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Background: Recurrent aphthous stomatitis (RAS) is one of the most common oral mucosal disorders with a prevalence of 50-66%. The prevalence of hematinic deficiencies including ferritin and vitamin B12 deficiencies and their role in the prophylaxis and development of RAS is not well known. Many studies have demonstrated a high prevalence of hematinic deficiencies in patients with RAS. This study aimed to compare the serum level of ferritin and vitamin B12 in patients with recurrent aphthous ulcers and healthy controls. Subjects, Materials and Methods: The data were collected from patients who needed blood analysis to exclude anemia from November 2020 to May 2021. The study was approved by the institutional ethics committee. After recording patients' demographics ( age, gender, occupation, address) 5ml of blood was drawn from patients and controls in educational laboratories centrifuged at 3000 rpm for 10 minutes, then serum was stored at -20°C till the time of assessment of both serum ferritin and vitamin B12. The data were expressed as Mean ± SD. Students Unpaired t-test was used for comparing biochemical parameters between patients and controls and a p-value of

Background: Orthodontic tooth movement is characterized by tissue reactions, which consist of an inflammatory response in periodontal ligament and followed by bone remodeling in the periodontium depending on the forces applied. These processes trigger the secretion of various proteins and enzymes into the saliva.The purpose of this study was to evaluate the activity of alkaline phosphatase (ALP) in saliva during orthodontic tooth movement using different magnitude of continuous orthodontic forces. Materials and Methods: Thirty orthodontic patients (12 males and 18 females) aged 17-23 years with class II division I malocclusion all requiring bilateral maxillary first premolar extractions were randomly divided into three groups according to the magnitude of the force application (40, 60 and 80gm). A sectional fixed appliance was bonded and designed to give labial force to the maxillary first premolar for three weeks. Unstimulated saliva was collected from the patients before force application, then 1 hour after force application, followed by 1 day, 7 days, 14 days and 21 days.Salivary levels of ALP were measured using spectrophotometer and compared with the baseline level. Results: The results revealed that ALP enzymelevel increased with increasing magnitude of orthodontic force (from 40 to 80gm). This was statistically insignificant after 1 hour and 1 day of force application, but significant after 7, 14 and 21 days.The ALP level significantly increased from baseline after 7 days of force application and peaked at 21 days for all the three force levels. Conclusions: The ALP level reflect the biological activity that takes place in the periodontium during orthodontic tooth movement, and therefore they can be used as a diagnostic tool for monitoring of correct orthodontic tooth movement in clinical practice.

Background: Implant stability is considered one of the most important factors affecting healing and successful osseointegration of dental implants. The aims of the study were to measure the implant stability quotient (ISQ) values during the healing period and to determine the factors that affect implant stability. Materials and methods: Thirty patients enrolled in the study (17 female, 13 male). They received 44 Implantium® Dental Implants located as the following: 22 implants in maxillary jaw, 22 implants in mandibular jaw from them 17 implants in anterior segment and 27 in posterior segment. The bone density determined using interactive CT scan and classified according to the Misch bone density classification (29 implants in (D3), 15 implants in (D4)). Resonance frequency analysis was used for direct measurement of implant stability on the day of implant placement and 8, 16 and 24 weeks after implant placement. Results: The lowest mean of average ISQ was at the 8th week (69.5) and then the mean increased to reach at the 24th week (76.8). Mandibular implants showed significantly higher ISQ values than maxillary implants. Implants placed in the posterior segment of the jaw had significantly higher ISQ values than implants in the anterior segment. A significant, positive linear correlation was observed between the implant diameter and the implant stability (r=0.343 p

Background: Alterations in the microhardness and roughness are commonly used to analyze the possible negative effects of bleaching products on restorative materials. This in vitro study evaluated the effect of in-office bleaching (SDI pola office +) on the surface roughness and micro-hardness of four newly developed composite materials (Z350XT –nano-filled, Z250XT-nano-hybrid, Z250-mico-hybrid and Silorane-silorane based). Materials and methods: Eighty circular samples with A3 shading were prepared by using Teflon mold 2mm thickness and 10mm in diameter. 20 samples for each material, 10 samples for base line measurement (surface roughness by using portable profillometer, and micro-hardness by usingDigital Micro Vickers Hardness Tester), and 10 samples for after bleaching measurement. The appropriate bleaching procedure was performed on the top surface of test groups for 90 minutes total bleaching period. Then surface roughness and hardness were tested at the end of the duration. Statistical analysis was carried out using ANOVA, LSD and t-test. Results: There was a highly significant increase in surface roughness of all tested groups after bleaching. There is a highly significant increase in micro-hardness for Z250, there is decrease in Micro-hardness for siloraneand Z250xt and there is a non-significant increase in micro-hardness of Z350xt. Conclusion: bleaching has a negative effect on surface roughness of all the tested materials, as surface roughness increased after bleaching. Micro-hardness is a material dependent, there is different reaction to bleaching depending on the resin, load and size of the fillers used in the materials. Nano-filled composite is the material that has better performance than the other tested materials, as it is the material that has the least affection by bleaching.

Background: Orthodontic force is considered to stimulate cells in the periodontium to release many mediators such as cytokines which play a responsible role for periodontal and alveolar bone remodeling, bone resorption and new bone deposition. Aim of this study was carried out to estimate changes of the (interleukin-one beta, tumor necrosis factor alpha and C-reactive protein) levels in unstimulated whole saliva during the leveling stage of orthodontic tooth movement. Materials and methods: The sample consisted of thirty adult patients (12 males and 18 females) with ages ranges (19-23) years. Each sample had Class I and Class II malocclusion dental classification and required bilateral extraction of their maxillary first premolars, underwent a session of professional oral hygiene and received oral hygiene instructions before and during the period of study, one month later fixed orthodontic appliance were placed in the upper arch by using 0.014 nickel titanium arch wire. The unstimulated whole saliva was taken from each sample immediately before placement of the appliance (baseline), and at (after1hour, after one week and after two week) following placement of the fixed orthodontic appliance. In addition the plaque index and gingival index were recorded during the interval periods of this study to assess oral cleanliness. The interleukin one beta and tumor necrosis factor-alpha were determined by enzyme linked immunosorbent assay, while the C-reactive protein was determined by latex agglutination. Results: The results of the present study found the mean value of both salivary (interleukin-one beta and tumor necrosis factor -alpha) were highest at (after1hour) followed by at (after one week) then at (after two week) than the baseline with highly statistical significant differences (P< 0.01) among males, females and total samples, in addition there were no statistical significant differences between males and females (P>0.05). While the mean values of C-reactive protein were higher at (after 1hour) only with highly significant differences (P< 0.01) among females and total samples while only significant difference (P