061.
Characterization of endodontic practice
methodology in the city of Jeddah
DR. ZUHAIR
S. NATTO*, DR. KHALED A. BALTO**
*Intern,
**Associate Professor and Head, Division of Endodontics, Department of
Conservative Dental Sciences, Faculty of Dentistry, King Abdulaziz University,
Jeddah, Saudi Arabia
Aims: The aims of this study were to
determine the trends used in endodontic practice by dentists in the city of
Jeddah, Saudi Arabia, which will identify deficiencies and to obtain a base
line data to develop a post-graduate endodontic courses.
Methodology: A questionnaire was distributed to
205 dental practitioners selected at random. The questionnaire consisted of 23
questions and designed to test the awareness of dentist about the new
armamentarium and contemporary techniques in the practice of modern
endodontics. Completed questionnaires were analyzed in term of simple summary
statistic.
Results: A total of 85% practitioners responded. Amongst those 91%
take or update medical history prior to root canal therapy. The majority of
respondents used step-back as a main root canal preparation technique (79%).
47% did not use medications between visits. The cold lateral condensation was
the method of choice for 86%. However, only 3% used magnification devices and 20%
used Electronic Apex Locators to determine the working length. 81% of dentists
always crown root canal treated teeth. Most of dentist (80%) used rotary files
specially profile system. Epoxy resin (AH26, AH Plus) was used by 68% of
dentists as a root canal sealer. This report shows that most dentists in the
city of Jeddah
(89%) manage flare ups by prescribing antibiotics and/or analgesics and 59%
sometimes encounter problems in pain control during RCT.
Conclusions: In Saudi Arabia, there appear to be
fairly good grasping of some of the new trends in the filed of modern
endodontics. However, there also appears to be some traditional trends that
dentists follow during their root canal treatment that is not supported by
scientific evidences.
Saudi Dental Journal
2007;19(SI)-Abstr.061
062.
Efficacy of a new brush -covered
irrigation needle in removing root canal debris:A scanning electron microscopic
study
Dr. UTHMAN E.N.
AL-SULAMI*, Dr. SAMI A. AL-TURAIKI, Dr. SOLIMAN M. AL-HADLAQ**
*Intern, **Assistant
Professor in Endodontics, Department of Restorative Dental Sciences, College of Dentistry, King Saud
University, Riyadh,
Saudi Arabia
The aim of this study is to evaluate
the cleaning efficiency of a new brush-covered irrigation needle the NaviTip
FX. Thirty single rooted teeth with completely formed pieces were divided into
two equal groups and prepared using crown-down instrumentation technique with
0.04 taper profile rotary nickel titanium files. After each rotary file, the
canals were irrigated with 1 ml of 5.25% NaOCI using the needle type designated
for each group. At the end of instrumentation each canal was flushed with 1 ml
of 5.25% NaOCI. The roots were cut longitudinally and each half was divided
into 3 equal parts (apical, middle, and coronal). The samples were then
subjected to scanning electron microscopic (SEM) evaluation. The canals irrigated
using the brush-covered needle (NaviTip FX) showed lower average scores in all
the three thirds compared to the control group. The difference was only
statistically significant in the coronal third. Further development of this
irrigation technique to improve the performance of the NaviTip FX in the apical
and middle thirds is required before it can be recommended for routine use in
endodontics.
Saudi Dental Journal
2007;19(SI)-Abstr.062
063.
Children's perception of
their dentists
Dr. REEM ABU AL-SAUD, Dr. REEM
AL-IDRISI*, Dr. AREEJ AL-OHALI, Dr. MAHA AL-SARHEED**
*Intern, **Assistant
Professor in Pediatric Dentistry, Department of Preventive Dental Sciences, College
of Dentistry, King Saud University, Riyadh, Saudi Arabia
Aim: To identify children's
attitude to a dental visit and their perception of their dentist. Method:
A questionnaire was filled out by 584 female children with age range 9-12 years
in public schools in Riyadh,
Saudi Arabia to
find out how they perceived their dentist.
Results: 78% of the
children had been to the dentist before while 22% had never been to the
dentist. 59.1% of those who had visited
the dentist reported liking their visit, 7.2% didn't like their visit, 15.5%
were afraid. 80.8% of the children preferred their dentist to wear the white
coat, while 50% preferred him/her to wear mask and protective eye glasses as
protective measure during treatment. 82%
of the children preferred their male dentist to wear the traditional head
cover. For clinic design, 76.5 % selected the decorated dental clinic over
plain clinic and that was true among 9-10 years old children (P <
0.05). Fear of local anesthesia and
tooth extraction were the most common reasons cited for not liking to have
dental treatment. Conclusion: 59.1% of female children in this study
liked their visit to the dentist. About
half of the children prefer the dentist to wear white coat and to treat them in
a decorated clinic.
Saudi Dental Journal
2007;19(SI)-Abstr.063
064.
Energy
dispersive X-ray analysis of periodontally diseased and non-diseased human
teeth using scanning electron microscopy
Prof. RITA KHOUNGANIAN**,Prof.
HISHAM IBRAHIM OSMAN*
Professor of Oral Medicine, *Department
Oral and Basic Clinical Sciences, Faculty of Dentistry, King Abdulaziz
University, **Department of Maxillofacial Surgery & Diagnostic Sciences, College
of Dentistry, King Saud University, Riyadh, Saudi Arabia
Progression of chronic inflammatory periodontal disease
leads to loss of periodontal attachment, bone loss and exposure of the
cementum. The treatment of such periodontally involved cementum by root
planning has for long been considered an important part of periodontal therapy.
However, it is unclear how deeper endotoxins penetrate into cementum, in
addition to the structural changes induced by root exposure. This study was
undertaken to evaluate the differences between healthy and periodontally
diseased root cementum including distribution of various elements within
cementum, presence of endotoxins and surface characteristics of diseased
cementum using light microscope, scanning electron microscope and electron
dispersive X-ray microanalysis. In this work, thirty single rooted vital human
teeth were used and classified into two groups, Group I (control) fifteen
periodontally healthy sound teeth and Group II (experimental) fifteen
periodontally diseased teeth. It had been found that the most common elements
detected were P, Ca, Cu, Zn, and Mg. Calcium, phosphorus and magnesium had a
higher value for the diseased teeth (Group II) but the difference was not
significant. The cementum surfaces were generally rough, irregular covered by
bacterial dental plaque displaying multiple resorption areas filled with
bacterial endotoxins. According to this present work, efforts to restore the
biocompatibility of the periodontitis-affected root surface by removal of the
superficial and weakly attached plaque may be the goal of the periodontal
therapy, instead of the total removal of the periodontally involved cementum.
Saudi Dental Journal
2007;19(SI)-Abstr.064
065.
Ellis-Van
Creveld Syndrome. Case report
Dr. HANAA
BANJAR*, Dr. MAGDAA AL-SILMI**, Dr. RASHID AL-ABOUDY**
*General Dentist and Resident, **Specialist,
Pediatric Dentistry, Riyadh Al-Kharj Military
Hospital, Riyadh, Saudi Arabia
The
purpose of this poster is to present the orodigital facial manifestations of
the Ellis-van Creveld Syndrome and to present our experience in providing
dental care. Ellis-van Creveld Syndrome (EVC), also known as
"chondroectodermal dysplasia" is a rare genetic disorder. The
symptoms of EVC syndrome are characterized by short-limb dwarfism. Adults
average about 109-155 cm tall (just under 4 feet to about 53"), polydactyl
(additional fingers or toes), malformation of the bones of the wrist, dystrophy
of the fingernails, partial hare-lip, cardiac malformation, narrow chest with
short ribs, malformed pelvis and often prenatal eruption of the teeth. Dental
features such as congenital missing incisors, anomalous teeth, bilateral
partial clefts of the alveolar bone, shovel-shaped incisors, taurodontism,
talon cusp, reduced crown size, supernumerary tooth, and malocclusion are also
common. Dental treatment must be performed under prophylactic antibiotic
coverage with great emphasis of preventive care. Dentists play an important
role in early diagnosis and control of the dental problem of this condition. Ultrasound
imaging of developing fetuses can reveal the limb shortening and underdeveloped
ribs.
Saudi Dental Journal
2007;19(SI)-Abstr.065
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