Oral Healthcare Services Delivered During COVID-19 Lockdown: A Report from Eastern Mediterranean Region

Objective: To describe oral healthcare services administered during the lockdown in the Eastern Mediterranean region and to investigate the role of socio-professional characteristics of dental practitioners or their self-reported COVID-19 infection. Material and Methods: A questionnaire was distributed to dental practitioners in all healthcare sectors in Jordan, Egypt, and Saudi Arabia. Results: There was a total of 335 participants, with the majority being females (N=225, 67.2%) and general practitioners (N=202, 60.3%). Cellulitis was the most common emergency encountered (N=108). The most common urgent procedures were for pulpitis, abscesses, and pericoronitis (N=191, 130, and 95, respectively). Country-specific significant associations were pulpitis in Egypt and Jordan, broken symptomatic teeth in Jordan, and biopsy in Egypt (p<0.05). The Ministry of Health was significantly associated with the management of dental infections, avulsion, and orthodontic emergencies, while university hospitals were significantly associated with advanced restorative procedures (p<0.05). Male practitioners performed significantly more procedures, particularly surgical emergencies (p<0.05). Conclusion: Dental infections were the most common complaints among dental patients during lockdown. Country- and sector-specific dental procedures are detected. Male gender seems to play a determinant role in performing a higher number of procedures, particularly for surgical emergencies

Oral Healthcare Services Delivered During COVID-19 Lockdown: A Report from Eastern Mediterranean Region

Objective: To describe oral healthcare services administered during the lockdown in the Eastern Mediterranean region and to investigate the role of socio-professional characteristics of dental practitioners or their self-reported COVID-19 infection. Material and Methods: A questionnaire was distributed to dental practitioners in all healthcare sectors in Jordan, Egypt, and Saudi Arabia. Results: There was a total of 335 participants, with the majority being females (N=225, 67.2%) and general practitioners (N=202, 60.3%). Cellulitis was the most common emergency encountered (N=108). The most common urgent procedures were for pulpitis, abscesses, and pericoronitis (N=191, 130, and 95, respectively). Country-specific significant associations were pulpitis in Egypt and Jordan, broken symptomatic teeth in Jordan, and biopsy in Egypt (p<0.05). The Ministry of Health was significantly associated with the management of dental infections, avulsion, and orthodontic emergencies, while university hospitals were significantly associated with advanced restorative procedures (p<0.05). Male practitioners performed significantly more procedures, particularly surgical emergencies (p<0.05). Conclusion: Dental infections were the most common complaints among dental patients during lockdown. Country- and sector-specific dental procedures are detected. Male gender seems to play a determinant role in performing a higher number of procedures, particularly for surgical emergencies

Clinical and radiological comparison of a dynamic implant valve vs a hydraulic maxillary sinus lift augmentation technique with simultaneous implant insertion

The study aimed to compare between dynamic implant valve (DIVA) and the crestal ballooning techniques in elevating the maxillary sinus membrane (MSM) in conjunction with simultaneous implantation. Patients and methods: 20-patient prospective clinical cohort study. Ages ranged from 42 to 53 years, and had atrophic edentulous maxillae in the posterior region. To determine maxillary sinus status, patients were investigated utilizing intraoral clinical photographs and CBCT series. &nbsp;Closed Sinus Lifting done and compared between DIVA and ballooning techniques on patients who were randomly separated into two equal groups. The predicted research variables were intraoperative primary stability and level of sinus membrane lift. The main outcome factors were secondary implant Osseointegration stability (ISQ) and the amount of bone height gain. Results: Before surgery, the DIVA and Balloon groups had mean bone heights of 5.8 ± 0.67mm and 6.8 ± 0.86mm , which increased significantly to 12.8± 0.53 and 10.8± 0.67 after 6 months postoperatively. ISQ for DIVA and Balloon groups were 39.0± 2.16 and 40.0±2.16 preoperatively, respectively, and increased to 71.7±1.60 and 70.4±1.27 nine months postoperatively which was significantly higher at 3 months in DIVA group.&nbsp;&nbsp

Effectiveness of electromyography guided botulinum toxin injection and dextrose prolotherapy in recurrent TMJ dislocation (radiographic and clinical study)

Objectives: This study was conducted to assess effectiveness of dextrose prolotherapy, Electromyography (EMG) Guided Botulinum Toxin – A (BTX-A) Injection, and combination between them&nbsp;&nbsp; in treatment of recurrent TMJ Dislocation cases. Subjects and methods: This current study was carried out on 60 adult patients suffering from recurrent TMJ Dislocation. The patients divided equally into three groups, Group I: 20 patients were treated with EMG guided BTX-A injection. Group II: 20 patients were treated with dextrose prolotherapy. Group III: 20 patients were treated with combination of EMG guided BTX-A injection and dextrose prolotherapy. The clinical evaluation preoperatively and postoperatively (at 1week , 3 months , 6 months)&nbsp; included visual analog scale of TMJ pain, maximum mouth opening (MMO), and frequency of luxations . Radiographic evaluation using MRI was done preoperatively, and at 6 months.&nbsp; The collected data were then statistically analyzed. Results: best results were recorded in group III compared with other groups; at all intervals of study with significant reduction of pain score, and frequency of luxations beside to improvement of MMO measurements. Conclusion: the combination of EMG guided BTX-A injection and dextrose prolotherapy is a promising treatment in recurrent TMJ dislocation cases.&nbsp

Combined effect of ultrasound and manual therapy on cervical pain after maxillofacial surgeries

Cervical pain is a common complication post maxillofacial surgeries ranging from weeks to months. Purpose: to evaluate combined effect of ultrasound and manual therapy on cervical pain after maxillofacial surgeries in patients who had maxillofacial surgeries and had cervical pain. Methods: - forty five (23 males and 22 females) patients with cervical pain after maxillofacial surgeries were randomly divided into three equal group3. Group (A) received Ultrasound addition to Manual Therapy. Group (B) received Manual Therapy only. Group(C) received only Ultrasound treatment. Results: - The result showed that there was a significant decrease in cervical pain and a significant increase in cervical ROM using Manual Therapy combined with Ultrasound better than Manual Therapy or Ultrasound only. Conclusion: Both types (Manual Therapy and Ultrasound) are effective in deceasing cervical pain after maxillofacial surgeries that is reflected by decreasing cervical pain and increasing cervical ROM

Effect of amniotic membrane versus collagen membrane on sticky bone graft in lateral sinus lifting with simultaneous implant placement: Clinical and radiographic study

Objectives: to compare of effect amniotic membrane versus collagen membrane on sticky bone with simultaneous implant placement after lateral sinus lifting procedure. Patients and methods: Seven patients with bilateral sever bone resorption undergone immediate implant after lateral sinus lifting and placement of sticky bone. In G (I): Collagen membrane covered sticky bone and implant while in G (II): Amniotic membrane covered sticky bone and implant. Surgical sites were evaluated clinically for any signs of infection, wound dehiscence, or exposure of implant threads. Also, Implant stability and bone density were obtained at 0, 3, 6 and 9 months. Results: Amniotic group revealed statistically significant value in percentage increase of bone density. Conclusion: The application of sticky bone with amniotic membrane was more likely proved to have the ability to assist and accelerate bone healing and osseointegration. &nbsp

Yang’s keyhole plate versus conventional plate for treatment of mandibular sub-condylar fractures: Clinical and radiographic evaluation

Objectives: The use of a keyhole plate vs two miniplates in the treatment of mandibular subcondylar fractures. Materials and methods:Twenty patients were randomized into two equal groups. Ten patients with subcondylar fractures were treated with two Yang's keyhole plates in Group I. Ten patients with subcondylar fractures were treated with two conventional miniplates in Group II. Maximum mouth opening (MMO), Protrusive excursive movement, Lateral excursive movement, and Time for reduction and fixation were all used to evaluate patients clinically vertical height of ramus, and antero-posterior condylar angulation are all measured radiographically. Results: There was a statistically non-significant difference between the study and control groups at all intervals regarding MMO, Protrusive excursive movement, Lateral excursive movement, vertical height of the ramus, antero-posterior condylar angulation, but was significant at time for reduction and fixation. Conclusion: reducing a mandibular condylar fracture using a YK-plate, the results were similar and the operating time was quicker than when utilizing a traditional mini plate fixation