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Showing 11 results for Afshar

H. Afshar , Smm. Payghambari ,
Volume 11, Issue 4 (9 1998)

One patient with Ellis Von Creveld syndrome contains: dwarfism, congenital heart disease, ectodermal dysplasia, polyductyly, an abnormally wide labial renum and maxillary molars with single root.

H. Afshar , Y. Baradaran Nakhjavani , P. Akhavan ,
Volume 12, Issue 1 (9 1999)

In this study, by cluster simple random sampling, the prevalence of ectopic of first permanent molar in 8 years old Tehran school children is considered and determined as 0.87 percent The involvement of maxilla was more than mandible and the difference was significant. Bilateral involvement was more than unilateral and boys were more- than girls, how ever the differences were not significant. As for as the geographical distribution is considered, the differences were not noticeable, either.
G.  rad Afshar ,
Volume 15, Issue 3 (8 2002)

Diagnosis and treatment of patients with periodontitis as a manifestation of systemic diseases is of especial concern to the periodontist, especially those associated with genetic disorders, which have poor prognosis. With aggressive progression of periodontal bone and attachment loss, a patient could be a partial or total edentulous early in life.The aim of this article was to report a case of Papillon-Lefevre syndrome (PLS) with generalizedprepubertal periodontitis (GPPP). A ten-year old boy for whom active periodontal treatment and subsequent maintenance recalls was performed for five years since the diagnosis of PLS. Treatment procedures included: precise mechanical instrumentation at several visits, periodontal surgery, adjunctive serial systemic antibiotic therapy, professional irrigation of pockets with 0/2% chlorhexidine solution and periodic maintenance recall visits. In spite of all of these, progressive course of the disease continued until the patient was fifteen and edentulous. Unfortunately association of GPPP with systemic unmanageable condition or diseases has caused refractory periodontitis, which yet has no proven and reliable treatment protocol. Besides, this article has discussed more successful treatment modalities for PLS with GPPP and the genetic aspects of host susceptibility, which is a complicated and challenging field.

H. Afshar , B. Seraj , A. Emadosadati ,
Volume 16, Issue 2 (8 2003)

Statement of Problem: Previous experiences and clinical observations indicate that enamel hypoplasia and hypocalcification of first permanent molars, among infants born in Cessarian Section Delivery (C/S) is more common than those born in Normal Vaginal Delivery (NVD). Moreover, the first permanent molar is the only tooth that its "cusp tip calcification" starts exactly at the time of delivery.

Purpose: The aim of this research was to investigate the relationship between delivery type and clinical feature of the first permanent molar. Meanwhile, the different effects of the elective and selective types of cessarian, on the clinical feature of first permanent molar, were studied.
Materials and Methods: Birth files, relation to the year 1994 and before, were extracted from a gynecologist clinic. One hundred patients with NVD, 50 patients with selective cessarian delivery and 50 patients with elective cessarian delivery were chosen to examine clinical feature of the first permanent molars of their children. The children, 6 years old or more, were examined. The medical information of the mother were extracted from her file and that of child, were asked from the mother. To analyze the result, X lest- was used.
Results: The prevalence of enamel defects (hypoplasia and hypocalcification) of the first permanent molar among children born by C/S, were significantly different from the children born by NVD (P=0.0002). Mean while, the prevalence of these enamel defects in the selective cessarian delivery was more than elective cessarian delivery (17% vs. 9%), which was not statistically significant (P-0.07)

Conclusion: It is suggested that gynecologists, pediatricians and pedodontists provide the parents with necessary information about the child's first permanent tooth and ask them to pay enough attention to keep this tooth which is considered as the key of occlusion.

H. Afshar , M Mozafari Kojidi ,
Volume 19, Issue 2 (4 2006)

Background and Aim: The need for recrimping precrimped stainless steel crowns by the dentist in clinic is controversial. This study aimed to evaluate the rate of marginal circumference and marginal thickness change of precrimped stainless steel crowns after recrimping.

Materials and Methods: In this experimental study, 30 primary photos were taken from margins of 30 S.S.Cs (3M, Ni-Cr) related to tooth 85 with a digital camera fixed at a determined distance. Margins of crowns were crimped by 114 and 137 pliers with a controlled force (0.2 N) and then 30 secondary photos were taken in the same conditions. The circumference of crown margins in primary (group A) and secondary (group B) photos were assessed by a digitizer system. Comparing the circumferences of crown margins in primary and secondary photos showed a significant decrease after crimping. Thickness of 30 random points on the crown margins of a crown similar to mentioned cases was measured by SEM (×150). Then similar procedures including taking a primary photo, crimping and taking a secondary photo was done for the sample crown. After significant reduction in margin circumference, thickness of 30 other random points on the crown margin were measured by SEM. Data were analyzed by paired sample t-test with p<0.05 as the limit of significance.

Results: The mean marginal circumference of precrimped stainless steel crowns was reduced by 7.3% which was significant (P<0.001). On the other hand the mean marginal thickness of sample stainless steel crown showed 18µ increase.

Conclusion: According to the results of this study, marginal circumference of precrimped stainless steel crowns (3M, Ni-Cr) showed a significant decrease after crimping. It is concluded that crimping the stainless steel crowns even for precrimped ones seems necessary.

M. Bidar , J. Tavakol Afshari , F. Shahrami ,
Volume 20, Issue 4 (5 2008)

Background and Aim: Osteoblasts and periodontal ligament cells play a major role in wound healing after root end resection. The interaction of osteoblasts with filling materials is critical in healing of surgical lesions. The aim of this study was to evaluate the morphology and adhesion of human osteoblasts (MG-63 cell line) in contact with IRM, gray MTA, white MTA and Portland cement (PC) as root end filling materials.

Materials and Methods: In this in vitro study, human osteoblasts of osteosarcoma were provided from the cell bank of Iran Pasteur Institute, and cultured in RPMI 1640 medium. Test materials were mixed according to the manufacturer's instructions and placed in contact with osteoblast cells. After the first, third and seventh days discs of materials with grown cells were fixed and examined by scanning electron microscopy.

Results: Results showed that after 7 days most of the osteoblasts were attached to the surface of both gray and white MTA and PC and appeared flat or round, however cells adjacent to IRM were round without any adhesion and spread.

Conclusion: Based on the results of this study, human osteoblasts have a favorable response to gray and white MTA and Portland cement compared to IRM.

G. Radafshar, M. Khoshhal,
Volume 21, Issue 1 (14 2008)

Background and Aim: Furcation defects are one of the most challenging problems in periodontal therapy. Regenerative treatment significantly improves the prognosis of the involved teeth. The aim of this study was to compare Bio-Oss plus 10% collagen in combination with either a bioabsorbable collagen barrier (BO/GTR), or coronally advanced flap (BO/CF), in treating human mandibular class II furcation defects.

Materials and Methods: This clinical trial included 10 patients with 10 pairs of similar periodontal defects. Each defect was randomly assigned to treatment with BO/CF or BO/GTR. Following basic therapy, baseline measurements were recorded including probing pocket depth (PPD),closed horizontal probing depth (CHPD), clinical attachment level (CAL), and gingival margin position (CEJ-GM), together with plaque and gingival indices. Hard tissue measurements were performed during surgery to determine alveolar crestal height (CEJ-AC), and vertical and horizontal open probing depth (OVPD, OHPD).After 6 months, all sites were re-entered and soft and hard tissue measurements were recorded.

Results: Both surgical procedures significantly reduced probing depth and improved clinical attachment levels, with no significant difference between groups. Gingival margin position (CEJ-GM), was improved in the BO/CF group (0.66±0.51 mm, p<0.05), but not statistically different from BO/GTR group in which remained relatively constant (0.00±0.81 mm). Vertical defect resolution was significant in each groups (BO/CF:3.17±1.47 mm, BO/GTR:3.33±0.51mm). Horizontal defect resolution was also significant with either procedure (BO/CF:3.67±1.31 mm, BO/GTR:3.80±1.83 mm), with no statistically significant difference between groups. Data were analyzed with wilcoxon and Mann-Whitney tests with p<0.05 as the level of significance.

Conclusion: Based on the results of this study, treatment of mandibular class II furcation defects with both procedures resulted in statistically significant improvement in open and closed probing measurements, with no significant difference between treatment groups. In BO/CF group there was an additional improvement in gingival recession (CEJ-GM) measurement, which could be attributed to applying crown-attached sutures by the use of orthodontic brackets.

H. Afshar, J. Mahmoodian, P. Motahhary, A. Khanlarpoor,
Volume 21, Issue 2 (12 2008)

Background and Aim: Pit and fissure sealant therapy, is one of the most effective methods, in prevention of occlusal caries. Saliva contamination before curing the resin can increase the risk of failure in this method. The purpose of this study was to evaluate the effect of saliva contamination prior to curing on microleakage of pit and fissure sealants.

Materials and Methods: In this experimental in vitro study 21 sound human pre molars were selected and two standardized V-Shaped fissures were prepared on both buccal and lingual surfaces, then they were randomly divided into two equal groups. In the control group, the sealant was cured without any saliva contamination and in the case group, the sealed teeth were immersed in artificial saliva for ten seconds before curing. After thermocycling the samples were immersed in 2% fouchsin solution for 24 hours and then sectioned longitudinally in bucco - lingual direction. The specimens were then fixed and assessed under stereomicroscope to determine microleakage and dye penetration using paired student t. test. P<0.05 was considered as the level of significance.

Results: Analysis of data showed no significant differences in microleakage, between the two groups (p=0.178).

Conclusion: According to the results of this study saliva contamination of uncured sealant had no influence on microleakage.

Mohammad Bayat, Seyed Mohsen Khoshniat Nikoo, Fatemeh Afshar Hezarkhani,
Volume 25, Issue 4 (9 2013)

Background and Aims: The aim of this study was to investigate the prevalence of diabetes and other risk factors in patients with dental infections.

Materials and Methods: A cross-sectional study was conducted among 50 patients who preferred in maxillofacial word of shariaty hospital with acute dental infections in 9 months. A self-administered questionnaire was administered during a dental appointment in order to gather demographic information and recorded past history of systemic disease, OPG radiography, gingival examination, and the result of lab tests such as CBC , FBS , PT, Bilirubin , Creat, T3, T4, TSH, HIVAb and HBSAg.

Results: 28% of the subjects and diabetes, 28% Anemia, 4% Hepatitis and 4% suffered from thyroid deficiency. 28% were smokers and 18% declared using alcohol. 6% of this population was addicted to narcotic substances. There was a significant correlation between age, education, diabetes and dental infections (P<0.05). DMFT for people with dental infections without any systemic disease were 8, for diabetic patients, smokers and alcohol users were respectively 17.16, 17 and 14.

Conclusion: Diabetes found highly prevalent in patients with dental infection and high DMFT.It indicates a need to establish a comprehensive oral health promotion program based on whole examination and blood glucose control in diabetic patients who have acute dental infection by collaboration between dental and general health care professionals. Moreover, it is recommended that all patients should be educated in dental and oral health for prevention of dental infections.

Hossein Afshar, Ahmadreza Shamshiri, Vahid Pourtalebi Firozabadi, Zahra Bani Ameri,
Volume 25, Issue 4 (9 2013)

Background and Aims: Nursing Caries (NC) is a destructive form of caries because of incorrect nutritional habits in infants that affects deciduous teeth after eruption. Familiarity with the pattern of this type of caries and evaluation of its symmetrical or asymmetrical pattern is necessary for effective and scientific diagnosis and treatment. The aim was to assess the symmetrical or asymmetrical aspects of Nursing Caries in children between 3-5 years old.

Materials and Methods: In this cross-sectional study, 10 kindergartens were randomly selected by the Tehran Welfare Organization. 115 children with NC caries entered to study after examination. Written consents were obtained from the parents. The dmfs in upper primary incisors and upper and lower primary canines, as well as the first primary molars were assessed and the caries pattern in terms of symmetrical or asymmetrical aspects was evaluated. The data were analyzed by ANOVA, LSD, Chi-square and Fisher tests.

Results: In 53.9% of the children with NC, the anterior teeth were affected symmetrically, while 46.1% indicated an asymmetrical pattern. In general, 32.2% of the teeth were affected in a symmetrical pattern and 67.8% of them in an asymmetrical pattern. About the relationship between the breastfeeding from the right or left breast and the symmetrical pattern of the NC, 51% of the children were equally breastfed from both breasts. However, in the asymmetrical NC pattern with more impact in the right side of dentition, 50% of the children had been breastfed from the left side and in children with more caries  in the left side of dentition, 50% of them had been breastfed from the right side (P=0.01).

Conclusion: NC has symmetrical and asymmetrical patterns. Direction of mother for breastfeeding affects the symmetrical and asymmetrical pattern of NC.

Arash Mansuorian, Sara Pourshahidi, Maryam Sadat Sadrzadeh Afshar,
Volume 29, Issue 4 (1-2017)

Masticatory muscle pain is the second most frequent cause of orofacial pain after dental pain. Myofascial pain dysfunction syndrome (MPDS) is the most common form of temporomandibular joint dysfunction. MPDS is a pain that triggers from [sensitive] points in the muscles and fascia and is followed by spasm, tenderness to palpation, restricted movement, fatigue, and sometimes dysfunction. The researchers intended to collect comprehensive information about therapeutic interventions for myofascial pain through the conduction of a critical study based on evidence in the literature. In this review, 51 English articles, published between 1981 and 2013, were extracted from PubMed, Medline, Ovid, and Google Scholar. These articles were then reviewed in detail in two categories, namely pharmaceutical and non-pharmaceutical treatments. MPDS treatment should be first focused on the identification and correction of underlying causes. Thiocolchicoside (TCC), non-steroidal anti-inflammatory drugs (NSAIDs), and Cox-2 inhibitors are among promising pharmaceutical methods. On the other hand, ultrasound and laser therapy are among promising non-pharmaceutical methods. The complex mechanism of MPDS, along with its underlying peripheral and central nervous mechanisms may make MPDS, difficult to treat, especially in its chronic form.

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