Cairo University, Faculty of DentistryAdvanced Dental Journal2636-302X3220210401Evaluation of Knowledge- Attitude- Practice (KAP) of Intern Dentists in Emergency Management of Traumatic Dental Injuries in Primary Anterior teeth: A Cross-sectional Study546216514510.21608/adjc.2021.47636.1081ENMarwa AbdelnabyHussienPediatric Dentistry and Dental Public Health, Faculty of Dentistry ,MSA University, Cairo, Egypt0000-0001-6834-5740Nevine GamilWalyPediatric Dentistry and Dental public Health-Faculty of Dentistry, Cairo UniversityManalEl ShiekhPediatric Dentistry and Dental public Health-Faculty of Dentistry, Cairo UniversityJournal Article20201025Background: This cross-sectional study aimed to evaluate the Egyptian intern dentist’s knowledge, Attitude, and Practice in the emergency management of traumatic dental injuries in primary anterior teeth.<br /> Materials and methods: A four-part questionnaire was distributed among a total of 500 intern dentists. Part 1 consisted of 8 questions focusing on personal and professional information, part 2 consisted of 7 questions focused on 3 clinical cases, Part 3 consisted of 9 close-ended questions to assess the attitude of intern dentists, and part 4 consisted of 4 close-ended questions related to the assessment of the practice of intern dentists regarding traumatic dental injuries in primary anterior teeth in children. The data were analyzed using the t-test at P < 0.05 level of confidence.<br /> Results: A total of 500 intern dentists participated in the survey, 235 were males and 265 were females. The overall mean age was 23.6 ± 1.3 years. The mean value of knowledge scores was 4.37 ± 1.45. There was no statistically significant correlation between the knowledge score of the intern dentist and the ability to provide proper action when needed. <br /> Conclusion: The knowledge of intern dentists regarding the management of traumatic dental injuries in primary anterior teeth was inadequate.https://adjc.journals.ekb.eg/article_165145_c6b74183299b43db6fd2f486bbe6f045.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X3220210401Prevalence of Dental Caries Among a Group of Egyptian Children Using Caries Assessment Spectrum and Treatment Index:A Cross Sectional Study637216514910.21608/adjc.2021.51736.1086ENAya AdelHamzaPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo UniversityRanda YoussefAbd Al GawadPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo UniversityRasha Mohamed HatemHanafyPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo UniversityJournal Article20201201Background: No studies were found on a caries pattern using Caries Assessment Spectrum and Treatment (CAST) index in the literature in Egypt. The aim of this study was to evaluate caries using CAST index in primary dentition in a group of Egyptian children.<br />Methods: A total of 201 children with age range from three to six years old were selected from outpatients’ clinic of two educational universities. A specially designed assessment chart was filled for each patient using caries assessment spectrum and treatment index. Categorical data were analyzed utilizing fisher exact test. p values were adjusted (p-value > 0.05 is considered significant) for multiple comparisons using benforroni correction. <br />Results: Among total 201 children, 70% of the children had healthy primary teeth (code 0-2), 18.7% of the children had non cavitated dentine with visual changes in enamel and discoloration in dentine with code (3-4), 6.4% had cavitated dentin with intact pulp chamber (code 5), 0.6% had cavitated dentin involved pulp chamber (code 6), 1.5% had pus containing swelling (code 7) and 2.8% of the children had lost their teeth due to caries (code 8). No teeth were scored with code 9.<br />Conclusion: The study proved the usefulness of the CAST index in epidemiological surveys. Based on the results of the current study, CAST index can be suggested to be used as an alternative to DMFT index due to its’ accuracy in scoring the entire spectrum of dental caries and its’ reliability.https://adjc.journals.ekb.eg/article_165149_de13b2f94149c25b32b261f7be7e6253.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X3220210401The Impact Of Anti- Asthmatic Medications On Salivary pH And Dental Caries Pattern In A Group Of Egyptian Children With Bronchial Asthma: A Cohort Study.738216515310.21608/adjc.2021.66820.1091ENSomayaMohamedPediatric dentistry and Dental Public Health department, Faculty of Dentistry, Cairo University ,Cairo, Egypt.OlaOmarPediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University ,Cairo , Egypt.RashaRagabPediatric Dentistry and Dental Public Health Department , Faculty of Dentistry , Cairo University, Cairo, Egypt.Journal Article20210311Aim:The study aimed to assess the oral condition in a group of Egyptian children with bronchial asthma in terms of salivary pH and dental caries pattern. And, assessment of the medications taken by those children (Aironyl and Apidone) in terms of pH and total sugar content. <br /> <br /> Material and methods:A sample of 60 children was divided into two groups (30 asthmatics, 30 asthmatic-free). A questionnaire was used to record history of asthma, snacking habits and frequency of tooth brushing. Dental caries surface index was measured using DMFs/defs index. The saliva samples were collected for measuring salivary pH. Anti-asthmatics (Aironyl and Apidone) were evaluated in terms of pH and total sugar content<br /> <br /> <br /> Results:The asthmatics had a significantly higher value regarding(defs) than the control (p < 0.001). Concerning the pH value, the asthmatics had a significantly lower value than the control(p < 0.001(.But there was no significant difference between both groups regarding DMFs (p=0.260). Both drugs (Apidone and Aironyl) are acidic where their pH values are 5.3 and 5.1 respectively. While, the total sugar content of Apidone is higher than Aironyl as the values are 17g% and 0.5g% respectively.<br /> <br /> Conclusions:Asthmatic children have more caries experience than healthy controls. Salivary pH value is less in asthmatics than controls.https://adjc.journals.ekb.eg/article_165153_f023b26431ada80ee0c9efed96add6a7.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X3220210401Evaluation of the Olive Oil Effect on the Nitropropane-Induced Submandibular Gland Changes: An Immunohistochemical, histopathological and morphometric Study839116516610.21608/adjc.2021.66115.1095ENAhmedGaberDepartment of Oral Pathology Faculty of Dental Medicine, Al-Azhar University, Assiut, Egypt.0000-0002-7581-5509AtefAhmedDepartment of Oral Biology, Faculty of Dental Medicine, Al-Azhar University, Assiut, EgyptJournal Article20210402Objectives: Nowadays there is great evidence of the possible health benefits of olive oil. 2-Nitropropane (2-NP) is a rat liver carcinogen. The present work is focused on the effect of olive oil on the nitropropane-induced submandibular gland changes and to determine the role of TNF-.α. <br /> Methods and materials: BALB/c mice were divided into three groups (10 mice each): control mice, 2- Nitropropane inject group mice, and 2- Nitroprobane inject group treated with Olive. Submandibular gland tissues in the previous groups were histologically studied. TNF-α is investigated by using immunohistochemical technique. <br /> Results: Administration of 100 mg/kg 2-NP to BALB/c mice resulted in well-documented histopatholgical changes in the submandibular salivary glands manifested as degeneration, atrophy and preductal inflammatory cell infiltration. Olive oil administration reduced the 2-NP deleterious effect on the submandibular salivary glands. This was manifested less degenerative and atrophic changes. Immunohistochemical analysis for TNF α was more intense in the second group and weak in the third group.<br /> Conclusions: The findings conclude that 2-NP caused significant tissue damage. Olive oil may attenuate the alterations of 2-NP in BALB/c mice. The expression of TNF-α may be useful as an indicator of 2-NP effect.https://adjc.journals.ekb.eg/article_165166_15d5a2ad92eb248d9980bcfcbef9d1ac.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X3220210401Patient Perception and Radiographic Assessment of Sinus Lifting Procedure using Densah Bur versus Osteotome-mediated sinus lifting: A Randomized Clinical Trial9210016519410.21608/adjc.2021.31321.1069ENDoaa AmrRostomProsthodontics department,Faculty of Dentistry,Cairo UniversitySalmaEiidOral and Maxillofacial Radiology, Faculty of Dentistry, Cairo University, Cairo, EgyptJournal Article20200530Aim: This study aimed to evaluate the clinical complications that might be presented with osteotome and densah burs, as well as to assess the new bone generated at 6 months post-operatively using CBCT. The study hypothesis was that densah bur would show comparable results to osteotome-mediated sinus lifting. <br /> Material and method: Ten patients were enrolled in the study with atrophied maxillary posterior edentulous area that required rehabilitation with implants and sinus membrane elevation. Sinus membrane was elevated with two techniques, Osteotome and Densah bur sinus lifting procedures. Clinical (sinus perforation, post-operative swelling, and headache/vertigo) and radiographic parameters (RBH and ESBG) were assessed.<br /> Result: In both groups, new bone levels were higher in comparison to initial levels with statistical significant difference. The mean RBH in Densah bur group (8.1 ± 1.5) was higher than the Osteotome group (6.9 ± 0.6) with p value = 0.13. Moreover, Densah bur showed higher mean ESPG than group I with 1.8 ± 0.4 and 1.4 ± 0.5 values respectively and p value = 0.21. Lastly, post-operative complications comparison showed non-significant differences between both groups except for headache and vertigo.<br /> Conclusion: The protruded implants can act as tents and allow formation of blood clot with concomitant bone regeneration. Although the two techniques applied for drilling showed comparable radiographic results, however, they displayed differences in patient perception. According to this study, it can be concluded that osseodensification surpasses osteotome- lifting procedure when it comes to patient comfort and satisfaction.https://adjc.journals.ekb.eg/article_165194_0f7e7df225cb83b2ace99f7d370d885c.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X3220210401Efficacy and Safety of Topical Chamomile in Treatment of Oral Lichen Planus10110816919110.21608/adjc.2021.73435.1096ENEsraaNashatOral Medicine and Periodontology Department, Faculty of Dentistry Cairo UniversityAmalAliOral Medicine and Periodontology Department, Faculty of Dentistry Cairo UniversityGihaneMadkourOral Medicine and Periodontology Department, Faculty of Dentistry Cairo UniversityJournal Article20210422<strong>Background:</strong> Management of oral lichen planus remains a clinical challenge. Topical corticosteroids are considered as the first-line therapy, but have undesirable side effects. Chamomile is a herbal remedy that has high treatment success potential due to its anti-oxidant, anti- inflammatory and anti-cancer properties. <br /> <strong>Aim:</strong> This study aimed to assess the clinical effectiveness of topical chamomile cream versus triamcinolone acetonide in the management of OLP.<br /> <strong>Subjects and Methods:</strong> This RCT included 34 patients with OLP who were randomly assigned to receive either 2% chamomile cream or 0.1% triamcinolone acetonide in orabase. The outcomes assessed were pain reduction measured by the numerical rating scale and clinical improvement assessed by Thongprasom scale. Patients were evaluated at baseline, after 2, and 4 weeks of treatment.<br /> <strong>Results:</strong> There was a statistically significantly improvement in pain score, total lesion size and Thongprasom score in both groups. However, comparison between the 2 groups resulted in no significant difference for all the outcomes, although TA had a better and faster clinical effect than Chamomile. <br /> <strong>Conclusion:</strong> Topical application of 2% chamomile cream can be used as a second line-treatment for OLP.https://adjc.journals.ekb.eg/article_169191_97e6bcf5fedfe660279507b29c9eba2c.pdf