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Article
Prosthetic Treatment for Hemimaxillectomy Patient: (A Clinical Case)

Authors: Nadira A Hatim --- Mohammed A Abdulla --- Nashwah Subhi
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2018 Volume: 18 Issue: 1 Pages: 67-72
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: prosthetic rehabilitation of a maxillary defect after hemi-maxillectomy with a palatal obturator madefrom nickel chromium framework. Materials and methods: A silicon impression was made and pouredwith a dental stone to develop a definitive cast. The site, position and shape of maxillary defect determinethe path of insertion. Design the metal framework of the obturator to Class II R.P.D according to Kennedy'sclassification. Casting the framework in base-metal alloy made from nickel chromium framework, centricjaw relation was recorded. A finished prosthesis (an obturator of closed hollow-bulb type) was inserted.Conclusions: Obturator prosthesis enhancing function and speech, reduce the rate of fluids and foodpassing to the nose. Extend the border of an acrylic of the prosthesis at defect site lead to enhance both theretention and stability of the obturator.


Article
Gag Reflex Reduction in A Patient with Maxillofacial Prosthesis. ( A Clinical Report )

Authors: Balsam K. Fathi --- Nadira A Hatim
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2008 Volume: 8 Issue: 1 Pages: 114-119
Publisher: Mosul University جامعة الموصل

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Abstract

Aim: the study was dedicated to demonstrate the importance of binding the old concepts of preventing
the gag reflex during the prosthodontic work together with the new advance in the concepts, techniques,
and materials in this scope. Materials and Methods: Silicone rubber base impression material (Oranwash
L, Zhermack, Italy) light, and heavy body was used in the study to take the impression by a new
technique (cheek bite technique) without the use of a tray, and on incremental basis, which showed
more comfort and better results. The prosthesis given to the patient took advantage of the neutral zone
principles, which whenever applied it gives better results, it was hollowed, in addition, the procedure
carried less stimulation to the gag reflex, and more assurance. Results: The obturator obtained by the
technique described was larger in size, lighter in weight, and more comfortable, and efficient in function
compared to the old one ,the entire procedure from the impression taking, to the delivery, and after, carried
less stimulation of the gag reflex, and gave better results. Conclusion: The advance in the prosthetic
materials, and techniques when combined with the available techniques, and information can give
better results.


Article
Comparison of apical sealability of three obturation techniques (an in vitro study)

Authors: Dr. Montadher S. Kubba, B.D.S., M.Sc. د. منتظر كبة --- Prof. Dr. Jamal Aziz Mehdi, B.D.S., M.Sc. د. جمال عزيز مهدي
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2012 Volume: 9 Issue: 2 Pages: 130-136
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The aim of this study was to evaluate the sealing ability and the time required tocomplete obturationof three different obturation techniques.The palatal roots of sixtymaxillary first molar teeth were selectedfor this study. The root canals prepared usingProFile rotary instruments to an apical dimension of size 40 (.06 taper). Thespecimenswere then randomly divided into 3 experimental groups (20 sample of each) and filledwith gutta-percha and sealer byusing either cold lateral compaction, Thermafil, or theEasy & Quick Master system.For the first parameter(Time of obturation), the resultsshowed that Thermafil technique required the least time to complete obturation and itwas significantly lower than other twogroups.The second measurement(Microleakage) showed that the lateral condensation technique leaked apically andsignificantly higher than other test groups, while the Thermafil group exhibited theleast value of apical microleakage.The aim of this study was to evaluate the sealing ability and the time required tocomplete obturationof three different obturation techniques.The palatal roots of sixtymaxillary first molar teeth were selectedfor this study. The root canals prepared usingProFile rotary instruments to an apical dimension of size 40 (.06 taper). Thespecimenswere then randomly divided into 3 experimental groups (20 sample of each) and filledwith gutta-percha and sealer byusing either cold lateral compaction, Thermafil, or theEasy & Quick Master system.For the first parameter(Time of obturation), the resultsshowed that Thermafil technique required the least time to complete obturation and itwas significantly lower than other twogroups.The second measurement(Microleakage) showed that the lateral condensation technique leaked apically andsignificantly higher than other test groups, while the Thermafil group exhibited theleast value of apical microleakage.


Article
Effect of Simultaneous Cystocele Repair on Transobturator Tape Outcome in Female Patients with Pure Stress Urinary Incontinence

Author: Saad Dakhil F. Daraji*, Amina A. Al Ani**, Amina Fadhil Ridha***
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2017 Volume: 16 Issue: 4 Pages: 385-389
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Today; mid urethral slings are the first option for surgical treatment of stress urinary incontinence (SUI) due to high success rates and minimally invasive characteristics of the procedure. Concomitant prolapse surgery does not appear to have an effect on treatment outcomes according to previous studies predominantly evaluating tension-free vaginal tape (TVT) procedures.OBJECTIVE:To evaluate the efficacy of cystocele repair performed simultaneously with trans obturator tape (TOT) on the outcome of operation in patients with stress urinary incontinence (SUI) and pelvis organ prolapse (POP).PATIENTS AND METHODS:The data of patients who had SUI and cystocele were evaluated prospectively and Patients who underwent only TOT were classified as group 1 and the patients who underwent TOT simultaneously with cystocele repair (grades 1&2) were classified as group 2. The age, number of normal deliveries, number of pad used per day, cystocele grade, and duration of operation, pre- op International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and postoperative complications were evaluated.RESULTS:It was observed that there was no significant difference between groups 1 and group 2 in terms of preoperative International Consultation on Incontinence Questionnaire-Short Form scores (16.08±0.32 and 16.71±0.31, respectively). It was observed that the postoperative ICIQ-SF scores decreased markedly in both groups (2.31±0.69 and 4.42±1.21, respectively, p=0.003).CONCLUSION:Cystocele repair performed simultaneously with TOT in patients with mild to moderate (grade 1&grade2) cystocele did not provide additional improvement on TOT alone in regard to treatment of SUI.

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