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Article
The Effect of Flap Design on Wound Healing after Periapical Surgery: A Comparative Study.

Author: Mohammad S. Suleiman
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 11 Pages: 120-127
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To assess the clinical effect of different flap design that used in periapical surgery and their
relation to untoward postoperative sequel. Materials and methods: Forty five patients were included
in the present study, they were divided randomly into three groups, each comprised of (15) patients. In
the first group, apicectomy was done using intrasulcular triangular (2–sided) flap. Whereas, in the
second group, a submarginal (Luebke–Ochsenbein) scalloped 2–sided flap was used. While in the third
group, a new experimental (straight mucogingival) 2–sided flap was tested. Postoperative healing was
evaluated clinically in regard to oedema, alteration of soft tissue colour, recession of marginal gingiva,
extent of scarring, and closure of the wound site. Assessment was done at 2, 7, 15 and 30 days
postoperative intervals. Results: Comparison among the three study groups was performed. Statistical
analysis revealed significant differences in the results of experimental flap over the other two types in
regard to oedema, colour and wound closure with the superiority of the former on the latter flaps. Both
experimental and Luebke–Ochsenbein flaps showed significant differences from intrasulcular incision
in their effect on gingival recession. In contrast, scarring was less evident in intrasulcular flap followed
by experimental flap while in Luebke–Ochsenbein incision, this complication was significant.
Conclusion: This study; however, revealed that the experimental flap allows for rapid and recession
free healing following periapical surgery. In addition, inflammatory changes persist for longer time in
the intrasulcular and submarginal (Luebke–Ochsenbein) incision than in experemintal incision. So it
was concluded that the new flap design could provide an alternative.


Article
The Orientation Effect of Osstell Men-tor's Transducer on Measuring Implant Stability

Authors: Abdurrahman Alsamman --- Mohammad S Suleiman
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 20 Pages: 274-280
Publisher: Mosul University جامعة الموصل

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Abstract

To evaluate the direction dependence of osstell's transducer during the assessment of dental implant stability by wireless resonance frequency analyzer. Materials and Methods: Thirty tapered-SLA dental implants (Super line®) were installed in ten ribs of freshly slaughtered oxen of 2 - 2.5 years old. Three implants were installed in each rib using the fit-sized drilling protocol without countersinking. The stability was assessed by wireless resonance frequency analyzer and five records were taken for each implant by holding the Osstell's tip in different directions in respect to the long axis of the "smart peg". These directions were: (S=superior) parallel to long axis of the " smart peg" and superior to it. (A=anterior) perpendicular to long axis of the " smart peg" and anterior to it. (P=posterior) perpendicular to long axis of the " smart peg" and posterior to it. (M=mesial) perpendicular to long axis of the " smart peg" and mesial to it. (D=distal) perpendicular to long axis of the " smart peg" and distal to it. Results: The implant stability quotient values (ISQ) were almost identical in anterior and posterior directions of Osstell's tip and also closely comparable in mesial and distal directions. Although the ISQ values that recorded in superior directions were slightly higher than in other directions, no significant difference was found among the different directions of probe orientation (ANOVA P> 0.05). Conclusion: Any direction of osstell's transducer will be suitable to assess implant primary stability.


Article
Pre– and post– operative effectiveness of naproxen and ibuprofen on pain, swelling, and trismus following surgical removal of impacted mandibular third molar

Authors: Tahani A Al–Sandook --- Harith H Kaskos --- Mohammad S Suleiman
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2003 Volume: 3 Issue: 2 Pages: 116-126
Publisher: Mosul University جامعة الموصل

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Abstract

This study focused on the clinical evaluation of naproxen and ibuprofen efficacy on pain, swelling and trismus after surgical removal of impacted mandibular third molar, whether they used only pre–operatively or pre– and post–operatively. The number of patients included in the present study was 40, divided into four groups: Each group is 10 patients, the first group received naproxen as sodium 1hour pre-operatively followed by three times daily for five days post–operatively. Whereas the second group received naproxen as sodium three times daily for five days begins 1hour post–operatively. However, the third group had been given ibuprofen 1hour pre–operatively followed by three times daily for five days post– operatively. The fourth group administered ibuprofen three times daily for five days begins 1hour post–operatively. The pain was evaluated by the number of paracetamol tablets taken by the patients recorded on the pocket chart, whereas the swelling was measured subjectively. The trismus was evaluated by measuring the maximum mouth opening between the incisal edges of the maxillary and mandi-bular central incisors using the graduated vernier. The results showed that the use of naproxen as sodium 1hour pre–operatively minimized the pain, swelling and trismus significantly compared to ibuprofen.

Keywords

NSAIDs --- naproxen --- ibuprofen --- impaction


Article
Assessment of rabbit mandibular bone response to different amalgam implants radiographically

Authors: Nazar Gh Jameel --- Mohammad S Suleiman --- Ragheed M Basheer
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2004 Volume: 4 Issue: 3 Pages: 20-27
Publisher: Mosul University جامعة الموصل

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Abstract

The radiograghical interpretations can give an excellent indication about the biological response of hard tissue like bone to different foreign materials imp-lanted within it. This clinical study was carried out to evaluate radiographically the bone reaction of four different types of Iraqi manufactured amalgam alloys (in addition to Degussa alloys as a positive control) implanted within holes prepared in the mandibular bone of the rabbit, and additional negative control group in which the hole remained empty without any implanted materials was also included. The evaluation was done by careful verification of the presence or absence of the radiolucency at the periphery of the implanted amalgam at three different time intervals, the response varied from radio-lucency to radioopacity depending on the reaction of bone to different implanted amalgam alloys. Accordingly, the biocompatibility of the amalgam alloy was deter-mined depending on the radiographic pic-ture of bone response at the margin of the implanted alloys. The results showed no significant difference in bone response among the different types of alloy used.

Keywords

Amalgam --- bone --- implant --- biocompatibility


Article
Protective Effect of Topical Ibuprofen Against Dry Socket

Authors: Maha T Al–Saffar --- Tahani A Al–Sandook1 --- Mohammad S Suleiman
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 12 Pages: 136-143
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To assess the clinical effect of topical preventive measures on the incdence of alveolar osteitis (dry socket) by inserting (either gelfoam sooked with ibuprofen suspension, or gelfoam sooked withmetronidazole suspension, or gelfoam alone) in the extraction socket following removal of lower posterior teeth. Materials and Methods: One hundred eighty patients were included in the present study, (86) males and (94) females aged between 13–65 years, they were divided randomly into four treatment groups. The first group included 43 patients (control –ve),who received no topical medication following extraction.Whereas, in the second (control +ve) group which comprised 44 patients, gelfoam alone was inserted in the socket of extraction. While in the third group, gelfoam impregnated with metronidazole suspension was placed in the extraction socket, this group included 50 patients.However 43 patients treated in the fourth group, where gelfoam sooked with ibuprofen suspension was packed into the socket following extraction. Results: Comparison of the incidence of dry socket amongthe study groups were performed. Statistical analysis revealed that the prevalence of dry socket were significantly affected by the sex and tooth number. The topical application of ibuprofen provided ahigher incidence of reduction in dry socket followed by metronidazole, while the application of gelfoam alone increased the incidence of this complication when compared with the remaining groups.Conclusion: This study showed that the topical ibuprofen suspension can be used as a prophylactic method to reduce the incidence of dry socket following removal of lower posterior teeth.


Article
Evaluation of missile injuries in the maxillofacial region in Mosul city –Iraq (2007-2011)

Authors: Mohammad S. Suleiman --- Israa A. Abd Al-Hameed --- Ali S. Mahmood
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2011 Volume: 11 Issue: SpIss Pages: S237-S254
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aim of this study was to describe a new classification for missile wounds with the treatment for each type, describing a classification for bullets and blast missiles and other effects of explosion. Moreover; to determine the factors affecting morbidity of wounds. Materials and Methods: The study comprised 213 patients who were admitted to AL-Jumhurri Teaching Hospital in Mosul City, Iraq in the period extending from 1/2/ 2007 to 1/2/2011 who have sustained different injuries in the Maxillofacial region resulting from different types of war missiles. All patients were evaluated by clinical examination, plain radiography of the maxillofacial region and history of accident was recorded. The study focused on three groups: Group A: Included (80) patients with bullet injuries in which the bullets were still inside the body in the maxillofacial region, Group B: Included the victims of (5) explosions that included (93) patients with blast missiles, Group C: Included (40) patients injured with high and low velocity bullets that involved soft or soft and hard tissue. The recommended surgical operations for missile extraction and definitive treatment application were employed by the same oral and maxillofacial surgeon. The type, shape of missiles, description of injuries and treatment were recorded. Results: The study showed that the most common bullets were the classical type 67.5% while the most common explosion effect was from shells 39.7%.The study also described a new classification for missile wounds with description of treatment for each type. No statistical significant difference was disclosed in the morbidity of injuries between low and high velocity missiles that involved soft tissues only or a combination of both soft and bone tissues at p value <0.05, while there was a highly significant difference in the morbidity of injuries between soft tissues and soft with bone tissues involvement in low velocity missiles at p value<0.01 and there was a very highly significant difference in high velocity missile sat p-value < 0.001. Conclusions: The present research placed a new specific classification for missile wounds and their management, and placed a classification for missile and explosion effects. The study also concluded that the morbidity of missile injury in the maxillofacial region depends on the type of tissue involvement more than the effect of missile velocity

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