Imad Katbeh | People's Friendship University of Russia (original) (raw)
Papers by Imad Katbeh
Èndodontiâ today/Èndodontiâ Today, Jun 12, 2024
Èndodontiâ today/Èndodontiâ Today, Jun 14, 2024
Vestnik Rossijskogo universiteta družby narodov. Seriâ Medicina, Mar 15, 2024
Особую актуальность на сегодняшний день представляет психологическая адаптация ребенка к стоматол... more Особую актуальность на сегодняшний день представляет психологическая адаптация ребенка к стоматологическому приему. Проведен анализ литературы по вопросу роли управления поведением ребенка в детской стоматологии. Рассмотрены причины стоматологического страха, его проявления и последствия. Также, озвучены различные методы адаптации ребенка, и проанализированы результаты исследований, оценивающих эффективность таких методов. Цель исследования -выяснить, какие способы управления поведением ребенка помогут сформировать положительные ассоциации с врачами-стоматологами, а также преодолеть тревожность и страх перед лечением. Материалы и методы. Обзор и анализ литературных источников проводился по ключевым словам на электронных ресурсах баз данных PubMed, Google Scholar, eLibrary, были использованы зарубежные и российские источники. Анализировалась научная литература, напечатанная с 2007 года по 2023 гг. Результаты анализа литературы свидетельствуют о том, что даже самые простые методы взаимодействия с детьми являются эффективными в уменьшении тревожности и боязни перед посещением врача-стоматолога. Кроме того, работа с родителями и использование различных форм интерактивного общения помогает создать положительную атмосферу в стоматологической клинике и формировать положительный опыт у детей. Выводы. В целом, на основании проведенного анализа, можно сделать вывод о том, что контроль поведения ребенка имеет большой потенциал для достижения лучших результатов в работе врача-стоматолога. Развитие и совершенствование методов контроля поведения детей в стоматологии должно оставаться приоритетной задачей для обеспечения более полноценного и эффективного лечения, а также поддержания их здоровья в долгосрочной перспективе. Ключевые слова: игра, страх, стресс, боль, стоматофобия, стоматологическая тревога Информация о финансировании. Авторы не получали финансовой поддержки для проведения исследования, написания и публикации статьи. Вклад авторов. Все авторы внесли существенный вклад в разработку концепции и подготовку статьи, прочли и одобрили финальную версию перед публикацией.
Клиническая стоматология, Sep 23, 2023
аспирант кафедры стоматологии детского возраста и ортодонтии Н.С. Тутуров 1, к.м.н., доцент, зав.... more аспирант кафедры стоматологии детского возраста и ортодонтии Н.С. Тутуров 1, к.м.н., доцент, зав. кафедрой стоматологии детского возраста и ортодонтии С.Ю. Иванов 2, член-корр. РАН, д.м.н., профессор, зав. кафедрой челюстно-лицевой хирургии Е.А. Булычева 3, д.м.н., профессор кафедры стоматологии ортопедической и материаловедения с курсом ортодонтии Д.С. Булычева 1, к.м.н., старший преподаватель кафедры стоматологии детского возраста и ортодонтии И.Х. Катбех 1, к.м.н., старший преподаватель кафедры стоматологии детского возраста и ортодонтии А. Салех 1, ординатор кафедры стоматологии детского возраста и ортодонтии
Стоматология для всех, Jun 27, 2023
Biological age markers in solid-phase structures of the oral fluid. Shabalin V.N., Shatokhina I.S... more Biological age markers in solid-phase structures of the oral fluid. Shabalin V.N., Shatokhina I.S., Shatokhina S.N. Conservative dentistry Mechanical properties of tooth enamel and dentin after etching with citric acid with different concentrations using nanoindentation. Egina D.V., Maksyukov S.Yu., Nektarevskaya I.B. 16 Determination of the type of xerostomia in various somatic diseases. Mokhnacheva S.B., Karimova D.A. Investigation of the effect of natural astaxanthin on cytotoxicity of mesenchymal stromal cells.
Medical science, Jan 16, 2022
The purpose of this study was to compare the efficacy and recovery time of inhalation sedation us... more The purpose of this study was to compare the efficacy and recovery time of inhalation sedation using sevoflurane to intravenous sedation using propofol. Materials and Methods: The study included 46 uncooperative children aged (3-6) year's who needed to undergo dental treatments under deep sedation. They were randomly assigned to two groups, the propofol group (Group P) and the sevoflurane group (Group S). All children were sedated by an anesthesiologist who was independent of dental treatment and was wholly responsible for the sedation procedure until the patient was discharged. The efficacy assessments and depth of sedation evaluation were done using the University of Michigan Sedation Scale (UMSS). After treatment, modified Vancouver Recovery Scale (MVRS) scale was used to determine the recovery time until the patient was discharged. Results: There were no significant differences in efficacy between groups. Statistically significant differences appeared in the recovery time between groups (p = .000). Conclusions: inhalation deep sedation with sevoflurane is an effective as propofol sedation in managing uncooperative children and the recovery of sevoflurane sedation was more quickly than propofol sedation.
International journal of dentistry and oral science, Nov 15, 2021
The presence of a sufficient amount of keratinized tissue around dental implants is directly rela... more The presence of a sufficient amount of keratinized tissue around dental implants is directly related to their success, facilitates the following restorative procedures, and obtains satisfactory cosmetic results. This study aims to investigate the effectiveness and predictability of different treatment modalities to gain keratinized tissue (KT) in partial edentulous jaws prior to dental implant placement; modified free gingival graft (MFGG), and connective tissue graft (CTG). Materials and Methods: A total of 14 (age range between 25 and 58 years) partially edentulous patients (28 sites) with insufficient zones of keratinized tissue at the prospective implant positionswere included in this study, two treatment modalities were performed in the lower jaw: MFGG, and CTG. MFGG and CTG were applied in the premolar and molar positions randomly. Assessed outcomes up to 6 months postsurgery included changes in width and thickness of keratinized tissue. Results: After 6 months of follow-up,changes in keratinized tissue width demonstrated an increase of 2.29 ± 1.6 mm in connective tissue graft, whereas modified free gingival graft showed an increase of 3.95 ± 1.25 mm, on the other hand changes in keratinized tissue thickness demonstrated an increase of 0.85 ± 0.5 mm in connective tissue graft, whereas modified free gingival graft showed an increase of 0.71 ± 0.4 mm. Conclusion: The two methods were suitable to increase the width and thickness of KT over a 6-month period, although CTG alone rendered roughly 34% less gain at KT width compared to MFGG.
Journal of Clinical and Diagnostic Research, 2020
Introduction: Maintaining a vital pulp of immature permanent teeth is an essential and important ... more Introduction: Maintaining a vital pulp of immature permanent teeth is an essential and important requirement for dentin formation. Every effort must be made to preserve the vitality of teeth with incomplete apices to maintain the physiological apex generation process as much as possible. Pulpotomy is considered as one of the successful procedures to maintain this process in immature teeth. Aim: To evaluate the treatment success of pulpotomy of first immature molars with irreversible pulpitis using Platelet-Rich Fibrin (PRF) or Mineral Trioxide Aggregate (MTA) and monitoring the teeth for one year. Materials and Methods: A randomised clinical and radiological double-blinded evaluation was conducted in the Department of Paediatric Dentistry at Damascus University, Damascus, Syria. The research sample consisted of 24 first permanent immature molars in 20 children between age group of 6-8 years. Each of them had at least one first permanent immature molar with irreversible pulpitis. The research sample was randomly divided into two equal groups according to the treatment method: 1) pulpotomy with PRF; and 2) pulpotomy using MTA. Treatment were evaluated through periodic reviews and clinical and radiological examinations of the treated teeth by three specialists to assess treatment success. The treatment outcome was determined in terms of success or failure during two study periods (after six months and after one year). McNemar’s and Chi-square tests were applied using IBM SPSS version 20.0. The significance level was set at p-value <0.05. Results: Chi-square test showed that there were no statistically significant differences in the treatment success or failure between the treatment groups after six months and one year follow-up, p>0.05. After analysing the results statistically using McNemar’s test, it was observed that the treatment success rate after one year (50%, n=6) was lesser than that after six months (100%, n=12) in the MTA treatment group (p=0.031). In the treatment group using PRF, no significant difference (p=0.125) was observed in the success or failure of treatment between the two studied time periods (after six months and one year). Overall, the success rate of MTA was slightly higher than the success rate of PRF at the two study time periods (after six months and one year), the difference however was not statistically significant. Conclusion: Performing first immature molar pulpotomy using MTA had a slightly higher success rate than PRF pulpotomy.
Cureus, Mar 1, 2023
Background Severely damaged primary anterior teeth that require pulp therapy present a high risk ... more Background Severely damaged primary anterior teeth that require pulp therapy present a high risk of failure due to the loss of tooth substance, resulting from pre-existing decay and endodontic therapy. The ideal post material should have physical and mechanical properties similar to those of dentin. Another concern in restoring endodontically treated primary teeth is the need to find a material that can resorb similar to the natural tooth structure as a part of the exfoliation process, allowing normal eruption of permanent successors. Accordingly, there is no such material other than dentin itself. The introduction of biological dentin posts offers an excellent alternative for restoring such teeth. This study aimed to assess the effect of using dentin posts on the pull-out resistance of endodontically treated primary anterior teeth in comparison to glass fiber posts. Methodology A sample of 30 primary anterior teeth was collected from the outpatient clinic of the Pediatric Dentistry Department, Faculty of Dentistry, Damascus University. A total of 15 freshly extracted permanent teeth with single roots were also collected from the outpatient clinic of the Maxillofacial Surgery Department, Faculty of Dentistry, Damascus University. The roots of the permanent teeth were used to prepare 30 dentin posts using a CAD-CAM machine. After receiving proper endodontic treatment, the primary teeth were divided into two groups (15 teeth in each group). The first group was restored with dentin posts, and the second was restored with glass fiber posts, with the posts measuring 3 mm in length for both groups. Pull-out resistance testing was performed using a Testometric machine. Results The arithmetic mean of the forces applied in the glass fiber posts group was 153.2 ± 39.12 N, while the arithmetic mean of the forces applied in the dentin posts group was 156.7 ± 39.78 N. The data were analyzed at a 95% confidence interval using the independent Student's t-test. There were no statistically significant differences in pull-out resistance between the two groups. Conclusions Dentin posts showed a little increase in pull-out resistance than glass fiber posts. Therefore, the use of dentin posts as intracanal retention in primary anterior teeth is a successful alternative for composite posts.
Brazilian dental science, 2022
Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a ... more Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a CMCR agent. Clinical and radiographical evaluations of recurrent caries were made 3 and 6 months after treatment. Material and Methods: A split-mouth designed randomized controlled clinical study was carried out on 40 primary anterior teeth of children aged between 4-7 years. Pepsin enzyme-based gel and Carisolv solution were applied to carious lesions until complete removal of caries. The efficacy of both agents was evaluated by the number of application times to remove all caries. Recurrent caries were evaluated clinically and radiographically after 3 and 6 months of treatment. Results: Results showed no statistically significant differences in the efficacy of caries removal by the number of application times (P = 0.919). Concerning recurrent caries, clinical and radiographical evaluation after three and six months showed no statistically significant differences between the two groups (P = 0.574, P = 0.547, respectively). Conclusion: Pepsin enzyme-based gel can be considered similar to Carisolv gel regarding its efficacy as a CMCR agent for small carious lesions on primary anterior teeth in children aged 4-7 years old.
International Journal of Dentistry, Sep 16, 2022
Objective. is study aimed to compare the intranasal administration of midazolam and dexmedetomidi... more Objective. is study aimed to compare the intranasal administration of midazolam and dexmedetomidine in uncooperative children with Down syndrome. Materials and Methods. e sample consisted of 20 children with Down syndrome aged 5 to 11 years who were divided equally into two groups: Group 1 (experimental) nasal dexmedetomidine and Group 2 (control) nasal midazolam. e e cacy of both the drugs was evaluated according to Ohio State University Behavioral Rating Scale (OSUBRS), University of Michigan scale (UMSS), and Houpt general behavior scale. Results. Both substances have been e ective in the management of children with Down syndrome. ere were no statistically signi cant di erences for Ohio State University Behavioral Rating Scale (OSUBRS) (P value 0.631), University of Michigan scale (UMSS) (P value 0.739), and Houpt general behavior scale (P value 0.481). Conclusion. Both midazolam and dexmedetomidine nasal can be used to sedate children with Down syndrome.
Cureus, Nov 22, 2022
This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioce... more This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioceramic putty (Well-Root PT) in the pulpotomy of immature permanent molars diagnosed with symptoms of irreversible pulpitis. Materials and methods The study included 30 immature permanent molars with symptoms of irreversible pulpitis in 30 healthy children aged six to eight years. They were randomly distributed into the following two groups according to the material used: group 1 included 15 first permanent molars capped by MTA and group 2 included 15 first permanent molars capped by bioceramic putty. Clinical and radiographical evaluations of the treatment results were made after one week, three months, six months, nine months, and 12 months. Results The success rate in the bioceramic putty group was 93.3% clinically and radiographically after a 12 months follow-up, whereas in the group that underwent MTA treatment no cases of failure were registered with a 100% success rate. No statistical differences were observed between groups (p=0.309). The dentin bridge was formed in 60% of the MTA group and 33.3% of the bioceramic group without any statistically significant differences (p=0.272) after a 12 months follow-up. Conclusion Pulpotomy using biocompatible materials (MTA and bioceramic putty) on immature permanent molars with symptoms of irreversible pulpitis is considered acceptable and effective.
Journal of Clinical and Diagnostic Research, 2021
Introduction: Recently, there has been an increasing need for sedation techniques to reduce anxie... more Introduction: Recently, there has been an increasing need for sedation techniques to reduce anxiety in children undergoing painful diagnostic and therapeutic procedures. Therefore, multiple tactics (oral sedation, Intravenous (IV) sedation) were devised to help practitioners manage such cases. Aim: To determine the efficiency and effects of propofol on the behaviour of anxious children during dental treatment. Materials and Methods: This interventional study was conducted at Damascus University, Damascus, Syria, from August 2018 to September 2020. Total 23 children aged 3 to 6 years who were physically healthy (American Society of Anesthesiologists I (ASA I) and uncooperative (negative or definitely negative according to Frankel’s behaviour scale) were included to determine the effects of intravenous propofol on their behaviour during treatment. Behaviour during treatment was evaluated using the Ohio State University Behavioural Rating Scale (OSUBRS). Also, the sedation level was evaluated using the University of Michigan Sedation Scale (UMSS). Mann-Whitney test was used to compare the levels of behaviour and degrees of sedation between males and females. The significance level was set at p-value &amp;lt;0.05. Results: Behaviour according to OSUBRS and degree of sedation according to UMSS during treatment were favourable, and treatment was completed for all participants. The Mann-Whitney test showed no statistically significant difference between males and females regarding the level of behaviour (p-value=0.605) or the degree of sedation (p-value=0.376). A strong positive relationship between treatment time and awakening time was found using the Pearson’s correlation coefficient (0.813, p-value&amp;lt;0.01). Conclusion: In the presence of an anaesthesiologist, intravenous propofol deep sedation was considered effective in managing anxious and uncooperative children during dental treatment.
Dental and Medical Problems, Aug 25, 2021
Background. Root canal treatment in primary teeth is quite difficult and time-consuming, especial... more Background. Root canal treatment in primary teeth is quite difficult and time-consuming, especially canal preparation. Pain is the most common negative outcome following root canal treatment, occurring hours or days after treatment. It is an unpleasant experience for both the patient and the dentist. Objectives. The objective of this study was to assess the severity and duration of pain following the endodontic treatment of primary molars with the use of rotary and reciprocating preparation systems compared to the traditional manual method. Material and methods. The research sample consisted of 157 asymptomatic primary lower second molars with non-vital pulp that were indicated for root canal treatment. The patients were randomly divided into 3 groups: in the 1 st group, the molars (n = 52) were prepared using the manual method; in the 2 nd group (n = 53), a reciprocating automated preparation system (WaveOne ®) was used; and in the 3 rd group (n = 52), a rotary preparation system (ProTaper Next ®) was used. Pain assessment was carried out after 6, 12, 24, 48, and 72 h, and after 1 week, using a four-face facial pain scale. Results. The manual method provided a higher pain score through 6, 12 and 24 h (p < 0.05) as compared to the 2 automated preparation systems. The intensity of pain did not vary between the 2 machine preparation systems after 6, 12 , 24, and 48 h (p > 0.05). There were no differences between the 3 methods after 72 h and after 1 week (p > 0.05). Conclusions. The manual method caused more pain than the other 2 preparation systems, but there was no difference between the 2 automated methods. Automated root canal preparation systems could be used to reduce the intensity of postoperative pain after the endodontic treatment of primary teeth.
Cureus, Apr 22, 2022
The introduction of nickel-titanium (NiTi) rotary instruments improved the root canal preparation... more The introduction of nickel-titanium (NiTi) rotary instruments improved the root canal preparation of the narrow and curved root canals, especially after the introduction of thermomechanical treated (NiTi) alloys that have a high flexibility to prepare the curved canal reducing the common clinical complication, such as fracture, the change of the original shape of the root canal as a result of the change in the curvature of the curved root canal, the change of the working length which caused by the creation of the ledges, canal transporting and zipping especially in medium and highly curved canal. This study aimed to compare the shaping ability of two heat-treated nickel-titanium single file systems using reciprocation motion and rotary motion in curved canals. Materials and methods Thirty extracted human teeth with one curved root at 25 to 56 degrees were used, two NiTi single file systems were used to prepare the curved root canal in two groups: Reciproc R25 (Munich, Germany: VDW) group (n=15) and One Curve (Besancon, France: Micro-Mega) group (n=15). Curved root canal instrumentation outcomes were evaluated using cone-beam computed tomography (CBCT). Kruskal-Wallis with Bonferroni post hoc test was used to assess differences between working length, the angle and radius of curvature after instrumentation. Results There was a significant difference in angle and radius of curvature (-1.83° One Curve,-2.25° Reciproc blue and-0.18 mm One Curve,-0.19 mm Reciproc blue, respectively) (p<0.05) after instrumentation for both One Curve and Reciproc blue groups, and there was no significant difference in working length change (-0.16 mm One Curve,-0.32 mm Reciproc blue) after instrumentation of both One Curve and Reciproc blue groups (p>0.05). Conclusion The Reciproc blue single file system with reciprocation movement and One Curve with continuous movement cause a significant difference in curvature and radius of curved root canal affecting the original shape of the root canal with no significant difference in working length of the curved root canal.
Cureus
Background Severely damaged primary anterior teeth that require pulp therapy present a high risk ... more Background Severely damaged primary anterior teeth that require pulp therapy present a high risk of failure due to the loss of tooth substance, resulting from pre-existing decay and endodontic therapy. The ideal post material should have physical and mechanical properties similar to those of dentin. Another concern in restoring endodontically treated primary teeth is the need to find a material that can resorb similar to the natural tooth structure as a part of the exfoliation process, allowing normal eruption of permanent successors. Accordingly, there is no such material other than dentin itself. The introduction of biological dentin posts offers an excellent alternative for restoring such teeth. This study aimed to assess the effect of using dentin posts on the pull-out resistance of endodontically treated primary anterior teeth in comparison to glass fiber posts. Methodology A sample of 30 primary anterior teeth was collected from the outpatient clinic of the Pediatric Dentistry Department, Faculty of Dentistry, Damascus University. A total of 15 freshly extracted permanent teeth with single roots were also collected from the outpatient clinic of the Maxillofacial Surgery Department, Faculty of Dentistry, Damascus University. The roots of the permanent teeth were used to prepare 30 dentin posts using a CAD-CAM machine. After receiving proper endodontic treatment, the primary teeth were divided into two groups (15 teeth in each group). The first group was restored with dentin posts, and the second was restored with glass fiber posts, with the posts measuring 3 mm in length for both groups. Pull-out resistance testing was performed using a Testometric machine. Results The arithmetic mean of the forces applied in the glass fiber posts group was 153.2 ± 39.12 N, while the arithmetic mean of the forces applied in the dentin posts group was 156.7 ± 39.78 N. The data were analyzed at a 95% confidence interval using the independent Student's t-test. There were no statistically significant differences in pull-out resistance between the two groups. Conclusions Dentin posts showed a little increase in pull-out resistance than glass fiber posts. Therefore, the use of dentin posts as intracanal retention in primary anterior teeth is a successful alternative for composite posts.
Brazilian Dental Science
Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a ... more Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a CMCR agent. Clinical and radiographical evaluations of recurrent caries were made 3 and 6 months after treatment. Material and Methods: A split-mouth designed randomized controlled clinical study was carried out on 40 primary anterior teeth of children aged between 4-7 years. Pepsin enzyme-based gel and Carisolv solution were applied to carious lesions until complete removal of caries. The efficacy of both agents was evaluated by the number of application times to remove all caries. Recurrent caries were evaluated clinically and radiographically after 3 and 6 months of treatment. Results: Results showed no statistically significant differences in the efficacy of caries removal by the number of application times (P = 0.919). Concerning recurrent caries, clinical and radiographical evaluation after three and six months showed no statistically significant differences between the two groups (P = 0.574, P = 0.547, respectively). Conclusion: Pepsin enzyme-based gel can be considered similar to Carisolv gel regarding its efficacy as a CMCR agent for small carious lesions on primary anterior teeth in children aged 4-7 years old.
Cureus
This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioce... more This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioceramic putty (Well-Root PT) in the pulpotomy of immature permanent molars diagnosed with symptoms of irreversible pulpitis. Materials and methods The study included 30 immature permanent molars with symptoms of irreversible pulpitis in 30 healthy children aged six to eight years. They were randomly distributed into the following two groups according to the material used: group 1 included 15 first permanent molars capped by MTA and group 2 included 15 first permanent molars capped by bioceramic putty. Clinical and radiographical evaluations of the treatment results were made after one week, three months, six months, nine months, and 12 months. Results The success rate in the bioceramic putty group was 93.3% clinically and radiographically after a 12 months follow-up, whereas in the group that underwent MTA treatment no cases of failure were registered with a 100% success rate. No statistical differences were observed between groups (p=0.309). The dentin bridge was formed in 60% of the MTA group and 33.3% of the bioceramic group without any statistically significant differences (p=0.272) after a 12 months follow-up. Conclusion Pulpotomy using biocompatible materials (MTA and bioceramic putty) on immature permanent molars with symptoms of irreversible pulpitis is considered acceptable and effective.
Cureus
This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioce... more This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioceramic putty (Well-Root PT) in the pulpotomy of immature permanent molars diagnosed with symptoms of irreversible pulpitis. Materials and methods The study included 30 immature permanent molars with symptoms of irreversible pulpitis in 30 healthy children aged six to eight years. They were randomly distributed into the following two groups according to the material used: group 1 included 15 first permanent molars capped by MTA and group 2 included 15 first permanent molars capped by bioceramic putty. Clinical and radiographical evaluations of the treatment results were made after one week, three months, six months, nine months, and 12 months. Results The success rate in the bioceramic putty group was 93.3% clinically and radiographically after a 12 months follow-up, whereas in the group that underwent MTA treatment no cases of failure were registered with a 100% success rate. No statistical differences were observed between groups (p=0.309). The dentin bridge was formed in 60% of the MTA group and 33.3% of the bioceramic group without any statistically significant differences (p=0.272) after a 12 months follow-up. Conclusion Pulpotomy using biocompatible materials (MTA and bioceramic putty) on immature permanent molars with symptoms of irreversible pulpitis is considered acceptable and effective.
Èndodontiâ today/Èndodontiâ Today, Jun 12, 2024
Èndodontiâ today/Èndodontiâ Today, Jun 14, 2024
Vestnik Rossijskogo universiteta družby narodov. Seriâ Medicina, Mar 15, 2024
Особую актуальность на сегодняшний день представляет психологическая адаптация ребенка к стоматол... more Особую актуальность на сегодняшний день представляет психологическая адаптация ребенка к стоматологическому приему. Проведен анализ литературы по вопросу роли управления поведением ребенка в детской стоматологии. Рассмотрены причины стоматологического страха, его проявления и последствия. Также, озвучены различные методы адаптации ребенка, и проанализированы результаты исследований, оценивающих эффективность таких методов. Цель исследования -выяснить, какие способы управления поведением ребенка помогут сформировать положительные ассоциации с врачами-стоматологами, а также преодолеть тревожность и страх перед лечением. Материалы и методы. Обзор и анализ литературных источников проводился по ключевым словам на электронных ресурсах баз данных PubMed, Google Scholar, eLibrary, были использованы зарубежные и российские источники. Анализировалась научная литература, напечатанная с 2007 года по 2023 гг. Результаты анализа литературы свидетельствуют о том, что даже самые простые методы взаимодействия с детьми являются эффективными в уменьшении тревожности и боязни перед посещением врача-стоматолога. Кроме того, работа с родителями и использование различных форм интерактивного общения помогает создать положительную атмосферу в стоматологической клинике и формировать положительный опыт у детей. Выводы. В целом, на основании проведенного анализа, можно сделать вывод о том, что контроль поведения ребенка имеет большой потенциал для достижения лучших результатов в работе врача-стоматолога. Развитие и совершенствование методов контроля поведения детей в стоматологии должно оставаться приоритетной задачей для обеспечения более полноценного и эффективного лечения, а также поддержания их здоровья в долгосрочной перспективе. Ключевые слова: игра, страх, стресс, боль, стоматофобия, стоматологическая тревога Информация о финансировании. Авторы не получали финансовой поддержки для проведения исследования, написания и публикации статьи. Вклад авторов. Все авторы внесли существенный вклад в разработку концепции и подготовку статьи, прочли и одобрили финальную версию перед публикацией.
Клиническая стоматология, Sep 23, 2023
аспирант кафедры стоматологии детского возраста и ортодонтии Н.С. Тутуров 1, к.м.н., доцент, зав.... more аспирант кафедры стоматологии детского возраста и ортодонтии Н.С. Тутуров 1, к.м.н., доцент, зав. кафедрой стоматологии детского возраста и ортодонтии С.Ю. Иванов 2, член-корр. РАН, д.м.н., профессор, зав. кафедрой челюстно-лицевой хирургии Е.А. Булычева 3, д.м.н., профессор кафедры стоматологии ортопедической и материаловедения с курсом ортодонтии Д.С. Булычева 1, к.м.н., старший преподаватель кафедры стоматологии детского возраста и ортодонтии И.Х. Катбех 1, к.м.н., старший преподаватель кафедры стоматологии детского возраста и ортодонтии А. Салех 1, ординатор кафедры стоматологии детского возраста и ортодонтии
Стоматология для всех, Jun 27, 2023
Biological age markers in solid-phase structures of the oral fluid. Shabalin V.N., Shatokhina I.S... more Biological age markers in solid-phase structures of the oral fluid. Shabalin V.N., Shatokhina I.S., Shatokhina S.N. Conservative dentistry Mechanical properties of tooth enamel and dentin after etching with citric acid with different concentrations using nanoindentation. Egina D.V., Maksyukov S.Yu., Nektarevskaya I.B. 16 Determination of the type of xerostomia in various somatic diseases. Mokhnacheva S.B., Karimova D.A. Investigation of the effect of natural astaxanthin on cytotoxicity of mesenchymal stromal cells.
Medical science, Jan 16, 2022
The purpose of this study was to compare the efficacy and recovery time of inhalation sedation us... more The purpose of this study was to compare the efficacy and recovery time of inhalation sedation using sevoflurane to intravenous sedation using propofol. Materials and Methods: The study included 46 uncooperative children aged (3-6) year's who needed to undergo dental treatments under deep sedation. They were randomly assigned to two groups, the propofol group (Group P) and the sevoflurane group (Group S). All children were sedated by an anesthesiologist who was independent of dental treatment and was wholly responsible for the sedation procedure until the patient was discharged. The efficacy assessments and depth of sedation evaluation were done using the University of Michigan Sedation Scale (UMSS). After treatment, modified Vancouver Recovery Scale (MVRS) scale was used to determine the recovery time until the patient was discharged. Results: There were no significant differences in efficacy between groups. Statistically significant differences appeared in the recovery time between groups (p = .000). Conclusions: inhalation deep sedation with sevoflurane is an effective as propofol sedation in managing uncooperative children and the recovery of sevoflurane sedation was more quickly than propofol sedation.
International journal of dentistry and oral science, Nov 15, 2021
The presence of a sufficient amount of keratinized tissue around dental implants is directly rela... more The presence of a sufficient amount of keratinized tissue around dental implants is directly related to their success, facilitates the following restorative procedures, and obtains satisfactory cosmetic results. This study aims to investigate the effectiveness and predictability of different treatment modalities to gain keratinized tissue (KT) in partial edentulous jaws prior to dental implant placement; modified free gingival graft (MFGG), and connective tissue graft (CTG). Materials and Methods: A total of 14 (age range between 25 and 58 years) partially edentulous patients (28 sites) with insufficient zones of keratinized tissue at the prospective implant positionswere included in this study, two treatment modalities were performed in the lower jaw: MFGG, and CTG. MFGG and CTG were applied in the premolar and molar positions randomly. Assessed outcomes up to 6 months postsurgery included changes in width and thickness of keratinized tissue. Results: After 6 months of follow-up,changes in keratinized tissue width demonstrated an increase of 2.29 ± 1.6 mm in connective tissue graft, whereas modified free gingival graft showed an increase of 3.95 ± 1.25 mm, on the other hand changes in keratinized tissue thickness demonstrated an increase of 0.85 ± 0.5 mm in connective tissue graft, whereas modified free gingival graft showed an increase of 0.71 ± 0.4 mm. Conclusion: The two methods were suitable to increase the width and thickness of KT over a 6-month period, although CTG alone rendered roughly 34% less gain at KT width compared to MFGG.
Journal of Clinical and Diagnostic Research, 2020
Introduction: Maintaining a vital pulp of immature permanent teeth is an essential and important ... more Introduction: Maintaining a vital pulp of immature permanent teeth is an essential and important requirement for dentin formation. Every effort must be made to preserve the vitality of teeth with incomplete apices to maintain the physiological apex generation process as much as possible. Pulpotomy is considered as one of the successful procedures to maintain this process in immature teeth. Aim: To evaluate the treatment success of pulpotomy of first immature molars with irreversible pulpitis using Platelet-Rich Fibrin (PRF) or Mineral Trioxide Aggregate (MTA) and monitoring the teeth for one year. Materials and Methods: A randomised clinical and radiological double-blinded evaluation was conducted in the Department of Paediatric Dentistry at Damascus University, Damascus, Syria. The research sample consisted of 24 first permanent immature molars in 20 children between age group of 6-8 years. Each of them had at least one first permanent immature molar with irreversible pulpitis. The research sample was randomly divided into two equal groups according to the treatment method: 1) pulpotomy with PRF; and 2) pulpotomy using MTA. Treatment were evaluated through periodic reviews and clinical and radiological examinations of the treated teeth by three specialists to assess treatment success. The treatment outcome was determined in terms of success or failure during two study periods (after six months and after one year). McNemar’s and Chi-square tests were applied using IBM SPSS version 20.0. The significance level was set at p-value <0.05. Results: Chi-square test showed that there were no statistically significant differences in the treatment success or failure between the treatment groups after six months and one year follow-up, p>0.05. After analysing the results statistically using McNemar’s test, it was observed that the treatment success rate after one year (50%, n=6) was lesser than that after six months (100%, n=12) in the MTA treatment group (p=0.031). In the treatment group using PRF, no significant difference (p=0.125) was observed in the success or failure of treatment between the two studied time periods (after six months and one year). Overall, the success rate of MTA was slightly higher than the success rate of PRF at the two study time periods (after six months and one year), the difference however was not statistically significant. Conclusion: Performing first immature molar pulpotomy using MTA had a slightly higher success rate than PRF pulpotomy.
Cureus, Mar 1, 2023
Background Severely damaged primary anterior teeth that require pulp therapy present a high risk ... more Background Severely damaged primary anterior teeth that require pulp therapy present a high risk of failure due to the loss of tooth substance, resulting from pre-existing decay and endodontic therapy. The ideal post material should have physical and mechanical properties similar to those of dentin. Another concern in restoring endodontically treated primary teeth is the need to find a material that can resorb similar to the natural tooth structure as a part of the exfoliation process, allowing normal eruption of permanent successors. Accordingly, there is no such material other than dentin itself. The introduction of biological dentin posts offers an excellent alternative for restoring such teeth. This study aimed to assess the effect of using dentin posts on the pull-out resistance of endodontically treated primary anterior teeth in comparison to glass fiber posts. Methodology A sample of 30 primary anterior teeth was collected from the outpatient clinic of the Pediatric Dentistry Department, Faculty of Dentistry, Damascus University. A total of 15 freshly extracted permanent teeth with single roots were also collected from the outpatient clinic of the Maxillofacial Surgery Department, Faculty of Dentistry, Damascus University. The roots of the permanent teeth were used to prepare 30 dentin posts using a CAD-CAM machine. After receiving proper endodontic treatment, the primary teeth were divided into two groups (15 teeth in each group). The first group was restored with dentin posts, and the second was restored with glass fiber posts, with the posts measuring 3 mm in length for both groups. Pull-out resistance testing was performed using a Testometric machine. Results The arithmetic mean of the forces applied in the glass fiber posts group was 153.2 ± 39.12 N, while the arithmetic mean of the forces applied in the dentin posts group was 156.7 ± 39.78 N. The data were analyzed at a 95% confidence interval using the independent Student's t-test. There were no statistically significant differences in pull-out resistance between the two groups. Conclusions Dentin posts showed a little increase in pull-out resistance than glass fiber posts. Therefore, the use of dentin posts as intracanal retention in primary anterior teeth is a successful alternative for composite posts.
Brazilian dental science, 2022
Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a ... more Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a CMCR agent. Clinical and radiographical evaluations of recurrent caries were made 3 and 6 months after treatment. Material and Methods: A split-mouth designed randomized controlled clinical study was carried out on 40 primary anterior teeth of children aged between 4-7 years. Pepsin enzyme-based gel and Carisolv solution were applied to carious lesions until complete removal of caries. The efficacy of both agents was evaluated by the number of application times to remove all caries. Recurrent caries were evaluated clinically and radiographically after 3 and 6 months of treatment. Results: Results showed no statistically significant differences in the efficacy of caries removal by the number of application times (P = 0.919). Concerning recurrent caries, clinical and radiographical evaluation after three and six months showed no statistically significant differences between the two groups (P = 0.574, P = 0.547, respectively). Conclusion: Pepsin enzyme-based gel can be considered similar to Carisolv gel regarding its efficacy as a CMCR agent for small carious lesions on primary anterior teeth in children aged 4-7 years old.
International Journal of Dentistry, Sep 16, 2022
Objective. is study aimed to compare the intranasal administration of midazolam and dexmedetomidi... more Objective. is study aimed to compare the intranasal administration of midazolam and dexmedetomidine in uncooperative children with Down syndrome. Materials and Methods. e sample consisted of 20 children with Down syndrome aged 5 to 11 years who were divided equally into two groups: Group 1 (experimental) nasal dexmedetomidine and Group 2 (control) nasal midazolam. e e cacy of both the drugs was evaluated according to Ohio State University Behavioral Rating Scale (OSUBRS), University of Michigan scale (UMSS), and Houpt general behavior scale. Results. Both substances have been e ective in the management of children with Down syndrome. ere were no statistically signi cant di erences for Ohio State University Behavioral Rating Scale (OSUBRS) (P value 0.631), University of Michigan scale (UMSS) (P value 0.739), and Houpt general behavior scale (P value 0.481). Conclusion. Both midazolam and dexmedetomidine nasal can be used to sedate children with Down syndrome.
Cureus, Nov 22, 2022
This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioce... more This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioceramic putty (Well-Root PT) in the pulpotomy of immature permanent molars diagnosed with symptoms of irreversible pulpitis. Materials and methods The study included 30 immature permanent molars with symptoms of irreversible pulpitis in 30 healthy children aged six to eight years. They were randomly distributed into the following two groups according to the material used: group 1 included 15 first permanent molars capped by MTA and group 2 included 15 first permanent molars capped by bioceramic putty. Clinical and radiographical evaluations of the treatment results were made after one week, three months, six months, nine months, and 12 months. Results The success rate in the bioceramic putty group was 93.3% clinically and radiographically after a 12 months follow-up, whereas in the group that underwent MTA treatment no cases of failure were registered with a 100% success rate. No statistical differences were observed between groups (p=0.309). The dentin bridge was formed in 60% of the MTA group and 33.3% of the bioceramic group without any statistically significant differences (p=0.272) after a 12 months follow-up. Conclusion Pulpotomy using biocompatible materials (MTA and bioceramic putty) on immature permanent molars with symptoms of irreversible pulpitis is considered acceptable and effective.
Journal of Clinical and Diagnostic Research, 2021
Introduction: Recently, there has been an increasing need for sedation techniques to reduce anxie... more Introduction: Recently, there has been an increasing need for sedation techniques to reduce anxiety in children undergoing painful diagnostic and therapeutic procedures. Therefore, multiple tactics (oral sedation, Intravenous (IV) sedation) were devised to help practitioners manage such cases. Aim: To determine the efficiency and effects of propofol on the behaviour of anxious children during dental treatment. Materials and Methods: This interventional study was conducted at Damascus University, Damascus, Syria, from August 2018 to September 2020. Total 23 children aged 3 to 6 years who were physically healthy (American Society of Anesthesiologists I (ASA I) and uncooperative (negative or definitely negative according to Frankel’s behaviour scale) were included to determine the effects of intravenous propofol on their behaviour during treatment. Behaviour during treatment was evaluated using the Ohio State University Behavioural Rating Scale (OSUBRS). Also, the sedation level was evaluated using the University of Michigan Sedation Scale (UMSS). Mann-Whitney test was used to compare the levels of behaviour and degrees of sedation between males and females. The significance level was set at p-value &amp;lt;0.05. Results: Behaviour according to OSUBRS and degree of sedation according to UMSS during treatment were favourable, and treatment was completed for all participants. The Mann-Whitney test showed no statistically significant difference between males and females regarding the level of behaviour (p-value=0.605) or the degree of sedation (p-value=0.376). A strong positive relationship between treatment time and awakening time was found using the Pearson’s correlation coefficient (0.813, p-value&amp;lt;0.01). Conclusion: In the presence of an anaesthesiologist, intravenous propofol deep sedation was considered effective in managing anxious and uncooperative children during dental treatment.
Dental and Medical Problems, Aug 25, 2021
Background. Root canal treatment in primary teeth is quite difficult and time-consuming, especial... more Background. Root canal treatment in primary teeth is quite difficult and time-consuming, especially canal preparation. Pain is the most common negative outcome following root canal treatment, occurring hours or days after treatment. It is an unpleasant experience for both the patient and the dentist. Objectives. The objective of this study was to assess the severity and duration of pain following the endodontic treatment of primary molars with the use of rotary and reciprocating preparation systems compared to the traditional manual method. Material and methods. The research sample consisted of 157 asymptomatic primary lower second molars with non-vital pulp that were indicated for root canal treatment. The patients were randomly divided into 3 groups: in the 1 st group, the molars (n = 52) were prepared using the manual method; in the 2 nd group (n = 53), a reciprocating automated preparation system (WaveOne ®) was used; and in the 3 rd group (n = 52), a rotary preparation system (ProTaper Next ®) was used. Pain assessment was carried out after 6, 12, 24, 48, and 72 h, and after 1 week, using a four-face facial pain scale. Results. The manual method provided a higher pain score through 6, 12 and 24 h (p < 0.05) as compared to the 2 automated preparation systems. The intensity of pain did not vary between the 2 machine preparation systems after 6, 12 , 24, and 48 h (p > 0.05). There were no differences between the 3 methods after 72 h and after 1 week (p > 0.05). Conclusions. The manual method caused more pain than the other 2 preparation systems, but there was no difference between the 2 automated methods. Automated root canal preparation systems could be used to reduce the intensity of postoperative pain after the endodontic treatment of primary teeth.
Cureus, Apr 22, 2022
The introduction of nickel-titanium (NiTi) rotary instruments improved the root canal preparation... more The introduction of nickel-titanium (NiTi) rotary instruments improved the root canal preparation of the narrow and curved root canals, especially after the introduction of thermomechanical treated (NiTi) alloys that have a high flexibility to prepare the curved canal reducing the common clinical complication, such as fracture, the change of the original shape of the root canal as a result of the change in the curvature of the curved root canal, the change of the working length which caused by the creation of the ledges, canal transporting and zipping especially in medium and highly curved canal. This study aimed to compare the shaping ability of two heat-treated nickel-titanium single file systems using reciprocation motion and rotary motion in curved canals. Materials and methods Thirty extracted human teeth with one curved root at 25 to 56 degrees were used, two NiTi single file systems were used to prepare the curved root canal in two groups: Reciproc R25 (Munich, Germany: VDW) group (n=15) and One Curve (Besancon, France: Micro-Mega) group (n=15). Curved root canal instrumentation outcomes were evaluated using cone-beam computed tomography (CBCT). Kruskal-Wallis with Bonferroni post hoc test was used to assess differences between working length, the angle and radius of curvature after instrumentation. Results There was a significant difference in angle and radius of curvature (-1.83° One Curve,-2.25° Reciproc blue and-0.18 mm One Curve,-0.19 mm Reciproc blue, respectively) (p<0.05) after instrumentation for both One Curve and Reciproc blue groups, and there was no significant difference in working length change (-0.16 mm One Curve,-0.32 mm Reciproc blue) after instrumentation of both One Curve and Reciproc blue groups (p>0.05). Conclusion The Reciproc blue single file system with reciprocation movement and One Curve with continuous movement cause a significant difference in curvature and radius of curved root canal affecting the original shape of the root canal with no significant difference in working length of the curved root canal.
Cureus
Background Severely damaged primary anterior teeth that require pulp therapy present a high risk ... more Background Severely damaged primary anterior teeth that require pulp therapy present a high risk of failure due to the loss of tooth substance, resulting from pre-existing decay and endodontic therapy. The ideal post material should have physical and mechanical properties similar to those of dentin. Another concern in restoring endodontically treated primary teeth is the need to find a material that can resorb similar to the natural tooth structure as a part of the exfoliation process, allowing normal eruption of permanent successors. Accordingly, there is no such material other than dentin itself. The introduction of biological dentin posts offers an excellent alternative for restoring such teeth. This study aimed to assess the effect of using dentin posts on the pull-out resistance of endodontically treated primary anterior teeth in comparison to glass fiber posts. Methodology A sample of 30 primary anterior teeth was collected from the outpatient clinic of the Pediatric Dentistry Department, Faculty of Dentistry, Damascus University. A total of 15 freshly extracted permanent teeth with single roots were also collected from the outpatient clinic of the Maxillofacial Surgery Department, Faculty of Dentistry, Damascus University. The roots of the permanent teeth were used to prepare 30 dentin posts using a CAD-CAM machine. After receiving proper endodontic treatment, the primary teeth were divided into two groups (15 teeth in each group). The first group was restored with dentin posts, and the second was restored with glass fiber posts, with the posts measuring 3 mm in length for both groups. Pull-out resistance testing was performed using a Testometric machine. Results The arithmetic mean of the forces applied in the glass fiber posts group was 153.2 ± 39.12 N, while the arithmetic mean of the forces applied in the dentin posts group was 156.7 ± 39.78 N. The data were analyzed at a 95% confidence interval using the independent Student's t-test. There were no statistically significant differences in pull-out resistance between the two groups. Conclusions Dentin posts showed a little increase in pull-out resistance than glass fiber posts. Therefore, the use of dentin posts as intracanal retention in primary anterior teeth is a successful alternative for composite posts.
Brazilian Dental Science
Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a ... more Objective: To evaluate the efficacy of a new pepsin enzyme-based gel compared with Carisolv as a CMCR agent. Clinical and radiographical evaluations of recurrent caries were made 3 and 6 months after treatment. Material and Methods: A split-mouth designed randomized controlled clinical study was carried out on 40 primary anterior teeth of children aged between 4-7 years. Pepsin enzyme-based gel and Carisolv solution were applied to carious lesions until complete removal of caries. The efficacy of both agents was evaluated by the number of application times to remove all caries. Recurrent caries were evaluated clinically and radiographically after 3 and 6 months of treatment. Results: Results showed no statistically significant differences in the efficacy of caries removal by the number of application times (P = 0.919). Concerning recurrent caries, clinical and radiographical evaluation after three and six months showed no statistically significant differences between the two groups (P = 0.574, P = 0.547, respectively). Conclusion: Pepsin enzyme-based gel can be considered similar to Carisolv gel regarding its efficacy as a CMCR agent for small carious lesions on primary anterior teeth in children aged 4-7 years old.
Cureus
This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioce... more This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioceramic putty (Well-Root PT) in the pulpotomy of immature permanent molars diagnosed with symptoms of irreversible pulpitis. Materials and methods The study included 30 immature permanent molars with symptoms of irreversible pulpitis in 30 healthy children aged six to eight years. They were randomly distributed into the following two groups according to the material used: group 1 included 15 first permanent molars capped by MTA and group 2 included 15 first permanent molars capped by bioceramic putty. Clinical and radiographical evaluations of the treatment results were made after one week, three months, six months, nine months, and 12 months. Results The success rate in the bioceramic putty group was 93.3% clinically and radiographically after a 12 months follow-up, whereas in the group that underwent MTA treatment no cases of failure were registered with a 100% success rate. No statistical differences were observed between groups (p=0.309). The dentin bridge was formed in 60% of the MTA group and 33.3% of the bioceramic group without any statistically significant differences (p=0.272) after a 12 months follow-up. Conclusion Pulpotomy using biocompatible materials (MTA and bioceramic putty) on immature permanent molars with symptoms of irreversible pulpitis is considered acceptable and effective.
Cureus
This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioce... more This study aimed to evaluate the effectiveness of both mineral trioxide aggregate (MTA) and bioceramic putty (Well-Root PT) in the pulpotomy of immature permanent molars diagnosed with symptoms of irreversible pulpitis. Materials and methods The study included 30 immature permanent molars with symptoms of irreversible pulpitis in 30 healthy children aged six to eight years. They were randomly distributed into the following two groups according to the material used: group 1 included 15 first permanent molars capped by MTA and group 2 included 15 first permanent molars capped by bioceramic putty. Clinical and radiographical evaluations of the treatment results were made after one week, three months, six months, nine months, and 12 months. Results The success rate in the bioceramic putty group was 93.3% clinically and radiographically after a 12 months follow-up, whereas in the group that underwent MTA treatment no cases of failure were registered with a 100% success rate. No statistical differences were observed between groups (p=0.309). The dentin bridge was formed in 60% of the MTA group and 33.3% of the bioceramic group without any statistically significant differences (p=0.272) after a 12 months follow-up. Conclusion Pulpotomy using biocompatible materials (MTA and bioceramic putty) on immature permanent molars with symptoms of irreversible pulpitis is considered acceptable and effective.
SciDoc Publishers, 2021
The Hall Technique is a simple method of managing proximal caries in primary molars in which the ... more The Hall Technique is a simple method of managing proximal caries in primary molars in which the carious lesion is sealed off by
applying a stainless-steel crown to the primary molars without local anesthesia, removal of caries or tooth preparation.
This study is aimed at evaluating the success of proximal dentinalcaries management in non-symptomatic lower primary molars
using the Hall’s technique against the conventional method.Furthermore, to assess the vertical occlusal dimension immediately
after crown fixation and the time required for an occlusal equilibrium to be achieved.
Conclusions: After 18 months of follow-up, we could say that Hall’s technique is an effective method in the management of
proximal dentinalcaries and has superior success rates over the conventional approach.
SciDoc Publishers, 2021
Early childhood caries still poses a challenge to dental practitioners as it leads to significant... more Early childhood caries still poses a challenge to dental practitioners as it leads to significant loss of the dental arch length leading to problems with space maintenance, pronunciation difficulties, lack of masticatory forces and the development of nonfunctional habits. Therefore, modern pediatric dentistry seeks to preserve the functional, aesthetic and developmental capacity of primary teeth.