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Article
Anti–Nociceptive Efficacy of Tramadol Following Surgical Removal of Impacted Mandibular Third Molar

Author: Tahani A Al-Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 21 Pages: 88-94
Publisher: Mosul University جامعة الموصل

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Abstract

Aims of the Study: To evaluate the efficacy of analgesia mediated by preoperative 100 mg IM Tra-madol to the post operative Tramadol and placebo after the surgical removal of mandibular wisdom tooth. Materials and Methods: Surgical removal of mandibular third molar was performed in three groups of individuals, total of thirty patients were anticipated in this study. All medically fit, average of age 24 + 2.2; each group consisted of ten patients. Group 1: Preoperative 100 mg Tramadol IM injec-tion 30 minutes prior surgical operation; Group 2: Post operative 100 mg Tramadol IM injection; Group 3: Placebo or control group where distilled water IM injection was applied. All patients received post operatively Augmentin capsules 675 mg tid, and supplementary Paracetamol 500 mg tablet as required. Analgesia was assessed by Visual Analog Scale (VAS) and Verbal Pain Scale (VPS), patient satisfaction (PS), duration of post operative analgesia and total number of analgesic tablet were record-ed between groups. Results: Analgesia mediated by Tramadol was superior in its efficacy compared to control group in both pre and post operative Tramadol groups, according to VAS and VPS assessment (p= 0.001). There was no significant difference between the preoperative and post operative analgesia according to VAS and VPS; whereas there was a significant difference in PS, and duration of analgesia mediated by the preoperative injection in comparison to the post operative and control groups. Conclu-sion: Preoperative Tramadol analgesia was superior to post operative analgesia in PS and prolonged duration of analgesia that explain its anti–nociceptive effect in controlling post surgical pain.


Article
Trends of Oral Diseases and Treatment Needs in 13-15 Year Old Students in Mo-sul City Center

Author: Tahani A Al-Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 22 Pages: 241-250
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To determine the trends of the two major dental diseases (dental caries and periodontal disease) in a group of 13-15 year old intermediate school and their treatment needs. Materials and Methods: A total of 516 intermediate school students were examined. Dental caries and treatment needs were as-sessed according to the WHO 1997 guidelines. The assessment of the gingival health and treatment needs of the students was performed using the CPITN index as recommended by the WHO 1987. Six index teeth were examined and the presence of gingival bleeding and calculus was recorded. Results: Dental caries in the sample has increased with a mean of 5.17. Dental caries increased with age with a statistically significant age difference. Females tended to have a higher DMFT of 5.5 compared to males 4.79 with significant difference, only 6.6% of the sample was caries free. The majority of the samples needed one surface fillings with a mean of 3.6/child. Other dental treatments were needed to a lesser extent. Regarding the periodontal status, the disease was present in 97.5% of the sample, there was no significant age difference regarding periodontal health. Females tended to have a healthier gin-giva compared to males with significant difference. Regarding periodontal treatment needs, 97.5% of the sample required dental health education, while 65.9 % required professional scaling and polishing. Conclusions: To improve children’s oral health, community school-based oral health educational pro-grams should be established starting from primary and extending to intermediate schools, stressing on sugar restriction and oral hygiene measures, fluorides and fissure sealants can effectively be used too.


Article
Salivary calcium concentration in patients with high incidence of calculus formation

Authors: Shatha A Hassan --- Tahani A Al–Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2005 Volume: 5 Issue: 5 Pages: 88-90
Publisher: Mosul University جامعة الموصل

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Abstract

Salivary calcium level was determined in this study inindividuals with good oral hygiene who have no repetitive historyof calculus accumulation, and in individuals with a historyof repetitive calculus formation whether subgingival orsupragingival in spite of their attempts in controlling theiroral hygiene. Salivary calcium concentration was significantlyhigher in the second group. Moreover, salivary calcium concentrationin this study varied according to age. It is advisableto use alkaline mouthwashes and intensive good oral hygieneto control their calculus formation


Article
Salivary Protein Components and Oral Health in Patients Undergoing Therapy with Beta Adrenegic Agonist and Antagonist

Authors: Amer Taqa --- Fayhaa AM Al-Mashhadane --- Tahani A Al–Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 12 Pages: 219-224
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To study the effect of Beta–adrenergic agonist (salbutamol) and Beta adrenergic antagonist (atenolol) on salivary protein concentration and to study relation between salivary protein concentrationand oral health. Materials and Methods: This study was carried out on 45 individuals; 15 individuals of them were apparently healthy with no history of systemic diseases and represent a control group, thesecond group which comprised 15 subjects were given adrenergic agonist drug (salbutamol) for treatment of asthma, and third group (15 individuals) were given adrenegic antagonist drug (atenolol) fortreatment of hypertension. subjects were selected from the out patients attending Oral Surgery Department, College of Dentistry, University of Mosul. The samples of saliva were collected using spittingmethod and oral hygiene index simplified was recorded for each individual and total protein concentration of these saliva samples were determined. Its relation to oral health was measured accordingto simplified oral hygiene index by Greene and Vermillion. Results: The results of this study revealed that in all study groups, significant differences were present for both salivary protein concentration andoral health scores and there is correlation between salivary protein concentration and oral health in patients receiving atenolol. Conclusions: Chronic treatment with adrenergic agonist and antagonist drugs, resulted in changes in salivary protein concentration and those will affect the oral health of patients treated by these drugs.


Article
Salivary calcium level during lactation

Authors: Karama MT Al–Nuaimy --- Tahani A Al–Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2006 Volume: 6 Issue: 7 Pages: 12-14
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To determine the salivary calcium during lactation in females and compare with non–lactatingfemales. The saliva nowadays is considered as good source or media for estimation of several ions suchas calcium, magnesium, copper, zinc and even abused drug. Materials and Methods: Theunstimulated saliva was collected from sixty females, thirty lactating and the other thirty were non–lactating. Results: Salivary calcium ion concentration in non–lactating females was 5.021 + 0.1compared to 2.46 + 0.21 in lactating mothers that reflect a significant decline in calcium concentration(p < 0.001). Conclusion: This decline in calcium concentration reflected the importance of externalcalcium supplement during lactation


Article
Xerostomia: Analysis among dental patients

Authors: Tahani A Al–Sandook --- Karama MT Al–Nuaimy
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2005 Volume: 5 Issue: 6 Pages: 108-113
Publisher: Mosul University جامعة الموصل

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Abstract

The present study was conducted to estimate the incidenceof xerostomia (dry mouth) among 200 dental patients haddifferent systemic diseases, including hypertension, diabetes,cardiovascular (CV) problems, anemia, arthritis and cancer.Distribution of xerostomia according to the type of systemicdisease, age and sex was analyzed.In this study, 64% of total patient represent xerostomia,24.5% of xerostomic cases were males, while 39.5% were females.Incidence of xerostomia was correlated directly withage where 16% of xerostomic patients were limited in agegroup between 21–40 years, while 48% of xerostomicpatients were limited in the age group between 41–60 years.The results concluded that systemic disease played rolein development of xerostomia which could be due to underlyingmedical condition, or due to their medication intake. Patientscomplained from xerostomia were instructed for goodoral hygiene and increase their water intake. In certain cases,pilocarpine was indicated to relieve their symptoms.

Keywords

Xerostomia --- dry mouth


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
Adrenaline and Nor Adrenaline Effect on Blood Glucose Level in Diabetic Patients

Authors: Tahani A Al–Sandook --- Harith H Kaskos --- Raid M Basheer
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2007 Volume: 7 Issue: SpIss Pages: S41-S44
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: This study was conducted to find the effect of adrenaline and nor adrenaline containing local anesthesia on the blood glucose level on non insulin dependent diabetic patients. Materials and Methods: Thirty patients were given 1.8ml of 2% lignocaine containing 1:100000 adrenaline as infiltration local anesthesia intraorally, and other thirty patients received 1.8ml of 2%lignocaine containing 0.072mg of nor–adrenaline in the same manner. Fasting blood sugar was measured before the administration of local anesthesia and 30 minutes after the administration of local anesthesia. Results: There were no significant differences in blood glucose level measured before and after the injection of adrenaline containing local anesthesia. However, there were significant differences between the results obtained with nor–adrenaline containing local anesthesia, where there is a significant increase in blood glucose level 30 minutes after the injection of local anesthesia. Conclusions: The administration of anesthesia containing adrenaline has no effect on blood glucose level of diabetic patients. While administration of anesthesia containing nor adrenaline cause a significant effect (hyperglycemic effect) in those patients.


Article
Threshold sensitivity of taste perception and the role of saliva and Zinc level in some physiological & pathological conditions

Authors: Tahani A. Al-Sandook --- Wasan M. Al-Omary --- Taghreed F. Zaidan
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2009 Volume: 51 Issue: 1 Pages: 90-94
Publisher: Baghdad University جامعة بغداد

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Abstract

Summary:
Background: Decreased taste acuity to the four basic tastes is closely related to health problems (diseases & medications), aging, and smoking. This study aimed to determine taste detection and recognition thresholds to the four basic tastes in some physiological and pathological conditions, determine saliva flow rate, serum and saliva zinc levels in these groups.
Objective and Methods: The study includes 218 individuals (35–80) years old divided into six groups; the control, aging (subjects over 60 years), smokers, diabetics, haemodialysis patients and hypertensive patients on chronic use of captopril.The taste detection and recognition thresholds of sweet, salty, sour and bitter tastes, saliva flow rate were determined. Zinc concentration was assessed in serum and saliva spectrophotometricaly.
Results: The results showed a significant increase in the taste detection and recognition thresholds of the four basic tastes of all groups than in the control, except the salty taste thresholds of the haemodialysis group and the salty taste detection threshold of the diabetics.
Saliva flow rates, serum and saliva zinc levels decreased significantly at p<0.001 in study groups as compared to the control group.
Conclusions:The taste acuity was impaired in aged subjects, smokers, diabetics, haemodialysis patients, and hypertensive patients on chronic use of captopril.
Decreased saliva flow rate and saliva zinc concentration could be causative factors for hypogeusia.


Article
Effect of stress on arterial blood pressure In dental students

Authors: Maha T Al–Saffar --- Karama MT Al–Nuaimy --- Tahani A Al–Sandook
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2007 Volume: 7 Issue: 10 Pages: 118-121
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To study the effect of stress and fear on blood pressure that are imposed on student beforeattending examination in particular final year examination at the College of Dentistry. Subjects andMethods: Arterial blood pressure (indirect method ) was measured for 99 dental student (21 + 0.6years) before 30 minutes of final examination on a particular subject and immediately afterexamination. Result: The data reflected a significant increase in systolic blood pressure before passingthe final examination, whereas there was no significant increase in the diastolic blood pressure in allstudents. Conclusions: Stress produces a significant elevation in blood pressure that can be controlledby systemic defense mechanisms naturally present.

Keywords

Stress --- blood pressure --- examination

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