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Objective: Risks of esthetic complications has been reported following dental implant insertion; hence it was hypothesis that a customized healing abutment could improve the peri-implant tissue healing. This study aims to evaluate healing around implants received a customized compared to a standard healing abutment. Patients & Methods: Twelve patients (eight females and four males aged 33-43) had two nearly comparable partial edentulous spaces on both sides of one jaw, split mouth technique were applied to divide theme into two groups: Group 1 sites received delayed implant with standard healing abutment; Group 2 sites received delayed implant with a customized healing abutment that was fabricated in resin. Results: Twenty four implants were inserted successfully in the two groups. The Papilla Index was significantly higher in the customized than in the standard group at 2 and 3 months. The bone loss at mesial and distal sites was significantly higher in the customized than in the standard group at 6 and 9 months. Conclusion: Customized healing abutment group showed most favorable outcomes compared with that of standard healing abutment assessed with the criteria of PI and MBL.

Objective: The present study estimated the prevalence of gingival recession (its severity and distribution) and assessed the association of potential risk indicators with the occurrence of gingival recession in Qena governorate, Egypt. Subject and methods: A representative sample of 1959 patients aged from 18 -90 years old (984 males and 975 females) from different areas in Qena governorate, Egypt were examined. A descriptive questionnaire was prepared for the examinations and full personal data were recorded. Results: The prevalence of gingival recession was 32.8%; Class I recession was (24.2%) followed by Classes II, III and IV (7.2, 1.3 and 0.1%) respectively. The most affected quadrants were the lower left quadrant while the least affected quadrant was the upper right quadrant. The most affected teeth were lower anterior teeth while the least commonly affected teeth were lower right posterior teeth. Conclusion: Prevalence of gingival recession showed more frequently in males than in females. Gingival recession was found to be more common in mandibular arch than maxillary. Lower anterior teeth than posterior ones and Left side of the arch was more commonly affected. This is a preliminary basis toward establishing a complete epidemiological study regarding the prevalence, severity as well as manifestations of oral diseases in Egypt. Hopefully, this help toward planning effective, preventive as well as therapeutic measures in this regard.

Objective: Gingival recession (GR) is a disorder affecting almost all middle and older-aged individuals to some extent; a study is needed to assess the epidemiology, of GR in North Sinai Egypt, concerning incidence, severity, distribution and risk indicators. Subjects & Method: A total sample of 1908 individuals from different parts of North Sinai governorate was assigned upon the last Egyptian population census. Data collection: a. Questionnaire: A descriptive questionnaire was filled. b. Clinical examination: GR was recorded with Miller's classification. Verbal and written consent was obtained. Data were analyzed using SPSS 20.0. Results: The prevalence of GR was 41.6 %; showed the highest distribution among age groups of 36-45 and 46 -60 years old. The predominance of GR at posterior areas on both lower and upper arches was noted as these areas showed statistically significant more GR compared to anterior areas on the two arches (p < 0.05). Conclusion: The prevalence of GR is more in males than females. It was found to be more common in the maxillary posterior area than in other sites. Gender, age and oral hygiene are the major etiologic factors that affect GR incidence. Systemic conditions especially smoking are major risk factors in GR prevalence.