CASE REPORT | Jan. 17, 2019
Adenomatoid Odontogenic Tumor-- Unusual Occurence in Posterior Mandible: A Case Report
Dr. Sameera Shamim Khan, Dr. Abhishek Kumar Tiwari, Dr. Attiuddin Siddiqui, Dr. Pratikshya Ghimire
Page no 1-4 |
10.21276/sjodr.2019.4.1.1
The Adenomatoid Odontogenic Tumor (AOT) represents 3% to 7% of all odontogenic tumors and is generally
considered to be an uncommon tumor which occurs mostly in association with an unerupted maxillary cuspid. Some
investigators consider it as a benign neoplasm, while others categorize it as a hamartomatous malformation due to limited
size and lack of recurrence in most cases. Although AOT was formerly considered to be a variant of ameloblastoma and
was designated as ‘adenoameloblastoma’, its clinical and biologic behaviour indicates that it is a separate entity. This
manuscript describes a rare case of huge Adenomatoid odontogenic tumor occurring in the posterior mandible of a 20
year old male patient.
REVIEW ARTICLE | Jan. 17, 2019
Evidence-Based Approach to Cope with Dental Anxiety and Fear amongst Children, Especially Those with Disabilities through Sensory Adaptive Dental Environment
Fahad Alqabba, Ammar A Siddiqui, Freah Alshammary, Junaid Amin, Nasser Alateeq, Hassaan Anwer Rathore
Page no 5-7 |
10.21276/sjodr.2019.4.1.2
To provide satisfactory dental treatment in almost any child is not less than a challenge. Children with disabilities require
more attention and care to achieve the desired outcome. To enhance the efficiency of dental treatment, measures are
needed to be taken to minimize and ideally eliminate dental anxiety and/or fear among children. To the best of our
knowledge, it is very evident in the available literature that sensory adaptive environment facilitates a great deal in
decreasing dental anxiety, and enhances child cooperation towards treatment. Conversely, in context of Saudi Arabia, we
noticed that in general population almost no one knows about it, as per our experience even majority of dentists were
unfamiliar about sensory adaptation environment in the dental setting. Keeping an eye on severe difficulties in managing
a child with disability, and evident efficiency of sensory adaption environment in reducing anxiety we recommend its use
in government dental hospitals and clinics.
CASE REPORT | Jan. 19, 2019
Oral Management of a Patient with Juvenile Hypophosphatasia: TenYear Follow-Up
Ben Brahim Meriam, Jomaa Nermine, Jemmali Badiaa
Page no 8-13 |
10.21276/sjodr.2019.4.1.3
Hypophosphatasia is a rare inherited metabolic disorder characterized by a deficiency of alkaline phosphatase activity. It
is characterized by a defect in bone and tooth mineralization. There are remarkable dental manifestations, mainly, the
premature loss of fully-rooted deciduous teeth and delayed eruption of permanent teeth. This clinical report describes the
oral management of a patient with juvenile hypophosphatasia, followed 10 years in the department of dentistry at the
Rabta Hospital-Tunis-Tunisia. Removable prostheses were made to establish an acceptable masticatory function, speech,
occlusion and aesthetics for the patient.
ORIGINAL RESEARCH ARTICLE | Jan. 19, 2019
Assessment of Knowledge and Practice of Infection Control Policies in College of Dentistry, Taibah University, KSA
Mohammed Faris Shahadah, Ahmed Bhayat, Anas Osamah Shahadah
Page no 14-17 |
10.21276/sjodr.2019.4.1.4
The study compared the knowledge and practice of dental students regarding infection control policies in College of
Dentistry, Taibah University, KSA. Self-administrated questionnaire were applied to dental students of 3rd, 4th and 5th year
(n = 51). Chi-square test were used for statistical analysis of data. Significance level was set at p < 0.05. The response
rate was 100%. Knowledge of the students regarding infection control policies, none of the respondent obtained a full
score of 13 (highest knowledge). The lowest score obtained (15) and 16% of respondent obtained this score. The
highest score was 23 (poor knowledge). (57%) of third year students had an acceptable score of less than 18. The best
score for fifth year students was 15 (29.4%) and the worst score of 21 was found in two students. The knowledge of
students in relation to their year of study showed no significant differences (P > 0.05). Almost 70% of respondents did not
know the correct procedures to follow after having a needle stick injury. There were no sig- nificant differences (P >
0.05) between the student’s knowledge regarding the procedure to follow after a needle stick injury and the year of study.
After comparing the knowledge of students to their observed practices in the clinics, Two thirds of the students reported
not to wash their hands before and after each patient. (67.6%) of students don’t wash their hands before the procedures
and (15.8%) of students don’t wash their hands after treating patient. More than 90% of respondents who were observed
did not wear goggles whilst treating patients.
ORIGINAL RESEARCH ARTICLE | Jan. 21, 2019
Treatment Decision Based on Radiographic Proximal Caries Lesion Depth and Angle
Dr. Hayfa Khaled BinDayel, Dr. Arwa Khaled Al-Aboodi, Dr. Atheer Ibrahim AlMulaifi, Dr. Rahif Essam Mattar, Dr. Bander Mohammed Al-Abdulwahhab, Dr. Turki Ammash AlOtaibi
Page no 18-24 |
10.21276/sjodr.2019.4.1.5
Objectives: The aim of this study is to establish accurate diagnostic treatment decision threshold of proximal carious
lesion in relation to the angle and depth of radiolucency in radiographic image in Saudi population. Methods: Bitewing
x-rays were examined to detect the level of lesion depth and angle. Criteria for lesion depth were divided into four
categories (E1, E2, DEJ & D). Radiolucincies in the bitewing radiograph extending less than or equal to outer half of
enamel(E1), more than the inner half of enamel and before DEJ(E2), at the Dentinoenamel junction(DEJ), less than or
equal to the outer half of dentin(D). Angle and Depth were also measured using SIDEXIS XG software (Sirona,
Bensheim, Germany). Clinically, cavitation was evaluated at proximal tooth surfaces directly after the extraction of the
adjacent tooth or missing proximal contact with the adjacent tooth due to several different indications (Decayed,
orthodontic reasons, etc.). Independent T-test was used to correlate between (lesion depth & angle of radiolucency) with
clinical cavitation. Chi-square test was used to correlate lesion depth of four categories with clinical cavitation. Results:
116 approximal surfaces with (age mean=31 years old) had (41 cavitated, 75 non-cavitated) proximal surfaces. Premolar
56.9% and Molar 43.1%. There is significant relationship between cavitation and increasing depth in proximal surface
that gave P-value= (0.000). A significant relationship was found between clinical cavitation and the angle of approximal
enamel surface with P-value = (0.024). Conclusion: With limitations in this study, dentists should be aware of contrast of
the approximal lesion angle (determined by three points, most coronal radiolucent point, the deepest axial point and the
most apical radiolucent point) of bitewing x-rays to evaluate operative intervention in proximal surface. The more
increase in angle the less tendency toward cavitation.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Assessment of Knowledge, Attitude and Oral Health Status of the Women Using Oral Contraceptive Pills among Different Socioeconomic Status
Swetha Kardalkar, Harsha Bhayya, Shruti Kardalkar
Page no 25-30 |
10.21276/sjodr.2019.4.1.6
Background: Intra oral changes are seen in various therapeutic drug usage which can be mild to severe. Oral
contraceptive pills (OCP) usage is one among them which causes frequent intra oral changes. Aim of the study was to
assess knowledge, attitude, and oral health status of among women using OCP’s in Kalaburagi district, Karnataka, India.
Methods: A self administered questionnaire was designed and given to women with different socioeconomic background
to assess the knowledge, attitude and oral health status of the women using OCPs. Results: Results in the present study
showed demographic characteristics of patient’s age ranging from 18 year to 41 years. Participants revealed various side
effects of OCP which accounts 41% of general side effects and 47 % of oral complications. Common oral complications
noticed by Participants had experienced bleeding gums, swollen gums and sometimes both with accounted to 23, 9, 17%
respectively. Conclusion: Questionnaire studies designed with clinical examination of oral cavity are required to assess
the oral health status, to create awareness and knowledge regarding oral hygiene.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Gender Based Variations in Morphological Features of Mandible in Digital Panoramic Radiographs - A Comparative Study
Dr. S. Aruleena Shaminey, Dr. G.V. Murali Gopika Manoharan
Page no 31-47 |
10.21276/sjodr.2019.4.1.7
Background: Identification of skeletal remains is of utmost importance in medico- legal investigations. Skeletal
components are often investigated for gender determination the skull and pelvis along with the mandible being a practical
element to analyze gender variation in the fragmented bones of a dense layer of compact bone makes it very durable and
well preserved than any other bone. When sex determination using skeleton is considered, metric analyses on the
radiographs are often found to be of superior value owing to their objectivity, accuracy and reproducibility. Aims And
Objectives: The following were the aims and objectives of our study:- 1) To measure the various morphometric
parameters of the mandible in digital panoramic radiographs, determine variations in the morphometric parameters of the
mandible, based on gender. 2) To correlate these findings in gender determination. 3) To find out which are the most
reliable parameters in gender determination. Materials And Methods: A retrospective study was conducted using
panoramic radiographs of 100 males and100 females, which were taken using Orthophos XG machine 64 KV, 8mA and
14.1 seconds). Twelve parameters such as maximum ramus breadth, minimum ramus breadth, condylar height, projective
height of ramus, coronoid height, height of mandible, superior margin of mental foramen to inferior border, inferior
margin of mental foramen to inferior border, superior margin of mental foramen to alveolar crest, gonial angle,
antegonial angle and antegonial depth were measured on both sides on digital panoramic radiographs .Measurements
were made using mouse driven methods and anatomical landmarks. Statistical analysis was done. Results: There was
significant difference in these parameters with p value < 0.05. Conclusion: This study shows strong evidence that
mandibular measurements using panoramic radiographs were reliable for gender determination and the projective height
of the ramus is the most significant of all the parameters, which may be used for gender determination using the
mandible.
ORIGINAL RESEARCH ARTICLE | Jan. 30, 2019
Influence of Acrylic Resin Polymerization Methods on Residual Monomer Release and Porosity
Khaled Rateb Al-Hallak, Mohammad Zakaria Nassani, Bilal Mourshed, Mohammad Kinan Seirawan
Page no 48-52 |
10.21276/sjodr.2019.4.1.8
Polymerization methods of acrylic resins have considerable effect on physical and mechanical properties like release
monomer and porosity. The aim of this study was to investigate the release of residual monomer and porosity for acrylic
denture base materials processed by different polymerization methods (heat and pour cured). Ten specimens were
fabricated for each test. For release monomer test the samples were analyzed using gas chromatography with a flame
ionization detector and for porosity test it was calculated by measurement of the specimen weight before its immersion in
water and 7 days following immersion in water. Student t- test was performed to study the differences between the mean
ratio of release monomer and porosity in heat-cured and pour-cured acrylic resin. The statistical analysis indicated highly
significant differences in the mean rate of release monomer and porosity between pour-cured and heat-cured acrylic resin
(P<0.001). As a conclusion, pour-cured acrylic processing method was significantly higher than heat-cured one in both
residual monomer content and porosity.