implants has become a routine treatment in the last decades. However, unsuitable local conditions of the alveolar ridge, due to atrophy, gingival disease, and trauma sequelae, may provide inadequate bone volume or unfavorable vertical, horizontal, and sagittal intermaxillary relationships, which may render dental implant placement impossible or incorrect from a functional and esthetic viewpoint. Different bone graft materials have been used for sinus augmentation. Aim: The aim of the study was to evaluate bone quality and quantity by using bovine xenograft versus β-TCP in open maxillary sinus augmentation. Patients and methods: A total of 12 sinus (in 12 patients) were randomly divided into 2 groups. For group A patients received open sinus augmentation with xenograft (Tutobone) while patients in group B received open sinus augmentation with β-TCP. After 6 months, a second cone beam C.T was performed for each patient and compared to the first cone beam to evaluate bone quantity. A core biopsy was taken at the time of implant placement at 6 month of healing period for histological and histomorphometric evaluation of bone quality. Results: Histological results showed that most of the particles of the two biomaterials were surrounded by new bone. The histomorphometry showed characteristics of new bone formation around the grafted particles in both groups.Conclusion: β-TCP showed superior bone quality and quantity compared to bovine xenograft for sinus augementation.
Maxillary sinus
Xenograft
β-TCP
2019
10
01
3329
3338
https://edj.journals.ekb.eg/article_74765_e60749677a22d15243f7c3148a432a52.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Evaluation of the Effect of Magnitude of Soft Tissues Surgical Trauma on Peri-implant Soft Tissues Stability. (Randomized control trial)
Hesham
Abdel-Moneim
Radwa
Elsharkawy
Ahmed
Radwan
Peri-impant soft tissues stability became an increasingly thought after goal nowadays in almost every dental implant surgery especially in the esthetic zone, despite being totally over looked in the early stages of the oseointegration era. Implantologists previously focused mainly on achieving oseointegration and considered it to be the bench mark for dental implants success regardless to the esthetic outcomes. With the rise of esthetic dentistry and the use of computer guided technology in surgeries and restoration fabrication, peri implant soft tissues health and stability became of huge concern and a corner stone in dental implants overall success and survival longevity evaluation index. So this study aims to evaluate the effect of the minimally invasive implant surgeries versus the conventional flapped surgical procedures on the peri implant soft tissue around the dental implants. Promising results were postulated from the current study showing a marked superiority of health, speed of recovery, esthetics and stability of the peri implant soft tissues around dental implants placed by minimally invasive surgical protocols versus the conventional flapped surgical techniques. Thereby, concluding that minimally invasive surgical techniques results in an overall better dental implants outcomes aided by the advanced technology in both dental implants installations and final restorations.
Dental implants
peri-implant tissues
implant soft tissue esthetics
minimally invasive implant surgeries
implants soft tissue stability
2019
10
01
3339
3348
https://edj.journals.ekb.eg/article_74766_61e50f9c1120ffe3a01d028009c7ebe0.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Myofascial pain treatment; local anesthesia injection versus corticosteroids. (ramdomized controlled clinical trial)
Omniya
Abdel Aziz
Hesham
Abdelmoneim
Myofascial trigger points are one of the most common etiologies of orofacial pain. Although being quite simple to diagnose and easily detected it is eventually a difficult disease that poses a challenge for clinicians. The aim of this study is to evaluate the benefits of combining corticosteroids with local anaesthesia in management of myofascial trigger points. This study was conducted on 30 patients randomly allocated into either the control or the intervention groups. The results of the primary outcome stated an improvement in the pain score for both groups without statistical difference, and the secondary outcome reported an improvement of the MMO for both groups with better results for the intervention over the control groups despite also falling to be statistically non-significant. Concluding that Corticosteroid adjunction with local anaesthesia resulted in better pain and MMO results than the use of LA alone for the management of MTrPs.
myofascila trigger points
MTrPs needling
Cortocosteroids trigger point injection
2019
10
01
3349
3355
https://edj.journals.ekb.eg/article_74767_64b5d93d91caf665804c12145bf42cdc.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2019
65
Issue 4 - October (Oral Surgery)
Cleft Lip and Palate Nutritional Assessment and Feeding challenges
Haitham
Attia
Purpose: The present study aimed to highpoint the feeding challenges of infants with cleft lip and/or palate (CLP) that caregivers and parents came across and analyse the different interventions they perform in the preoperative period. Design and methods: Parents of 100 infants with CLP were asked to complete the questionnaire. The feeding preparations and challenges with alternatives to overcome these difficulties were evaluated. Results: Forty- six percent of the parents that their infants were diagnosed prenatally received an education for feeding. Breastfeeding was not successful 77.9%. Infants affected with isolated cleft palate and cleft lip and palate reported difficulties and more complication than isolated cleft lip patients. Parents stated that 56% of the infants with cleft had stayed in the intensive care units following birth. On the other hand, 40% of the infants were fed by nasogastric or orogastric tube primely. Thirty-five percent of cleft palate patients used palatal obturators. Conclusions: The study highlights the feeding challenges that had been faced by parents, caregivers and health care providers.
cleft lip
cleft palate
feeding
nutrition
Questionnaire
intensive care unit (ICU)
2019
10
01
3357
3364
https://edj.journals.ekb.eg/article_74769_cf1dcf6a98bfe2de72bed187a3a80e1e.pdf