Ahmed Naguib Mohamed Hussein

Mohammad M Rayyan, Hanan A Naguib, Hiba A Makarem

01/11/2019

Statement of problem: Removing cemented crowns is usually a complicated procedure that may lead to irreversible damage to the tooth/crown and mostly necessitate remake of crown with added effort for both patient and clinician. Purpose: This in-vitro study evaluated an experimental two-component, screw-retained retrievable crown design in comparison to the conventional design. Materials and methods: A total of 120 extracted maxillary 2nd premolars received root canal treatment and were divided into two groups (n=60 each) according to the crown design they will receive. Gp CC received a threaded modified post, a composite core and a metal coping, while Gp RC received a two-component retrievable crown design. Fracture resistance was assessed by a 90 degrees vertical load to the center of the occlusal surface, using universal testing machine, under a constant crosshead speed of 0.5 mm/min until failure. Microleakage was assessed by placing specimens in methylene blue dye for 12 hours, sectioning the teeth longitudinally, and then examining the sectioned samples under stereomicroscope. Retrievability testing was conducted by 5 prosthodontists who attempted to uncover and unscrew the posts. Data were statistically evaluated using computer software (SPSS version 17; SPSS Inc.). Results: No significant difference between the 2 designs tested regarding microleakage tests (P=.34) whereas the experimental design, was significantly more resistant to fracture and more retrievable than the conventional one (P>.5). Conclusions: The proposed retrievable crown design showed promising results and may be considered as an option to substitute the conventional design. Further studies are needed to confirm that.

Ahmed Naguib Mohamed Hussein

Mohammad Rayyan, Hanane Naguib, Hiba Makarem

01/11/2019

The purpose of the present study was to investigate the fracture resistance of computer aided endo-crowns versus conventional core-supported computer aided full crowns. Ninety human teeth were collected, 30 for each type (maxillary central incisors, maxillary 1st premolars and maxillary 1st molars). Specimens were divided into 3 groups (n=10) according to restoration used: 1) PC: Post-core and crown; 2) NC: Nayyar core and crown and 3) EC: Endo-crown. Each group was further subdivided into 3 subgroups according to the tooth used: I (Incisor), P (Premolar) and M (Molar). For group PC: Fiber post (Radix, Dentsply Maillefer) were cemented using resin cement (Calibra Dual Cure, Denstply Detrey GmbH). For group NC: 3 mm of gutta percha of every canal was removed. For groups PC and NC, after etching and bonding of root-face, transparent core former (Coltène/ Whaledent) was filled with SDR (Smart Dentine Replacement, Dentsply Detrey GmbH) and inverted onto root-face and cured. All specimens were individually scanned and thermocycled for 1000 cycles then submitted to compression test using universal testing machine (Instron 8874; Instron Corp.) Fracture was confirmed by sudden drop in load readings. Subgroup IPC scored the highest mean among group I and subgroup PNC scored the highest mean among group P. One-Way ANOVA detected significant differences among groups I and M with p< 0.05 in I and M groups. Regarding P group, P-value was > 0.05 indicating no significant differences among group. Endocrown showed the highest fracture resistance means in molars, while Nayyar core and crown showed the highest fracture resistance means in premolars. However, post-core and crown revealed the highest fracture resistance means in incisors.

Ahmed Naguib Mohamed Hussein

01/07/2019

Ahmed Naguib Mohamed Hussein

Mohammad M. Rayyan, Nagwa M. Sayed, Rima Abdallah, Essam Osman, Nayer Abo El Saad, Samiha Ramadan

01/02/2019

Statement of problem Although the conventional chemicomechanical cord technique is widely used, packing the cord into the sulcus may cause pain and bleeding. Cordless displacement techniques have been introduced, but a comparison of these systems is lacking. Purpose The purpose of this clinical study was to evaluate the efficiency and gingival response of 4 cordless gingival displacement systems. Material and methods One hundred twenty teeth in 30 participants were allocated to 4 groups according to the material used: Tr (Traxodent; Premier Dental Products Co), Es (Expasyl; Acteon UK), Ez (Expazen; Acteon UK), and Mr (3M Retraction; 3M ESPE). Baseline measurements of periodontal indices and a digital scan were acquired. The cordless displacement pastes were applied according to the manufacturer’s instructions. After removal, a second scan was acquired. Participants were recalled on the 2nd and 14th day to measure periodontal indices and for scans. Screenshots were superimposed to measure changes in the gingiva. Statistical differences among the different materials in achieving lingual and buccal vertical gingival displacement were tested using the related-samples Friedman 2-way ANOVA test by ranks at 3 time points such as immediate, at 2 days, and at 14 days (α=.05). Results Immediate gingival displacement varied with the system used. For horizontal displacement, median values ranged between 150 μm (Tr) and 725 μm (Ez) for buccal displacement and between 93 μm (Tr) and 550 μm (Ez) for lingual displacement. Minimum and maximum displacements also varied and followed a similar trend, with Traxodent providing the lowest displacement. The plaque index and attachment level did not statistically differ before and after the treatment. The periodontal parameters were not statistically significant among the groups at all time intervals, except for the gingival index that increased for all the groups after 2 days. Conclusions Significant differences were found among the 4 tested systems in both vertical and horizontal gingival displacement. Expasyl, Expazen, and 3M Retraction exceeded the 200-μm requirements for horizontal displacement. Traxodent provided the least displacement in both vertical and horizontal dimensions.