Background. Temporomandibular dysfunction syndrome (TMD) is a common disease among dental patients. It occurs as a consequence of malfunction of the tempromandibular and/or surrounding facial muscles. LED red light therapy is not been well established, and it is important to find out the role of this technique in the treatment of temporomandibular disorders. Aim of the Study. To evaluate the efficacy of the LED red light in the treatment of the tempromandibular dysfunction syndrome. Material and Methods. Fifty students of the College of Dentistry/University of Baghdad with myofacial pain associated with Tempromandibular Disorder volunteered to participate in this study and be evaluated during both treatment and follow-up periods. They were 40 (80%) females and 10 (20%) males. Patients were divided into 2 groups: Group A treated by TenDlite® Medical Device model 204 with a LED’s of wavelength 660 nm (red light) and Group B given placebo (no treatment at all) by just putting the TenDlite device near the tender points without battery and turning ON the device. Results. The changes in the pain value and number of the tender muscles in both groups were highly significant, only placebo group less but with no significant differences. Conclusions. This study showed that red LED therapy could be useful in improving patient’s symptoms regarding pain, clicking, and number of tender muscles. In addition, this study showed the importance of the psychological part of treatment of those patients. This trial is registered with TCTR20190406002.

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Bullet injuries were associated with a higher number of mandibular comminuted fractures, in addition to more extensive bone loss. While shell injuries of IED (improvised explosive devices), on the other hand, were associated with higher infection rate and more postoperative complication.

Surgical treatment in patients with facial bone surgeries governs a meaningful extent of tissue trauma prompting prevalent postoperative portents of pain, facial swelling, and inconvenience. Beneficial effects of local cold therapy following surgery, facial swelling, pain, and inflammation have been discussed. The aim of study is to evaluate the efficacy of hilotherm cooling system in reducing postoperative pain and edema in patients following maxillofacial trauma and orthognathic surgeries.A clinical prospective study was done in the postoperative period for patients with facial trauma or those subjected to orthognathic surgery, 34 patients divided randomly into 2 groups; study group treated with the hilotherm cooling system and control group without. Facial swelling was quantified by 5 linear distances (A, B, C, D, and E). Pain was reported on day 1, 2, and 7 postoperatively. Satisfaction with cooling therapy at day 7 following surgery was recorded. The means of swelling variation in study group were less than in control group with highly significant difference (P < 0.01) except in (line D) which is from tragus to the chin most prominent point where it was significant. Pain scores in control group were higher than in study group with highly significant difference (P < 0.01) except at 7th day which was not significant (P > 0.05). All patients in the study group were very satisfied.

Mandibular continuity defects are associated with multiple functional and esthetic problems. Nonvascularized bone grafting is one of several surgical corrective techniques for such defects with good success predictability. This retrospective clinical study reviewed the outcome of this technique when applied in its 2 protocol variations while minimizing the effect of as many confounding factors as possible through the application of strict eligibility criteria. The surgical records of 16 patients constituted the final sample: 10 patients in the one-stage and 6 patients in the two-stage reconstruction groups. It was found that mandibular reconstruction with nonvascularized bone graft is a good first option as well as a viable alternative in the absence of free flap procedure facilities. Patients' initial expectations should be a crucial factor in deciding the appropriate surgical treatment protocol form the early planning stage. Standardizing success parameters in such cases could further improve objectivity and allow for multi-center research data pooling with reduced effect of heterogeneity featuring these complex injuries.

ObjectivesThis case series aims to evaluate patients affected with post COVID‐19 mucormycosis from clinical presentation to surgical and pharmacological treatment to improve the disease prognosis.Material and MethodsThis case series was conducted at a specialized surgery hospital in Baghdad Medical City for over 10 months. Fifteen cases who had mild to severe COVID‐19 infections followed by symptoms similar to aggressive periodontitis, such as mobility and bone resorption around the multiple maxillary teeth, were included in this case series.ResultsAll patients did not receive COVID‐19 vaccination; seven had a history of diabetes mellitus type 2, another five patients had a history of diabetes‐like syndrome during the COVID‐19 infection, and the remaining three patients had no history of any systemic diseases. No intracranial involvement was seen in all patients, and bilateral sinus involvement was seen in three patients.ConclusionBeing highly suspicious of all patients affected with COVID‐19 is highly recommended to avoid the complications of the late diagnosis of mucormycosis. In addition, our knowledge and methods in diagnosing and treating classical mucormycosis should be modified regarding post COVID‐19 mucormycosis.

Purpose: The purpose of this study is to assess the precision of the surgical guide in static fully guided dental implant surgery. Materials and methods: This research was done on partly edentulous patients whose situations were straightforward and did not require bone or soft tissue augmentation. Fourteen patients (ranging in age from 25 to 70) received 40 dental implants at the dental implant unit, oral and maxillofacial surgery center, Gazi Alhariri Teaching Hospital, Medical City, Baghdad. Using a surgical guide, the dental implants were guided into the most prosthetically-appropriate location. To evaluate the accuracy of the surgical guide in terms of angular deviation, entry point, and implant depth. The actual post-operative implant position was compared to the designed implant position prior to surgery. Results: The mean for the angular deviation between the designed and post-operation actual implant position was (3.83 ± 2.85) degrees, the depth difference was (1.09 ± 0.81 ) millimeters, and the entry point deviation was (0.91 ± 0.73 ) millimeters. Conclusion: The current study revealed that there was no significant difference between the designed and actual implant position regarding all three variables at a P-value of (0.05). Neither biological nor mechanical complications occurred.

Tongue abscess is a serious clinical entity which scarcely affects the tongue. It should be treated urgently to prevent airway obstruction or dissemination of infection to a more deep or distant area of the body. This article presented the first clinical report of tongue abscess in Iraq which discussed its clinical presentation, diagnosis, and treatment with a review of literature.