مسار بولونيا
AR
Research Husam Abdulabbas Mutashar
Evaluation and Comparison of Physics Forceps and Conventional Forceps in Bilateral Dental Extraction: A Randomized, Split-Mouth, Clinical Study
2023 Cureus Journal of Medical Science
Abstract Background Interest in atraumatic tooth extraction has increased because it aims to preserve the dental alveolus. Several tools have been designed for atraumatic extraction, including the recently invented physics forceps. This study aims to assess the physics forceps and compare the clinical outcomes to the conventional forceps. Methodology A prospective, randomized, split-mouth, single-blind study was conducted among 20 healthy patients needing bilateral extraction. Participants were randomly assigned to perform physics forceps extraction on one quadrant and conventional forceps extraction on the opposite quadrant. Clinical outcomes were recorded and compared, including time taken for extraction, root fracture, buccal cortical plate fracture, postoperative pain, patient satisfaction, and post-extraction socket healing. Results The mean extraction time of physics forceps was shorter than conventional forceps but without statistical significance. Root and buccal cortical plate fractures were lower in the physics forceps group. Statistical difference in postoperative pain was found on the third postoperative day as pain scored higher in the physics group (p = 0.038). Higher patient satisfaction was found in the physics forceps group (85%). Post-extraction socket healing was equal in 75% of the cases. Conclusions Physics forceps is a novel and efficient atraumatic dental extractor. It reduces intraoperative time, is associated with higher patient satisfaction, and has comparable clinical outcomes to conventional forceps.
Estimation of Serum Level of Neurokinin Ain Patients with Per-iodontitis in Association with Chronic Migraine Disease (Obser-vational Case Control Study)
2024 CENTRAL ASIAN JOURNAL OF MEDICALANDNATURALSCIENCES
Recently, a relationship was found between periodontitis and chronic migraine. However, there is no evidence of the association between periodontitis and Neurokinin A (NKA) level in chronic migraine patients. As a result, we aimed to measure and compare serum levels of NKA in study and control groups in order to determine whether periodontitis is associated with chronic mi-graine disease activation. Eightytwo (82) males and females above the age of 18 were recruited. Subjects were divided into four groups: 27 patients with chronic migraine and periodontitis, 27 patients with chronic migraine and clinically healthy periodontium, 20 patients systemically healthy with periodontitis and eight subjects with clinically healthy periodontium and without any systemic disease. Assessment of periodontal status was carried out for all participants. Socio demographic data and comorbidities were assessed by means of a standard questionnaire then blood samples were collected and serum concentrations were separated for NKA. The serum level of NKA were higher in the control group (38±40) and there was a significant difference between the other groups when compared to the control group (P=0.003) and there was a weak negative significant correlation between neurokinin A and clinical periodontal parameters (BOP, Cal, and PPD) between all study groups. According to the findings of this study, the control group had a higher level of serum NKA. As a result, this peptide could be considered an indicator of disease severity and activity for both periodontitis and chronic migraine diseases. So far, no research has backed up our findings. Longitudinal studies are required to validate our findings.
Assessment of Intraoperative Complications Associated with Extraction Technique Using Physics Forceps and the Conventional Method: A Split-mouth Comparative Study
2023 Journal of Wasit for Science and Medicine
Tooth extraction is one of the most frequently performed surgeries, and several instruments were invented throughout history. This study's purpose is to assess the efficacy of physics forceps in comparison to conventional tooth extraction forceps in bilateral dental extraction and their associated intraoperative complications, including crown fracture, root fracture, buccal cortical plate fracture (BCPF), gingival lacerations, and bleeding time. All participants (n = 20) and total extractions (n = 40) were randomly assigned within two groups. Teeth were extracted utilizing physics forceps on one side of the maxillary or mandibular quadrants (n = 20) and conventional forceps on the other side (n = 20). Clinical data were gathered and analyzed. The findings show none of the patients in any of the groups had a crown fracture, however, the occurrence of roots and buccal cortical plate fractures were higher within control group. The incidence of gingival lacerations was seven times (35 %) in the study group and eight times (40 %) in the control group. Bleeding time in control group was longer than that in the study group (P value = 0.022) with a moderate effect size (ES = 0.676). In this study, buccal traumatic ulcer formation was observed in 5 cases (25 %) in study group due to excessive pressure application on the buccal soft tissue. In conclusion, physics forceps provide clinical outcomes comparable to conventional forceps and could be used for routine exodontia.
Evaluating the effective of three different gels on the color change of primary teeth enamel surface erosion
2024 International Journal of Applied Dental Sciences
Introduction: The main cause of erosive primary tooth is the routinely consumption of carbonated drinking which induced color change of the enamel especially in child. For that reason, variant of anti-demineralization agents has been utilized such as nanohydroxyaptite, hydroxyapatite and sodium fluoride gels both of which (nanohydroxyaptite, hydroxyapatite) have been added to the oral care gels to evaluate the effect of gels on shade. The aim of this study was compared of color change on the treating and prevention the eroded enamel surface of the primary teeth from thee different gels by analysis the vita easy shade. Materials and Methods: Nanohydroxyaptite, hydroxyapatite gels was prepared and Fourier Transform Infrared Spectroscopy test to evaluate them. Thirty sound buccal segment of primary first or second molar was prepared and color was measured then they were exposed to coca cola for 60 minutes with shaking 3 times daily for 10 days. The erosive and color effect of the carbonated drinking on the primary tooth surface enamel was studied by Vita easy shade advance 4 device respectively. They were distributed into three groups according to the different treating gels applied to study the color effects on the primary tooth enamel. In order to evaluate color of the primary tooth enamel of the sample in two different condition. Spectroscopic morphology (two dimension, three dimension picture) was studied in the three phases Results: In the first phase, shade change was higher in hydroxyapatite followed by nanohydroxyapatite while least in sodium fluoride but with no significant difference. Following multiple pairwise comparisons, all results found to be significant when compare each agent with each other, except when compare nanohydroxyapatite with hydroxyapatite in shade change from 1st to 2nd exposure and in shade from remineralization to 2nd exposure when compare each agent with sodium fluoride, all these results are not significant. Conclusion: Nanohydroxyaptite gel better than hydroxyapatite gel in whiting effect but sodium fluoride gel more effective than others in the treatment phase, nanohydroxyapatite gel better than sodium flouride and hydroxyapatite gels in preventive color change.