Medicine and Health Sciences Commons^™

Physicochemical Properties Of Ah Plus Bioceramic Sealer, Bio-C Sealer, And Adseal Root Canal Sealer, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Background: The aim of this study was to evaluate the physicochemical properties of two newly introduced premixed calcium silicate-based root canal sealers (AH Plus Bioceramic Sealer and Bio-C Sealer) compared to a resin-based root canal sealer (ADseal root canal sealer). Methods: Solubility, pH analysis, calcium ion release, and film thickness of each sealer were evaluated following ISO guidelines. The data were examined using the two-way ANOVA test. Furthermore, X-ray diffraction (XRD) examination was performed to investigate the crystalline phase of each type of sealer. X-ray fluorescence (XRF) analysis was done for the chemical elemental analysis of each sealer. Results: The …

Anatomical Analysis Of Inferior Alveolar Nerve Relation To Mandibular Posterior Teeth Using Cone Beam Computed Tomography: A Retrospective Radiographic Analysis Study, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Introduction: Cone beam computed tomography (CBCT) is reliable in the assessment of structures related to teeth. The assessment of the inferior alveolar neurovascular (IAN) bundle location using CBCT is considered one of its prime uses in different mandibular surgeries. Methodology: Retrospective CBCT data of patients presented to the institute were assessed to measure relations of IAN. Measurements were taken to assess the bone thickness adjacent to IAN, the superior-inferior dimension between the canal and the teeth, and the dimension between the canal and the inferior border of the mandible. Results: Out of the 170 patients the root apices nearest to …

Effectiveness Of Full Pulpotomy Compared With Root Canal Treatment In Managing Teeth With Signs And Symptoms Indicative Of Irreversible Pulpitis: A Protocol For Prospective Meta-Analysis Of Individual Participant Data Of Linked Randomised Clinical Trials (Prove), Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Background: Full pulpotomy has been proposed as an alternative to root canal treatment in teeth with signs and symptoms indicative of irreversible pulpitis (IRP), but the evidence is limited, relying on underpowered studies with a high risk of bias. The aim of this study is to conduct a prospective meta-analysis (PMA) of individual participant data of a series of individual randomised trials to provide robust evidence on the clinical and cost-effectiveness of pulpotomy compared with root canal treatment. Methods: Individual participant data will be obtained from a series of randomised trials designed and conducted by a consortium of multi-national investigators …

Impact Of Angle Of File Access And Location Of Canal Curvature On The Dynamic Cyclic Fatigue Of Nickel Titanium Rotary Instruments, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Objective: To evaluate the impact of different file access angles and root canal curvature’s location on the fatigue failure of One Curve (OC) and E3 Azure (EZ) NiTi files using a dynamic model at simulated body temperature. Methods: Eighty new instruments with similar tip sizes and taper (#25/0.06) from two NiTi rotary systems, One Curve and E3 Azure, were tested at simulated body temperatures (37°C) using a custom-made dynamic cyclic fatigue device. Instruments were divided into four subgroups according to the location of root canal curvature (a coronal curve 5 mm from the root canal orifice and an apical curve …

Two-Year Clinical Performance Of Indirect Restorations Fabricated From Cad/Cam Nano Hybrid Composite Versus Lithium Disilicate In Mutilated Vital Teeth. A Randomized Controlled Trial, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Trial design: This is a randomized, controlled, superiority, double-blinded, parallel-group, two-arms trial with an allocation ratio of 1:1. The aim of this trial was to compare the two-year clinical performance of partial indirect restorations fabricated from CAD/CAM nano-hybrid composite and ceramic lithium disilicate blocks using the modified USPHS criteria. Methods: In two parallel groups (n = 50 restorations), fifty participants having mutilated vital teeth with a minimum of two remaining walls were randomly enrolled in this trial and received indirect restorations of either nano-hybrid composite resin blocks (Brilliant, Coltene, Switzerland) or Lithium Disilicate (IPS Emax CAD). The restorations were assessed …

Root And Canal Morphology Of Mandibular Second Molars In An Egyptian Subpopulation: A Cone-Beam Computed Tomography Study, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Background: This study was using Cone beam computed tomography (CBCT) to examine the anatomical variations in mandibular second molars in an Egyptian sub-population. Methods: A total of 350 CBCT images (215 females and 135 males, aged 15–65 years) of mandibular second molars were evaluated. Samples were evaluated in terms of: number of roots, number of root canals, roots’ cross section as well as prevalence and configurations of C-shaped canals. Statistical analysis was done to highlight differences between different categories and their prevalence among genders (significance level was set at p < 0.05). Data were presented as frequency and percentage values and were analyzed using chi square test followed by pairwise comparisons utilizing multiple Fisher’s exact tests with Bonferroni correction. The significance level was set at p < 0.05 within all tests. Results: Of the 350 mandibular second molars evaluated, 87.2% were non-C-shaped while 12.8% were C-shaped with no gender-based statistically significant differences (χ2 = 0.19, p = 0.656). Most samples had three root canals (80%) followed by two (16%), then one (3.2%), and finally four (0.8%) root canals. Among the non-C-shaped molars, presence of two roots was most common (83.4%) followed by presence of a single root (16.2%), and only one sample (0.2%) had three roots, and this had no correlation with gender (χ2 = 1.86, p = 0.431). In the mesial roots Type IV Vertucci was the most common configuration found (68.8%), while Type I was the most prevalent in the distal roots (91.8%). The long oval configuration was the most commonly found cross section in mesial roots while “oval” was the most prevalent in distal roots. Conclusion: Egyptian sub-population shows highly variable morphological features in mandibular second molars, hence, CBCT is highly recommended on case-to-case conditions.

Root And Canal Morphology Of Mandibular Second Molars In An Egyptian Subpopulation: A Cone-Beam Computed Tomography Study, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Background: This study was using Cone beam computed tomography (CBCT) to examine the anatomical variations in mandibular second molars in an Egyptian sub-population. Methods: A total of 350 CBCT images (215 females and 135 males, aged 15–65 years) of mandibular second molars were evaluated. Samples were evaluated in terms of: number of roots, number of root canals, roots’ cross section as well as prevalence and configurations of C-shaped canals. Statistical analysis was done to highlight differences between different categories and their prevalence among genders (significance level was set at p < 0.05). Data were presented as frequency and percentage values and were analyzed using chi square test followed by pairwise comparisons utilizing multiple Fisher’s exact tests with Bonferroni correction. The significance level was set at p < 0.05 within all tests. Results: Of the 350 mandibular second molars evaluated, 87.2% were non-C-shaped while 12.8% were C-shaped with no gender-based statistically significant differences (χ2 = 0.19, p = 0.656). Most samples had three root canals (80%) followed by two (16%), then one (3.2%), and finally four (0.8%) root canals. Among the non-C-shaped molars, presence of two roots was most common (83.4%) followed by presence of a single root (16.2%), and only one sample (0.2%) had three roots, and this had no correlation with gender (χ2 = 1.86, p = 0.431). In the mesial roots Type IV Vertucci was the most common configuration found (68.8%), while Type I was the most prevalent in the distal roots (91.8%). The long oval configuration was the most commonly found cross section in mesial roots while “oval” was the most prevalent in distal roots. Conclusion: Egyptian sub-population shows highly variable morphological features in mandibular second molars, hence, CBCT is highly recommended on case-to-case conditions

Submandibular Salivary Gland Vulnerability: Unveiling Aflatoxin B1-Induced Toxicity And Rosmarinus Officinalis 'S Protective Role, Mohamed Shamel, Mahmoud Al Ankily, Mohamed Mansy, Robert Fua Angeles

Dentistry

No abstract provided.

Early Screening Of Oral Premalignant And Malignant Lesions Using Salivary Biomarkers, Sara Abdelwahed, Mohamed Shamel, Mahmoud Al Ankily, Mohamed Mansy, Myra De Guzman Angeles

Dentistry

No abstract provided.

The Biomechanical Behaviour And Life Span Of A Three-Rooted Maxillary First Premolar With Different Access Cavity Designs: A Finite Element Analysis, Shehabeldin Mohamed Saber Prof.Dr., Nawar Nawar

Dentistry

Objective: The present study aimed to evaluate the influence of different access cavity designs on the biomechanical behaviour of a three-rooted maxillary first premolar using finite element analysis (FEA).

Methods: Three experimental FEA models were generated: the intact tooth (IT) model, the traditional access cavity (TAC) model, and the conservative access cavity (CAC) model. In both TAC and CAC models, root canals preparation was simulated as follows: the mesiobuccal and distobuccal canals with a final tip size of 30 and taper of 0.04 and the palatal canal with a final tip size of 35 and taper of 0.04. Cyclic loading …

Access Cavity Design, Caries Driven Access, Canal Preparations, Finite Element Analysis, Mohamed Medhat Kataia, Mohamed Kataia

Dentistry

Aim: This study evaluated the influence of different access designs on maxillary two-rooted premolar teeth to assess their biomechanical behavior using finite element analysis. Methodology: Three simulated FEA models were accessed with three main different access cavity designs: the intact tooth (IT) model, the traditional access cavity (TAC), and the conservative access cavity (CAC). Two different radicular preparations were done for each simulated model. The buccal and palatal canals were prepared to the apical sizes #30/.04, and #40/.04. A cyclic load of 50 N was applied on the occlusal surface. The patterns of stress distribution, the maximum von Mises (VM), …

Assessment Of Saudi Arabians' Awareness Of Oral Health And Oral Hygiene In A Group Of 200 Dental Clinic Participants, Mahmoud Al Ankily, Mohamed Shamel, Sara Abdel Wahed, Mohamed Mansy

Dentistry

Oral mucosa lesions cause oral sores, discoloration, and anomalies. Oral mucosa genetic and developmental disorders may affect anybody. Oral cavity carcinoma causes 4% of all malignancies worldwide. Early detection of oral cancer improves survival rates. Oral precancerous diseases include color, abnormalities, surface texture, and location that predict malignancy. The goal of this study was to examine the Saudi Arabians' awareness of oral health and oral hygiene. An observational, cross-sectional approach was adopted for the study. Individuals with a probable malignant oral disease who visited an OPD at a dental hospital and had relevant behaviors were recruited in the study. In …

Aesthetic Management Of Peri-Implant Soft Tissue Dehiscence. A Case Report Of A Combined Perio Restorative Approach, Ahmed Hamdy, Dalia M. Ghalwash

Dentistry

This case report designates a combined perio restorative technique in the management of peri-implant 3-dimensional soft tissue defects in an esthetic zone. A staged approach was implemented to treat this case; the first stage was planned to treat the horizontal defect around the implant, in which crown was removed, and coronally advanced flap with connective tissue graft were used to treat the soft tissue defect. At the second stage, a modified coronally advanced flap with connective tissue graft was used to augment the vertical defect, and no vertical releasing incision was made in this stage to maximize the blood supply …

Double Immunohistochemical Analysis Of Pcna And Fak Expression In Selected Odontogenic Lesions, Safaa Baz, Sally Ibrahim

Dentistry

Background: Odontogenic neoplasms and cysts have diverse biological behaviors, ranging from indolence to aggression along a spectrum. The proliferating cell nuclear antigen (PCNA) is an antigen involved in DNA synthesis and proliferation. Focal adhesion kinase (FAK) is a cytoplasmic molecule associated with cellular signaling, growth, and invasion. PCNA and FAK markers have been shown to be involved in neoplastic proliferation, invasion, and migration. Hence, an immunohistochemical assay of PCNA and FAK can be used as a predictive tool for the level of aggressive behavior of odontogenic lesions. Methods: The current study was conducted to evaluate the expressions of PCNA and …

Effect Of Different Sealers On The Cytocompatibility And Osteogenic Potential Of Human Periodontal Ligament Stem Cells: An In Vitro Study, Shehabeldin Mohamed Saber Prof.Dr., Shereen Nader

Dentistry

Background: There is tendency for unavoidable sealer extrusion in some clinical cases. This might adversely affect host stem cells and affect healing. This study aimed to investigate the effect of different sealers on the cytocompatibility and osteogenic potential of human periodontal ligament stem cells (hPDLSCs). Methods: The cytotoxic effect of the extracted elutes of VDW.1Seal (VDW.1), Endosequence BC Sealer HiFlow (ES), GuttaFlow-2 (GF), and ADSeal (AD-S) on the hPDLSCs was determined using the MTT assay. Cell proliferation and migration were assessed by the scratch wound healing assay. Osteogenic differentiation potential was assessed. Measurement of pH values and calcium ions release …

Assessment Of The Clinical Outcomes Of Single Visit Regenerative Endodontic Procedure In Treating Necrotic Mature Teeth With Apical Periodontitis Using Biological Irrigating Solution, Mohamed Medhat Kataia

Dentistry

Aim: to observe the effect of propolis and its nano counterpart when used as final irrigation materials and compare them to the conventionally used EDTA and saline on the clinical outcomes of necrotic mature anterior teeth with apical periodontitis after treating them using regenerative endodontic procedure.

Methodology: 84 patients who fulfilled the inclusion criteria were recruited for the study. Access cavity was prepared, rubber dam isolation was done. Mechanical preparation was performed up to #60 using K-files. Final irrigation procedure was done as follows:

Group A (Control ): Final irrigation was done using saline (3ml/min) followed by 17% …

Effect Of Proximal Caries-Driven Access On The Biomechanical Behavior Of Endodontically Treated Maxillary Premolars, Engy M. Kataia

Dentistry

Introduction: This study investigated the effects from the carious cavity and access from it on the fracture resistance of endodontically treated maxillary premolars using finite element analysis (FEA). Methods: A maxillary premolar was used to compare three types of access cavity related to having a proximal carious defect: Caries-driven access (CDA), Conservative access that has a mesial component (MCA) as well as traditional access with the same mesial component (MTA). Cyclic loading was simulated on the occlusal surface and number of cycles till failure (NCF) was compared to the intact tooth model (IT). Mathematical analysis was done to evaluate the …

Enhanced Human Periodontal Ligament Stem Cell Viability And Osteogenic Differentiation On Two Implant Materials: An Experimental In Vitro Study, Engy Adel Ahmed Farag, Sara Fikry Dr, Shereen N. Raafat

Dentistry

Background: Surface roughness of dental implants impacts the survival of adult periodontal stem cells and rate of differentiation. This research was conducted to test how human periodontal ligament stem cells behaved on yttria stabilized tetragonal zirconia polycrystals and polyetheretherketone (PEEK) discs with different surface topographies.

Methods: Discs roughening was prepared by sandblasting. Stem cells were cultivated on zirconia discs with a polished surface, polyetheretherketone (PEEK) discs with a polished surface, sandblasted zirconia discs and sandblasted polyetheretherketone (PEEK) discs. Cells viability was assessed after 24, 48, 72 hours. Scanning electron microscopy was used to examine the adherence and attachment of cells. …

Parallel Endodontic Education Via Social Media: An Exploratory Survey Study, Nawar Nawar, Shehabeldin Mohamed Saber Prof.Dr., Mostafa M.A. Elkholy, William Nguyen Ha, Sebastian Burklein

Dentistry

No abstract provided.

How Loss Of Tooth Structure Impacts The Biomechanical Behavior Of A Single-Rooted Maxillary Premolar: Fea, Nawar Naguib Nawar, Roaa Abdelwahab, Engy M. Kataia, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

No abstract provided.

Comorbidity Of Hypertension And Chronic Renal Failure And Their Impact On Oral Complications: A Cross-Sectional Study., Dalia Ghalwash, Sara Abdelwahed, Asmaa Abobakr

Dentistry

The present study aimed to investigate the influence of both end-stage renal diseases (ESRD) and hypertension (HTN) on the various oral manifestations and periodontal condition, to evaluate and compare the oral manifestations and periodontal health status in hypertensive patients with ESRD versus control, and to explore any possible correlation of the oral findings with systemic disease status. This was a cross-sectional study which included two equal groups of patients, Group I were hypertensive patients with ESRD and Group II were hypertensive patients only. All patients were hypertensive and were on antihypertensive medications. Regarding the incidence of oral lesions in both …

Effect Of Different Polishing Systems On Surface Roughness And Color Stability Of Lithium Disilicate Ceramics, Mahmoud Al Ankily, Fatma Makkeyah

Dentistry

Objective: This study aimed to investigate the effect of two polishing systems on the surface roughness and color stability of lithium disilicate ceramic. Materials and Methods: Forty disc-shaped lithium disilicate samples were constructed and cemented into a cavity prepared onto the labial surface of freshly extracted bovine teeth; The samples were divided into four groups (10 samples per group); C: Control, SS: Scaling only, SE: Scaling followed by polishing using Eve Diapro lithium disilicate polishers, SD: Scaling followed by polishing using Diatech ShapeGuard ceramic polishing plus kit. The surface roughness was measured before scaling, after scaling and finally after the …

Anatomical Analysis Of Inferior Alveolar Nerve Relation To Mandibular Posterior Teeth Using Cone Beam Computed Tomography: A Retrospective Radiographic Analysis Study, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Introduction: Cone beam computed tomography (CBCT) is reliable in the assessment of structures related to teeth. The assessment of the inferior alveolar neurovascular (IAN) bundle location using CBCT is considered one of its prime uses in different mandibular surgeries. Methodology: Retrospective CBCT data of patients presented to the institute were assessed to measure relations of IAN. Measurements were taken to assess the bone thickness adjacent to IAN, the superior-inferior dimension between the canal and the teeth, and the dimension between the canal and the inferior border of the mandible. Results: Out of the 170 patients the root apices nearest to …

Orofacial Pigmentation In Hemodialysis Patients: A Case Control Study, Asmaa Ras, Eman Khalil, Radwa Hussein, Nevine Kheir El Din

Dentistry

ABSTRACT Introduction: Orofacial pigmented lesions are one of the most significant changes that present in patients with end-stage renal disease (ESRD), reflecting a wide range of clinical entities ranging from physiologic changes to signs of systemic disorders and even cancers. The research on oral pigmentations is limited, so it is important to pay close attention to this topic. The majority of original publications is either focused on a single lesion or are narrative reports with limited demographic information. As a result, the current study’s goal was to determine the incidence of orofacial pigmentation in ESRD patients on hemodialysis in a …

Financial Impact Of Covid-19 Pandemic On Endodontic Clinics In Egypt: A Questionnaire-Based Report, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Objective: To evaluate the financial impact of the COVID-19 pandemic on endodontic clinics in Egypt. Methods: Two hundred Egyptian endodontists holding a minimum of a master's degree were invited to participate in an online survey in March 2021. Participants accessed the survey link shared on the social media group of the Egyptian Society of Endodontology. Participants read and signed an electronic informed consent before participating in this study. The questionnaire was designed exclusively by the authors. A draft was pilot tested on a sample of 15 endodontic masters' students at The British University in Egypt. Suggestions and comments to improve …

A Rat Experimental Model For Investigation Of The Effect Of Diabetes On Submandibular Salivary Glands Treated With Epidermal Growth Factor, Mahmoud Bakr, Mohamed Shamel, Sara Abdelwahed, Mahmoud Al Ankily

Dentistry

BACKGROUND: Despite the plethora of research around the negative effects of diabetes on different body organs, this topic still attracts a lot of attention to find potential remedies that could counteract or reverse the damaging effect of diabetes.AIM: In this study, we developed a reliable experimental rat model that can be used for the investigation of the ability of epidermal growth factor (EFG) in restoring the normal architecture of oral tissues after being damaged by diabetes.METHODS: Eighty adult male albino rats (average weight ±220 gm) were used in the current study. Twenty rats served as control and received no treatment. …

The Impact Of Composition, Core Metal Mass And Phase Transformation Behaviour On The Dynamic Cyclic Fatigue Of Ni-Ti Files At Different Temperatures, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Aim: To assess impact of elemental composition, core metal mass and phase transformation behaviour on the dynamic cyclic fatigue resistance of three Ni-Ti rotary files at room and body temperatures. Methods: Twenty instruments of each system were tested for dynamic cyclic fatigue resistance in a simulated root canal with a 90° angle of curvature and a 5-mm radius of curvature at room and body temperature. The core metal mass at the fractured surface of each instrument was calculated by Image J software analysis of SEM images. The energy dispersive X-ray analysis was used to assess file composition. Scanning calorimetry was …

The Antibacterial Effect And The Incidence Of Post-Operative Pain After The Application Of Nano-Based Intracanal Medications During Endodontic Retreatment: A Randomized Controlled Clinical Trial, Shehabeldin Mohamed Saber Prof.Dr.

Dentistry

Objective: This clinical trial aimed to evaluate the effect of nano-silver and nano-calcium hydroxide intracanal medicaments (ICM) during retreatment regarding their antibacterial effect and their effect on post-operative pain and flare-ups. Materials and methods: Sixty-nine patients scheduled for endodontic retreatment were included in this randomized clinical trial and randomly allocated to 3 equal groups (n = 23) according to the type of ICM used. The first microbial sampling (S1) representing the original microbiota was obtained after the removal of the old canal filling. After chemo-mechanical debridement, another sample (S2) was obtained representing the microbial state before ICM application. Patients were …

The Frequency Of Periodontitis In End-Stage Renal Disease On Hemodialysis In A Sample Of Egyptian Population: Multi-Center Clinical Cross-Sectional Study, Asmaa Ras, Enji A. Ahmed, Radwa Hussein, Eman Khalil

Dentistry

Abstract Background: There is a general assumption that periodontal disease is highly prevalent among patients with chronic renal failure undergoing hemodialysis. The aim of the study to estimate the frequency of periodontitis in patients on hemodialysis among a sample of the Egyptian population, as well as the correlation between different clinical parameters of periodontal status with serum creatinine and blood urea. This may rule out the bidirectional relation‑ ship between periodontitis and renal failure in patients on hemodialysis. Methods: The study was conducted on 263 hemodialysis patients (165 males and 98 females) at three dialysis cent‑ ers in Benha Governorate, …

Effect Of Agitation Of Salvadora Persica Extract And Sodium Hypochlorite Final Irrigating Solutions With Er,Cr:Ysgg-Laser Using Radial- Firing Tips On Removal Of Smear Layer: A Scanning Electron Microscopic Evaluation, Engy M. Kataia

Dentistry

Introduction: to compare the effect of Er,Cr:YSGG-laser-activated and conventional irrigation techniques on intracanal smear layer elimination at the apical, middle, and coronal segments of root canal walls using environmental scanning electron microscope (ESEM). Methods: Thirty-six freshly extracted human single-rooted single-canal anterior teeth were selected for this study. The root canals were conventionally accessed, then prepared by using ProTaper Next® system to size X4, 0.06 taper and divided into two equal groups (n = 18); syringe/needle- and laser-activated groups. Each group was further subdivided into three subgroups; saline, NaOCl, and salvadora P (6 teeth each). Er,Cr:YSGG-laser was emitted at pulse energy …