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Article
A clinical evaluation on the alkalization of local anesthetic solution in periapical surgery

Authors: Fa’iz A Al–Sultan --- Wafaa Kh Fathie --- Rayan S Hamid
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2006 Volume: 6 Issue: 1 Pages: 71-77
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To assess the effect of alkalization of local anesthetic solution for the purpose of enhancing itsefficiency in periapical surgery. Materials and Methods: A total sample of 80 patients, all needingperiapical surgery on one or more of their upper anterior tooth (teeth) was subjected to this trial. For thepurpose of comparison, the sample was randomly divided into two groups based on the local anestheticsolution that they were to receive before surgery. The first group(control) included those patients whoreceived the commercially available local anesthetic solution with a standard pH of 3.5.The secondgroup (trial group) included those patients who received a pH adjusted local anesthetic solution at 7.2(using sodium bicarbonate).Prior to, and at the completion of intended surgery, the following datawere recorded: Pain during injection, onset of achievement of surgical anesthesia, pain duringoperation and the duration of operation itself. Results: A significant difference in regard to onset ofachievement of surgical anesthesia between both groups was noticed with a faster onset in group two where the patients received a pH adjusted local anesthetic solution when compared to control group where the patients received the commercially available local anesthetic solution. Also, less pain on deposition of solution was noticed in the second group as well as less pain score levels were recorded during operation in regard to the same group. Conclusion: The pH adjusted local anesthetic solutionsmay provide certain advantages when compared to the commercially available local anesthetic solutions regarding enhancement of anesthetic efficiency, reduced pain on injection as well as during surgery.


Article
scientific and Radiographical Evaluation of Amalgam and Mineral Trioxide Aggregate as a Retrograde Filling in Periapical Surgery By Using Ultrasonic Device

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Abstract

Background: This study is to compare between Amalgam and Mineral TrioxideAggregate as retrograde filling in the healing process of periapical surgery by clinicaland radiographical evaluation.Material and method: A follow up study of twenty patients, eleven werefemales, nine were males, of average age (12-36) years old, with forty upper centralincisors involved with chronic periapical lesions, each patient has two central incisorswith two separated periapical lesions, the right side was apically filled with Zinc freeAmalgam and named as a control group (Group A), and the left side was filled withMTA as a study group (Group B). All patients were recalled within three months andsix months, and subjected to clinical and radiographical examinations, to evaluate thehealing process of both groups.Results: Clinically the study shows three failure cases (7.5%), one case (2.5%)was objectively failure which shows sinus formation in Amalgam group and twocases (5%) were subjectively failure, which shows pain and tenderness, one case ineach group. Radiographically, the study reported a remarkable bone formation 27cases (67.5%), fifteen cases in MTA group and twelve cases in amalgam group aftersix months. While 10 cases (25%), showed delayed bone formation, four cases werein MTA group and six cases were in Amalgam group, and three cases (7.5%) wereshowed enlargement in the size of radiolucency, one case in MTA group and twocases in Amalgam group. According to the follow up during the six months, the MTAgroup showed higher successful rate than Amalgam group, and the failure cases ingroup A was 10% and 5% in group B.Conclusions: The study shows that the best results are in those patients who havefailure in root canal filling, and in those patients who did not have labial sinusformation and labial cortical bone perforation. MTA group, shows decreased in(Mesio-Distal, Superio-Inferior dimensions and cavity surface area), faster than theAmalgam group.


Article
Preoperative antibiotic prophylaxis in oral surgery Clinical study on 58 Iraqi patients

Author: Dr. Faaiz Y. Alhamdani B.D.S, M.Sc د.فائز الحمداني
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2006 Volume: 3 Issue: 3 Pages: 239-243
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Preoperative prophylactic protocol in oral surgery is well established practice; stillit’s not used in Iraqi surgical centers. The aim of this study is to show thatpreoperative protocol is reliable surgical practice.58 patients, selected from the attendant of oral surgery clinic in Alkaramaspecialized dentistry center/Baghdad, were subjected to various oral surgicalprocedures 59 operations under local anesthesia. These patient were given single doseantibiotic prophylaxis preoperatively after we divide them into 3 groups, 1st groupwere given 1 gm amoxicillin (control group),second group were given 1 million i.u. ofprocaine penicillin; 3rd group were given 500 mg ampicillin vial,. The maximum timefor all procedures was 2 hours.We concluded that preoperative antibiotic prophylaxis can be used safely in outpatient’s oral surgical procedures, on Iraqi patient with minimum complications.


Article
Adult Ebstein Anomaly with Right Atrial Myxoma

Author: Hameed Al Ani
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2006 Volume: 5 Issue: 2 Pages: 240-245
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Ebstein Anomaly is rare in adults; a combination ofthis disease with cardiac myxoma has not beenreported previously.METHODS:Surgery was performed by removal of the myxomaand replacement of the tricuspid valve andcorrection of the abnormal atrialization of the rightventricle.RESULTS:The patient had a smooth postoperative recoveryand improved dramatically after wards.CONCLUSION:We have dealt with this rare condition successfullyand the patient had good outcome.

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