Predictive Accuracy of Mandibular Ramus Flexure as a Morphologic Indicator of Sex Dimorphism in Jordanians / Exactitud Predictiva de la Flexura de la Rama Mandibular como Indicador Morfológico de Dimorfismo Sexual en Jordanos

The present study investigated the validity of mandibular ramus flexure in sex differentiation among young Jordanian adults using Orthopantomographic images in a double blind study. A normative sample comprised of 419 images was selected, of which 126 belonged to male patients and 293 images to females. The exclusion criteria used in the selection involved excluding images that showed marked loss of mandibular molars, over erupted, tilted, anomalous molars and teeth or mandibles associated with pathology. Each image was examined for the presence of a flexure on the posterior margin of the ramus at the occlusal plane. The posterior margin of the ramus was carefully traced graphically and the occlusal plane level was delineated as guided by the height of cusp tips at the occlusal surfaces of the mandibular molars. The ramus flexure was more accurately diagnostic for females (94.6%), than for males (47.6%); this gave rise to an overall diagnostic accuracy of 70.9% which is far below the reported 90.6-99.0% by Loth & Henneberg. Our results, however, agreed with some reported findings of other researchers. In conclusion, ramus flexure provides a moderately acceptable predictive accuracy and could be considered as a supplementary rather than a definitive mean of sex determination. In sexing unknown skeletal remains, it is necessary to employ as many methods or traits as possible instead of relying on one morphological trait.

El presente estudio investigó la validez de flexura de la rama mandibular en la diferenciación sexual entre adultos jóvenes jordanos utilizando imágenes de ortopantomografías, en un estudio doble ciego. Se seleccionó una muestra normativa compuesta de 419 imágenes, de las cuales 126 pertenecían a hombres y 293 a mujeres. Se excluyeron imágenes que mostraron una pérdida marcada de los molares mandibulares, dientes sobre erupcionados o inclinados, molares anómalos y los dientes o mandíbulas con enfermedad. Cada imagen fue examinada para detectar la presencia de un ángulo en el margen posterior de la rama en el plano oclusal. El margen posterior de la rama mandibular fue trazado gráficamente y el plano oclusal se delineó estableciendo como guía la altura de las puntas cuspídeas en las superficies oclusales de los molares mandibulares. La flexura de la rama mandibular fue más precisa en el diagnóstico de las mujeres (94,6%) que para los hombres (47,6%); con una precisión diagnóstica global del 70,9%, la cual es inferior a la reportada por Loth & Henneberg entre 90,6­99,0%. Nuestros resultados, concuerdan con algunos hallazgos reportados por otros investigadores. En conclusión, la flexura de la rama mandibular proporciona una exactitud de predicción moderadamente aceptable y podría ser considerada como un complemento en lugar de un medio definitivo de la determinación del sexo. En restos óseos desconocidos, es necesario emplear la mayor cantidad de métodos o rasgos posibles que depender de un solo rasgo morfológico.

Burnout among clinical dental students at Jordanian universities.

Dentistry is a profession demanding physical and mental efforts as well as people contact, which can result in burnout. The level of burnout among 307 clinical dental students in 2 Jordanian universities was evaluated using the Maslach Burnout Inventory survey. Scores for the inventory's 3 subscales were calculated and the mean values for the students' groups were computed separately. Dental students in both universities suffered high levels of emotional exhaustion and depersonalization. The dental students at the University of Jordan demonstrated a significantly higher level of emotional exhaustion than their counterparts at the Jordan University of Science and Technology.

Burnout among clinical dental students at Jordanian universities

Dentistry is a profession demanding physical and mental efforts as well as people contact, which can result in burnout. The level of burnout among 307 clinical dental students in 2 Jordanian universities was evaluated using the Maslach Burnout Inventory survey. Scores for the inventory's 3 subscales were calculated and the mean values for the students' groups were computed separately. Dental students in both universities suffered high levels of emotional exhaustion and depersonalization. The dental students at the University of Jordan demonstrated a significantly higher level of emotional exhaustion than their counterparts at the Jordan University of Science and Technology

Antimony-resistant Leishmania donovani in eastern Sudan: incidence and in vitro correlation

A longitudinal study was done in a leishmaniasis -endemic region in eastern Sudan during the period November 2001-February 2003 to determine the incidence of failure of sodium stibogluconate treatment. We studied 820 confirmed visceral leishmaniasis patients. All were treated with sodium stibogluconate, 20 mg/kg body weight for at least 28 days. Parasites were isolated from lymph node aspirates from 22 participants identified as relapsed patients. All isolates were typed as Leishmania donovani based on polymerase chain reaction [PCR] amplification of parasite kDNA. Six parasites showed in vitro resistance to sodium stibogluconate using murine J774 macrophage amastigote testing method. The resistant isolates showed different restriction profiles when the amplified kDNA PCR products were digested with ALU1 restriction enzyme, indicating that resistance was mediated by different parasite clones

Oral health status of workers exposed to acid fumes in phosphate and battery industries in Jordan.

OBJECTIVES: To investigate the prevalence and nature of oral health problems among workers exposed to acid fumes in two industries in Jordan. SETTING: Jordan's Phosphate Mining Company and a main private battery factory. DESIGN: Comparison of general and oral health conditions between workers exposed to acid fumes and control group from the same workplace. SUBJECTS AND METHODS: The sample consisted of 68 subjects from the phosphate industry (37 acid workers and 31 controls) drawn as a sample of convenience and 39 subjects from a battery factory (24 acid workers and 15 controls). Structured questionnaires on medical and dental histories were completed by interview. Clinical examinations were carried out to assess dental erosion, oral hygiene, and gingival health using the appropriate indices. Data were statistically analysed using Wilcoxon rank-sum test to assess the significance of differences between results attained by acid workers and control groups for the investigated parameters. RESULTS: Differences in the erosion scores between acid workers in both industries and their controls were highly significant (P<0.05). In both industries, acid workers showed significantly higher oral hygiene scores, obtained by adding the debris and calculus scores, and gingival index scores than their controls (P<0.05). The single most common complaint was tooth hypersensitivity (80%) followed by dry mouth (77%) on average. CONCLUSION: Exposure to acid fumes in the work place was significantly associated with dental erosion and deteriorated oral health status. Such exposure was also detrimental to general health. Findings pointed to the need of establishing appropriate educational, preventive and treatment measures coupled with efficient surveillance and environmental monitoring for detection of acid fumes in the workplace atmosphere.

Fluoride release from glass ionomer restorative materials and the effects of surface coating.

OBJECTIVES: This in vitro study on fluoride (F) release from conventional and metal-reinforced glass ionomer investigated the following: (1) the release of F in deionized water compared to artificial saliva, (2) the effect of various surface coatings on F release, (3) the uptake of released F by hydroxyapatite, (4) the expression of the release data in a mathematical model, (5) F content in the powders and set materials, and (6) surface morphology of varnished and resin-coated specimens. METHODS: Glass ionomer Ketac-Fil (KF), Fuji II (FJ), and Ketac-Silver (KS) were mixed according to the manufacturers' instructions, and prepared into specimens of 137.8 mm2 surface area. All three specimens were suspended in 50 ml of deionized water, artificial saliva, or aqueous solution of hydroxyapatite and submitted to constant agitation at 37 degrees C. In a separate experiment, the specimens were coated with varnish or light-cured bonding resin and tested for F release in solutions similar to those for uncoated specimens. The release of F occurred for 28 days. The concentration of F was measured with F-ion-specific electrode. RESULTS: All tested products showed a strong initial rate of F release which decreased with time until it reached a relatively steady rate after two weeks. The F released from KF and FJ was comparable in both pattern and magnitude. They released approximately four times more F than KS. In all cases, the release of F in artificial saliva was significantly (p < 0.001) less than in deionized water. Surface coating the specimens significantly reduced the F release ( p < 0.05 top < 0.001, depending on the product and type of coating). The inhibitory effect of coating markedly decreased with time. Resin coating reduced F release more than varnish in KF and KS, but not for FJ. Essentially, all F released in aqueous solution was taken up by the hydroxyapatite, with FJ ranking the highest in increasing hydroxyapatite F concentration. Over the 28 days, the quantities of F released from FJ, KF, and KS were, respectively, 3.8, 2.3, and 1.0% of the total F content in the specimens. The F concentration in the set KS was 53.9 and 72.5% of that found in KF and FJ, respectively. The release data as a function of time were best described by the power curve. Micromorphological examinations revealed remnants of surface coatings on specimens after 14 days storage in artificial saliva. CONCLUSIONS: Glass ionomer cements released significantly less F in artificial saliva than in deionized water. Surface coating the specimens substantially reduced F release. These clinically relevant factors were not considered by many in vitro release studies which overestimate the F availability from glass ionomers. A recall appointment 24 h after the placement of glass ionomer restoration should be given for surface finishing.

The level of residual monomer in self-curing denture-base materials.

Because residual monomer may cause tissue irritation, we investigated two self-curing acrylic denture-base materials--one a compression type, and the other a pourable material--by means of gas-liquid chromatography. Both exhibited higher residual monomer levels than did heat-cured acrylics, with thick sections having lower values than did thin sections. The pourable material showed lower values than did the compression variety.

Colour stability of two self curing denture base materials.

It is important that denture base materials should be colour stable, yet some self curing materials do not fulfill this requirement. Two newly introduced materials, one a 'pour type' resin, were investigated using a sophisticated colorimetric instrument to assess colour changes that might result from contact with water and denture cleansers. Both materials showed measurable colour changes following a two week soaking period, but these were barely perceptible to the eye. The possible reasons for colour instability are discussed.

Compatibility of denture cleansers with some new self curing denture base materials.

All denture base materials are subjected to abrasion during function, but this will be greatest under certain denture cleansing regimens. Two new materials, a 'pour type' and a compression moulding acrylic resin were subjected to mechanical brushing with denture cleansers. It was found that abrasion resistance of the two materials was of the same order, and weight loss was greatest with one of the paste cleansers.