Background: Rumex nervosus is a plant found and used in Saudi Arabia as traditional herbal medicine. Various types of plant extracts with inherent synergistic properties are being used against oral diseases. Thus, in the present study, the anti-microbial activity of Rumex nervosus extracts was studied against six common oral pathogenic bacterial strains and a pathogenic fungus. Materials and Method: Plants of R. nervosus were collected and air-dried, and extracts from various plant parts were obtained. Six clinical isolates of bacteria, namely Staphylococcus aureus, Streptococcus mutans, S. salivarius, S. sanguis, E. faecalis , and Lactobacillus acidophilus ), and one pathogenic Candida ( C. albicans ) were obtained. Antibacterial and antifungal activity of R. nervosus was determined using the Kirby–Bauer agar disc diffusion method. Zones of inhibition were recorded after 48 h of incubation. Data collected were analyzed. A two-way analysis of variance (ANOVA) was applied. P < 0.05 was considered statistically significant. Results: Methanol extract from leaves were highly effective against S. aureus , with a mean inhibition zone of 33 mm, followed by a 28-mm zone of inhibition using an extract from roots and a minimum inhibition zone using an extract from stems. Zones of inhibition using methanol extract from roots were effective against S. mutans , S. sanguinis , E. faecalis , and L. acidophilus , with mean inhibition zones being 19, 17, 33, and 31 mm, respectively. Conclusion: The study has provided insight into a new potential herbal anti-microbial agent that may benefit dental care.
Aim This study aims to describe the pattern of coronal restoration use among different dental specialties after root canal obturation in two governmental hospitals in Riyadh. Materials and Methods Electronic dental records at King Abdul-Aziz Medical City and University Dental Hospital were reviewed. Teeth that underwent initial root canal treatment on a permanent tooth for obturation using gutta-percha between April 2019 and June 2019 were included. The collected data included the type of material used for coronal restoration after RCT, immediate post-space preparation, cotton pellet placement, the clinical title and specialty of the treating physician, and the center where treatment was performed. Excel was used for data collection. IBM SPSS was used for descriptive and interferential analyses. Results A total of 763 patients were included in the study, in which the double seal technique was used in 56% of the patients, followed by Cavit, which was used in approximately 17% of the patients. Post space was prepared immediately after root canal treatment in 49 patients, and only 17 teeth received the final post, whereas post space was temporized for the rest of the prepared teeth and received the final post at the following visits. Significant relations were found between the type of material used and the clinical title of the treating physician and between the material of choice and the specialty of the dentist. The double seal was the technique of choice among endodontists and restorative dentists, whereas advanced general dentists frequently used Cavit. The least used materials were IRM, amalgam, and Ketac Silver. Conclusion The double seal technique was found to be the most commonly used method to achieve a coronal seal, followed by Cavit. Other materials used after RCT, in sequential order based on the frequency of use, were GIC, temporary crowns, resin composite, RMGIC, prefabricated post with composite buildup, IRM, amalgam, and Ketac Silver.
Background: The purpose of the research was to evaluate the content and delivery of the undergraduate endodontic curriculum. Methods: A needs assessment survey was distributed among the Deans of all the dental colleges in Saudi Arabia. Results: The response rate was 72%. All the colleges include foundational and advanced topics in their curriculum. Didactic lectures, clinical cases, self-directed learning assignments and projects, and videos are the most common teaching methods, whereas virtual learning and reading list are the least popular methods. The average staff-to-student ratio for preclinical and clinical training is 1:6 and 1:7, respectively. Eighty-six percent of colleges utilize dedicated endodontic clinics supervised by specialized endodontists. Eighty percent of colleges use simple cases for canal preparation and obturation. Most colleges do not use magnification and ultrasonic instruments. Saline and sodium hypochlorite are preferred irrigation solutions, whereas calcium hydroxide is the preferred inter-visit medicament. Many use MTA as an advanced material, calcium hydroxide as an inter-visit medicament, and provisional restoration after RCT. Conclusion: The content and delivery of the endodontic undergraduate curriculum are primarily uniform. The use of specialist endodontists dedicated endodontic clinics, rotary instruments, and advanced materials have emerged as curricular strengths. However, diversification of teaching strategies, use of magnification instruments, and an increase in the minimum number of endodontically treated teeth are leading areas demanding curricular improvement.
Objectives: Primarily, to compare anchorage loss and changes in mandibular plane (MP) angle, overbite, and amount of horizontal, vertical, and angular movements of maxillary incisors in groups of hypodivergent, hyperdivergent, and normodivergent patients. Secondarily, to analyze the relationship between those factors. Methods: Pre- and post-treatment cephalograms of 89 patients treated with extraction of four bicuspids or two maxillary bicuspids were analyzed. The sample was divided into three groups based on their facial pattern measured by SN-MP angle (hypodivergent: < 270, hyperdivergent: >380, and normodivergent: 270-380). Linear and angular measurements included the distances of U1 tip and U6 mesial height of contour to Y-axis (i.e., line perpendicular to the X-axis, passing through Sella turcica), distance of U1 tip to Sella on X-axis, overbite, angulation of U1 to palatal plane, and SN-MP and ANB angles. Inferential statistics included one-way ANOVA, Chi-square test, independent t-test, and Pearson’s correlation coefficients. Results: Facial morphology did not primarily affect anchorage loss, because other factors such as crowding, severity of Class II molar relationship, and extraction modality played more impactful role (P< 0.01). Change in mandibular plane angle was neither influenced by, nor correlated with, initial facial morphology or anchorage loss (P> 0.05). Positive change in overbite was significantly correlated with facial pattern, incisor extrusion and retroclination (r= 0.30, 0.44, and -0.35, respectively, P< 0.01). Conclusion: Anchorage loss in extraction orthodontic treatment is not influenced primarily by initial facial morphology. Anchorage loss is not significantly associated with MP angle reduction. Change in overbite can be achieved through incisor extrusion and retroclination.
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