Vol 5, No 3 (Summer 2018)

Review Article(s)

  • XML | PDF | downloads: 289 | views: 622 | pages: 99-104
    Compression molding with heat activation for resin polymerization is the conventional method for processing acrylic resin in removable and maxillofacial prosthesis. Overtime, different processing  methods have been improved to overcome physical and chemical problems in cured resin with  conventional technique. Enough knowledge about each method is necessary for both dentist and  laboratory technician. The aim of this study is review the improved techniques for curing resin  and comparison between them. An online search of PubMed, Scopus, Science Direct, and Google  Scholar was conducted using key words “denture possessing technique” and “acrylic resins” from  1970 until September 2018. The most common and successful techniques are injection molding  and conventional methods. CAD/CAM technologyis especially useful for maxillofacial prosthesis  but still needs more studies.

Original Article(s)

  • XML | PDF | downloads: 152 | views: 346 | pages: 105-111
    Introduction: Since physicians are frequently the first one to actually provide primary treatment  in case of tooth avulsion, they need to have sufficient awareness in the basic principles of  management this emergency situation. The aim of this study was to evaluate knowledge and self-reported  practice of senior medical students at Tehran University of Medical Sciences (TUMS) about managing tooth avulsion. Materials and Methods: This cross-sectional study evaluated the knowledge and self-reported  practice of senior medical students (n=150) in TUMS towards management of tooth avulsion. A standard anonymous questionnaire obtained from previous studies was distributed among  students. The questionnaire was consisted of questions on backgrounds (age, gender, previous encounter with tooth avulsion, previous education on management of traumatic dental injuries-TDIs); knowledge, and self-reported practice regarding tooth avulsion management; and satisfaction (self-competency, importance of educational programs, knowledge self-assessment, and willingness for further education). After collecting the questionnaires, the answers were scored and results were analyzed using descriptive statistics, linear regression model and Pearson correlation coefficient. Results: Totally, 126 questionnaires were collected (Response rate= 84%) of whom 49 (%38.9) were male and 77 (%61.1) were female, with the mean age 25.1±1.2. Previous encounter with tooth avulsion was reported by 18 students (14.3%). Only five students (%4) had received education regarding TDIs. The knowledge, and self-reported practice mean score were 3.82±1.29 (out of 12), and 4.44±0.7 (out of 8), respectively. None of background variables had a significant relationship with the knowledge, and self-reported practice mean scores. There was no correlation between students’ knowledge and self-reported practice. More than 97% of students reported low/very low self-competency for replantation of an avulsed tooth. Majority of the participants (%84.2) were dissatisfied with their level of knowledge and suggested that further education on the topic should be offered. Conclusion: The results indicated that there is a need to improve the knowledge of medical students regarding management of traumatic dental injuries.
  • XML | PDF | downloads: 152 | views: 337 | pages: 112-118
    Purpose: This study determines the effectiveness and/or necessity of applying postoperative  antibiotics in the treatment of mandible fractures. Materials and Methods: This is a randomized, double-blind clinical study using a placebo control. 65 patients diagnosed with mandibular fractures underwent open reduction and internal fixation surgery. The patients were randomly divided into 2 groups: antibiotic group (38 patients) and placebo group (27 patients), based on whether or not they received postoperative antibiotics. Both groups received preoperative as well as intraoperative antibiotics on the day of surgery. The antibiotic group was postoperatively given clindamycin 600 mg IV every 8 hours for 5-7 days. The placebo group received placebo using the same schedule for the same duration as the antibiotic group. Follow-up examination was performed at discharge, 2 and 3 weeks, postoperatively. Results: A total number of 65 patients participated in this study; 50 (76.9%) males and 15 (23.1%) females. The evidence of surgical site infection was noted in 24 out of 65 patients within 3 weeks post-operation totally, 13 out of 38 patients in the antibiotic group (34.3%) and 11 out of 27 patients in the placebo group (40.7%) had evidence of surgical site infections. No statistically significant difference in the incidence of infection was noted between the groups (p<.368). Conclusion: This study could not statistically prove any beneficial effect for post-operative administration of antibiotics in patients undergoing open reduction and internal fixation of mandibular fractures.
  • XML | PDF | downloads: 162 | views: 344 | pages: 119-124
    Background: Squamous cell carcinoma (SCC) is the most common head and neck cancer. According to the role of epidemiological data in planning and effective interventions, the aim for the current study was a five-year review of oral squamous cell carcinoma. Materials and Methods: In this cross-sectional study, the data was derived from 76 recorded files of patients with oral SCC (OSCC) in Shariati hospital at the Tehran University of Medical Sciences from 2010 to 2015. The data included demographic variables, risk factors and lesion characteristics. The collected data has been analyzed by SPSS software and descriptive analysis was presented. Results: In this study 52 patients were male (68.4%) and 24 patients were female (31.6%). The mean age of patients was 60.5 ± 12.80 years. The prevalence of OSCC among men was 2.2 times more than women. The most common sites of tumor were buccal mucosa (36.8%) and then mandibular ridge (34.2%) and the most common clinical symptoms of tumor were painful tooth/teeth which are not mobile (69.7%) and ulcer (64.5%). Based on histological grading, 64.5% of patients had well-differentiated lesions. Conclusion: The results of this study indicate that OSCC was more common in men and seniors. It also has involved buccal mucosa and mandibular ridge. The majorities of OSCC lesions were well-differentiated in the oral cavity, and were in stages two and three in TNM system.
  • XML | PDF | downloads: 173 | views: 371 | pages: 125-130
    Bone grafting is an appropriate solution for treatment of some cases of bone defect. Till now, different method and biomaterial has been described for bone grafting. According to structural similarities between bone tissue and tooth structure and some successful studies on application of autogenous bone graft materials, we decided to use this biomaterial to treat a bone defect resulting from tooth extraction. In this case, a healthy 36-year-old man visited us for extraction of the left mandibular first molar. In order to preserve the tooth socket, we used the patient’s own extracted teeth instead of using routine bone graft materials. The tooth powder processed by the device called the BONMAKER and placed in the socket. After 4 mouths, the radiographic evaluation showed a good bone density. Fixture placement and prosthetic restoration were done and the patient’s 5-year follow-up showed good aesthetic, excellent osseointegration and little to no bone resorption, indicating the reliability of this autogenous graft material.

Case Report(s)

  • XML | PDF | downloads: 140 | views: 333 | pages: 131-135
    Ameloblastic fibro-odontoma (AFO) is an uncommon benign mixed odontogenic tumor. AFO presents as a painless swelling in the posterior of mandible or maxilla that radiographically shows a well-defined radiolucent area containing various amounts of radiopaque deposits. Most cases occur before 20 years of age, with the average age of diagnoses being 9 years. This case report describes AFO affecting anterior mandible in the 29 month old girl. The lesion was surgically excised, and no recurrence was observed on 2 month follow-up.
  • XML | PDF | downloads: 139 | views: 318 | pages: 136-138
    Oral lichen planus (OLP) is a chronic autoimmune cell-mediated disease affecting mucocotaneous tissues of oral cavity. Recent studies revealed that psychological stress may act as a trigger to initiate clinical symptoms. An 8-year-old girl complaining of oral ulcer, pain and irritation in mouth with onset of 3 months ago, was admitted to oral medicine department. Her medical history was negative except for severe psychological trauma in last 6 months. Intraoral examination showed bluish purple atrophic erosive striations with hyperkeratosis. Pathological study of buccal lesions confirmed OLP diagnosis. As all primary investigations were negative; psychogenic origin was suspected. Although it is rare for a child to have OLP but it should be taken into consideration in differential diagnosis of red and white oral lesions in children. Huge impact of psychological factors in the occurrence of oral diseases have suggested that they should be treated in combination with psychotherapy.
  • XML | PDF | downloads: 204 | views: 376 | pages: 139-142
    Maxillary sinus mucocele is a benign uncommon cyst which is caused by the progressive accumulation of mucous. It presents with a slowly expanding growth and is asymptomatic at the beginning.Its signs and symptoms are nonspecific and mostly due to pressure effects on the orbit or other facial structures. The etiology of sinus mucocele formation is not well knowm. However, it is proposed that its formation might be due to obstruction of the ostium by inflammation or previous procedures such as Caldwell–Luc surgery. Endoscopic marsupialization of the mucocele is the procedure of choice, even though complicated cases are best treated by intraoral open procedures. We present a case of huge maxillary mucocele with a historyof previous maxillary sinus surgery. Presentation and classic treatment are discussed.