{"title":"The Effect of Propolis Irrigation as an Adjunctive to Scaling and Root Surface Debridement on Periodontal Health Status, Glycemic Control and Biochemical Markers in Subjects with Type 2 Diabetes Mellitus and Chronic Periodontitis: A Randomized Clinical Trial.","authors":"","doi":"10.15218/edj.2024.3","DOIUrl":"https://doi.org/10.15218/edj.2024.3","url":null,"abstract":"Background: Periodontitis is the inflammation of supporting tooth structures; it is one of the six complications of diabetes, Propolis a local delivery agent can be used as an adjunct to non-surgical periodontal therapy. Aim: To assess the effect of Propolis as adjunctive to scaling and root surface debridement for the treatment of periodontitis patients with type 2 diabetes. Methods: forty-five chronic periodontitis patients with poorly controlled type 2 diabetes (glycated hemoglobin 1 assay HbA1c≥8%) were recruited into group I; (n=15) scaling and root planing alone was performed, group II; (n=15) scaling and root planing+ chlorhexidine mouth wash twice a day for two weeks were prescribed, in the group III; scaling and root planing +Propolis irrigation was performed for two weeks, twice weekly. Clinical periodontal, haematological (fast blood sugar and glycated haemoglobin) and biochemical parameters (total antioxidant capacity and total oxidant status) were recorded at base line and three months of therapy. Results: The results indicated that there was a highly significant improvement of the clinical parameters in group I and II (p<0.001), in group I at baseline, the correlations between probing pocket depth and clinical attachment loss with total antioxidant capacity were significant and highly significant respectively, probing pocket depth and clinical attachment loss with total oxidant status were significant. While after 3 months of therapy, the correlations between bleeding on probing and gingival index with total antioxidant capacity were significant and highly significant respectively, plaque index and gingival index with total oxidant status were significant. Conclusion: Propolis irrigation could improve clinical periodontal parameters in chronic periodontitis patients with type 2 diabetes, with significant improvement of fast blood sugar and total oxidant status in group II and glycated haemoglobin in group III were exhibited. Keywords: Propolis, type 2 diabetes mellitus, total antioxidant capacity, total oxidant status, chronic periodontitis.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"23 5‐6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381138","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":"Increasing Vertical Dimension of a Case with Full Mouth Rehabilitation: Case Report.","authors":"Radhwan H Hasan, Shilan H. Fatah","doi":"10.15218/edj.2024.10","DOIUrl":"https://doi.org/10.15218/edj.2024.10","url":null,"abstract":"Introduction: Bruxism is one of the most frequent causes for occlusal tooth wear, with the loss of tooth structure caused by mechanical wear between maxillary and mandibular tooth surfaces, case report was conducted to improve the patient oral health, and to maintain the new vertical dimension since it was lost by teeth clenching. Case description: this paper presents a 50 years old male suffering from severe bruxism, which implicated the appearance and function of the patient, he was transferred to TIU dental hospital for full mouth rehabilitation treatment. Discussion: The rehabilitation of patients with extensive occlusal wear is complex and difficult to solve, becoming thus one of the biggest challenges of dentistry, a proper planning of a prosthetic rehabilitation should not attribute the re-establishing of occlusal vertical dimension (OVD) to new prostheses at the risk of the patient doesn’t adapt to a new condition of vertical dimension. Conclusion: Tooth wear causes dimensional changes in facial morphology and OVD decrease. The correct determination of occlusal vertical dimension represents a factor of success in the rehabilitation treatment. Keywords: Vertical Dimension, Rehabilitation, Full Mouth, Bruxism.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141376598","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":"Color Stability and Surface Roughness of Different Composite Resins after Using Different Polishing Systems.","authors":"Hisham Z. Abdullah, Bassam K. Amin","doi":"10.15218/edj.2024.2","DOIUrl":"https://doi.org/10.15218/edj.2024.2","url":null,"abstract":"Background and objectives: To evaluate and compare the color stability and surface roughness of different composite resins after using different polishing systems and then submitting to accelerating artificial aging (AAA) and staining by black tea. Method: Twenty disk-shaped specimens (were compacted into the custom-made cylindrical plastic mold that had an internal diameter of 10 mm and a depth of 2 mm) were prepared for each composite resin type (3M Z350, Tokoyama palfique and shofu Beautifil II) for a total of 60 specimens, each composite group was divided into two subgroups according to the polishing system (n=10) (Shofu super-snap polishing disks and Eve Diacomp Plus Twist wheel). Color parameters (L*, a*, and b*) and surface roughness were measured before and after accelerating artificial aging (2000-4000 thermal cycle) and staining. Results: It was observed that all resin-based materials showed an increase in color change value and surface roughness values after 2000 thermal cycles. while after 4000 thermal cycles only the surface roughness value decreased in all resin-based materials. Conclusion: all resin-based materials showed clinically acceptable color stability and surface roughness >0.2 µm) after (2000 thermal cycle) and staining. Keywords: color stability, surface roughness, thermal cycle, staining.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"63 s290","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141377365","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}
Zainab Salim Mahmood, Qehraman Ismayil Ahmed, Ahmed Luqman Saifullah
{"title":"Prevalence of Plaque Induced Gingivitis Among Dental Students in College of Dentistry, Hawler Medical University.","authors":"Zainab Salim Mahmood, Qehraman Ismayil Ahmed, Ahmed Luqman Saifullah","doi":"10.15218/edj.2024.32","DOIUrl":"https://doi.org/10.15218/edj.2024.32","url":null,"abstract":"Background and objective: Gingival inflammation in response to bacterial plaque accumulation is considered the key risk factor for the onset of periodontitis. Dental students should present to patients as good role models in their oral health behavior. The study aimed to evaluate the prevalence of plaque-induced gingivitis among dental students in Hawler Medical University, College of Dentistry. Method: The study enrolled 120 (65 male, 55 female) dental students from different years of study including both clinical and preclinical years. Intra-oral clinical parameters including (plaque index, gingival index, and bleeding on probing) were recorded to evaluate the students’ periodontal health status. Result: The participants showed that the majority of students had fair plaque scores, and significant differences in clinical periodontal parameters between different years of study (P ˂ 0.05). Significant differences were found in regard to bleeding on probing between males and females. All cases of severe gingivitis recorded were males which counted 5.8%, of total cases. Conclusion: Preclinical dental students exhibited slightly higher (plaque index, gingival index, bleeding on probing) mean scores than clinical students, and more than half of the participants presented with gingivitis, regardless of its severity. Keywords: Plaque index, gingival index, bleeding on probing, oral health.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"56 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140368780","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}
Maryam Fouad Bilal, Ahmed Qesim Ali, Layard Khalil Ibrahim
{"title":"Evaluation of Awareness and Perception of Clear Aligner Orthodontic Treatment Among Students of Hawler Medical University.","authors":"Maryam Fouad Bilal, Ahmed Qesim Ali, Layard Khalil Ibrahim","doi":"10.15218/edj.2024.27","DOIUrl":"https://doi.org/10.15218/edj.2024.27","url":null,"abstract":"Background and Objectives: The growing emphasis on appearance has led to an increased interest in orthodontic treatment among adults, particularly those who are highly self-conscious about their looks. Clear Aligner Therapy, a nearly invisible and effective method for aligning teeth, represents the latest generation of aesthetic orthodontic treatments. This study aims to assess the awareness and perception of Clear Aligner Therapy among students at Hawler Medical University. Materials and Method: A cross-sectional study was conducted using an online questionnaire comprising four sections: demographics, general dental and orthodontic awareness, knowledge of Clear Aligner Therapy and Fixed Orthodontic Therapy, and optional comments and questions. Results: A total of 383 participants, with an average age of 20.54 years, completed the questionnaire. The majority (89.6%) were Kurds and 63.2% females. Among the participants, 68.2% had visited a dentist as needed, 72.3% had family members with malocclusions, 41% had sought orthodontic consultation. Additionally, 86.2% were familiar with Fixed Orthodontic Therapy, 63.2% had heard of Clear Aligners, 30.5% had undergone orthodontic treatment, and 8.5% individuals had received Clear Aligner Therapy. Conclusion: The knowledge level of Hawler Medical University students regarding Clear Aligner Therapy was determined to be moderate. Despite the fact that they possessed a general understanding of its characteristics and application, their involvement in the treatment and its procedures was limited. Previous orthodontic treatments recipients', satisfaction with their smile, overall concern about teeth, previous orthodontic consultation, and knowledge of Fixed Orthodontic Therapy all notably demonstrated significant associations with the awareness of Clear Aligner Therapy. Keywords: Clear Aligner, Orthodontic treatment, Esthetic treatment, Awareness, Perception, Hawler Medical University.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369282","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}
Saeed Hameed Tutmayi, Twana Hoshyar Saleem, Sara Aswad Khoshnaw, Sana Khals Hamad, Sonya Nadir Saeed
{"title":"Prevalence of Temporomandibular Disorders Among Dental Students of College of Dentistry-Hawler Medical University.","authors":"Saeed Hameed Tutmayi, Twana Hoshyar Saleem, Sara Aswad Khoshnaw, Sana Khals Hamad, Sonya Nadir Saeed","doi":"10.15218/edj.2024.36","DOIUrl":"https://doi.org/10.15218/edj.2024.36","url":null,"abstract":"Background: Temporomandibular disorders (TMD) are a group of conditions affecting the jaw joint and the muscles that control jaw movement, can cause pain and discomfort in the jaw, face, and neck, and affect a person's ability to speak, chew, and swallow. Aim: The present study aims to specify the prevalence of temporomandibular joint disorder among dental students of Hawler Medical University. Method: The research conducted involved a group of 120 dental students, with an equal number of males and females from Hawler Medical University. The required data were collected by developing a particular questionnaire by modifying Fonseca's questionnaire. The study was performed during a period of one month from January to February. Visual Analogue Scale (VAS) was used to determine the severity of the pain and dysfunction in the participant's muscles. Results: More than 75% of the participants had no deviation. In 65.8% of the students, class 1 occlusion was observed. Trauma was observed in just 12.5% of the participants. Bite and bruxism habits were observed in 24.2% and 10% of the students respectively. Moreover, 30% of students had disturbed sleep. Severe TMJ pain was reported in 4.2% and 0.8% of females and males respectively. Conclusions: The occurrence of TMD among males was less than among females. Most of the participants had mild TMJ pain. There was a significant association between symptoms of TMD and para-functional habits. Keywords: Temporomandibular disorder, Temporomandibular joint, Fonseca's questionnaire.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"117 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140370656","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}
Dildar Abdullah Othman, Rawand Mohammed Muhi, Nadeen Nazar Nafie, Manar Nadhum Farman
{"title":"A Cross-Sectional Study to Evaluate the Prevalence and Severity of Gingivitis among High School Students in Erbil City-Iraq.","authors":"Dildar Abdullah Othman, Rawand Mohammed Muhi, Nadeen Nazar Nafie, Manar Nadhum Farman","doi":"10.15218/edj.2024.37","DOIUrl":"https://doi.org/10.15218/edj.2024.37","url":null,"abstract":"Background and objective: There is an increase in the gingival inflammation without an associated increase in plaque level during puberty. This study aimed to find out the extensiveness and severity of gingivitis among high school students and its relation with the socioeconomic status in different areas of Erbil city. Materials and methods: Cross-sectional study was conducted. A total of 300 students from both genders aged between (12-17) years old were selected from different areas of Erbil city consisting of 7 high schools. The data were collected with the aid of a questionnaire by direct interview. The gingival health condition was assessed using gingival index by Löe and Silness. Results: The number of participants in public schools was (66%) of the total and private schools (34%). Regarding tooth brushing, most of the students in public schools brushed once daily (44%), while in private schools they mostly brushed twice daily (41.7%). The moderate severity of gingivitis was the highest among students in general (85.3%). The percentage of dental visits in private schools was higher than that of students in public schools (28.78%). Gingival index for public schools was (1.62) and in private schools (1.43). In general, males show a higher Gingival Index compared to females. Conclusion: The high prevalence of gingivitis shows us there’s a need for educational programs to improve the awareness and attitude towards better oral hygiene practices and the students belonging to lower socioeconomic were more affected by gingivitis. In conclusion, gingival disease was slightly more prevalent in public schools than in private schools. Keywords: Gingival index, pubertal gingivitis, tooth brushing frequency, oral hygiene practice.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"93 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140371253","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}
Intesar Saadallah Toma, Hussein Jamal Hashim, Muhammed Amir Salahadin, Muhammed Dana Razaq
{"title":"Incidence of Post Instrumentation Pain Following Endodontic Treatment Among Patients Attending College of Dentistry-Hawler Medical University.","authors":"Intesar Saadallah Toma, Hussein Jamal Hashim, Muhammed Amir Salahadin, Muhammed Dana Razaq","doi":"10.15218/edj.2024.34","DOIUrl":"https://doi.org/10.15218/edj.2024.34","url":null,"abstract":"Background and objective: The background of this study revolves around endodontic treatment, which is a therapeutic approach involving the chemical and mechanical disinfection of root canals, followed by the establishment of a secure three-dimensional seal. The primary objective of this research is to investigate and understand the underlying factors that contribute to flare-ups experienced by patients undergoing endodontic treatment. Method: A total of fifty-two patients were considered participants and were included for history taking, clinical examination, radiographic assessment, and data analysis after receiving Root Canal Treatment (RCT) for different types of teeth (incisors, canine, and premolar) by different students (operators) and different supervising seniors (trainers). During this time, the operator performed RCT on various patients, and the participants were followed up after they completed root canal obturation. Statistical analysis was done by the SPSS program, chi-square and Fisher's exact test were used to determine the correlation between variables. Result: The level of significance used in this research is ≤ (0.05), and the result is significant when (p≤0.05). The main findings were that the frequency and distribution of post-instrumentation pain was (30.8%). According to our data, we found out the highest incidence of flare-up in HMU was related to pulp remnant and periapical pathosis. Conclusion: There are several factors that are related to the prevalence of post-obturation flare-up such as over-instrumentation, pulp remnant, periapical condition, presence of patient medical history, and perforation. According to these factors the dentist should be aware of the possibility of flare-up occurrence, however, it must be borne in mind that theories about these factors cannot be completely conclusive. Keywords: Endodontic Treatment, Flare-up, Postoperative pain.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"10 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372503","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}
Abduljaleel Azad Samad, J. M. Ahmed, Karin Zaki Izzat, Saya Saman Abdulqadir, Marwa Qadir Muhammed, Muzhda Ayub Bakir
{"title":"Knowledge, Attitude and Practice of Infection Control Among Dental Students at College of Dentistry - Hawler Medical University.","authors":"Abduljaleel Azad Samad, J. M. Ahmed, Karin Zaki Izzat, Saya Saman Abdulqadir, Marwa Qadir Muhammed, Muzhda Ayub Bakir","doi":"10.15218/edj.2024.33","DOIUrl":"https://doi.org/10.15218/edj.2024.33","url":null,"abstract":"Background: Infections acquired in healthcare facilities have become an increasingly challenging issue worldwide. The prevention of infectious diseases is a critical issue since healthcare workers develop acquired infections while providing services to patients. However, infection prevention and control are challenging, especially in healthcare facilities. Objective: To assess knowledge, attitude, and practice of cross-infection control among dental students at the College of Dentistry, Hawler Medical University. Material and Method: A survey was conducted to obtain information regarding knowledge, attitude, and practice with recommended infection control guidelines. The questionnaire contained three parts (knowledge, attitude, and practice) and was distributed to the participants. Result: Total number of participants was 135, (73) were 5th-year dental students, and (62) 4th year, the mean age of participants was (20-23) years, 96 % had correct knowledge about infection control, 93 % had a correct practice, but unfortunately 48 % had low attitude. Conclusions: The majority of dental students had good knowledge and correct practice, but less about their attitude in infection control. Therefore, regular training that contains educational programs should be supported to maintain the highest level of attitude. Keywords: Infection control, Cross infection, Dental students, Practice, Knowledge, Attitude.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"12 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369317","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}
Shayma Ghazi, Khalid Yasin Rasul, Aras Khidhir Hamad, Aso Abdulkhaliq Khidhir, Lozan Khalil Ahmed
{"title":"Side Effects of Steroidal and Non-Steroidal Anti-Inflammatory Drugs on The Oral Cavity.","authors":"Shayma Ghazi, Khalid Yasin Rasul, Aras Khidhir Hamad, Aso Abdulkhaliq Khidhir, Lozan Khalil Ahmed","doi":"10.15218/edj.2024.31","DOIUrl":"https://doi.org/10.15218/edj.2024.31","url":null,"abstract":"Background and objectives: The steroidal and Non-Steroidal Anti-Inflammatory drugs (NSAIDs) are widely used classes of medications for their anti-inflammatory and analgesic effects and are associated with the risk of many oral side effects and which might be presented with variable degrees of severity. The main objective of this research was to identify oral side effects that could be associated with using Steroidal or NSAIDs. Patients and Methods: A total number of 82 patients who were attending the teaching clinics at the College of Dentistry and were using steroids or NSAIDs participated in this study and they were interviewed and examined clinically for the presence of any abnormal oral presentation. The data were all recorded on a pre-designed questionnaire. The data was expressed as a percentage and analyzed statistically using ANOVA and t-test. Results: The data showed that a majority of NSAIDs users complained of gingival bleeding (39%) and Xerostomia (32%), while corticosteroid users complained of fungal infection (50%), gingival inflammation (25%) and other less frequent side effects. Drugs that were associated with the most oral side effects were aspirin, ibuprofen, mefenamic acid and prednisolone. Conclusion: Data analysis showed that many oral side effects might be related to steroidal and NSAIDs. It is important to consider that drugs in general may cause oral side effects at different doses, dosage forms and durations of use and may have a variety of clinical presentation. The dentists have a crucial role in identifying these drug-related oral side effects through their clinical practices in order to provide the proper management for the patients. Keywords: Side effects, steroids, NSAIDs, xerostomia, Ulcers.","PeriodicalId":257297,"journal":{"name":"Erbil Dental Journal","volume":"15 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140372244","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}