@article { author = {ELbaz, Doaa and El-Shall, Ossama and El Kolaly, Hala}, title = {Sexual Dimorphism by Analysis of Maxillary Sinus Dimensions in a Sample of Egyptian Population Using Cone Beam Computed Tomography}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {385-390}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7177.1070}, abstract = {AbstractPurpose: To assess the different dimensions, and the volume of the maxillary sinuses using Cone Beam Computed Tomography (CBCT). Explore whether these parameters can be used to gender determination. Material and methods: Left and Right maxillary sinus images were obtained for one hundred Egyptian patients divided into three age groups and different parameters (width, length, height, area, perimeter and volume) were measured and calculated. Mean value and standard deviation of left and right sides of maxillary sinuses measurements were evaluated and compared. The data was subjected to statistical analysis using independent t and (ANOVA) test. Results: Comparison maxillary sinus (MS) dimensions (width, length, Height, Area, Perimeter, and Volume) between male and female with in same age groups. Showed higher mean values in males. However, this difference showed a statistical significance in height only in all three age groups. Conclusion: Maxillary sinus height can be used as a support in forensic anthropology for sex identification.}, keywords = {Maxillary sinus,Cone beam computed tomography,gender determination}, url = {https://adjg.journals.ekb.eg/article_62306.html}, eprint = {https://adjg.journals.ekb.eg/article_62306_da20c5d683c97deaec7500341e538817.pdf} } @article { author = {Hemdan, Soad and abd el-aziz, sahar and El-Sharkwy, Zienb}, title = {Comparative Study Between Monolithic Translucent Zirconia (Y-TZP) and IPS Empress 2 in Marginal Fit and Fracture Strength}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {391-399}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7627.1085}, abstract = {Abstract :Purpose : The aim of this study was to compare between Monolithic Translucent Zirconia (Y-TZP) and IPS e.max press in marginal fit and fracture strength. Materials and methods, forty ceramic crowns were fabricated, : Then divided into 4 groups: Group A: Ten monolithic TZI CAD/CAM zirconia crowns (n=10) Group B: Ten monolithic IPS e.max press crowns (n=10), Group C: Ten veneered ZI CAD/CAM zirconia core (n=10), Group D: Ten veneered IPS e.max press core (n=10),then Each group was subdivided into two subgroups: Subgroup 1: Samples not subjected to thermocycling (n=5) as control. Subgroup 2: Samples subjected to thermocycling (n=5). The crowns were cemented to corresponding epoxy resin dies. The marginal fit was measured and scanned with digital microscope. The fracture strength of restoration was measured by using universal testing machine with a load 5 KN. The obtained data were collected, tabulated and statistically analyzed. Results of marginal fit: Results showed that, the vertical marginal gap values of all groups were within the clinically acceptable range. Results of fracture resistance: The fracture strength of monolithic translucent Y-TZP is (3484.28 N) considerably higher than monolithic IPS e.max press (1515.45 N), followed by veneered ZI zirconia (1483.84 N), and finally veneered IPS e.max press (1091.64 N) after thermocycyling. Conclusions: The vertical marginal gap values observed were all within the clinically acceptable range (120 μm). The monolithic crown groups recorded higher fracture strength than veneered groups.}, keywords = {monolithic,translucent zirconia,e.max,Press,CAD/CAM}, url = {https://adjg.journals.ekb.eg/article_62308.html}, eprint = {https://adjg.journals.ekb.eg/article_62308_0e578c6e9790c8cfd4fcc615c61b8c30.pdf} } @article { author = {mahmoud, manar and Salama, Ahmad and Ibrahim, Samir}, title = {Comparative Study of Maxillary Expansion by Alternate Rapid Maxillary Expansion and Constriction Versus Hyrax Expansion}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {401-408}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.6137.1054}, abstract = {Aim of study: was to evaluate the skeletal and dental effects of maxillary expansion by alternate rapid maxillary expansions and constrictions technique in comparison to conventional RME expansion by Hyrax by using PA cephalometry. Material and methods: Twenty patients with constricted maxillary arch represented with an unilateral or bilateral posterior cross bite were selected with ages ranged from 12-15 years. Patients were divided randomly into two equal groups by computer aided randomization according to the protocol of expansion into (Group I): who received alternate rapid maxillary expansions and constrictions (Alt-RAMEC) protocol and (Group II): who received conventional RME protocol. Results: Skeletally, the Latero-Nasal Width and the Maxillary width recorded higher mean values in Alt-RAMEC group than RME group with statistical significance. Dentally, all linear and angular measurements recorded higher mean values postoperatively in Alt-RAMEC group than RME group with no statistical significance except upper inter-incisal width mesial. Conclusions: Alt-RAMEC protocol produces highly skeletal effects by increasing the nasal width and the maxillary width.}, keywords = {Alt-RAMEC protocol,Maxillary Expansion,Hyrax}, url = {https://adjg.journals.ekb.eg/article_62310.html}, eprint = {https://adjg.journals.ekb.eg/article_62310_a4e89d9df8d8f5c8b8bfe9b98b89938d.pdf} } @article { author = {elwaseef, safwat and Kamel, Wael and Ahmed, Mahmoud}, title = {Cytotoxicity Evaluation of Three Biocompatible and Bioactive Retrofilling Materials Using Periodontal Ligament Stem Cells: An In-Vitro Study}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {409-416}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.6359.1108}, abstract = {This study aimed to: evaluate the biocompatibility of Mineral Trioxide Aggregate (MTA) versus Biodentine and Retro MTA extracts at three observation periods (24h, 48h, and 72h) using MTT-Essay.Methods: 72 wells in three culture insert plates were used in this study. MTA, Biodentine and Retro MTA cements were evaluated in a fresh state. Cells at passage four of human periodontal ligament cells were included in this study. After cells preparation and culturing, an extract of the three tested materials was prepared and cultured with the complete media in addition to 1×104 cells were implanted into each well 24 h earlier and incubated in a stem cell incubator. MTT assay was used to evaluate in vitro cytotoxicity, calculated the viable cells by hundred percent using ELISA system and the inverted light microscope used to reassure their confluence. After three different storage times (24h, 48h, and 72h) evaluation of cell viability was done after exposure to the material extract. Results: MTA and Biodentine cement showed no statistically significant differences in all the observation periods. But Retro MTA cement resulted in a statistically significant difference in all the observation periods but none of them below the cut level. All the materials extract resulted in a statistically significant increase in cytotoxicity at 24h and then decrease at 48h and finally a little increase in cytotoxicity at 72h. Conclusions: All the tested materials showed low cytotoxicity and are comparable to the old standard MTA.}, keywords = {MTA,Biodentine,RETRO MTA,Cytotoxicity}, url = {https://adjg.journals.ekb.eg/article_62312.html}, eprint = {https://adjg.journals.ekb.eg/article_62312_ec2bfe72d5027de8342c186448d02505.pdf} } @article { author = {Esmail, Romissaa and Mohamed, Aly and shafik, mai and Shoreibah, Eatemad}, title = {Effect of 5-fluorouracil versus Cisplatin in combination with clove oil in management of Head and Neck Squamous cell carcinoma cell lines}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {417-426}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7420.1075}, abstract = {In an attempt to reduce side effects of cancer chemotherapeutic drugs with the use of the natural product such as clove oil, as it considered that natural resources had always been a better supplement than chemicals in drug manufacture and disease treatment especially that chemicals often have hazardous short or long term side effects. The present study was carried out to compare the effect of combination of clove oil with 5-fluorouracil versus clove oil with cisplatin in management of head and neck squamous cell carcinoma cell lines. Material and methods: All tested sets were examined to evaluate cytotoxic effect of tested drugs by MTT assay, cell cycle analysis and level of apoptosis by flowcytometery. Conclusion: The cell cycle analysis demonstrated that the combination of cisplatin and clove oil exhibited an increase in the percentage of cell growth arrest during the G2/M phase compared to other tested and it exhibited an increase in the percentage of apoptotic cells during the Pre-G1 phase compared to other tested sets.}, keywords = {5-FU,Cisplatin,Clove oil,Head and neck cancer cell line}, url = {https://adjg.journals.ekb.eg/article_62314.html}, eprint = {https://adjg.journals.ekb.eg/article_62314_aca209eeab0cfc5e201bc9c5be73dce5.pdf} } @article { author = {Elkholy, Amany and Abd El-Moniem, Nahed and Hassan, Suzan and Enite, Ashraf}, title = {Effect of Plasma Rich in Growth Factors Intra Articular Injection in Management of Patients with Internal Derangement of TMJ Using CT Guided Puncture versus Conventional Technique}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {427-435}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7899.1119}, abstract = {Purpose: To evaluate effect of PRGF intra articular injection in patients with internal derangement of TMJ using CT guided versus conventional puncture technique. Materials and methods: Twenty patients with internal derangement without improvement by conservative treatment were divided into two groups: Group I: ten patients underwent arthrocentesis followed by PRGF injection using conventional puncture by anatomical landmarks. Group II: ten patients underwent arthrocentesis followed by PRGF injection using landmark and confirmed by CT. All patients were assessed preoperatively and postoperatively at 1week, 3 and 6 months for pain level, maximum interincisal opening, lateral, protrusive movements, joint tenderness and disk position with MRI after 6 months. Results: In both groups, all clinical variables showed statistical significant discrepancy postoperatively, the discrepancy between both groups was not statistically significant and MRI showed no statistical significant change in disc position. Conclusion: CT confirmed accurate position and depth within TMJ upper compartment in different views, allowed correction with less puncture trials and decreased learning curve of TMJ puncture but it is expensive, time consuming and not available in clinics. Anatomical landmarks is easy and representable method for TMJ puncture but blind technique and needs skill. Single injection of PRGF found efficient in the treatment of internal derangement of TMJ.}, keywords = {PRGF,CT,Arthrocentesis,TMJ internal derangement}, url = {https://adjg.journals.ekb.eg/article_62316.html}, eprint = {https://adjg.journals.ekb.eg/article_62316_98135cf41c560ee193782b2b805cbb68.pdf} } @article { author = {faiek, asmaa and EL-Malt, Magda and ali, haneya and Mohamed, Eman}, title = {Evaluation of Antimicrobial Efficacy of Chitosan as Root Canal Irrigant on Enterococcus faecalis}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {437-443}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7808.1103}, abstract = {Purpose: To evaluate the antimicrobial effect of chitosan as root canal irrigant on Enterococcus faecalis in comparison to 3%NaOCL in experimentally infected primary anterior root canals. Materials and methods: Access cavity and mechanical preparation of root canals of 30 extracted primary anterior teeth which were then sterilized at autoclave at 1210 for 15 minutes. These teeth inoculated with Enterococcus faecalis with reference strain ATCC 19433.Then grouped into three groups which were irrigated with 3%NaOCl, 0.5% chitosan and saline respectively. Samples were cultured on bile auscline agar incubated at 370 for 24 hours. Counting of colony forming units formed before and after irrigation was performed. Results: Chitosan had higher antimicrobial effect than saline and lower than NaOCl. Statistical analysis between the groups revealed that there was a statistically significant difference between the three irrigants (P-value = 0.001). Conclusion: Chitosan solution can be used as a natural alternative to sodium hypochlorite in root canal irrigation, but may need to increase its concentration or the time of application inside the root canals and also should be supported by in vivo studies.}, keywords = {Enterococcus faecalis,Sodium Hypochlorite,Chitosan}, url = {https://adjg.journals.ekb.eg/article_62318.html}, eprint = {https://adjg.journals.ekb.eg/article_62318_330751a3405e3a80fb35f27c7dacd997.pdf} } @article { author = {abd elsalam, gehad and El-Shal, Ossama and Shaaban, Afaf}, title = {Evaluation of Different Mandibular Measurements by Cone Beam Computed Tomography as A Forensic Age & Gender Determination Tools.}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {445-452}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7749.1098}, abstract = {AbstractPurpose: The aim of the study was to analyze and assess the different dimensions of the major mandibular land marks using CBCT and also to analyze whether these parameters can be used in sexual dimorphism for forensic identification. Material and methods: retrospective study: included 102 patients (51 males and 51 females), with age group ranging between 20 and 50 years obtained from the outpatient department of oral medicine, periodontology, oral diagnosis and radiology, Faculty of Dental Medicine, Al-Azhar University for girls. Patients were divided into two groups according to gender and each group divided into three subgroups according to age. CBCT scan was performed on all the patients, and the data obtained were reconstructed for 3D viewing. After obtaining 3D-CT scan, a total of twelve mandibular measurements, i.e., (Rt, Lt) gonial angle (G-angle), bimental breadth, bigonial width, bicondylar breadth (BIC-Br), and bicoroniod breadth, Rt, Lt mental index, (Rt, Lt) height of mandible from mental foramen, maximum mandibular length were measured and mandibular index calculated; collected data were analyzed using SPSS statistical analysis program by Student’s t-test. Results: The result of the study showed that out of nine parameters, Rt gonial angle, Rt mental index, Rt and Lt height of mandible from mental foramen, bigonial width, bicondylar breadth, bicoroniod breadth, maximum mandibular length and mandibular index showed a significant statistical difference (P < 0.05), with overall accuracy of 83.7% for males and 81.3% for females. Conclusion: Mandibular parameters obtained through CBCT can aid in sex identification with much higher accuracy.}, keywords = {sex determination,mandibular measurements,CBCT,Forensic dentistry,Sexual dimorphism}, url = {https://adjg.journals.ekb.eg/article_62321.html}, eprint = {https://adjg.journals.ekb.eg/article_62321_60defdc4f248845c7f133c0aabc81bfd.pdf} } @article { author = {El sayed, Safaa and Fawzy, Mervat and Hassan, Mohamad}, title = {Evaluation of Medicinal Plant Extract Versus Traditional Medicament Used for Vital Pulpotomy of Primary Molars}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {453-459}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7686.1090}, abstract = {Purpose: To evaluate clinically, radiographically and histologically the postoperative success of Ankaferd Blood Stopper (ABS) and formocreosl (FC) in pulpotomy procedures for primary teeth. Materials and Method: 70 Primary molars found in 27 patients were selected according to inclusion criteria. In the first part of the study pulpotomy was accomplished in 22 patients having 60 teeth (30 each group) and depending on the type of radicular pulp medicament, the teeth were divided randomly and equally into 2 groups: Group I(FC) and Group II (ABS). Clinical follow up was done after 1,3,6 and 9 months.Periapical radiographs were taken at 3 ,6 and 9 months follow up visits . In the second part of the study 10 primary molars were found in 5 patients planned for extraction due to orthodontic purpose were treated by pulpotomy procedure. Teeth were divided into2 groups(5 each group) and the teeth were extracted after 2 months for observation under light microscope. Results: No statistically significant difference between groups in the overall cumulative clinical or radiographic success at follow up periods. Histopathological examination revealed dentin bridge formation and continuous regular arrangement of odontoblastic layer at the pulp dentin junction along the root length in primary molars treated with ABS while FC specimens revealed Severe pulp hyperemia with thrombus formation at the entrance of pulp canal. Conclusion: ABS can be considered as good natural alternative to FC in primary molars pulpotomy.}, keywords = {Ankaferd blood stopper,primary teeth,Pulpotomy,Formocresol}, url = {https://adjg.journals.ekb.eg/article_62323.html}, eprint = {https://adjg.journals.ekb.eg/article_62323_5ef70d7b1012e1bd7fc74340767a1bcb.pdf} } @article { author = {Mahrous, Ayat and Abdallah, Amany and attia, mai and Shoreibah, Etemad}, title = {Evaluation of nonsurgical management of chronic periodontitis patients with chronic kidney diseases using prohepcidin}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {461-465}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7723.1096}, abstract = {ABSTRACTPurpose: This study was aimed to define the effect of nonsurgical periodontal therapy on chronic periodontitis in chronic kidney disease patients and healthy patients by detection of prohepcidin level in the blood. Materials and methods: The study included 20 chronic periodontitis patients that were divided into:-Group I included 10 patients with chronic kidney disease; Group II which involved 10 healthy patients . Chronic periodontitis was defined through probing pocket depth and by clinical attachment level. All clinical and biochemical parameters were evaluated afterward 3 months of non-surgical periodontal cure. Results: The improvement in clinical parameters showed the efficacy of NSPT in both groups. The periodontal therapy was the cause to reduce prohepcidin level in both groups and a higher reduction in CKD group in comparison to control group at baseline and after 3 months. Conclusion: By reduction in serum prohepcidin and systemic inflammatory response, nonsurgical periodontal treatment has proved to be an effective method to control inflammation seen in patients with CKD.}, keywords = {Chronic Periodontitis,nonsurgical management,Chronic Kidney Disease,prohepcidin}, url = {https://adjg.journals.ekb.eg/article_62324.html}, eprint = {https://adjg.journals.ekb.eg/article_62324_3e3b7a0e44a9f4a2c2b45dc45d3b1bb8.pdf} } @article { author = {El-Sharkawy, Manal and El- Malt, magda and Mostafa, Mohamad}, title = {Evaluation of the Antimicrobial Effect of Pomegranate Extract on Streptococcus Mutans}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {467-473}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7614.1084}, abstract = {Purpose: This study was conducted to evaluate the effect of two mouth rinses (pomegranate fresh juice and pomegranate peel extract), against chlorhexidine mouthwash on salivary S.mutans count in a group of Egyptian children. Materials and Methods: A total of 45 Egyptian children from both sex were included in this study. Children age ranging from 5 to 10 years old in a good physical condition. Children randomly were distributed into three Groups A , B & C, each of 15 children in each group. Group A (using pomegranate fresh juice): consisted of fifteen children, each participant was instructed to rinse with 35ml of pomegranate fresh juice wash about 2 minutes. Group B (using pomegranate peel extract): consisted of fifteen children, each participant was instructed to rinse with 35ml of pomegranate peel extract wash about 2 minutes. Group C (Control group chlorhexidine mouthwash 0.2%): consisted of fifteen children, each participant was instructed to rinse with 35ml of chlorhexidine mouthwash wash about 2 minutes. Results: There was a significant reduction in mean Streptococcus mutans count in the 3 groups after the study. Conclusions: Pomegranate (peel & juice) mouthwash was successful as an antimicrobial agents. It significantly reduced the total bacterial count in the saliva of children when compared by a potent antiseptic like 0.2% chlorhexidine.}, keywords = {Pomegranate fresh juice,Pomegranate peel extract,Chlorhexidine mouth wash,Oral microorganisms}, url = {https://adjg.journals.ekb.eg/article_62327.html}, eprint = {https://adjg.journals.ekb.eg/article_62327_bff1519c6c71d928aef54acf535a08f5.pdf} } @article { author = {Abdel Hadi, Hend and Mandour, Mona and Mokhtar, Sahar}, title = {Impact of Hydrofluoric Acid Etching Duration on Translucency, Flexural Strength and Surface Topography of Lithium Silicate Based Glass Ceramic}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {475-485}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.6997.1067}, abstract = {Purpose: The purpose of the present study is to assess the effect of different hydrofluoric acid etching durations on the translucency, flexural strength and surface topography of a lithium silicate-based glass ceramic (LS). Materials and Methods: Forty LS (Obsidian) samples will were constructed and divided into four groups (n=10 each) according the duration of hydrofluoric acid (HF) application including group (I); (control) as received samples without surface treatment, group (II); ceramic surfaces etched with HF for 10 seconds; following the manufacturer’s recommendations, group (III); ceramic surfaces etched with HF for 30 seconds and group (IV); ceramic surfaces etched with HF for 60 seconds. All treated samples were evaluated for translucency (TP) using spectrophotometer, flexural strength using universal testing machine and surface topographic analysis using SEM and profilometer. Obtained values were statistically analyzed. Results: The highest mean value of translucency and biaxial flexural strength were recorded at the control group. Values then gradually decreased in the subsequent etching times to reach its lowest level after 60 seconds. While the lowest mean value of surface roughness (Ra) was recorded at control group. The mean Ra value gradually increased with the subsequent increase in etching times to reach its highest level after 60 seconds. Conclusions: Increasing HF acid etching duration negatively affects the translucency of lithium silicate based glass ceramic; while it has no effect on its biaxial flexural strength or its surface roughness (Ra).Key WordsBiaxial flexural strength (FS), LS (Obsidian), surface roughness, translucency.}, keywords = {Biaxial flexural strength (FS),LS (Obsidian),Surface roughness,translucency}, url = {https://adjg.journals.ekb.eg/article_62328.html}, eprint = {https://adjg.journals.ekb.eg/article_62328_0ed545febeda95b81367bc2d4fd1c21d.pdf} } @article { author = {Mostafa, Dina and El-Shall, Osama and Mansour, Mai and Kazem, Hazem}, title = {Relationship between Osteoporosis and Periodontal Diseases after Radiation Therapy}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {487-492}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.7598.1086}, abstract = {Background: The relationship between osteoporosis and periodontitis was valued gradually, but till now the association between them remains a controversial issue, this correlation and potential mechanisms linking of these two bone-loss diseases are still uncertain (1).Aim: Our study was directed to investigate the association between Osteoporosis and Periodontal diseases after Radiation therapy in animal clinically and histologically.Methods: A total of (63), adult female Albino rats of average age of 6 months and average weight (230-250 gm) provided by(NCRRT) were used. The animals were divided into 7 groups of 9 rats each, in group 1, rats were used as control.While, in group 2, the rats received radiation only. In group 3, the rats for this group were injected by Depo-Medrol subcutaneous in a dose of 7 mg/kg once a week for 8 weeks for induction of osteoporosis. In group 4, periodontitis was induced by for this group by a ligature (3-0 silk suture) were placed around the cervix of mandibular incisors. In group 5, the rats received radiation and osteoporosis was induced for this group. In group 6, the rats received radiation and periodontitis was induced for this group. In group7, radiation was received by rats were suffered from osteoporosis and periodontitis.Results: The radiation+periodontitis+osteoporosis group showed the lowest bone density mean value at different intervals of the study. Osteoporosis and radiation group revealed more inflammatory and focal fibrous osteodystrophy than other groups. Osteoporosis and radiation group showed more osteoclasts and more fibrous and thinner trabeculae than osteoporotic group.}, keywords = {Radiation,Osteoporosis,Periodontitis,rat model}, url = {https://adjg.journals.ekb.eg/article_62330.html}, eprint = {https://adjg.journals.ekb.eg/article_62330_977ab2b22bdbdb33ccf2ec5b925bc54b.pdf} } @article { author = {Elbanna, Latifa and Essam, Eman and AL-Yasaky, Mohamed and Katamish, Hisham}, title = {Effect of Different CAD/CAM Techniques on Marginal accuracy, Color matching and Retention of Cemented versus Screw retained Implant-supported Crowns.}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {493-506}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.5480.1019}, abstract = {Purpose: Evaluating the effect of different computer aiding designing/computer aiding manufacturing techniques on marginal accuracy, color matching and retention of cemented versus screw retained implant-supported crowns. Materials and Methods: Thirty six zirconia implant supported crowns were constructed and divided according to mode of retention into two groups (n=18/group);GpI:Implants supported crowns cement retained to customized zirconia abutments. GpII : Implant-supported crowns screwed directly to implant analogs. Each of the two groups were further subdivided according to mode of veneering into three subgroups(n=6/group).(IA)Full Contoured cement retained zirconia crowns (IB)Solid Zirconia copings veneered by Hand layering&(IC)Solid Zirconia coping veneered by Heat pressed ingots.(IIA)Full contoured screw retained zirconia crowns(IIB)&(IIC)Solid Zirconia copings manufactured and veneered as cement retained but they were screwed directly to implant analog. Marginal accuracy, color matching and retention was measured. Results :Press veneered cement retained subgroup(IC)showed the biggest marginal gap value, while full contoured screw retained subgroup(IIA)showed the smallest. Cement retained hand veneered(IB)showed the highest statistically significant color matching acceptance(50% good, 16.67% fair,33.3%adjust).Screw retained group[II] showed statistically significant lower retention mean value than cement retained group[I].The highest statistically significant retention mean value was recorded by press veneered subgroups [C] . Conclusion: While cement retained showed better color matching and resistance to dislodgment than screw retained zirconia CAD/CAM implant supported crowns but the later showed better adaptation. Full contoured showed lowest marginal gap, hand veneered showed highest color matching acceptance and press veneered showed the highest retention mean values.}, keywords = {CAD/CAM Implant superstructure,Veneering techniques,Retention, Color,marginal accuracy}, url = {https://adjg.journals.ekb.eg/article_62333.html}, eprint = {https://adjg.journals.ekb.eg/article_62333_e7cd564b0e115cebb0609d7d93daecb6.pdf} } @article { author = {Elgazzaz, Menerva and Khalifa, Fatma and Amin, Ghada and Elsayed, Shadia}, title = {The Use Of Injectable Platelet Rich Fibrin In The Treatment Of Tempromandibular Joint Hypermobility}, journal = {Al-Azhar Dental Journal for Girls}, volume = {6}, number = {4}, pages = {507-515}, year = {2019}, publisher = {Al-Azhar University, Faculty of Dental Medicine, Girls Branch}, issn = {2537-0308}, eissn = {2537-0316}, doi = {10.21608/adjg.2019.9978.1129}, abstract = {Purpose: A prospective consecutive case series study was performed during the period between December 2014 and July 2017, aimed to evaluate the effectiveness of the use of injectable platelet rich fibrin (PRF) in the treatment of tempromandibular joint hypermobility. Patients and methods: Twelve patients suffering from TMJ hypermobility were treated by PRF intra articular injection twice with one month interval. Patients underwent clinical investigation with complete assessment of pain, frequency of dislocation, range of motion and TMJ sounds, this was preformed pretreatment then on first, third, sixth, and ninth months post treatment. Pre and post radiological CBCT was performed to assess the degree of capsular and ligamental laxity (DCLL), and the Condylar position (CP) at maximum range of motion. Results: The results of the study showed that PRF had a highly significant positive effect on the clinical signs and symptoms of TMJ hypermobility over the first 6 months postoperatively, but at 9 months, the results were not sustained on the same clinical improvement level. Conclusion: The injection of PRF is an effective, minimally invasive method that could be used for treatment of TMJ hypermobility by improving capsular and ligamental integrity. Additionally, it significantly improves all signs and symptoms up to 6 months since the TMJ injection, so it is recommended to repeat the procedure yearly.}, keywords = {TMJ hypermobility,Arthrocentesis,PRF,CBCT}, url = {https://adjg.journals.ekb.eg/article_62335.html}, eprint = {https://adjg.journals.ekb.eg/article_62335_2530e2348a6f1bc8a024133197f5872b.pdf} }