2024-03-28T22:17:24Z
https://edj.journals.ekb.eg/?_action=export&rf=summon&issue=23185
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Sealing Ability of Flowable Resin Composites Fissure Sealants
Yasser
El-Bouhi
Wahdan
Elkwatehy
Background/Aim: Prevention of caries initiation is a common concern for both clinicians and patients, among the effective ways of dental caries prevention is pits and fissures sealing. The current in vitro study was performed to assess the sealing ability and microleakage of three commercial flowable composites used for fissure sealing. Materials and Methods: The microleakage and sealing ability of three flowable resin composites (Filtek Bulk Fill Flowable Restorative, SureFil SDR Flow and Vertise Flow) were evaluated and compared with the sealing ability of conventional composite resin fissure sealant (Helioseal F). 120 extracted caries free premolars were collected and equally distributed into four groups (n=30). Fissure sealant flowable composites were applied according to manufacturer's instruction. Samples were subjected to thermocycling, then immersed in a methylene blue dye for 48 hours. After that, each tooth was sectioned in to three sections and examined by a stereomicroscope with a X15 magnification. Photographs were captured for all sections to show and scored for microleakage as 0, 1, 2 or 3. The collected data was organized and analyzed by Chi-Square test, p value less than 0.05 was considered statistically significant. Results: There were statistically significant differences between the three flowable composite vs Helioseal (p=0.000). There were statistically significant differences between Filtek Bulk Fill Flowable Restorative vs SureFil SDR Flow and Vertise Flow. Also, there was significant difference between SureFil SDR Flow vs Vertise Flow (p= 0.000 for all comparisons). Conclusions: The three tested flowable composite showed an acceptable sealing ability.
Filtek Bulk Fill Flowable Sealant
Microleakage
Self-adhesive Flowable sealant
Stereomicroscope
SureFil SDR Flow
2021
04
01
917
923
https://edj.journals.ekb.eg/article_157209_d67314eb8207fc84a4a2a0fdce2e15b3.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Cytotoxic effects of titanium alloy orthodontic mini-screw implants: Clinical prospective study
Ahmed
Ammar
Hussein
El-khalifa
Ashraf
El-Bedwehi
Mohamed
Aref
Objectives: to evaluate possible cytotoxic effects of titanium alloy (Ti alloy) orthodontic mini-screw implants on the surrounding oral mucosal cells. Materials and Methods: Thirty orthodontic mini-screw implants (MSIs) installed to serve as anchorage for maxillary canine retraction after maxillary first premolar extraction. Fifteen female orthodontic patients with mean age of 16.11 ± 1.68 years were consented to participate in the study, which ran for four months. The orthodontic appliance consisted of direct-bonded Roth monocrystalline ceramic brackets, and teflon-coated preformed archwires. Clinical evaluation of MSIs and oral hygiene condition were evaluated throughout the study period. Percentage of oral mucosa cells’ DNA fragmentation were analyzed before insertion of MSIs, after one week, one month, three months and four months of MSIs insertion with the Comet assay analysis. Results: ANOVA test showed statistically significant decrease in oral hygiene condition during the study period. Statistically insignificant difference was evident in DNA fragmentation index of the collected oral mucosal cell in different time intervals. Conclusions: Orthodontic titanium alloy MSIs were biocompatible and demonstrated no cytotoxic effects on oral mucosal cells.
canine retraction
Mini-screw implants
DNA fragmentation
Comet assay
2021
04
01
925
934
https://edj.journals.ekb.eg/article_157210_ad3d31ea145fb74ce8013f46797e1d30.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Evaluation of Knowledge- Attitude- Practice (KAP) of Intern Dentists in Emergency Management of Traumatic Dental Injuries in Primary Anterior teeth: A Cross-sectional Study
Marwa
Hussien
Nevine
Waly
Manal
ElShiekh
Background: This cross-sectional study aimed to evaluate the Egyptian intern dentist’s knowledge, Attitude, and Practice in the emergency management of traumatic dental injuries in primary anterior teeth. Materials and methods: A four-part questionnaire was distributed among a total of 500 intern dentists. Part 1 consisted of 8 questions focusing on personal and professional information, part 2 consisted of 7 questions focused on 3 clinical cases, Part 3 consisted of 9 close-ended questions to assess the attitude of intern dentists, and part 4 consisted of 4 close-ended questions related to the assessment of the practice of intern dentists regarding traumatic dental injuries in primary anterior teeth in children. The data were analyzed using the t-test at P < 0.05 level of confidence. Results: A total of 500 intern dentists participated in the survey, 235 were males and 265 were females. The overall mean age was 23.6 ± 1.3 years. The mean value of knowledge scores was 4.37 ± 1.45. There was no statistically significant correlation between the knowledge score of the intern dentist and the ability to provide proper action when needed. Conclusion: The knowledge of intern dentists regarding the management of traumatic dental injuries in primary anterior teeth was inadequate.
Traumatic dental injuries
Dental emergency
Primary anterior teeth
deciduous teeth
knowledge assessment
2021
04
01
935
940
https://edj.journals.ekb.eg/article_157211_4a4a84d508e338ac2a49e0bf2f2aa752.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Management of Orthodontic patients in COVID-19 pandemic, a single center initial experience.
Aliaa
Khadre
ahmed
alkady
The year 2020 will be marked for years to come with pandemics related to the new coronavirus disease 2019 (COVID-19) experiencing lockdowns and quarantine in a trial to create social distancing and reduce transmission of infection. It was considered a global concern as per world health organization (WHO). With the lockdown only emergency dental treatments were allowed with the complete closure of the orthodontic practice in a trial to help flatten the curve. The aim of this clinical report is to describe the clinical outcome of orthodontist and assistant who took care of several COVID-19 cases possibly carriers of SARS-COV-2 or reported recent infection and recovery. The possible measures that can keep both dental health care workers and patients safe added to the actions taken to help adapt to the new normal were elaborated. Methods: A case series of one carrier and other five cases of recently recovered patients were managed in clinic. Different scenarios will be discussed for the purpose of comparing the management, possible measures that were applied and precautions that could make the practice safer . Furthermore, we followed up other patients who had procedures in same clinic during upcoming 48 hours for 14 days through phone calls or recall visits. Results: No transmission of infection to the dental health care workers as per nasopharyngeal swab as well for the follow up patients .Conclusion: The infection control measures described in this clinical report were sufficient enough to prevent transmission of infection from a confirmed carrier patient.
COVID-19
Orthodontics
Health workers
Teledentistry
Aerosol procedures
2021
04
01
941
948
https://edj.journals.ekb.eg/article_157213_9f5dea2596eb7490b22aa7be7b3bc9ba.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
COMPARISON BETWEEN GREEN TEA EXTRACT AND CASEIN PHOSPHOPEPTIDE AMORPHOUS CALCIUM PHOSPHATE IN TREATMENT OF INCIPIENT CARIES IN PRIMARY TEETH: AN IN VITRO STUDY
MOHAMED
ISMAIL
Nagwa
Khattab
Mona
Mahmoud
ABSTRACT One of the major factors to prevent caries is to retrieve the mineral loss as early as possible through an internal source, which is natural saliva, or an external sources as artificial saliva, available remineralising agents and natural agents. The aim of the present study was to compare the effect of a natural agent called Green Tea Extract (GTE) and a synthetic remineralising agent called Casein Phosphopeptide Amorphous Calcium Phosphate fluoride (CPP-ACPF) in treatment of incipient caries in primary teeth through scanning electron microscope and Energy Dispersive X-Ray Analysis (SEM_EDX). Materials and methods: Fifteen extracted primary teeth were selected and randomly allocated into 2 groups: Group I: CPP-ACPF, Group II: green tea solution of green tea extract. All specimens were scanned with (SEM-EDX), analysis was carried out at baseline, after demineralization and later after remineralisation. Results: SEM-EDX evaluation showed that the surface minerals content mean value for groups I and II were decreased after demineralization and re-increased after remineralization. SEM also showed improvement in the enamel appearance and the surface became smooth after remineralisation. The surface minerals content mean value in the group treated by CPP-ACPF was higher than the recorded mean value for green tea group. Conclusions: both CPP-ACPF and green tea extract have comparable remineralisation potential. KEYWORDS: Casein phosphopeptide-amorphous calcium phosphate fluoride, SEM-EDX, primary teeth, green tea extract, white spot lesions.
casein phosphopeptide-amorphous calcium phosphate fluoride
SEM-EDX
primary teeth
Green tea extract
White spot lesions
2021
04
01
949
955
https://edj.journals.ekb.eg/article_157214_049a3ce7a940601cbcfa60c328473384.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
MICROLEAKAGE EVALUATION OF THREE GLASS IONOMER CEMENTS USED IN CHILDREN: IN-VITRO STUDY
Dalia
Talaat
Purpose: To assess in-vitro the marginal adaptation of three types of glass ionomer cements in primary molars. Materials and Methods: The sample included thirty sound exfoliated or extracted primary molars for orthodontic purpose. The teeth were divided into 3 equal groups of 10 teeth each according to the type of the restorative material used. Group I were restored with ceramic reinforced glass ionomer, group II were restored with resin modified glass ionomer and group III were restored with conventional glass ionomer. After thermocycling, the teeth were immersed in 2% methylene blue solution for 24 hours, then they were sectioned buccolingually. The extent of dye penetration was detected using a stereomicroscope. Results: Ceramic reinforced glass ionomer showed the lowest mean microleakage value at both occlusal and cervical margins as compared to the other two groups with statistically significant difference. No statistically significant difference in the mean microleakage was recorded between the resin modified and conventional glass ionomers Conclusion: Ceramic reinforced glass ionomer revealed the highest sealing ability in class V primary molars when compared to the resin modified and conventional glass ionomer cements. Keywords: Microleakage, Glass ionomer cements, Class V, Primary molars.
Microleakage
Glass ionomer cements
Class V
primary molars
2021
04
01
957
965
https://edj.journals.ekb.eg/article_157215_8d54ed32f79a2fa148af874f497b7488.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
POSTOPERATIVE PAIN EVALUATION OF MINERAL TRIOXIDE AGGREGATE AND PROPOLIS AFTER PULPOTOMY IN CARIOUS PRIMARY MOLARS: A RANDOMIZED CONTROLLED TRIAL
Rawda
Mahmoud
Adel
Bardissy
Fatma
Abdelgawad
Ahmad
Abd El Samad
Aim: The aim of this study is to evaluate the postoperative pain of mineral trioxide aggregate (MTA) and propolis after pulpotomy in carious lower primary molars. Methodology: 28 Healthy children aging 5-8 years old with at least one carious primary molar at each side. Each child received MTA in right or left side and Propolis in the other side. Clinical follow up was done at 3, 6, and 9 months. Radiographic follow up was done at 6 and 9 months. Results: All cases were free of pain along the follow up period except one case in propolis group showed pain after 6 months then disappeared at 9 months. Sinus tract appeared in 3.85% in propolis group at 6 months and 4% in both groups at 9 months. Regarding periapical radiolucency, in MTA group, 3 cases (11.54%) were affected after 6 months and 4 cases (16%) after 9 months. In propolis, 4 (15.38%) of cases were affected after 6 months, and 6 (24%) of cases after 9 months. Furcation Involvement, appeared in MTA group, in 2 (7.69%) cases were affected after 6 months. While in propolis group, 6 (23.08%) cases were affected after 6 months. Conclusions: The clinical outcome of propolis is comparable to that of MTA at both 6 and 9 months follow up period. On the other hand, MTA showed better results in all radiographic outcomes when compared to propolis.
Propolis
Mineral trioxide aggregate
Pulpotomy
Vital pulp therapy
2021
04
01
967
976
https://edj.journals.ekb.eg/article_157217_3259b176f18f169141fc6ca4117e8640.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
THE EFFECT OF FREEZE-DRIED PROBIOTIC SACHETS VERSUS FERMENTED DAIRY PRODUCT (YOGURT) ON GINGIVAL BLEEDING ON BRUSHING IN ADOLESCENTS (12-15) YEARS OLD: A RANDOMIZED CLINICAL PILOT TRIAL
Mai
Ismaiel
Marwa
fouad
soad
abdelmoniem
Background: Dental caries and periodontal diseases are commonly seen in adolescents due to neglected oral hygiene, improper dietary habits, and circumpubertal hormonal changes. Most of these problems could be reversed or prevented by improving oral hygiene measures together with the application of antimicrobial supplements such as probiotics in different ways of intake Aim: This study aimed to compare the effect of live probiotic cultures present in fermented dairy products (yogurt) to the effect of freeze-dried probiotic supplied in sachets on gingival bleeding on brushing, dental plaque pH, and gingival condition in adolescents (12-15) years old. Subjects and methods: This randomized pilot clinical study was conducted among twenty adolescents who were divided into two equal groups, group A received a fermented dairy product and group B received freeze-dried probiotic sachets. Gingival bleeding on brushing, gingival index (GI), and dental plaque pH were assigned and recorded at baseline and after four weeks. Results: A statistically significant difference in the percentage of gingival bleeding on brushing and in GI scores before and after treatment in group A and B was found. while there was an insignificant statistical difference in dental plaque pH values before and after treatment in group A and B. Results also revealed that there was an insignificant statistical difference between the two groups after treatment regarding gingival bleeding on brushing, GI, and dental plaque pH. Conclusions: The use of different forms of probiotics has a corrective effect on gingival inflammation and oral health in adolescents with gingival problems.
probiotics
freeze-dried probiotics
live cultures probiotics
gingival bleeding on brushing
gingival inflammation
2021
04
01
977
986
https://edj.journals.ekb.eg/article_157218_7260b8314580b7e82201a322d17b37bb.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Effect of activation protocol on miniscrew-assisted palatal expansion: A systematic review of current evidence
Mohamed
Hassan
Yomna
Yacout
Nadia
El-Harouni
Hanan
Ismail
Essam
Abdallah
Abbas
Zaher
Background and Objectives: The aim of this systematic review was to review the effect of different activation protocols of miniscrew-assisted palatal expanders used in the treatment of maxillary skeletal transverse deficiency. Material and methods: A search was conducted in MEDLINE via PubMed, Web of Science, Scopus, Cochrane Library till May 2020. The gray literature was also explored via google scholar and Open Gray. Selection criteria included randomized and prospective clinical trials comparing the outcomes of different activation protocols of miniscrew-assisted palatal expansion. Eligibility criteria were applied, and the authors planned to extract relevant data, and assess the risk of bias using the RoB 2 tool for randomized controlled trials and ROBINS-I tool for non-randomized studies, followed by the assessment of the quality of evidence. Results: As no studies met the inclusion criteria for this review, we discussed the results of prospective clinical trials studying the clinical outcomes of using miniscrew-assisted palatal expansion. Conclusion: To date, there are no high-quality clinical trials comparing the clinical outcomes of different activation protocols of miniscrew-assisted palatal expansion. There is no clear agreement in the literature on the most efficient activation protocol used with the miniscrew-assisted palatal expanders.
palatal expansion techniques
expander
activation
orthodontic anchorage procedures
2021
04
01
987
1000
https://edj.journals.ekb.eg/article_157219_9c3c97eea988270adcd4f32f882b0f9a.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Effect of commonly prescribed antibiotics on marginal adaptation of glass ionomer restoration: An in vitro study
Bothaina
Gado
Amr
Abdelaziz
Reham
Elghazawy
Aim: The purpose of this study was to determine the three most commonly prescribed antibiotics in a group of Egyptian Pediatricians. These antibiotics were evaluated regarding their effect on marginal adaptaion of glass ionomer restoration. Materials and Method: First, a questionnaire was conducted in two large hospitals in Egypt (Aldemrdash hospital representing Ain Shams University and Qena public hospital) in a group of Egyptian pediatricians (n=150) to determine the three most commonly prescribed antibiotics there. The three antibiotics were Duricef, E-moxclav and Suprax. Artificial saliva was also used in this study as a control. Second, pH and titratable acidity of the all used solutions were measured. Class I cavity was prepared for all teeth then they were restored with self adhesive glass ionomer restoration (Equia ™Fil). Teeth were thermcylcled then they were randomly divided into four groups for drug immersion for 14 days with daily change of the solution. Teeth then were prepared for staining with methyle blue dye. Results: According to scoring criteria of Khera and Chanas , Score 1 was for Duricef and E-moxclav groups while score 2 was for Suprax group. Score 0 was for control group. Conclusion: Antibiotics commonly used for children had negative effect on marginal adaptation of glass ionomer restoration.
antibiotics
Suprax
E-moxclav
Duricef
Glass Ionomer
2021
04
01
1001
1008
https://edj.journals.ekb.eg/article_157220_66a39bfb6d836fd6b7af2e8933c79a5e.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Dental ergonomics knowledge, practice, and attitude assessment of dentists in Upper Egypt: A cross‐sectional study
Diaa
Salah
Nagwa
Khattab
Wael
Ahmed
Ergonomics is the scientific study of people and their working environment. If ergonomic principles are applied in dentistry field, it helps to prevent occupational health hazards. The aim of this study was to assess the knowledge, attitude, and practice of group dentists in Upper Egypt regarding to dental ergonomics. Subjects and methods: a total of 430 dentists were included in the current study after sample size calculation, and then an additional number of dentists were added to guard against nonresponse. They were randomly selected from four governorates in Upper Egypt . Data were collected by face-to-face interview using pre-validated questionnaire. The questionnaire consisted of 24 items divided into five sections; first part demonstrates sociodemographic. The second part concerned with the knowledge about dental ergonomics. The third part consists of 4 questions to determine attitude of participants, The fourth part consists 5 questions focused on the practice of dentists regarding dental ergonomics and finally, the last part assess musculoskeletal disorders and treatments received of participants .Chi‐square test was used to compare between the two or more proportions. A correlation was used for describing the relationship between two mutually numerical dependent variables and significant level was set at p < 0.05. Results: revealed high response rate among participant (93%). The overall knowledge level in the current study was 11.8% had good knowledge, more than half had positive attitude towards dental ergonomic and only 8.0% had good practice. Conclusion: Dentists in Upper Egypt have problems in their knowledge and practice of dental ergonomics.
Upper Egypt
dental ergonomics
Knowledge
Attitude
Practice
2021
04
01
1009
1016
https://edj.journals.ekb.eg/article_157222_5e2facdbaab5d0d9459c6e27caecf4b0.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Microleakage of Cavity Class V Restored by Composite Resin and Conventional Flowable Composite Restorations in Primary Molars Conditioned by Er,Cr:YSGG Laser Versus Conventional method (An in Vitro Study)
Ayman
Sabbah
Abstract Introduction: In modern operative dentistry in the field of pediatric dentistry Er,Cr:YSGG laser is suitable for cavity preparation in deciduous molars because it have many advantages. Microleakage is one of the major problems that influence the longevity for the resin-based dental restorations. The purpose of the current study is comparing the effect of Er,Cr:YSGG laser and conventional conditioning on the microleakage in cavity class V restored by composite resin and conventional flowable composite in deciduous molars. Materials and methods: A standard class V cavity were prepared at the buccal or lingual surface of forty-eight freshly extracted caries-free human deciduous molars which were divided into 2 groups according to the mode of conditioning: group 1: by using Er,Cr:YSGG laser; group 2: by using conventional conditioning. The samples were subjected to thermocycling and dying step. Results: Laser conditioning showed statistically significantly lower median microleakage scores than conventional technique (P-value = 0.001, Effect size = 1.923) and (P-value = 0.002, Effect size = 1.639), respectively. There was no statistically significant difference between median microleakage scores of the two composite types (P-value = 0.057, Effect size = 0.718) and (P-value = 0.108, Effect size = 0.658), respectively. Conclusion: Conditioning by Er,Cr:YSGG Laser is better than conventional method as regards microleakage and no significant difference between composite resin and conventional flowable composite clinically.
Microleakage
Er
Cr:YSGG Laser
composite resin
Conventional Flowable Composite
2021
04
01
1017
1024
https://edj.journals.ekb.eg/article_157223_291d8ab1dfb2c938e7749904cddef3f8.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Assessment of Salivary Bacterial Level and Dental Caries Experience in a Group of Egyptian Children with Black Stained Teeth: (A Cross Sectional Study)
Joanna
William
hany
saber
Norhan
Eldokky
Aim: The purpose of this study was to assess the salivary bacterial level and dental caries experience in children with black stained teeth. Methods: The sample comprised 73 children aged 4-6 years with black stains where the caries experience was evaluated using dmft index. Also, the salivary sample was taken into a sterile container and taken to the laboratory within 1 hour for processing. In the laboratory saliva dilution was done and sample was placed into a plate which contains Brain heart infusion agar. From the plate, identification of the morphology of Actinomyces was done. The colony of Actinomyces on the plate was counted with colony counter using colony forming unit. With the same salivary sample the pH was measured using the pH meter. Results: Among the children with BS, the mean dmft was (2.3), most children had very low dmft score (42.5%). So this showed lower caries experience in children with black stains. Regarding the Actinomyces count the results showed higher number of Actinomyces in children with BS. However it was statistically insignificant. pH of the studied children was mainly in the alkaline range with a mean (9.07) with prevalence (75.2%). Conclusion: The results of this study indicate that Egyptian children with black stains have lower caries experience. The salivary bacterial count of Actinomyces was high in the same children and that the higher the Actinomyces number the less the dmft score. The children with BS also showed pH mainly in the alkaline range.
Black stains
actinomyces
Salivary pH
dmft score
2021
04
01
1025
1032
https://edj.journals.ekb.eg/article_157224_07a41d1bacbfec99201c5b98d6cc69ca.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Resin infiltrate versus compomer as pit and fissure sealants of primary teeth
Ibrahim
Barakat
Mohamed
Abou El-Soud
This study designed for the purpose of studying the Resin infiltration system in the form of ICON DMG® versus Compomer in the form of Compoglass Flow Ivoclar Vivadent® regarding their antibacterial effect against streptococcus mutans, clinical retention and their radiographic changes on underlying enamel and dentin when they both used as pits and fissure sealant Methodology: two hundred second primary molars from one hundred children were selected to deliver the two materials in the form of fissure sealant. They arranged in two groups. Both ICON and Compoglass flow applied in contra lateral sides according to the principles of split mouth technique design. The tested materials applied according to the manufacture instructions without modification for their technique of application. Result: Statistical analysis of the microbilogical and clinical data showed that Compoglass flow exhibits superior antibacterial results against streptococcus mutans and less bacterial adhesion were recorded on its surface compared to the -number of bacterial colonies adhered to the fissures sealed with ICON. These results attributed to the fluoride releasing power of Compoglass flow which has an obvious antibacterial action and affect the bacterial community. Meanwhile the statistical analysis of clinical retention scores of both materials reveled superior retention ability of ICON over Compoglass flow along the whole follow up periods. Conclusion: Compomer (Compoglass flow) has superior antibacterial effect against streptococcus mutans superior to resin infiltration (ICON). Resin infiltration (ICON) has a better clinical retention as a fissure sealant than Compomer (Compoglass flow).
Resin infiltrate
Compomer
Strptococcus mutans
Pit and fissure sealant
primary molar
2021
04
01
1033
1041
https://edj.journals.ekb.eg/article_157225_a7414926114ede65e06d51cdfdffea98.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Knowledge, Attitude and Behavior of Pediatricians toward oral health of children in Tanta city
Mohamed
El Bayoumi
ABSTRACT. Objectives: To assess knowledge, attitudes and behavior of pediatricians in Tanta city Egypt regarding children oral health, and to determine their will to integrate preventive dental education and procedures in their daily clinical practice. Background: Increasing pediatrician’s involvement in oral health promotion during child check up visits will improve children oral health especially those difficulty getting professional dental care. However, pediatricians’ knowledge about preventive oral health, their readiness to participate in prevention and pediatricians’ perceived barriers in professional dental referral are not clear. Study design: An observational cross-sectional study was carried on 63 pediatricians working in the clinics of 14 primary health care centers in Tanta city, Gharbiya Governorate, Egypt. Results: response rate of pediatricians was 82.54%. Mean of 23.07% of respondents were willing to apply fluoride varnish, 11.53 % consider white spots as a marker of early dental decay. All participants (100%) stated they had not been instructed in oral health neither in medical school, during residency nor through CME courses. Fifty percent of respondents reported having seen caries in school-aged children at least once per month. Percentage of pediatricians found difficulty to refer patients who are tow years old or less was 67.30%, followed by difficulty in referring patients who had developmental delay (61.53%). Conclusion Based on the result of the current study, it becomes clear that pediatricians suffer from lack of knowledge and time to take greater role in the oral health promotion of children furthermore they face many barriers for professional dental refer.
pediatrician role
oral health of children
Knowledge
attitude and behavior
2021
04
01
1043
1050
https://edj.journals.ekb.eg/article_157226_6d20b902437e5511c87ad77e02909581.pdf
Egyptian Dental Journal
0070-9484
0070-9484
2021
67
2
Three-Dimensional Evaluation Of The Temporomandibular Joint After Using Facemask Appliance; A Clinical Prospective Study.
Hanem
El Feky
Adel
Rashid
Aim of the study This study was conducted to evaluate the three dimensional changes in the TMJ after the maxillary protraction using face mask therapy. Material and Methods Eighteen growing patients (ages ranged from 8-11 years) were included in the current study. All patients manifested features of skeletal class III due to maxillary deficiency. A Petit-type facemask was used for all patients and was attached intraorally to a fixed labiolingual appliance through extraoral elastics . A cone-beam CT scan had been applied for each patient before the start of the treatment and after 10 months. The three-dimensional (3D) temporomandibular joint measurements included: 1) anterior fossa line inclination, 2) posterior fossa line inclination, 3) anterior joint space, 4)posterior joint space,5) medial joint space, and 6) superior joint space. Results Regarding Anterior Joint space : measurements after using a facemask appliance were significantly higher than before (as P<0.05) ,while regarding Posterior and superior Joint spaces : measurements after using a facemask appliance were significantly lower than before (as P<0.05) Conclusion Facemask therapy for maxillary protraction in management of skeletal class III produced: 1- Decrease in both posterior and superior joint spaces ,while increase in the anterior joint spaces. 2- Bone remodeling in the glenoid fossa causes upward and backward displacement of the condyle.
Facemask
Tempromandibular joint
Maxillary protraction
2021
04
01
1051
1059
https://edj.journals.ekb.eg/article_157227_1eb229a4ef9a057a3c45280c2c6de92e.pdf