• The Orthodontic/Periodontal Interface Part 3
    on November 1, 2018 at 12:00 am

    The Orthodontic/Periodontal Interface Part 3 Griffiths, Sarah; El-Kilani, Sara; Waring, David; Darcey, James; Malik, Ovais Adult patients are increasingly seeking orthodontic treatment. It is essential to establish optimal periodontal health in these patients before embarking on such treatment, which demands the interaction between the general dental practitioner (GDP) and orthodontist for effective management. This article focuses on the management of periodontal disease in orthodontic patients, orthodontic considerations, retention and complications that may arise. This is demonstrated throughout a series of clinical cases treated within a multidisciplinary team. The management of patients with periodontal disease is often challenging; the clinical issues that require consideration are discussed throughout this article. […]

    on January 16, 2017 at 12:00 am

    ORAL HEALTH STATUS OF ASTHMATIC CHILDREN RELATED TO MEDICATION ABUBAKR, BELKAYS M.OMRAN Introduction: Asthma has been defined as a chronic inflammatory disorder of the airways characterized by recurrent episodes of wheezing, breathlessness, chest tightness, and coughing, particularly at night or in early morning. These episodes are usually associated with widespread, but variable, airflow obstruction within the lungs caused by edema of the mucous membranes, increased mucous secretions, and spasm of smooth muscle that is often reversible either spontaneously or with treatment. The aetiology is poorly understood but it is a complex disorder involving immunological, infectious,biochemical, genetic, and psychological factors . It is the most common chronic disease among children, and its a leading cause for childhood hospitalization. Pharmacological treatment is a cornerstone in asthma management. Asthma medications are generally divided into 2 categories, controllers or bronchodilators. The controllers—inhaled corticosteroids (ICS), and The shortacting beta agonists (SABA) are used on an as-needed basis or regularly to reverse bronchoconstriction and relieve symptoms (relievers). These medications may have an adverse effect on the patient's oral health .Asthma can demonstrate a wide spectrum of oral and dental manifestations affecting both the hard and soft tissues of the mouth. The most observed are higher caries prevalence, oral candidiasis, periodontal diseases dental erosion, Ulcerations, xerostomia and Halitosis. Aim: The aim of the thesis is to investigate oral dental findings and determine the oral health status of Turkish children with Asthma in relation to their medication. . Material and Methods: 102 subjects will be divided into 2 groups : 51 were asthmatic children undergoing treatment with short-acting ß2-agonists (relievers). And 51 were asthmatics undergoing treatment with inhaled corticosteroids (controllers). We obtained Oral Health Status by collecting carious, debris, calculus, gingival conditions data by using specific indices. Medical and dental history was obtained for each subject. Results: We found that children in controller group ICS have lower prevalence of caries while the prevalence of calculus, and having poor oral hygiene seems to be higher. Conclusion: The Asthmatic children treated with SABA are at a greater risk of developing dental caries than the children treated with ICS. Key words: Asthma, Oral Health Status. […]

  • Palatally impacted canine and maxillary arch width
    on January 1, 2016 at 12:00 am

    Palatally impacted canine and maxillary arch width El-kilani, sara Abstract Objective The aim of this case-control study was to investigate the association between palatally impacted canines and maxillary arch width. Method Maxillary arch width was identified for a sample of patients with palatally impacted canines by measuring the maxillary inter-canine, inter-premolar and inter-molar widths. Maxillary arch width of patients with palatally impacted canines was compared with a control group of patients with normally erupted canines. The measurements were taken on study models of both groups using electronic digital callipers. Results Records of 58 subjects were assessed. Subjects in this study are orthodontic patients between 13 to 16 years of age with mean age of 14 years. Study group included 29 patients who have palatally impacted canines (PIC) and control group included 29 patients who did not present with palatally impacted canines. Statistical method T-tests were used to assess the significance of the difference in maxillary arch width between the two groups. T-test showed no statistically significant difference in arch width between patients with and patients without (PIC). Conclusion For our sample there was no association between arch width and the presence or absence of palatally impacted canines. […]

  • Benign Orofacial Lesions in Libyan Population: A 17 Years Retrospective Study
    on December 11, 2015 at 12:00 am

    Benign Orofacial Lesions in Libyan Population: A 17 Years Retrospective Study Hatem, Marwa; Abdulmajid, Ziad S.; Taher, Elsanousi M.; El Kabir, Mohamed A.; Benrajab, Mohamed A.; Kwafi, Rafik Objectives: To analyze the frequency and type of benign orofacial lesions submitted for diagnosis at Tripoli Medical Centre over 17 years period (1997-2013). Materials and Methods: Entries for specimens from patients were retrieved and compiled into 9 diagnostic categories and 82 diagnoses. Results: During the 17 years period, a total of 975 specimens were evaluated, it comprised a male-female ratio of 0.76:1. The mean age of biopsied patients was 36.3±18.32 years. The diagnostic category with the highest number of specimens was skin and mucosal pathology (22.87%); and the most frequent diagnosis was pyogenic granuloma (14.05%). Conclusion: Pyogenic granuloma, lichen planus, radicular cyst and fibroepithelial polyp were found to be the most predominant diagnoses. Frequencies of most benign orofacial diseases were comparable to similar studies in the literature and to those reported from the eastern region of Libya. Further surveys are needed to define the epidemiology of orofacial diseases in Libyan population. […]