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INTRODUCTION AND IMPORTANCE: Pentaloy of fallot (POF) is a congenital cardiac anomaly that includes ventricular septal defect (VSD), pulmonary stenosis (PS), overriding of the aorta, and right ventricular hypertrophy. Dextrocardia, on the other hand, is a congenital condition in which the heart is right-sided. Rarely, both of these conditions can coexist. In this case, we report the 20-year follow-up results for the successful management of POF coexisting with Dextrocardia and other anomalies, which is the first described case in the literature. CASE PRESENTATION: A 3.5-year-old boy was admitted to the hospital with the main complaint of cyanosis and dyspnea. He was diagnosed with POF. Intraoperative inspection further revealed a Double outlet right ventricle (DORV), and other cardiac anomalies. Total repair surgery was successfully performed. Follow-up results showed a normal postoperative status with no abnormalities. Mild exertional dyspnea was noted after 20 years, but the patient is currently in good health. CLINICAL DISCUSSION: The coexistence of multiple congenital cardiac anomalies can make it challenging to be completely diagnosed, and for this purpose, different preoperative studies are recommended, like Echocardiography, cardiac catheterization, and Transabdominal echography. For the treatment of POF, pulmonary valve-sparing techniques have shown better long-term results, making them the preferred choice over other techniques. CONCLUSION: Very few cases reported the occurrence of Dextrocardia with POF and additional cardiac anomalies. Echocardiography and Transabdominal echography play a very important role in the preoperative diagnosis of such complex cases. Surgery is the standard treatment for these congenital malformations.
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OBJECTIVE: This study was performed to evaluate the bond strength of repaired three types of composite resins under various hyperbaric oxygen (HBO) profiles with various session numbers. MATERIALS AND METHODS: Sixty specimens of three types of composite resin (nanofilled composite, nanohybrid composite and microfilled composite) each type of composite was divided into four group according to various profiles of HBO treatment (control, 2bar, 3 bar and 5 bar). Then, the specimens were repaired; thermocycled, the tensile bond strength were measured. Then the data were analyzed by One-way ANOVA followed by Tukey's post hoc test (α = 0.05). RESULTS: The highest bond strength was obtained for the repaired nanofilled composite resin specimens while; the lowest bond strength was obtained for the repaired microfilled composite resin specimens. The highest tensile bond strength was recorded for the specimens who treated with the highest pressure of HBO. CONCLUSION: The bond strength of repaired nanofilled composite resins is better than the other types of composite resin. The highest pressure of HBO, the highest bond strength of repaired composite resins.
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BACKGROUND: Guided tissue regeneration (GTR) is often incorporated in regenerative periodontal surgical procedures. However, the actual benefits of adding GTR to such a procedure remain undocumented. The purpose of this randomized controlled trial was to investigate the contribution of GTR to the outcomes of open flap debridement (OFD) in the treatment of intrabony defects. MATERIALS AND METHODS: A total of 16 patients of both sexes satisfying the criteria of chronic periodontitis and each of whom displayed one intrabony defect were randomly assigned to two groups, i.e. either treated with open flap surgery and GTR (group 1) or with open flap surgery alone (group 2), in this parallel-arm study. The soft tissue and hard tissue measurements, including probing pocket depth (PD), clinical attachment level (CAL), and bone mineral density were recorded at baseline and 3,6 and 12 months after surgery. The differences with a P < 0.05 were considered significant. RESULTS: Results showed that the membrane group showed significant difference when compared with open flap surgery alone, in relation to the degree of periodontal pocket, clinical attachment loss, and bone density. CONCLUSION: The findings of this study suggest that biocollagen membrane could be considered as an option in the treatment of intrabony defects. Biocollagen membrane alone gives favorable clinical results in the treatment of intrabony defects. Open flap debridement resulted in acceptable clinical results in the treatment of intrabony defects.
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OBJECTIVES: The aim of this study was to evaluate the effects of three different polishing systems on the surface roughness of three types of resin composite materials. MATERIALS AND METHODS: Three types of resin composites (Heliomolar flow, TPH spectrum, and Tetric Ceram HB) and three polishing systems (Astropol, Enhance, and Soflex) were used. A total number of 40 samples were prepared from each one of the restorative materials and divided randomly into four groups (n = 10) according to the polishing procedure. The first group underwent no treatment and was used as a control group. Each one of the remaining groups was polished with one of the tested polishing systems. After completion of sample preparation, the mean surface roughness (Ra) value was measured using a surface profilometer. Data were analyzed using one-way analysis of variance (ANOVA). RESULTS: The control group of each material recorded the lowest Ra value. Among the tested polishing systems, the groups finished with Soflex system exhibited the lowest Ra value. Among the resin composites, Heliomolar flow exhibited the lowest Ra value, regardless of the polishing system used. CONCLUSIONS: The smoothest surface of all types of resin composite was achieved under Mylar strip.