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Article
The Efficacy of Triamcinalone in Control-ling Pain and Swelling after Surgical Ex-traction of Teeth

Author: Wael T. Al-Wattar
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2011 Volume: 11 Issue: 17 Pages: 32-36
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: In this study, triamcinalone acetonide was applied topically in the tooth socket following surgic-al removal of teeth to evaluate its anti-inflammatory effect. Materials and Methods: Forty medically fit patients were selected with an age range between (18-50) years of both genders, non smoker, no pregnant or lactating woman. The patients were divided equally into a trial and control group. Surgical extraction was done for all patients. In the first group, the socket was covered with a piece of sterile gauze (2 X 2 cm) impregnated with triamcinalone acetonide ointment %1. In the control group, the extracted socket was covered with sterile gauze only. The sterile gauze was removed 24hrs postopera-tively. Postoperative pain and swelling were examined in 1st, 2nd and 7th days. Results: Mann-Whitney test revealed no significant difference in the pain level and swelling at the 1st day but with a significant difference in the 2nd and 7th days between both groups. Conclusions: The pH of saliva in male pa-tients with (RAU) was more toward acidic pH than normal male subjects.

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Article
A clinical comparative evaluation between upper and lower first molar apicectomy procedures (A retrospective trial).

Authors: Wafaa K Fathi --- Wael T Al Wattar
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2011 Volume: 11 Issue: 18 Pages: 381-389
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aim of this retrospective clinical trial was to evaluate and compare the upper and lower first molar apicectomy procedures in terms based on certain clinical criteria selected. Materials and Meth-ods: This clinical trial was conducted at the Department of Oral and Maxillofacial Surgery / College of Dentistry / University of Mosul. The sample recruited was composed of forty healthy subjects who required apicectomy procedures on either an upper or lower fist molar. The sample was subdivided into two groups of twenty subjects each. The first group comprised those patients where root end resection ( apicectomy ) on an upper first molar tooth was required. The second group included those patients who required an apicectomy procedure on one of their lower first molar tooth . Criteria that were eval-uated and compared included pain, swelling and trismus which were evaluated on the first operative day, second, third and seventh postoperative day. Results: A significant difference was observed be-tween recall visits in regard to the pain level of mandibular procedures and was also observed in maxil-lary procedures. In regard to pain level assessment between mandibular and maxillary procedures, a significant difference was observed with pain levels higher in mandibular procedures for the second and third day when compared to maxillary procedures. A significant difference was observed between recall visits in regard to swelling of soft tissue of mandibular and maxillary procedures. Concerning grade of swelling assessment between mandibular and maxillary procedures, a significant difference was observed with swelling of soft tissue higher in mandibular procedures on the second and third day when compared to maxillary procedures. A significant difference was observed for limitation of mouth opening in mandibular procedures between recall visits specifically on the first and second day but was not observed in maxillary procedures. When comparing between upper and lower surgical procedures, a significant difference was observed in trismus specially on the second and third post-operative day and which was more pronounced in mandibular procedures. Conclusions: It seems that complications following root end resection on lower first molar teeth are more evident when compared to the upper first molar region, but only in the first few days following surgery. However, such complications were tolerable to the patient and can be overcome by medications and exercise. Such complications should not hinder the oral surgeon from performing endodontic surgery on posterior teeth when indicated


Article
The Effect of Tranexamic Acid (Cyclokapron) on Post–Surgical Bleeding Following the Removal of Impacted Lower Wisdom Teeth in Healthy Individuals

Authors: Wael T. Al Wattar --- Wafaa K. Fathi --- Rayan S. Hamid
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 12 Pages: 225-230
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To evaluate the effect of local irrigation with tranexamic acid in minimizing post–operativebleeding following the removal of impacted lower wisdom teeth. Materials and Methods: This clinicaltrial was conducted at the Department of Oral and Maxillofacial Surgery / College of Dentistry / Universityof Mosul. The sample recruited comprised twenty healthy subjects who required surgical removalof clinically as well as radiographically evident impacted lower wisdom teeth. The sample wassubdivided into two groups of ten subjects each. The first group which is the control group included tensubjects where after removal of the tooth, local irrigation of socket was carried out with normal saline.The second group which is the trial group comprised ten subjects also, but in which tranexamic acid(injectable solution) in diluted form was used for local irrigation of socket. Both solutions were of equalamount. Estimation of amount of blood loss immediately following surgery was the criterion for comparisonand was based on weight of gauze used before and after application over extraction socket. Results:The results showed a statistically significant decrease in the amount of blood loss in the trialgroup when compared with the control group. Conclusions: Tranexamic acid as commercially availableor freshly prepared oral rinse may be used as an aid for the reduction or prevention of postoperativebleeding following the removal of third molars in healthy subjects as well as in patients with bleedingproblems.


Article
Assessment of transient bacteremia following various oral and dental interventions

Authors: Mohammad Kh Hasouni --- Wael T Al–Wattar --- Mahmoud YM Taha
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2003 Volume: 3 Issue: 1 Pages: 50-56
Publisher: Mosul University جامعة الموصل

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Abstract

The incidence of bacteremia following various dental interventions of 280 selected patients were studied using blood culture technique with aerobic and anaerobic cultivation. The incidence of bacteremia after multiple teeth extraction was higher (51.72%) than those single tooth extraction (44%). The incidence of bacteremia after local anaesthetic injection differs according to the type of injections significantly. In scaling and root planning the use of local prophylactic solution reduced the incidence of bacteremia from 37.7% to 13.9%. Poor oral hygiene had an effect on incidence of bacteremia at different dental interventions. The role of sex and age in bacteremia was variable. Aerobic bacteria were more than anaerobic and the most common bacteria isolated were Streptococcus viridans (30.5%) and Staphylococcus aureus (19.7%).

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