{"title":"The Efficacy of a Combination of Hyaluronic acid and Metronidazole as a topical Adjunctive in Non- Surgical Treatment of Periodontitis (Clinical and Biochemical Study)","authors":"Lamiaa Farag, M. Edrees, Ebrahimzade Ebrahim","doi":"10.21608/aadj.2022.267322","DOIUrl":"https://doi.org/10.21608/aadj.2022.267322","url":null,"abstract":"Aim : This study was designed to evaluate the clinical and biochemical effects of combination of hyaluronic acid and metronidazole as an adjunctive treatment of periodontitis. Subjects and methods : Forty patients with stage I to stage II, grade A periodontitis were selected from the out-patient clinic, Oral Medicine and Periodontology Department, Faculty of Dental Medicine, Al-Azhar University, Assiut Branch. They were divided into four equal groups. Group I received conventional periodontal therapy alone, group II received conventional periodontal therapy with intra pocket application of hyaluronic acid gel (GENGIGEL) 0.2%, group III received conventional periodontal therapy with intra pocket application of metronidazole (25%) and group IV received conventional periodontal therapy with intra pocket application of combination of hyaluronic acid (0.2%) and metronidazole (25%). All patients were evaluated clinically at baseline, 3 and 6 months and biochemical evaluation was done at baseline,1 and 3 months to evaluate the IL-1β level in GCF. Results : All groups showed statistically significant differences at the different intervals in all clinical parameters (PI, GI, PD, CAL) and IL-1β level in GCF. Inter-groups comparison with respect to clinical and biochemical changes showed that Combination gel was the best. Conclusion : The combination of hyaluronic acid and metronidazole achieve superior effects as adjunctive therapy in improving the clinical and biochemical parameters in the treatment of periodontitis. periodontal disease is tooth loss (2) . Periodontopathic bacteria induce host immune response to secrete pro-inflammatory cytokines that play a role in periodontal tissue destruction (3) .","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"14-15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116158432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Diagnostic Accuracy of Digital Periapical Radiography and Cone-beam Computed Tomography in Detection of Simulated External Root Resorption","authors":"A. Bakry, E. Mahmoud, M. Sayed","doi":"10.21608/aadj.2022.267291","DOIUrl":"https://doi.org/10.21608/aadj.2022.267291","url":null,"abstract":"Aim: The purpose of this study was to evaluate the diagnostic accuracy of digital Periapical radiography and Cone-beam Computed Tomography in Detection of Simulated External Root Resorption. Subjects and methods: This study was initiated with sample selection calculation 90 maxillary central incisors teeth. Round burs in 3 different size small, medium large were used to create simulated cavity in cervical, middle and apical root third. Digital caliper used to measure the simulated cavity. Teeth were covered by wax and mounted in block made from silicon impression putty and placed in phantom to simulated soft tissue. CBCT scan was made and digital preapical radiograph PSP was taken then the images were analysis and compared with the result gathered from digital caliper. Results: Digital preapical radiograph PSP clearly detected the simulated cavity CBCT showed statistically significantly lower mean cavity measurement than the actual measurement at cervical, middle and apical root levels (P-value <0.001), (P-value <0.001) and (P-value = 0.001), respectively in large cavity . Conclusion: Under the condition of present study, it can be conclude that there was no difference in accuracy of identifying defects between digital periapical radiographs PSP and CBCT images","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121253535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ashraf Abdelkader, Mohamed el tonsy, Mansoor Atya, A. Waly
{"title":"The Association Between Type 1 Diabetes and The Severity of Periodontitis In Children","authors":"Ashraf Abdelkader, Mohamed el tonsy, Mansoor Atya, A. Waly","doi":"10.21608/aadj.2022.267289","DOIUrl":"https://doi.org/10.21608/aadj.2022.267289","url":null,"abstract":"Aim: primary goal of this research was to demonstrate the link between severity of periodontal disease and type 1 diabetes in children. Subjects and Methods: this prospec-tive study included total of 40 children aged 5 to 12 years were included in this study, and the evaluation of periodontal disease was done using “Gingival Index (GI), Plaque Index (PI), and Clinical Attachment Loss (CAL)”; the blood glucose level was assessed using “Glycosylated hemoglobin (HbA1c percent)”; and the patients were reevaluated after 3 months, 6 month and 9 month intervals. Results: The study comprised 40 children, 23 females and 17 males, with a mean age of 8.52 4.16. The two groups did not differ much. Both groups’ mean gingival index, plaque index, and clinical attachment level decreased over time. Group 1 had significantly lower mean gingival index, plaque index, and clinical attachment level scores than group 2 at baseline and three months post-intervention. Both groups’ mean HbA1c percent dropped with time. This decrease was only seen in group 2, and only between baseline and 9 months post-intervention in group 1. Conclusion: Determining the risk of periodontitis and associated consequences in poorly treated diabetic children should be a priority in this study. Children with severe periodontitis should also have their blood glucose levels checked. causes complications such as diabetic ketoacidosis, nephropathy, neuropathy, cardiovascular disease, and acute coronary syndrome. The good news is that many people with type 1 diabetes do not develop major long-term problems. Glucose monitoring and insulin therapy are usually used to treat it 1","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"84 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124315665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative Study Between The Efficacy of Ozone Gel and Hyaluronic Acid on Bone Healing After Enucleation of Mandibular Odontogenic Cysts","authors":"A. Abdelmabood, M. Eid","doi":"10.21608/aadj.2022.234799","DOIUrl":"https://doi.org/10.21608/aadj.2022.234799","url":null,"abstract":"Aim: The aim of this study was to evaluate the clinical and radiographic effect of both Ozone gel and Hyaluronic acid after enucleation of mandibular odontogenic cysts. Subjects and methods: 24 patients complained of an odontogenic cystic lesion in mandible classified into three groups, Group I (Ozone group): Included 8 patients with odontogenic cysts treated by Enucleation followed by Ozone gel application in the surgical cavity. Group II (HA group): Included 8 patients with odontogenic cysts treated by Enucleation followed by Hyaluronic acid application in the surgical cavity. Group III ( Control group): Included 8 patients with odontogenic cysts treated by Enucleation only. Postoperative one-month panoramic view, 3, 6 cone-beam C.T as the radiographic follow-up. Facial edema, pain, and trismus were the clinical parameters at 1,3 and 7 days. Results: The study showed a significant increase in the bone density of both group I (ozone), II (Hyaluronic acid) than the control group comparing the percentage of bone density to the contralateral bone, it was for group I (Ozone group) 45.8%, 69% at follow up of 3,6, months. In group II ( HA ) it was for 51.9%, 72% at follow up of 3, 6, months. It was for group III (control group) 32.6%, 56.1% at follow up of 3, 6, 9 months as there was high statistical significance between-group I, II in comparing with the group I with P-value = 0.04,0.05. .Conclusion: Both ozone gel and Hyaluronic acid can be considered to enhance bone regeneration after cystic enucleation due to their specific antimicrobial, anti-inflammatory properties, and increasing angiogenesis in the post-surgical cavities. Over 90% of maxillofacial cysts are odontogenic in origin that is considered to be the most common group lesion that affects the maxilla and mandible. Many odontogenic cysts are asymptomatic and may be found accidentally during radiographic examination. Kramer (1) defined the cyst as a pathological cavity containing fluid, semifluid or gaseous material. In the maxillofacial area, odontogenic cysts are lined by epithelium except for solitary bone cysts and aneurysmal bone cysts (2)","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132949586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W. Gouda, S. Saleh, Mahmoud H. Mohamed, Mohamed Abbas
{"title":"A Comparative Study on The Synergistic Effect of Different Remineralizing Topical Agents And Biofilm Modifiers on Enamel Demineralization Around Orthodontic Brackets: An In Vivo Study","authors":"W. Gouda, S. Saleh, Mahmoud H. Mohamed, Mohamed Abbas","doi":"10.21608/aadj.2022.234813","DOIUrl":"https://doi.org/10.21608/aadj.2022.234813","url":null,"abstract":"Aim: To evaluate and compare the remineralizing potential of the two remineralizing topical agents (TCP, MI PAST PLUS) with and without xylitol. Subjects and Methods : This study was conducted on twenty patients five in each group. Group1. The teeth were treated by clinpro white varnish. Group2. The teeth were treated by MI Paste Plus™, Group3. The teeth were treated by clinpro white varnish with xylitol, and Group 4 where the teeth were treated by MI past plus with xylitol. The remineralizing effect was evaluated through photographic analysis of color changes using USB digital microscope at 0,3,6 and 9 months (T0, T1, T2 & T3). In addition, Micro hardness test and energy dispersive x-ray analysis were carried out on premolars obtained from patients indicating for therapeutic extraction for orthodontic treatment. Results: The present study revealed that: (1) For Vickers surface hardness. The highest mean values were recorded for Group 3. (2) For energy dispersive x-ray, the highest total enamel mineral profile contents were recorded for Group (3) For Color Change (ΔE) Assessment, at T1 as well as T2 the highest color changes were recorded for Group 2 and While at T3 the highest color changes were recorded for Group 1 Conclusion: The tooth pastes containing TCP has good effect on remineralization potential of the enamel in teeth and the addition of xylitol can enhance the potential effect of remineralizing topical agents. bonding (4) . The prevalence of WSLs after orthodontic treatment varies from 2% to 96% (5) . Enamel demineralization not only violates the esthetic principle of orthodontic treatment but also damages tooth health. Besides all the","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115806077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Shatat, A. Temerek, Mohamed T. Ellabban, Mervat S. Refai, A. Fahd
{"title":"Radiographic Correlation In Bilateral Impacted Lower Third Molars: A Retrospective CBCT Based Study","authors":"Z. Shatat, A. Temerek, Mohamed T. Ellabban, Mervat S. Refai, A. Fahd","doi":"10.21608/aadj.2022.234725","DOIUrl":"https://doi.org/10.21608/aadj.2022.234725","url":null,"abstract":"Aim: This study aimed to assess the CBCT based radiographic correlation in bilateral impacted lower third molars so that, if correlated, data available for one side can aid in surgical planning for the other side or justifies the need for additional imaging. Subjects & methods: DICOM files of 50 cases with bilateral impacted third molar were retrieved and both sides were compared according to four parameters. Results: Results revealed statistically significant positive correlation between right and left sides regarding impaction angulation, number of roots, and crown caries. Weak correlation was found regarding inferior alveolar canal approximation. Conclusion: Multicentric larger sample size study with detailed investigations is recommended.","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128010788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Accuracy of Bracket Transfer With Two Indirect Bonding Techniques","authors":"M. Salem","doi":"10.21608/aadj.2022.234811","DOIUrl":"https://doi.org/10.21608/aadj.2022.234811","url":null,"abstract":"Aim: to measure the accuracy of brackets transfer with two indirect bonding techniques using three dimensional scanning. Subjects and Methods : Two hundred brackets were bonded to twenty subjects (upper arch) receiving orthodontic treatments. Orthodontic brackets were placed on the casts with a specific water soluble adhesive. After bracket placement, three dimensional scans of the casts obtained. Two types of transfer trays were fabricated, and used to bracket transfer to patient’s teeth. After bracket transfer another three dimensional scans of the subjects obtained. The teeth on one model will be then digitally superimposed to the corresponding teeth on the other model. All data collected will be tabulated and statistically analyzed. Results: The indirect bonding methods for both groups that were used in this study were precise and dependable within acceptable limits with directional bias especially toward gingival direction. Conclusion: Single sheet vacuum formed techniques were significantly less accurate than duple sheet vacuum formed technique in the Occluso-gingival direction.","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117223731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Antibacterial Efficacy of 6% Citric Acid Versus Chitosan Irrigant Solution For Primary Anterior Teeth Root Canal","authors":"Ahmed Bastawy, N. Ahmed","doi":"10.21608/aadj.2022.234803","DOIUrl":"https://doi.org/10.21608/aadj.2022.234803","url":null,"abstract":"Aim: To evaluate and compare the antibacterial efficacy of 6% citric acid versus chitosan irrigant solution against Enterococcus Faecalis bacteria in treatment of root canals of primary anterior teeth Subjects and Methods : This in-vivo study was carried out on thirty anterior primary teeth of children attending the outpatient clinic of Pediatric Dentistry and Dental public health department Faculty of oral and dental Medicine, South Valley University. Ranging from three to six years of age. The teeth were equally divided into six groups (5 teeth each), based on the irrigant used during chemo mechanical preparation of the root canals. Results: There was a significance difference between the action of 6% chitosan and 6% citric acid against Enterococcus faecalis. Chitosan as root canal irrigation showed a significant antimicrobial effect. Citric acid as root canal irrigation has a lower antimicrobial effect when compared to chitosan and NaOCl. The 1% NaOCl as root canal irrigation has a higher antimicrobial effect. Conclusion: The use of 6% chitosan exhibited a comparable result to 1% NaOCl clinically and microbiologically.","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129469594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Abdullah, A. Fahd, Mohamed T. Ellabban, SSarah Kenawy
{"title":"A Novel Protocol For CBCT 3D Volume Rendering Noise and Artifacts Reduction In Cases of Impacted Mandibular Third Molars","authors":"A. Abdullah, A. Fahd, Mohamed T. Ellabban, SSarah Kenawy","doi":"10.21608/aadj.2022.234796","DOIUrl":"https://doi.org/10.21608/aadj.2022.234796","url":null,"abstract":"Aim: This study was carried out to introduce and evaluate a fast, simple user-friendly protocol for improving the quality of CBCT based 3D volume and producing a 3D model that can be used effectively in multiple dental applications Subjects and methods: 40 DICOM files of small field of view (FOV) for patients with impacted lower third molars were used in the present study. The 3D Volume style was changed into black and white with modification in contrast and transparency then “clean rendering tool” was used before returning to the default style. Volume quality was recorded before and after applying the proposed protocol and was compared for data matching with the corresponding axial, reformatted panoramic and cross-sectional images. Moreover, a survey for dentists was collected regarding the ease of application, satisfaction with the modified volume and suggested applications. Results: . The results showed that all the tested volumes were improved with reduced noise and artifacts. Conclusion: the proposed protocol was successful and easy to use. The improved volume was suggested to be used for the patient communication, surgical planning, dental education and furthermore applications.","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127115406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of Zoledronate Gel on the Outcomes of Immediate Dental Implant (Clinical, Radiographic and Biochemical Study)","authors":"M. Ismaiel, K. Hassan, A. Abdullah","doi":"10.21608/aadj.2022.234719","DOIUrl":"https://doi.org/10.21608/aadj.2022.234719","url":null,"abstract":"Aim: The present study was designed to evaluate; the clinical and radiographic effect of topically applied Zoledronate gel on the outcomes of immediate dental implant placement and Biochemical assessment of RANKL level in GCF around dental implant. Subjects and methods: Patients were classified into two groups; group1: Included 9 Patients received immediate dental implant alone. Group 2 Included 9 Patients received immediate dental implant with locally applied zoledronate gel. Modified plaque index (mPI), Modified Bleeding Index (mBI), Pre-implant probing depth (PPD), Implant stability, Biochemical analysis: (RANKL LEVEL) were recorded at base line, 3, 6, 9 and 12 months post-surgically. All patients were evaluated radiographically by CBCT and Standardized periapical radiographs before, after implant placement and after 6 months post-operatively for marginal bone loss. The data were collected, tabulated, computed and statistically analyzed. Results: There was a statistically significant difference between 6 months and 12 months post-operative in modified Bleeding Index, Pre-implant probing depth, marginal bone loss ( p =0.030), ( p =0.036), ( p =0.015) respectively. While there was no significant difference in modified plaque index and Implant stability ( p =0.576). Biochemical analysis: (RANKL LEVEL) There was a statistically significant difference after (3m) between (Group1) and (Group2) where ( p =0.095). Conclusion: From the results the present study, we can conclude that: The use of zoledronate gel at the time of implant placement improves the implant stability, suggesting that might be used as adjunct for initial implant osseintegration. provide successful clinical outcomes (2, 3) and has been documented that this surgical protocol fails to prevent the horizontal and vertical ridge alterations (4) . This may result in impaired esthetics (5) such as marginal soft tissues recessions, especially if treating the buccal side of maxillary sites in patients with a high smile line (6) .","PeriodicalId":136230,"journal":{"name":"Al-Azhar Assiut Dental Journal","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125462560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}