Cairo University, Faculty of DentistryAdvanced Dental Journal2636-302X1320191001Prevalence of Oral Manifestations of Iron Deficiency Anemia in a Sample of Egyptian Population, Hospital-Based Cross-Sectional Study64715422610.21608/adjc.2019.14315.1024ENEmanAlsheikhOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, Egypt0000-0002-6291-2369EmanAmrOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, EgyptFatheyaZahranOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, EgyptJournal Article20190714<strong>Background:</strong> Iron deficiency anemia (IDA) patients have specific oral manifestations and a particular blood profile as compared to normal individuals as well as significantly higher frequencies of all oral manifestations.<br /> <strong>Methods:</strong> The study was conducted on 180 patients attending the Hematology Department in Kasr Al Ainy Hospital and diagnosed as having IDA, the history was taken from patients through an interview with the investigator and followed by clinical examination to determine if they had any generalized symptoms and signs of anemia. The oral complaints and the presence of oral mucosal changes were recorded. The diagnosis of any of the forms of oral mucosal lesions was done mainly on clinical basis, depending on the recognition of the lesion.<br /> <strong>Results:</strong> The results showed that the prevalence of oral manifestations at different Hb levels in the IDA patients included high frequency of oral lesions such as: pallor (97.2%), atrophic glossitis (AG) (34.4%), fissured tongue (24.4%), and low frequency of: recurrent aphthous ulcer (RAU) (6.1%), burning sensation of the oral mucosa (2.2%), angular cheilitis (AC) (1.1%), oral pigmentation (1.1%), geographic tongue (GT) (1.1%), and oral lichen planus (OLP) (0.6%). <br /> <strong>Conclusion:</strong> Patients with IDA had special oral manifestations. In the light of the particular blood and iron profile detected in our patients, neither Hb level nor serum iron or ferritin level were showing any significant association with the presence of oral manifestations. Within the limitations of the current study, the only significant association was found between RAU and the duration of anemia.https://adjc.journals.ekb.eg/article_54226_c82b54e89480d6a6cc5388e711969bf5.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X1320191001A Technical Modified Method for Harvesting Palatal De-epithelialized Connective Tissue Graft for Root Coverage: A Case Report72765422710.21608/adjc.2019.16223.1030ENNadaZazouOral Medicine and Periodontology Department, Faculty of Dentistry, Modern Sciences and Arts University (MSA), Giza, Egypt.HaniEl NahassOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, EgyptAzzaEzz El-ArabOral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University, EgyptJournal Article20190825Introduction: This case report describes a technical modified method for harvesting a de-epithelialized connective tissue graft used for root coverage procedure. This simplified, time saving approach can be used as an alternative to the conventional subepithelial connective tissue graft or de-epithelialized grafts previously introduced. Case Presentation: A healthy 22-year-old male patient presented with a 2 mm recession on tooth #24 and a 1 mm recession on tooth #25 caused by periodontitis. Results: Root coverage procedure was performed using a de-epithelialized graft harvested by a modified method from the palate. The modification is to de-epithelialize the graft with the desired dimensions on the palate and then harvest it already de-epithelialized. Complete root coverage with stable 2 year follow-up was documented. Conclusions: Recession defects can be treated with a modified de-epithelized graft harvested from the palate without significant inflammation. This technique may serve as an alternative for the conventional SECTG or de-epithelialized grafts.https://adjc.journals.ekb.eg/article_54227_66381a5bdfcbab0a0b2b802333f1a184.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X1320191001Determination of the Combined Mesiodistal Widths of the Permanent Mandibular Incisors and that of the Maxillary and Mandibular Canines and Premolars in a Group of Egyptian Children in Suez Governorate: A Cross-sectional study77855422810.21608/adjc.2019.16958.1032ENHagarAbozeidPaediatric Dentistry Department, Faculty of Dentistry, Cairo university, Cairo, EgyptManalEl ShiekhPaediatric Dentistry Department, Faculty of Dentistry, Cairo university, Cairo, EgyptManalAElsayedPaediatric Dentistry Department, Faculty of Dentistry, Cairo university, Cairo, EgyptJournal Article20190925Background: Tooth size specifically the mesiodistal dimension has an important role in normal occlusion and in arch space analysis as it affects treatment planning and the final results in orthodontic treatment. Tooth size differs among and within populations. <br /> <br /> Objectives: The aim of the current study was to measure the mesiodistal widths of the mandibular incisors, maxillary and mandibular canines and premolars in a group of Egyptian children in Suez Governorate and to correlate between the widths of these teeth to formulate normative data for the Egyptian children.<br /> <br /> Materials and Methods: 12-15 year old children (150 boys and 150 girls) from Suez Governorate were included in the present study. The measurements of the mesiodistal widths of the teeth were conducted on dental casts by a digital caliper<br /> <br /> Results: The means of the mesiodistal widths of the boys’ teeth were significantly larger than those of the girls. Also, there was no statistically significant difference between the right and left sides in girls. However, in males the right mandibular second premolar was significantly bigger than the left side.<br /> <br /> Conclusion: Sexual dimorphism is present between boys and girls where boys had larger teeth than girls. There were no statistically significant differences between the right and left sides in girls. But in boys only the mandibular second premolar showed slight statistically significant difference. The mandibular permanent incisors can be used in the prediction of the mesiodistal widths of the maxillary and mandibular permanent canines and premolars due to positive correlation between them.https://adjc.journals.ekb.eg/article_54228_615fadce7fea4375bf8e6985b66fcf91.pdfCairo University, Faculty of DentistryAdvanced Dental Journal2636-302X1320191001Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial86945483810.21608/adjc.2019.17020.1031ENSaraAhmedEndodontics Department , Faculty of Dentistry , Cairo UniversityHebaElfarEndodontics Department , Faculty of Dentistry , Cairo UniversitySheriefEl KhodaryEndodontics Department , Faculty of Dentistry , Cairo UniversityJournal Article20190916<strong>Aim:</strong> The aim of this study was to clinically compare the postoperative pain after Vibringe sonic irrigation system and conventional needle irrigation during root canal treatment in single-rooted teeth . <strong>Methods:</strong> A total of 18 patients with symptomatic irreversible pulpitis in need of nonsurgical endodontic retreatment were randomly divided into 2 groups (n = 9) . Patients were carefully diagnosed and checked for the eligibility criteria . Irrigation in (group A) was delivered and sonically activated by Vibringe and Irrigation in (group B) was done using conventional needle. The presence of postoperative pain was assessed 6, 12, 24, and 48 hours after treatment according to the NRS where; 0; No pain, 1-3; mild pain, 4-6; moderate pain, 7-10; severe pain “severe pain, analgesic had no effect in relieving the pain”. Data were analyzed using the Mann-Whitney U,Friedman’s test, and Fisher’s Exact tests. <strong>Results:</strong> Postoperative pain was non significantly different in the Vibringe group in comparison with the conventional needle group (P >.05) on all time intervals “ 6 -12-24 and 48 hours” (P-value = 0.753) . Pain scores from base line to 6 hours post-operatively showed statistically significant decrease in both Vibringe and Conventional needle irrigation group (P-value <0.001).<br /> <strong>Conclusions:</strong> The sonically activated Vibringe irrigation system and conventional needle irrigation are equally safe with low incidence of post-operative at 6, 12 , 24 and 48 hours intervals.https://adjc.journals.ekb.eg/article_54838_9d0e98734c2203565012f2b2d1850654.pdf