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Article
A clinical study of the medical condition of patients requiring tooth extraction in Mosul City

Author: Mohammad S SULEIMAN
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2002 Volume: 2 Issue: 3 Pages: 414-422
Publisher: Mosul University جامعة الموصل

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Abstract

The number of medically compromised patients is increasing in both dental school patient populations and private practices presenting specific challenges to the dental profession. In this clinical study, the population studied consisted of(2943) patients, of them(1737) were males and(1206) females. The patients selected for this study were those attending Department of oral and maxillo-facial surgery in Saddam Dental Hospital, College of Dentistry, University of Mosul, and the author's private clinic between(1-10-2001 and 1-6-2002). The results showed that about the fifth of the patients(19.06%) were medically compromised patients(MCP) who need special care during tooth extraction. Lower and upper first molars showed the highest number of tooth extraction(28.94%). Dental caries and its sequalae were the most common cause of tooth extraction. The age group(15-34 year) contained the highest percentage of tooth loss(49.13%).


Article
Effect of β-calcium sulphate hemihydrate on mandible healing in dog (radiographical assessment using Image-J Program)
تأثير كبريتات الكالسيوم نصف المائية نوع بيتا على التئام الفك السفلي في الكلب باستخدام (تقييم اشعاعي باستخدام برنامج Image-J)

Authors: M.S. Suleiman محمد صالح سليمان --- M.K. Hasouni محمد خليل حسوني
Journal: Iraqi Journal of Veterinary Sciences المجلة العراقية للعلوم البيطرية ISSN: 16073894/20711255 Year: 2014 Volume: 28 Issue: 2 Pages: 71e-80e
Publisher: Mosul University جامعة الموصل

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Abstract

This study was conducted to estimate the bony tissue response to β-calcium sulphate hemihydrate (CSH) as a bonesubstitute via radiographic assessment using ImageJ software. The extraction sockets in dog mandible were the regions ofinterest (ROI). Twenty adult (12-24 months), local breed dogs were included in the experiment. All had a complete set ofpermanent dentition. They were randomly allocated into four groups, each containing 5 animals. Bilateral lower thirdpremolars have been extracted. The right socket was filled with β-calcium sulphate hemihydrate, whereas no material wasplaced to fill that in the left side to serve as a control. Tissue response in extraction sockets was evaluated using two postoperativeintra-oral periapical radiographs for each tooth socket, the first immediately after extraction and the second at the endof each study interval (i.e., after 2 weeks, 4 weeks, 8 weeks, and 12 weeks period for group I, II, III, and IV, respectively). Theradiographs were converted from conventional to digital by X-ray scanner, then examined by ImageJ software. Radiographicassessment included the evaluation of differences in extraction sockets densities, bone resorption %, bone formation %, anddensity of the newly formed bone. The results showed significant differences between the left (control) and right(experimental) sides in all study periods in relation to differences in extraction sockets densities. Meantime, significantdifferences were noticed between right and left sides during a 12 week period in relation to bone resorption and boneformation %. Concerning density of the newly formed bone, significant differences were noticed during 8 week and 12 weekperiod.In conclusion, the use of β-calcium sulphate hemihydrate as a bone substitute significantly reduced bone resorption andincreased the rate of new bone formation. In addition, the density of the newly formed bone in the right (experimental) sidewas greater than that noticed in the left (control) side.

أجريت ھذه الدراسة لتقديراستجابة النسيج العظمي لكبريتات الكالسيوم النصف مائية نوع بيتا بوصفه بديل عظمي وذلك بتقييم التصوير .تم وقد استخدمت حفرة قلع السن في الفك السفلي للكلب. أختيرعشرون كلباً محليا بالغ ٢٤ شھرا"). عن طريق استخدام برنامج Image-J الشعاعي للتجربة. جميع الحيوانات المختارة تمتلك مجموعة كاملة من الاسنان الدائمة. قسمت الحيوانات عشوائيا الى اربعة -١٢)مجاميع، كل منھا يحتوي على خمسة حيوانات. تم قلع السن الضاحك الاسفل الثالث في كلا الجھتين لكل حيوان. في الجھة اليمنى تم ملئت حفرة السن المقلوع باستخدام كبريتات الكالسيوم نصف المائية بينما لم يتم وضع أي مادة في الجھة اليسرى للقلع لكي تبقى كجھة ضابطة (سيطرة). الاستجابة النسيجية في حفر القلع تم تقييمھا بأخذ اشعتين بعد الجراحة لمنطقة القلع، الاولى مباشرة بعد القلع و الثانية في نھاية كل فترة زمنية (بعد اسبوعين، اربعة اسابيع، ثمانية اسابيع، اثني عشر اسبوعا للمجموعة الاولى، الثانية، الثالثة، الرابعة على التوالي). شمل التحليل الاشعاعي .Image-J حولت الأشعات من عادية الى رقمية باستخدام جھاز مسح الأشعة الضوئي لتفحص باستخدام برنامج تقدير الفرق في كثافة الحفرة السنية، النسبة المئوية لارتشاف العظم، النسبة المئوية لتكوين العظم، وكذلك كثافة العظم الجديد. أظھرت النتائج وجود فروقات معنوية بين الجھة الضابطة (اليسار) وجھة التجربة (اليمين) في كل فترات الدراسة بخصوص الفرق في كثافة الحفرة السنية. في الوقت ذاته لوحظت فروق معنوية بين الجھتين خلال الاثني عشر اسبوعا فيما يخص النسبة المئوية لارتشاف العظم والنسبة المئوية لتكوين العظم.كما لوحظ وجود فرق معنوي خلال مدة الثمانية اسابيع والاثني عشر اسبوعا بالنسبة لكثافة العظم الجديد. استنتج من ھذه الدراسة ان استخدام كبريتات الكالسيوم نصف المائية نوع بيتا بديلا عظمي اً قلل نسبة ارتشاف العظم الى حد كبير وزاد نسبة تكوين العظم الجديد فضلا على ان كثافة العظم المتكون في جھة اليمين (جھة التجربة) كانت اكبر من كثافة العظم المتكون في جھة اليسار (الجھة الضابطة).


Article
Comparison of the Onset of Diclofenac Potassium Sachet(Voltfast) and EntericCoated Diclofenac Potassium(Cataflam) in Treatment of Pain Following Tooth Extraction

Author: Dirar A. Al-juma`a
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2015 Volume: 15 Issue: 1 Pages: 369-373
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: This study was undertaken to compare the analgesic onset of voltfast and diclofenac potassium in patients after extraction of teeth. Materials and methods: One hundred fifty patients were enrolled in this study and randomly divided into two groups. Group 1 received sachets of oral diclofenac potassium (Voltfast) and group 2 received entric coated of diclofenac sodium (Cataflam) after extraction of teeth. The patients reported their pain relief in a questionnaire after the tooth extraction. The patient was instructed to take the drug as prescribed as the effect of local anesthesia begin to wear off and pain start. To evaluate the onset of the two drugs, the patients were asked to report if they had any problem using the drug. Results: seventy five patients received voltfast and cataflam seventy five patients received for relief of pain. The pain relief in both groups was efficient with statistically significant difference between the two groups. Conclusions: Oral diclofenac is an effective treatment for moderate to severe postoperative pain. Significantly more participants experienced a faster onset of pain relief with voltfast than with cataflam.


Article
Role of Encouraging Words in Reducing Anxiety and Pain During Tooth Extraction

Authors: Abdurrahman A .Al-Samman --- Omar S. Al-Nuaime --- Omar J.B Mohamedtaib
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2018 Volume: 18 Issue: 1 Pages: 73-82
Publisher: Mosul University جامعة الموصل

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Abstract

Aims: The present study tests the effect of preoperative encouraging words provided by dental clinician onthe levels of anxiety and pain experienced by patients after tooth extraction. Materials and methods:Patients were randomly assigned to the intervention and the control group. Intervention subjects had preoperative ten minutes appointment with operating oral surgeon. This appointment identify the sources ofanxiety, and participants given individualized encouragement according to their needs. Control subjectsreceived reassurance immediately before surgery. All patients completed several questionnaires coveringmeasures of anxiety and pain. Results: Discussion with patients along with encouragement highly affectspatients’ levels of anxiety and pain after tooth extraction. Conclusions: Dental clinicians should considerthe practice of encouraging patients shortly before tooth extraction.


Article
A Comparison between primary and secondary wound closure after surgical removal of lower third molars according to pain and swelling

Author: Dr. Jabber Jasim Kareem, B.D.S., M.Sc. Oral surgery.* د. جبار جاسم
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2008 Volume: 5 Issue: 4 Pages: 410-417
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

The aim of this study was to compare between Primary and secondary closure techniques after removal of impacted third molars. This comparison was carried out according to the pain and swelling parameter. One hundred patients with impacted third molars were randomly divided into two groups (50 patients in each group). Periapical radiographs were taken for each patient to determine the degree of eruption and angulations of third molars. After surgical extraction in Group I, the socket was closed by hermetical suturing of the flap while in Group II; a 5–6 mm wedge of mucosa adjacent to the second molar was removed to obtain secondary healing. Swelling and pain were evaluated for 7 days after surgery with the VAS scale. The statistical analysis (analysis of variance for repeated measures, P < 0.05) showed that pain was greater in GI, although it decreased over time similarly in the two groups (P=0.003, F=2.6613). Swelling was significantly worse in Group I (P < 0.0001, F=38.395). In Group I, dehiscence of the mucosa was present in 15% of patients at day 7, and 1% showed signs of re-infection with suppurative alveolitis at 30 days. Pain and swelling were less severe with secondary healing than with primary healing.


Article
HEMODYNAMIC CHANGES FOLLOWING INTRAORAL INJECTION OF LIDOCAINE IN COMBINATION WITH ADRENALINE DURING TOOTH EXTRACTION

Authors: Sarah A Haji --- Nabeel AJ Ali --- Sundus AW Neama
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2018 Volume: 24 Issue: 2 Pages: 14-23
Publisher: Basrah University جامعة البصرة

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Abstract

Abstract Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which increases their efficacy and duration of action and reduces bleeding at the operative site. However, adrenaline might have adverse hemodynamic effects, especially in patients with cardiovascular diseases. Hypertensive patients represent a risk group in dental practice. One major apprehension of the dentist is the sudden and dramatic increase in blood pressure that could lead to life-threatening complications including sudden death during a dental procedure. The aim of this study is to measure hemodynamic parameters, blood glucose, oxygen saturation and pain score in normotensive and hypertensive patients following intraoral injection of lidocaine with adrenaline and correlate these changes to the level of pain intensity and plasma metanephrine concentration. This prospective study was conducted at Basrah College of Dentistry from October 2016 to June 2017. One hundred patients were included in the study for teeth extraction under local anesthesia. Sixty normotensives, 30 had stage one hypertension (BP=140-159/90-99) and ten healthy volunteers for metanephrine assay. All patients were injected with two cartridges of 2% Lidocaine with 1:80,000 adrenaline. Systolic and diastolic blood pressure, heart rate, oxygen saturation, visual analogue scale, blood glucose and plasma metanephrine concentration were measured at different intervals; before anesthetic injection, 5 minutes after injection, during extraction and 10 minutes following the end of tooth extraction. Administration of local anesthesia with adrenaline in addition to the surgical procedure resulted in a significant increase in systolic blood pressure during tooth extraction (+8.7% and +16.6% mmHg for normotensive and hypertensive patients respectively, p<0.05), also heart rate similarly affected in both groups (10.6% and 13.4% respectively), this effect was significantly higher in the hypertensive group. The blood glucose showed a significant increase (P=0.00) 30 minutes after injection as compared to baseline. Generally, the peak changes in parameters were observed during tooth extraction procedure in both groups. Metanephrine peak plasma level occurs at 10 minutes following injection and it was significantly correlated with the systolic and diastolic blood pressure. In conclusions, the injection of lidocaine with adrenaline in addition to the surgical procedure produces significant increase in blood pressure and heart rate in both normal and hypertensive patients which were larger in the latter group. Similarly, plasma metanephrine concentration was increased during the dental procedure and linked to the increase in the systolic blood pressure.

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