Single Dose Antibiotic Prophylaxis in Outpatient Oral Surgery Comparative Study

         It is clear that correct application of antibiotic prophylaxis can reduce the incidence of infection  resulting from the bacterial  inoculation in a variety of clinical situations; it cannot   prevent  all  infections  any  more  than it  can   eliminate  all  established infections. Optimum  antibiotic   prophylaxis  depends on:  rational  selection  of the drug(s),  adequate  concentrations  of the  drug  in  the  tissues that  are at risk, and attention to  timing  of  administration.  Moreover,  the  risk  of  infection  in  some situations  does not outweigh  the risks which  attend the administration of even the safest antibiotic drug. The aim of this study was to compare between 2 prophylactic protocols  in  out  patients  undergoing  oral  surgical  procedures.  Thirty   patients, selected from the attendants of oral surgery clinic in Al-Karamah Dental Center, were subjected to different oral surgical procedures under local  anesthesia. These patients were given single dose antibiotic  prophylaxis in 2 groups; 1st group were 15 patients given 1 million i.u. of procaine  penicillin  I.M. 30 minutes  before oral  surgery, 2nd group were 15 patients given 600mg clindamycin orally 1 hours before oral surgery. The  maximum  time  for  all  procedures  was 2 hours. There  was  no  difference between  procaine  penicillin  (1 million i.u.), and  clindamycin (600mg),  regimens concerning post operative infection in out patient’s oral surgical procedures. Key words: Antibiotic prophylaxis, outpatient oral surger

Single Dose Antibiotic Prophylaxis in Outpatient Oral Surgery Comparative Study

         It is clear that correct application of antibiotic prophylaxis can reduce the incidence of infection  resulting from the bacterial  inoculation in a variety of clinical situations; it cannot   prevent  all  infections  any  more  than it  can   eliminate  all  established infections. Optimum  antibiotic   prophylaxis  depends on:  rational  selection  of the drug(s),  adequate  concentrations  of the  drug  in  the  tissues that  are at risk, and attention to  timing  of  administration.  Moreover,  the  risk  of  infection  in  some situations  does not outweigh  the risks which  attend the administration of even the safest antibiotic drug. The aim of this study was to compare between 2 prophylactic protocols  in  out  patients  undergoing  oral  surgical  procedures.  Thirty   patients, selected from the attendants of oral surgery clinic in Al-Karamah Dental Center, were subjected to different oral surgical procedures under local  anesthesia. These patients were given single dose antibiotic  prophylaxis in 2 groups; 1st group were 15 patients given 1 million i.u. of procaine  penicillin  I.M. 30 minutes  before oral  surgery, 2nd group were 15 patients given 600mg clindamycin orally 1 hours before oral surgery. The  maximum  time  for  all  procedures  was 2 hours. There  was  no  difference between  procaine  penicillin  (1 million i.u.), and  clindamycin (600mg),  regimens concerning post operative infection in out patient’s oral surgical procedures.&#x0D; Key words: Antibiotic prophylaxis, outpatient oral surgery</jats:p

Drawings as learning aid for the human anatomy students’ based evaluation

Introduction: One of the essential requirements for efficient oral and maxillofacial surgeon is comprehensive knowledge in anatomy of head and neck regions. Authors believe that asking students to draw anatomical sketches will assist them to improve their imaginary memory for human anatomy. However, drawing, as learning aid in anatomy, has not been given enough attention as a learning aid for human anatomy. Aim of the study: To determine dental students&rsquo; level of appreciation to drawings as practical learning aid in human anatomy. Materials and methods: Seventy nine first year dental students in Ibn Sina University for Medical and Pharmaceutical Sciences College of Dentistry for the academic year 2016-2017, were requested to complete a questionnaire. The questions were mostly related to the importance of drawing in anatomy and its relation to Anatomy education. The participation in the questionnaire was optional. Results: This study showed highly significant relationship between the ability to understand anatomy subject and the importance of drawing (P=0.006). It also showed highly significant relationship between the importance of drawings and giving clinical examples during lectures or anatomical labs (P=0.006). Furthermore, the results showed no significant relationship between the importance of drawings and the load of anatomical material, introduced in anatomical lectures and labs (P=0.639). Conclusion: Anatomical drawings, from first year dental students&rsquo; perspective, are a useful learning tool and can relate to different aspects of proper education of human anatomy. Drawings can be implemented as practical tool in human anatomy curriculum for undergraduate dental education

A suggested design for a tissue level dental implant

Objectives: The aim of the study was to test the stress distribution around a newly suggested design for tissue-level dental implant. Material and Methods: Newly designed modified reverse buttress thread dental implant is tested for the stress over the surrounding bone. Nine implant dimensions of this design were examined on two types of materials; commercially pure Titanium (TiG4) and Titanium alloy (TIG5). These nine implant dimensions, which can be used in the full dental arch are: (diameter/length; 3.5/11, 4/11, 4/9, 4.5/11, 4.5/9, 5/11, 5/9, 5/7, and 5.5/7 mm). The suggested implant was designed using Autodesk Inventor 202. ANSYS Workbench 2020 R2 was used for meshing and 3D finite element analysis. Results: Maximum Von Mises stress over the cortical bone is higher in the TiG5 model in all implant dimensions. The highest stress value was reported in the implant 4/9 mm dimension in both models. TiG5 model has the highest stress values over the cancellous bone. The higher level of stress over the surrounding cortical bone lies at the surface of the cortical bone, whereas the maximum stress over the surrounding trabecular bone was noticed near the tip of the first and second dental implant thread. Conclusion: Reasonable levels of stress were reported in the suggested design in both models. However, it would be justifiable to choose the TiG4 model for the suggested tissue level implant with the exclusion of a 4/9 mm dimension to ensure minimal stress over the surrounding cortical bone. </jats:sec

Modified Flap Design for Lower Third Molar Surgery: A Short Patient-based Outcome Comparative Study

Objectives: to compare the influence of a newly suggest modified flap design on pain and swelling with the traditional two sided flap. Materials and Methods: Patients were divided into two groups: conventional approach (control) group (n=42) and modified approach (experimental) group (n=41). Pain and swelling were evaluated for the first three postoperative days using 10 cm visual analogue scales. Presence of dry socket was documented in the 7th postoperative day. Results: There was statistically significant difference on the third postoperative day (p 0.05) in the mean pain score between the two surgical groups. The mean score of swelling in conventional group was slightly higher than the modified approach (p 0.05) in the first and the third post operative days. The incidence of dry socket in the modified approach was significantly less than conventional approach group (p 0.001). Conclusions: The modified flap design has a relative advantage over the conventional two sided buccal approach in terms of postoperative pain, swelling and dry socket incidence

Radiographic Examination before Dental Extraction from Dentists’ Perspective

Background. It is generally agreed that radiographic examination is important before dental extraction. It provides information about the roots and the surrounding tissues. In terms of practice, it does not seem to be a universally implemented protocol regarding the use of dental radiology before dental extraction. Besides, the type of radiographic technique is not specified. Some references prefer periapical dental radiographs. Others prefer orthopantomography), or even cone beam computed tomography Delpachitra et al. (2021) [1]. In terms of the dental practice, it is not clear whether there is a universally adopted protocol regarding the use of dental radiographs before dental extraction. Aim of the study. To assess dental professionals’ perspective toward radiographic examination before conventional dental extraction. Materials and Methods. A Google form questionnaire was circulated to different dental professionals using mainly ResearchGate, in addition to different social media platforms. Results. One hundred and forty-five dentists participated in the questionnaire. The respondents were divided according to the country of current practice: national (Iraqi), regional (Middle Eastern), and international participants. Out of 144 respondents, 51.4% percent of the participants were international, while 40.3% were Iraqis, and 8.3% were from the Middle East. The need for dental radiography in all dental extraction procedures was reported in the majority of responses (n = 86). Only 11 dentists think there is no necessity for radiographic examination before conventional extraction. The chi-square test showed a highly significant relationship between the country of current practice and the need for X-ray examination for conventional dental extraction ( P  &lt; 0.01). Seventy-six dentists prefer periapical radiographs. Thirty-five preferred orthopantomography. A highly significant relationship was found between the country of practice and the X-ray technique ( P  &lt; 0.01). Conclusion. The study showed that there is no universally adopted protocol regarding the use of dental radiography before dental extraction. The country of practice appears to govern the dentists’ decisions regarding the need for an X-ray and the type of radiography prior to dental extraction. Periapical radiographs for posterior teeth seem to be the preferable choice before dental extraction.</jats:p

Radiographic Examination before Dental Extraction from Dentists’ Perspective

Background. It is generally agreed that radiographic examination is important before dental extraction. It provides information about the roots and the surrounding tissues. In terms of practice, it does not seem to be a universally implemented protocol regarding the use of dental radiology before dental extraction. Besides, the type of radiographic technique is not specified. Some references prefer periapical dental radiographs. Others prefer orthopantomography), or even cone beam computed tomography Delpachitra et al. (2021) [1]. In terms of the dental practice, it is not clear whether there is a universally adopted protocol regarding the use of dental radiographs before dental extraction. Aim of the study. To assess dental professionals’ perspective toward radiographic examination before conventional dental extraction. Materials and Methods. A Google form questionnaire was circulated to different dental professionals using mainly ResearchGate, in addition to different social media platforms. Results. One hundred and forty-five dentists participated in the questionnaire. The respondents were divided according to the country of current practice: national (Iraqi), regional (Middle Eastern), and international participants. Out of 144 respondents, 51.4% percent of the participants were international, while 40.3% were Iraqis, and 8.3% were from the Middle East. The need for dental radiography in all dental extraction procedures was reported in the majority of responses (n = 86). Only 11 dentists think there is no necessity for radiographic examination before conventional extraction. The chi-square test showed a highly significant relationship between the country of current practice and the need for X-ray examination for conventional dental extraction (P < 0.01). Seventy-six dentists prefer periapical radiographs. Thirty-five preferred orthopantomography. A highly significant relationship was found between the country of practice and the X-ray technique (P < 0.01). Conclusion. The study showed that there is no universally adopted protocol regarding the use of dental radiography before dental extraction. The country of practice appears to govern the dentists’ decisions regarding the need for an X-ray and the type of radiography prior to dental extraction. Periapical radiographs for posterior teeth seem to be the preferable choice before dental extraction