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Article
The Use of Three Different Suturing Techniques for Wound Closure of Mucoperiosteal Flaps After Surgical Removal of Impacted Lower Wisdom Teeth (Comparative Study)

Author: Ziad H Delemi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2017 Volume: 117 Issue: 29 Pages: 98-107
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aim of the study is to determine the effects of different suturing techniques on post-operative complications (pain and swelling) following the removal of impacted lower wisdom teeth. Materials and Methods: Sixty medically fit patients were randomly selected with an age range between 16–42 years of both sexes. They were divided into 3 groups. These patients had impacted lower third molars indicated for surgical extraction. The first group comprised of twenty patients, the flap would be closed by simple interrupted suturing technique, and in the second group (20 patients) by vertical mattress suturing technique, and anchoring suture techniques for the third group (20 patients). All groups will be compared by clinical assessment to determine post-operative complications including pain and swelling. Results: In all treatment groups, pain (on VAS) reached its peak on the first post-operative day then faded away. In all groups, swelling was most severe in the first post-operative day and gradually decreased, with the anchor suturing technique showing significant difference of swelling at day three Conclusions: Changing the method of suturing appear to have no effect on the degree of pain, swelling following surgical removal of impacted mandibular third molars.


Article
Incidence of Mandibular Fractures Associated with Head Injury in Ninavah Governorate (2006-2007)

Authors: Mohammed K Hasouni --- Ziad H Delemi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2011 Volume: 11 Issue: 18 Pages: 370-375
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aims of the study are to find the incidences, types, sides and sites of mandibular fracture accompanied with head injuries in Ninavah Governorate. Materials and Methods: Data of trauma cases were collected from general, local, private hospitals and health sectors in Ninavah Governorate with a head injury and mandibular fracture for one year duration from June 2006 to May 2007. Age, etiology, types, hospitals, sides and sites, distribution were arranged in tables, chi square and P value used for statistic analysis. Results: The total number of head injury cases was (5828). The total num-ber of fractures mandible with and without head injury was (282) cases means (4.84%) of total number of head injury cases, while mandibular fracture with head injury cases incidence was (76) cases (1.3%) of total number of head injury cases . Conclusions: Children were the most common age group affect-ed by head injury, while geriatric age group was the least. Male showed high percentage than female in a ratio about 2:1. Low incidence of association between head injury and fracture mandible which means that there is no need for delaying maxillofacial treatment. Falls from height and bullet injuries were the common cause of head injury and fracture mandible (dentoalveolar fractures showed high incidence followed by body fractures).


Article
The Impact of General and Local Fac-tors as Criterions of Assessment for the Difficult Lower Wisdom Tooth. A Ret-rospective Study

Authors: Wael Sh Shallawi --- Ziad H Delemi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2014 Volume: 14 Issue: 24 Pages: 115-122
Publisher: Mosul University جامعة الموصل

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Abstract

The aim of the study is to evaluate the relationship of the general and local factors which have an impact on the difficulty during the removal of impacted lower wisdom teeth. Several factors such as age , gender, mouth opening , chief complain, bone surrounding and radiographic appearance and sur-geon experience, will be included as factors which affect the difficulty during the removal of impacted lower wisdom teeth. Materials and methods: One hundred twenty medically fit patients were selected with an age range between 17–47 years of both sexes had impacted lower third molars and indicated for surgical extraction. Surgical removal performed by senior surgeon and junior, operation was per-formed under local anesthesia, all cases done between November 2008- June 2010, in oral and maxillo-facial surgery departmentdentistry college university of Mosul the collected data were analyzed statis-tically by using SPSS program. Results: the sample comprised of 62.5% female and 37.5% male with mean age 24.5 years, the mean of the mouth opening was 39mm, the chief complain distributed as fol-low( pain 65%, dental check up 25.8%, orthodontic reasons 6.7% and others 2.5%), according to Pell and Gregory classification the percentage were class І 44.2%, class ІІ 44.1%, class ІІІ 11.7%, while the angulations were horizontally 15.8%, mesioangular 44.2%, vertical 24.2%,distoangular 15.8%, levels position A 40%, position B 36%, position C 17%. The mean time for the experienced surgeon was 23.33 minutes while for the non experienced 53.11 minutes. There was statistically significant differ-ence between the time of the operation and the experience of the surgeon at P value =0.003. The rela-tion between the time of the operation and class, level and angulations of impaction was statistically not significant. To successfully evaluate the difficulty of lower third molar extraction prior to surgery, clinical, radiologic findings, local and general factors must be taken into account and there are special indexes used in the assessment of difficulty in lower wisdom tooth surgery with no one of them consid-ered the most reliable one because of the difference in the studies samples and in the local and general factors that had been used in the assessment of difficulty like age, gender, mouth opening , chief com-plain in addition to the clinical and radio graphical features. Conclusions: in regardless of type of diffi-culty index used in addition to local and general factors as a criteria for the assessment of lower molar


Article
Evaluation of Some Properties of Prepared Indomethacin Mouth Wash and Its Effect on Gingival Index Score

Authors: Mustafa Kh. Al-Nori --- Ghada A. Taqa --- Ziad H. Delemi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2014 Volume: 14 Issue: 25 Pages: 259-265
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: to prepare Indomethacin mouth wash and study some of its properties (IR, pH, Density, Viscosity, Surface tension). Also, the effect on gingival index score were evaluated. Indomethacin mouth wash was prepared in a concentration of (0.05%) distil water from pure Indomethacin powder. Methods: The study was carried out on 40 subjects aged (20-30) years old. They were divided into four groups ten for each, three groups complaining of gingivitis. The gingival index score for all were measured before and after treatment, treatment involved mechanical treatment by scaling and polishing at dental clinic and drug treatment in which the first group received Indomethacin mouth wash, second group received Chlorhexidine mouth wash and third group received distal water as a mouth wash three times daily for three days, while the fourth group consisted of 10 volunteer subjects without gingivitis. Data were analyzed using paired t-test, ANOVA test and Duncan's Multiple analysis range test. Results: The results showed that the gingival index score levels were decreased significantly in all treatment groups between pre and post treatment at the same group. Conclusions: Indomethacin mouth wash have anti inflammatory effect that can decrease gingival index level.


Article
Assessment of Peri Implant Osteal Changes by Radiographic Evaluation Using Standard Orthopantomograph and Periapical View a Retrospective Study

Authors: Huda A Salim --- Alyaa I Naser --- Ziad H Delemi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2018 Volume: 18 Issue: 30 Pages: 59-66
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The aims of the study are to evaluate the radiographical views, OPG and periapical views on the changes in peri- implant bony tissue around dental implant at time of placement and another reading after 16 weeks before functional prosthetic loading and regard it as a prognostic parameter. Material and methods: Nineteen cases with 24 implant were enrolled for standardization. Radiographical measurement undertaken by a periapical and OPG radiographs after implant placement, then after16 weeks later, again a second periapical and OPG radiographs were taken for measurements using Dimaxis 3.2.1. Software program to estimate marginal bone height of both sides of implant and its changes during times of evaluation. Results: 19 medically fit patients, male and female with age 22-65 years, twenty four implants with average bone loss 0.59 mm mesialy and 0.60 mm distally at T0 as standered base line in compared to 0.98mm mesialy and 1.11mm distally at T1as average bone loss. There was a significant bone resorption in both sides in relation of implant size and in comparison to time of placement and after 16 weeks according to statistical analysis. Conclusion: OPG and periapical views are a good parameter for evaluation of successful implant and monitoring of the prognosis and stability and durability, as these radiographs more available in most dental centers and clinics with less cost.


Article
Oral and Rectal Sedation with Diazepam for Uncooperative Child during Dental Procedure

Authors: Tahani A Al-Sandook --- Ziad H Delemi --- Baydaa A Al-Rawi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2012 Volume: 12 Issue: 20 Pages: 321-328
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: To identify the clinical picture and the association between dry socket and severe postoperativedevelopment with one of the systemic risk factors (typhoid fever). Materials and Methods: Twentyadult (both sexes) patients attended dental clinic searching for different dental treatments were studied.The clinical picture of 6 months period study was evaluated by completing two case sheet forms. Theywere diagnosed having dry sockets and severe postoperative pain. Blood samples were taken for bacteriological,serological and hematological study to diagnose typhoid fever. These tests included WAT,WFT, WBCs and blood culture. Results: Significant correlation existed between postoperative painand typhoid fever examined by BC and the highest percentage was with dry socket (61.5%) followedby WFT (57.1%(, WAT (44.4%) using two tests for diagnosis showed that WFT and BC gave 97.9%positive for dry socket and Kappa test was 88%, while WAT and WBCs or WFT and WAT gave theleast non significant correlation. Conclusion: There was a strong correlation between dry socket andtyphoid fever and the most sensitive tests for diagnosis was BC followed by WFT, WBCs and WAT

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