Oral and Maxillofacial Surgery Commons^™

P53 Tumor Suppressor Gene Expression In Ameloblastoma Subtypes: An Immunohistochemical Analysis, Yara Y. Mouselhy, Ahmed Abozekry, Iman M. Abdel Meguid, Raneem F. Obeid, Mai Abdelhalim Hamouda, Hala El-Kammar

Future Dental Journal

Background: Ameloblastoma is the most frequent of the benign epithelial odontogenic tumours. It exhibits a unique biologic behavior which demands meticulous understanding for thorough diagnosis and management. P53 tumor suppressor protein functions as a gatekeeper of cell division, inducing either cell cycle arrest or apoptosis. While mutations in the p53 gene are often detected in human cancers; the role of p53 in ameloblastoma remains elusive.

Material and methods: To investigate p53 expression in ameloblastoma, a retrospective study was designed to evaluate and compare immunohistochemical p53 protein expression patterns, in follicular ameloblastoma, plexiform ameloblastoma and unicystic ameloblastoma. Nine paraffin-embedded archival tissue …

Assessment Of Intra Operative Time For Computer Guided Posterior Mandible Onlay Grafting Versus Free Hand Onlay Grafting A Randamized Clinical Split Mouth Trial, Mahmoud Khorshed, Mohamed Mounir, Mohamed Atef, Yasmin Nassar

Future Dental Journal

Abstract

Purpose: The aim of this study was to evaluate the efficacy of onlay vertical bone augmentation using patient specific guide in the reduction of intra-operative time and postoperative pain compared to the free hand technique in the vertically deficient posterior mandible ridge using autogenous cortico-cancellous bone.

Methods: This study included 10 patients that had bilateral vertically deficient posterior mandibular alveolar ridges. For each patient, half of the ridge was augmented using 3D printed patient specific surgical guide for fixation of autogenous onlay bone graft, while the other half was augmented using free hand autogenous onlay bone graft technique using …

Measuring Accuracy Of Dolphin Imaging Software In Predicting Upper Jaw Soft Tissue Profile Changes In Class Ii Adult Patients Treated With Extraction Versus Non-Extraction., Amr Amin Arif, Esam Nasef, Amira Aboalnaga

Future Dental Journal

Abstract

Objective: To assess the accuracy of Dolphin Imaging software in predicting upper jaw profile changes in class II patients treated by extraction and non-extraction.

Methods: The records of 60 Class II div 1 patients were selected; 30 patients treated by extraction of upper first premolar and 30 patients treated by non-extraction. The Pre- and post-treatment lateral cephalometric x-rays of each patient were traced using Dolphin software. The actual hard tissue changes due to treatment were calculated and installed into the prediction module to generate the predicted profile. The soft tissue measurements of the actual post-treatment and predicted profiles were …

Oral Focal Mucinosis: A Case Report, Hala El-Kammar Dr, Yara Youssef, Bassant Mahmoud Moustafa, Iman M. Mostafa, Noha Adel Hassanine, Adham Fahmy, Rami Guiha Dr.

Future Dental Journal

Oral focal mucinosis is a rare lesion with less than 60 cases reported in English literature so far, to the best of our knowledge. It is considered to be the oral counterpart of cutaneous focal mucinosis and/or cutaneous myxoid cyst. Histopathologically, Oral focal mucinosis is demonsterates a well-circumscribed area of myxomatous connective tissue containing mucinous material, surrounded by denser collagenous connective tissue. We present a case of Oral focal mucinosis occurring on the buccal gingiva of the lower jaw.

Implant Site Preparation Using Conventional Drilling Technique Versus Magnetic Malleting Technique (Randomized Clinical Study)., Tamer Bahaa Negidah, Ahmed Farid Shehab Prof, Hussein Hatem, Sara Zakaria Fanous, Mostafa Azab

Future Dental Journal

Background The purpose of our current study is to determine whether using a Magnetic Mallet during oral and implant surgical procedures is more effective than using traditional instruments with regard to complication rate, tissue healing, and surgical results (primary stability and crestal bone loss). According to a number of writers, a Magnetic Mallet can be utilized for implant insertion, ridge expansion, sinus lifts, tooth extractions, and implant site preparation.

So, this study was conducted to ascertain whether using a Magnetic Mallet Throughout the process of oral and surgical implant operations is effective and to assume on whether it might help …

Stability Of Immediately Placed And Delayed Implants Using Resonance Frequency Analysis (Rfa). A Systematic Review, Sara H. Younis, Catherine I. Radana, Doha M. Galal, Heba K. Abdul-Fattah, John A. Labib

Future Dental Journal

Objectives: The aim of the present Systematic Review was to compare between immediate and delayed dental implant placement using resonance frequency analysis specifically Implant Stability Quotients (ISQ).

Search methods: Search was performed in two databases (PubMed and Cochrane Library) till March 2023. Randomized clinical trials (RCTs) were included and measurements of ISQ at time of placement and time of loading were recorded. We excluded papers discussing bone grafting, orthodontic treatment and implant surface treatment.

Results: Results were above ISQ threshold value of 65, with no significant difference between immediate and delayed implants. However, Immediate placement showed shorter treatment time and …

Expression Of Vimentin, Α-Sma And Tgf-Β In Different Grades Of Oral Squamous Cell Carcinoma, Hala El-Kammar, Waleed F. Esmael, Nermeen S. Afifi

Future Dental Journal

Abstract

Background: Oral Squamous cell carcinoma (OSCC) is typically discovered at an early stage; nevertheless, regional lymph node metastases are prevalent; therefore, surgical excision of the primary tumor is commonly coupled with neck dissection and radiotherapy. Cancer cells become invasive by acquiring a mesenchymal phenotype, a process known as the epithelial-to-mesenchymal transition. Vimentin, α-SMA and TGF-β expressions are believed to take part in EMT and tumor progression. Aim: this work aimed to evaluate the expression of Vimentin, α-SMA and TGF-β on OSCC progression and hence propose potential role as potential prognostic markers or therapeutic targets. Materials and methods: twenty-four specimens …

Assessment Of Crestal Bone Loss And Implant Stability Of Implant Drilling Protocol At Low Speed Without Irrigation Versus Conventional Drilling Protocol, Omar Elmeligy O. Elmeligy, Ahmed Farid Shehab, Sameh Mekhemer, Ahmed Abozekry

Future Dental Journal

Abstract

Aim: This study assesses crestal bone loss surrounding dental implants, primary and secondary stability in sites prepared by conventional versus low speed drilling protocol. Material and Methods: Ten patients received 20 implants to restore an edentulous area in the lower posterior mandibular area. Patients were blindly divided into a control and study group. In the control group, sequential drilling was performed at 1,200 rpm and torque of 30 Ncm with irrigation till reaching the planned length and diameter. In the Study group, sequential drilling was performed at 150 rpm and torque of 50 Ncm without irrigation till reaching …

Computer Guided Versus Conventional Maxillary Sinus Augmentation Using Allogenic Bone Blocks With Simultaneous Implant Placement In Severely Pneumatized Sinuses, Hisham G. Zulhemma Department Of Oral And Maxillofacial Surgery, Future University In Egypt, Egypt. [email protected], Waleed Ragab El-Beialy Professor Of Oral And Maxillofacial Surgery -Cairo University, Egypt. [email protected], Ahmed Abd Elsamad Associate Professor Of Oral And Maxillofacial Radiology– Cairo University, Egypt. [email protected], Ahmed Abozekry Lecturer Of Oral And Maxillofacial Surgery –Future University In Egypt, Egypt. [email protected]

Future Dental Journal

Background: Maxillary sinus lifting is a complex procedure with reported complications in the literature where the presence of sinus septa further complicates the procedure, they including membrane perforation, bleeding. Aim: The aim of this study is to decrease the incidence of membrane perforation which is the most common reported complication, and to determine whether the use of surgical guides could decrease the incidence of membrane perforation. Materials and methods: A total of 12 cases where blindly divided into 2 groups; Group (A) computer guided maxillary sinus lifting and Group (B) conventional sinus lifting, both groups received allogenic bone blocks for …

Efficacy Of Preemptive Dexamethasone And Diclofenac On Pain Control During Maxillary Alveolar Ridge Horizontal Augmentation Using Cortical Shell Augmentation Technique: A Randomized Clinical Trial, Dina Ayman Fayek D.Ayman, Mohamed Mounir M.Mounir, Lobna Abdrlaziz Aly, Ahmed Abozekry

Future Dental Journal

Background: Despite the popularity and success of autogenous cortical shell augmentation, it is a painful procedure, limiting its acceptance by patients specifically if general anesthesia is not a viable option. Aim: This study assessed the analgesic efficacy of co-administration of intramuscular diclofenac sodium and dexamethasone preoperatively. Material and Methods: Patients selected according to the inclusion criteria were randomly divided into 2 equal groups. A similar surgical augmentation technique was performed in both groups using autogenous cortical shell technique. The study group received an intramuscular injection of dexamethasone and diclofenac sodium before surgery, and pain level was measured using VAS (visual …

Simultaneous 3d Reconstruction And Implant Placement Using Allogenic Laminar Bone Membranes In Atrophic Mandible. A Comparative Clinical Study, Sara T. Elshayat, Mohamed Diaa Zein El-Abdein, Waleed Ragab El Beialy, Waleed F. Esmael

Future Dental Journal

Objective: to compare the outcome of allogenic bone sheets clinically and radiographically in posterior mandibular vertical augmentation in Luhr class III cases with simultaneous implant placement using autogenous versus xenografts.

Patients and methods: this study was based on a total of 12 implants placed in 4 patients, 2 of which were males and 2 females. Patients were divided into 2 groups, both treated with implants placed with exposed threads 3 mm crestally and covered buccolingually with the laminar bone membrane; group 1 received autogenous bone obtained from the same surgical site using 4.5 diameter ACM bur mixed with PRP and …

Clinical And Radiographic Assessment Of Xenogenic Bone Graft With Or Without Hyaluronic Acid For Post Extraction Socket Preservation (Randomized Clinical Trial), Khaled Mohie Aldeen Abdelzaher, Lobna Abdel Aziz Aly Prof, Mostafa Ezz Prof., Mahmoud Mohsen Elsayed Hassan Elarini Dr.

Future Dental Journal

hyaluronic acid shows osteogenic potentials which considered important property during bone regeneration. So, we aim to assess the efficiency of hyaluronic acid with xenograft mixture in post extraction alveolar sockets to decelerate resorption of dental alveolar ridge.

Effect Of Low-Level Diode Laser Bio-Stimulation On Implant Stability Before, During And After Immediate Implants In Mandibular Molars. (A Randomized Clinical Study), Ahmed Elsayed Fahim A.Faim, Ahmed Farid Shehab, Waleed Ragab El-Beialy, Ahmed Abozekry

Future Dental Journal

Introduction: Tooth loss can affect the person’s life dramatically. Tooth loss is accompanied by bone loss in all dimensions, so preservation of the bone is mandatory for placement of dental implant.

Immediate implant can preserve alveolar bone. Due to difference in shape between the implants and extracted roots a gap appears between the immediately placed implant and the extraction socket resulting in jumping distance, Bone grafts are commonly used to fill this gap, recent studies suggest that jumping gaps shouldn’t always be grafted.

Low level bio stimulation has stimulatory effect on bone cells so it can be used in immediate …

Assessment Of Maximal Incisal Opening Using Autogenous Inlay Eminoplasty Technique For Treatment Of Chronic Recurrent Temporo Mandibular Joint Dislocation, Mustafa Abdelkawy, Youssef Elmansi, Ahmed Shehab, Mohamed Mounir, Ragia Mounir

Future Dental Journal

Purpose: Different surgical protocols have been introduced for eminence augmentation for treatment of recurrent temporomandibular joint dislocation, The aim of this study is to assess maximal incisal opening (MIO) using inlay (sandwich osteotomy) autogenous block augmentation harvested from patient’s symphesis for more stable condylar movements . Methods: five patients were treated in this study (10 joints) with bilateral autogenous inlay block bone grafting technique, each autogenous cortico-cancellous bone block was harvested from chin and wedged at the created defect of the eminence through a green stick fracture to increase its height . Results: The follow up period …

Clinical Assessment Of Arthroscopic Temporomandibular Joint Discopexy Using Wire Fixation Technique, Abanoub Sliem, Ahmed Barakat, Sameh Mekhemer, Reem Hossameldin

Future Dental Journal

Introduction Anterior disc displacement is one of the most frequent temporomandibular joint (TMJ) disorders, which often results in clicking, joint pain, a limited range of motion and masticatory difficulties.Methodology Four subjects (with a total number of six joints) who had significant pain and dysfunction that did not respond to non-surgical therapy, went into arthroscopic disc repositioning using wire fixation for 3 weeks then it was removed, and the patient continued on occlusal splints.Results After six months postoperatively, there was a significant increase in the MIO (Maximum incisal opening) and an insignificant decrease in the pain perception in the …

Evaluation Of Facial Soft Tissue Changes In Excessive Gingival Display Cases After Le Forte I Maxillary Impaction Surgery Using 3d Facial Surface Laser Scanner, Ahmed Mohamed Hazem Alshazly A.Al Shazly, Mostafa Mohamed Sayed Taha, Ahmed Abdelmoniem Barakat, Mohamed Diaa Zein El Abdien

Future Dental Journal

Introduction: Facial soft tissue changes in relation to hard tissue movements after orthognathic surgery cases is always of concern to patients , surgical and orthodontics teams. The aim of the present study was to assess facial soft tissue changes and stability using 3D facial laser scanner after orthognathic surgery Le Forte I maxillary impaction in excessive gingival display patients. Methods: The subjects consisted of 12 patients with skeletal vertical maxillary excess (VME) causing an aesthetic concern to the patients in the form of “Gummy smile”, who underwent LeFort I osteotomy with maxillary impaction, Three-dimensional images of the patients …

Treatment Of Implant Labial Soft Tissue Dehiscence With Guided Bone Regeneration Vs Subepithelial Connective Tissue Graft. A Randomized Clinical Trial, Mahmoud El-Rayes, Waleed F. Esmael, Mohamed Atef, Lobna Abdelaziz

Future Dental Journal

Background: Implant soft tissue dehiscence is a frequently reported esthetic complication, that more often than not affects the functional integrity of the dental implant with eventual loss of osteointegration. Many treatment modalities with different success rates have been proposed aiming to solve this complication or prolong the survival of the dental implant, of which are guided bone regeneration and soft tissue regeneration around the affected implants.

Material and Methods: This prospective study was carried in the hospital of Future University. 11 Patients (1 Male – 10 Females) with 20 Maxillary implant sites demonstrating soft tissue dehiscence were randomly allocated to …

Three-Dimensional Maxillary Alveolar Ridge Augmentation Using Modified Cortical Shell Technique And Composite Bone Graft, Mostafa Azab, Mohammed Diaa, Waleed El-Beialy, Amr Amin Ghanem

Future Dental Journal

Objective: The present study was performed to assess the 3D alveolar ridge augmentation using the cortical shell from retromolar region and composite bone particulate regarding the width of the residual alveolar ridge. Methods: Thirteen patients with age range 21-40 years old having atrophic anterior maxillary ridge ≤3mm horizontally were included in the study. All patients were subjected to ridge augmentation using composite bone graft and retromolar cortical shell that was fixed in place by two micro-screws. The alveolar ridges were assessed and compared by cone beam computed tomography (CBCT) in the pre-operative, immediate and 4 months post-operative phases by taking …

Assessment Of Anterior Alveolar Bone Graft Healing With And Without Coverage, With Collagen Membrane, Mary Magdy Awad Alla Abdou

Future Dental Journal

Objective

This study was designed to evaluate the retromolar as a new donor site and its ability to augment the alveolar ridge horizontal and/or vertical defects prior to implant placement.

Method

Twelve patients were selected for future implant placement after anterior maxillary ridge augmentation. CBCTs were performed preoperative, immediate postoperative and 6 months postoperative. After induction of general anesthesia, an envelope flap full mucoperiosteal flap was raised to expose the maxillary alveolar ridge defect. A donor site full thickness flap was elevated to expose the lateral body of the ramus, The graft was fixed in all the twelve patients but …

Advent Of Computer Assisted Surgery And Its Application In Oral And Maxillofacial Surgery, Lobna Abdrlaziz, Ahmed Abozekry

Future Dental Journal

Computer-assisted surgery (CAS) represents a surgical concept and set of methods, that use computer technology for surgical planning, and for guiding or performing surgical interventions.

Advances in imaging techniques can greatly improve the treatment outcome and enhance the success rate of surgical procedures. This review article updates the information on surgical navigation system and its application in maxillofacial surgery.