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1.
Journal of the Royal Medical Services. 2016; 23 (1): 76-82
en Inglés | IMEMR | ID: emr-180477

RESUMEN

Objective: to assess the prevalence of oral manifestations in children with acute lymphoblastic leukemia receiving chemotherapy and to investigate the significance of independent risk factors such as age, gender, oral hygiene status on the development of oral complications in these patients


Methods: this descriptive study was conducted by recruiting a total of 58 patients diagnosed with acute lymphoblastic leukemia aged 5-12 years. Patients were examined in the dental clinic during the period between February 2013 - May 2013. A clinical examination was conducted using plain mirror under artificial light, Loe and Silness gingival index was used to describe the gingival condition, while oral hygiene was evaluated according to OHI-S index. Information regarding oral hygiene habits was collected and mucositis and infection were recorded if present


Results: a total of 58 subjects 22 females and 36 males were included in this study. Prevalence of oral manifestations was [84.5%] for gingivitis; [37.9%] for mucositis; [27.6%] for candidiasis; [77.6%] for dry lips and [3.3%] for coated tongue. A strong correlation was found between poor oral hygiene and the development of gingivitis, mucositis and candidiasis


Conclusion: poor oral hygiene was important risk factor for the development of gingivitis, mucositis and candidiasis, therefore professional oral care is strongly recommended before, during and after chemotherapy and follow up to prevent and control oral manifestations

2.
Journal of the Royal Medical Services. 2011; 18 (1): 45-51
en Inglés | IMEMR | ID: emr-109352

RESUMEN

To assess the dimension and types of root trunk of mandibular and maxillary first molars and their influence on the diagnosis and management of molars with furcation involvement. A total of 105 extracted first molars were used in this study. Included teeth comprised 41 maxillary first molars, and 64 mandibular first molars. For each tooth, the vertical dimensions of the root trunk and root length were assessed with a micrometer caliber. The types of root trunk were classified according to the ratio of root trunk height to root length into types A, B and C. Types A, B and C are defined as root trunks involving the cervical third or less, up to half of the length of the root, greater than the apical half of the root respectively. The length of root trunk and the prevalence of different types of root trunk in maxillary and mandibular molars were analyzed. The percentage of root trunk to root length was also calculated. Root trunk types A, B and C accounted for 34.9%, 61.8%, and 3.3% of maxillary molars; 62.5%, 37.5%, and 0% of mandibular molars respectively. In maxillary molars, the prevalence of type-A was found to be 39.1% and 41.4% on the buccal and distal root trunks respectively, while less than that on the mesial root trunk [24.4%]; the greatest prevalence of type B was found on mesial root trunk [75.6%] while type C was found only on the distal root trunk [9.8%]. In mandibular molars, the type-A was found on buccal root trunk and lingual root trunk with a higher prevalence [73.4%, and 51.6%] than type B [26.6% and 48.4%] while no root trunk type C was found in lower molars. The mean root trunk dimension for maxillary molars was 4.9, 4.31, and 3.9mm for the mesial, distal and buccal respectively, while for mandibular molars 3.7mm for the buccal and 4.3mm for the lingual. It was also noted that as the mean root trunk increased, the mean root length decreased. Awareness of root trunk type and dimension may help the practitioner in the diagnosis, treatment plan, and prognosis of periodontally involved molars


Asunto(s)
Defectos de Furcación , Diente Molar , Periodoncia
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