Dentistry Commons^™

Smear Layer Removal By Irrigation Adjuncts: A Scanning Electron Microscopy Study, Triet D. Vuong

Theses and Dissertations

Purpose: This study aimed to compare the intracanal smear layer removal ability of two adjunctive irrigation modalities: the AdvErL EVO laser, the GentleWave^® Procedure, and their combination, after minimally invasive canal instrumentation.

Methods: Forty molars were accessed, the mesiobuccal canals of maxillary and mandibular molars were prepared up to apical size 25.04 using rotary instrumentation, then irrigated using: conventional needle irrigation (CNI), laser-assisted irrigation (LAI), the GentleWave^® Procedure (GWP), and LAI followed by GWP (LAI+GWP). The teeth were then decoronated and split longitudinally. One-half of each root was selected for preparation and analysis under scanning electron microscope. Blinded …

How Can We Go Far Together In Healthcare Education And Training?, Nader Nadershahi

Journal of the American College of Dentists

“If you want to go fast, go alone. If you want to go far, go together.” This African proverb highlights the importance of collaboration and cooperation to achieve long-term success and impact. This sentiment applies to many aspects of life, and it certainly applies to our reflection on the importance of breaking down the silos that have developed in healthcare. Our healthcare system has been siloed in all aspects, including delivery models, payment systems, education, and training.

Comparison Of Treatment Outcome Of Occlusal Splints And Physiotherapy Regarding Their Effect On Posture: An In Vivo Pilot Study, Bouchra El Fassih, Amine El Zoghbi, Pascal El Braidy

International Arab Journal of Dentistry

Objectives: The primary objective of the research is to assess occlusal splints and physical exercise effect on posture. The secondary objective is to compare which treatment option has more positive feedback regarding posture adjustment.

Methods: twenty patients with temporomandibular disorders (TMD) were divided into two groups equally, one receiving occlusal splints as a treatment for TMD and the other group receiving physical therapy exercises. They underwent a clinical and postural examination at baseline, after 1 week, after 1 month and after 2 months of treatment. Postural stability was assessed using a force platform (SATEL). Subjects were evaluated in …

Effect Of Adaptation Time On Retention Of Maxillary 3d-Printed Denture Versus Conventional Heat-Cured Acrylic Denture: A Randomized Controlled Trial, Ahmed Hebeshi, Moataz Elmahdy, Sayed Elmasry, Hala Abdelhameed

International Arab Journal of Dentistry

Objectives: The study aimed to investigate the effect of adaptation time on the retention of 3d printed versus conventional heat-cured acrylic maxillary complete dentures.

Methods: 20 patients were distributed into: Group A received ten conventional complete heatcured acrylic dentures and Group B received ten printed complete dentures. Denture retention was measured at 0, 1 , and 3 months.

Results: For acrylic denture and printed denture groups, Mean values in denture retention increased with time but this increase was statistically non-significant. The change in denture retention over time (difference in retention between the third month and at the …

Three-Dimensional Analysis Of Dental Arch Form In Relation To The Vertical Facial Pattern In Class I Patients: A Cross-Sectional Study, Ahmad Ghassan Droubi, Islam Gad, Aly Osman

International Arab Journal of Dentistry

Introduction: Understanding the relationship between dental arch form and vertical facial pattern is crucial in orthodontic diagnosis and treatment planning. Variations in vertical facial morphology can influence dental arch form, which in turn impacts the effectiveness and stability of orthodontic interventions.

Objectives: The study explores the associations between dental arch form with the different vertical facial patterns, including hyperdivergent, normodivergent, and hypodivergent patterns in skeletal Class I patients.

Methods: A cross-sectional observational design was employed to examine a sample of 48 patients with skeletal Class I seeking orthodontic treatment; of which 24 males and 24 females. Each …

A Two-Stage Radiographic Study Of The Prevalence Of Anomalies Associated With Tooth Number, Vellore Kannan Gopinath, Diaa Elderini, Reem Salama, Sangeetha Narasimhan, Vinayak Kamath, Shishir Shetty

International Arab Journal of Dentistry

Introduction: Dental anomalies (DA) are a group of dental developmental disturbances which appear during tooth formation manifesting themselves as an alteration in tooth number, shape, and size. Dental anomalies of number include hypodontia, mesiodens, supernumerary tooth, and odontoma.

Objectives: To evaluate the prevalence and distribution of dental anomalies associated with tooth number in the radiographic archives of University Dental Hospital Sharjah, United Arab Emirates (UAE).

Methods: Retrospective evaluation of 2000 Orthopantomogram (OPG) images were taken between January 2015 to December 2022. The OPG showing dental anomalies of number were further investigated for the availability of Cone Beam …

The Effect Of Premolar Extractions On The Change Of Angulation And Eruption Space Of The Mandibular Third Molars After Orthodontic Treatment, Asmae Benkaddour, Khaoula M’Rabt, Loubna Bahije, Fatima Zaoui, Asmae Bahoum

International Arab Journal of Dentistry

Objectives: Our study was designed to analyze the effect of lower premolar extraction on the evolution space of the lower third molars, as well as their position and angulation during orthodontic treatment.

Methods: This is a cross-sectional, retrospective, descriptive and analytical study comparing two groups of patients: the first group includes 20 patients treated without premolar extraction, and the second group, 27 patients treated with premolar extraction. Linear and angular measurements were performed on panoramic radiographs and lateral cephalograms of orthodontic pre- and post-treatment.

Results: The eruption space and the horizontal position of the lower third molars, …

Evaluation Of The Effect Of 3 Bonding Protocols On The Micro-Tensile Bond Strength Of Self-Adhesive Composite To Enamel And Dentin, Mohamad Yaman, Louis Hardan, George Najjar, Cynthia Kassis

International Arab Journal of Dentistry

Objectives: To investigate the micro tensile bond strength (µTBS) of self-adhesive bulk-fill composite (Surefil One) to enamel and dentin bonded without bonding agent, with an additional phosphoric acid etch, and with the use of a bonding agent in etch and rinse mode.

Methods: 90 sound extracted wisdom teeth were used in this study. Surefil One (Dentsply Sirona, Konstanz, Germany), Prime&Bond Universal (Dentsply Sirona, Konstanz, Germany) and Detrey Conditioner 36 Etch Gel (Dentsply Sirona, Konstanz, Germany) were tested. Teeth were divided in 6 groups of 15 teeth, according to tooth substrate (enamel and dentin) and bonding protocols (no bonding …

Evaluation Of Microtensile Bond Strength Of Composite Under Three Aging Conditions: A Comparative In Vitro Study, Fadi Hammoud, Louis Hardan, Maryse Nassif, Tala El Ghoul, Georges Najjar, Cynthia Kassis

International Arab Journal of Dentistry

Objectives: To investigate the effects of different in-vitro artificial aging protocols on the micro tensile bond strength (µTBS) of composite restorations applied to dentin.

Methods: A total of 88 teeth were prepared on dentin and divided into three distinct aging conditions and a control group : G1) Control group with no aging (n=22); G2) Thermal Cycling (Thermocycling) involving 10,000 cycles between 5°C and 55°C, with a dwell time of 20 seconds (n=22); G3) Mechanical Loading (Cyclic loading) with a 50 N load, a frequency of 1.5 Hz, and 10,000 cycles (n=22); G4) Combined Thermo-mechanical cyclic loading (TMCL) using …

Color Stability Of Conventional, 3d-Printed, And Milled Denture Teeth After Immersion In Coloring Agents: An In Vitro Study, Dany Nassif, Nancy Chemaly, Rim Bourgi, Carole Abi-Ghosn, Louis Hardan, Jihad Fakhouri

International Arab Journal of Dentistry

Objectives: This study investigates the color stability of denture teeth made from different materials when subjected to various staining solutions.

Methods: Forty-five A1 shade upper central incisors were divided into three groups: prefabricated, 3D printed, and milled denture teeth (N=45). Each group was further divided into three subgroups, with teeth immersed in coffee, wine, and artificial saliva for up to 120 days (n=5). ∆E values for color change were measured using an Optishade colorimeter.

Results: The type of teeth, type of solution, and immersion time had a significant effect on color stability (p < 0.001). Interactions between the three variables were all significant (p < 0.001). Conventional denture teeth showed slight color changes with saliva (ΔE = 1.256 by day 120), moderate changes with wine (ΔE = 2.893), and more significant changes with coffee (ΔE = 5.208). Milled denture teeth exhibited no color changes with saliva, noticeable changes with wine (ΔE = 5.359), and moderate changes with coffee (ΔE = 3.137). 3D printed denture teeth showed no color changes with saliva, but increased changes with wine (ΔE = 2.533) and highly significant changes with coffee (ΔE = 10.546). Coffee consistently caused the highest ΔE values, especially in 3D printed teeth.

Conclusions: The study …

Endodontic Management Of Dens Invaginatus Using Dynamic Navigation System In Pediatric Patient: A Case Report, Ayesha Fathima, Sahana Selvaganesh, Ganesh Jeevanandan, Pradeep Solete, Prabahdevi Maganur, Ather Syed Ahmed, Satish Vishwanathaiah

International Arab Journal of Dentistry

Dens invaginatus, also known as dens in dente, is a dental anomaly resulting from infolding the enamel organ into the dental papilla. Dynamic Navigation Systems (DNS) like Navident, offer real-time guidance during endodontic procedures, proving especially useful in complex cases, such as calcified canals or pulp obliteration. This case report presents a 13-year-old female, who reported the chief complaint of continuous pain in the upper left front tooth region. Based on the clinical and radiographical findings, a diagnosis of pulp necrosis and chronic periapical abscess in relation to maxillary canine (23) was established with dens invaginated palatal canal ( Oehler’s …

Patient-Related And Tooth-Related Factors As Predictors For Tooth Loss In Periodontitis Patients: A Systematic Review, Cleane Daraze, Carole Chakar, Abdelrahman Kassir, Charbel Anka, Jean-Marie Megarbane

International Arab Journal of Dentistry

Introduction: The treatment of periodontitis aims to prevent further disease progression, to minimize symptoms and perception of the disease, possibly to restore lost tissues and to support patients in maintaining a healthy periodontium. Management of chronic periodontal disease requires a combination of therapeutic modalities and a lifelong commitment to periodontal self-care.

Objectives: The aim of this study is to evaluate predictors for tooth loss in patients previously diagnosed with periodontitis. This systematic review covers studies of over 10 years of follow up.

Methods: Electronic literature search was conducted on 19/02/2024 by one author across several databases, including …

Comparative Evaluation Of Marginal And Internal Fit Of Zirconia Crown Designed Using Artificial Intelligence And Cad-Cam Software: A Systematic Review, Pritesh Gangde, Sweta Kale Pisulkar, Arushi Beri, Pritam Das

International Arab Journal of Dentistry

Introduction: The long-term performance of dental restorations depends on their internal and marginal fits. Improvements in the fit of restorations, especially zirconia crowns, have been investigated through the use of diverse materials, manufacturing processes, and impression techniques.

Objectives: The purpose of this review was to examine the internal and marginal fit of zirconia crowns made with CAD/CAM software with artificial intelligence (AI) software.

Methods: Using a combination of keywords and MeSH terms, the literature search was carried out across seven databases: PubMed, Scopus, Web of Science, Cochrane Library, Embase, ProQuest, and ScienceDirect from inception till 1st of …

From Tricare To Medicaid: Dental Insurance Disparities Among U.S. Veterans And Active Duty Service Members, Madeline K. Mcnutt Ms

Honors Undergraduate Theses

Oral health plays a critical role in systemic well-being, yet dental care access in the United States remains deeply unequal, particularly among low-income and historically marginalized populations. Among those significantly affected are military veterans, who frequently experience barriers to oral healthcare due to eligibility restrictions within the Department of Veterans Affairs (VA) system. This study offers a comparative analysis of dental insurance satisfaction between recipients of Medicaid and the TRICARE Active Duty Dental Program (ADDP), two federally funded programs that reflect the divide between civilian and military healthcare access. While TRICARE ADDP provides comprehensive and uniform coverage for Active Duty …

Immunohistochemical Assessment Of Ki-67 In Oral Lichen Planus, Ibrahem Gamal, Mahmoud Fathy El-Sherbeny, Sherif Yousef El Nagdy, Nadia Abbas Ibrahim El-Sissy

Mansoura Journal of Dentistry

Objective: The purpose of the current study was to assess cell proliferation by analyzing the expression of Ki-67 in 30 cases of oral lichen planus (OLP). Material and methods: 30 archival paraffin blocks of OLP were examined for Ki-67 expression using immunohistochemical staining. Normal oral mucosa served as a control. After carefully examining the tissue samples, the number of positive cells was counted in order to semi-quantitatively characterize the expression pattern. Scores ranging from 1 to 3 were assigned to nuclear immunostaining for Ki-67 proliferation. SPSS-13 program was used for the statistical analysis, and p

Immunohistochemical Evaluation Of Cd10 In Ameloblastoma And Dentigerous Cyst, Mennatalla M. Abougamila, Mona M. A. Ibrahim, Lawahez El. M. Ismail

Mansoura Journal of Dentistry

Objectives: Expression of CD10 in Ameloblastoma and Dentigerous cyst via immunohistochemistry. Material and methods: The current work was carried out on thirty-one tissues embedded in paraffin and treated with formalin of Ameloblastoma and fourteen cases of Dentigerous cyst (DC) were taken from the Faculty of Dentistry's Oral Pathology Department's archives, Mansoura University. Immunohistochemical reagents: Cluster of differentiation (CD10) (Autostainer Link 48) Clone 56C6 Ready-to-use monoclonal mouse antibody. The area percentage of stained cells from five randomly selected fields was examined under ×400 magnification in order to determine the tissue immunoreactivity for CD10. Results: In the present study, we revealed a …

Evaluation Of Clinical Effects Of Prp As An Adjunctive To Non-Surgical Periodontal Therapy In Treatment Of Periodontitis Patients: A Randomized Controlled Clinical Trial, El Sabbahy A. Youssef, Islam Kandil, Mona S. Abdelhafez, Samah Elmeadawy

Mansoura Journal of Dentistry

Objective: This research evaluates the efficacy of mechanical debridement (MD) alone versus MD with platelet-rich plasma (PRP) applications in early periodontitis treatment, focusing on clinical and microbiological outcomes after six weeks.

Materials and Methods: Twenty patients diagnosed with stage II grade B periodontitis, each exhibiting a pocket depth of up to 5 mm, were classified into two groups of ten for this study. Group I received MD and subgingival PRP treatment (test), while Group II received only MD (control). Clinical indicators, including sulcular bleeding index (SBI), probing depth (PD), plaque index (PI), and clinical attachment loss (CAL), were assessed at …

Socket Preservation Using Autogenous Particulate Dentin In Combination With Liquid Platelet-Rich Fibrin Versus Bone Allografts After Surgical Extraction Of Impacted Lower Third Molar, Ali Mahmoud Mohamed Ali Elshafei, Wael Mohamed Ahmed Said Ahmed, Ziad Amr Elmissiry

Mansoura Journal of Dentistry

Objectives To evaluate and compare the efficacy of sticky tooth graft versus bone allografts used for socket preservation after the surgical extraction of horizontally impacted lower third molars. Materials and Methods Thirty patients with horizontally impacted lower third molars were randomly and equally divided into two groups; group I: 15 patients received dentin granules mixed with Liquid PRF (sticky tooth) in the socket after extraction, group II: 15 patients received bone allograft after extraction. Postoperative pain, edema and bone resorption were assessed. Bone resorption was evaluated using cone-beam computed tomography (CBCT) over a three-month period. Results There were statistically significant …

Effect Of Naringenin Cisplatin Combination On Apoptosis Of Human Tongue Squamous Cell Carcinoma Cell Line, Nahed Atef, Nancy Hussein, Mohamed Grawesh, Mohamed Anees

Mansoura Journal of Dentistry

Aim and Objectives: This research was aimed to evaluate the efficacy of a combination treatment comprising the natural compound Naringenin (NAR) and the chemotherapeutic agent Cisplatin (CP) regarding the reduction of cell viability and the induction of apoptosis in human TSCC (HNO-97) and normal oral epithelial cell (NOEC) lines. Material and Methods: The cytotoxicity and IC50 of NAR, CP, and their combinations were evaluated using the MTT assay. The expression levels of the apoptotic marker genes p53 and caspase-3 were assessed using RT-PCR. Western blot analysis was carried out to assess the protein expression levels of the apoptotic markers Bax …

Evaluation Of Two- Implant Assisted Mandibular Overdentures Of Cobalt Chromium Vs. Peek Combined Denture Bases Regarding Occlusion And Patient Satisfaction: A Within-Subject Study, Khaled M. Diaa, Noha H. El-Shaheed, May A. Hagag, Fatma A. El-Waseef

Mansoura Journal of Dentistry

Objectives The purpose of this within-patient study was to compare two implant-assisted overdentures (IAOs) reinforced either with polyether-ether ketone (PEEK) or cobaltchromium (CO-CR) regarding the percentage of occlusal contact using a digital occlusion analysis system (Occlusense) and to assess patient satisfaction and Oral Health–Related Quality of Life (OHRQoL). Subjects and methods Ten complete edentulous subjects were eligible. All patients were delivered two mandibular implant-assisted overdentures with two reinforcement materials, CO-CR (group I) and PEEK (group II).The mandibular overdentures were retained to the underlying implant fixtures by ball and socket attachments. Patients were evaluated three months after each overdenture use. For …